NUR 2811 EXAM / ACTUAL NUR 2811 MIDTERM TEST 2026/2027
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
1. A nurse caring for a client with leukemia is participating in a
multidisciplinary discussion about whether a bone marrow transplant
should proceed. The team carefully weighs the expected benefits against
treatment-related risks and specifically seeks to minimize preventable harm
to the client. Which ethical principle is most directly demonstrated by this
approach?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence
Answer: D
2. A competent adult client refuses a recommended blood transfusion
because of personal beliefs after the nurse has explained the potential
consequences. The family asks the nurse to administer the blood despite
the refusal. Which ethical principle should guide the nurse's response?
A. Autonomy
B. Beneficence
C. Justice
D. Veracity
Answer: A
3. A nurse administers an influenza vaccination to an eligible client after
obtaining appropriate consent, recognizing that the injection may cause
temporary discomfort but provides protection against serious illness. Which
ethical principle is primarily illustrated?
A. Fidelity
B. Beneficence
C. Autonomy
D. Confidentiality
Answer: B
pg. 1
, 4. A nurse discovers that two clients with similar clinical needs are receiving
different amounts of nursing attention because one client is a personal
acquaintance of a staff member. Which ethical principle is most directly
violated?
A. Fidelity
B. Autonomy
C. Justice
D. Veracity
Answer: C
5. A nurse realizes that a medication error occurred but the client has not yet
developed any symptoms. The nurse immediately assesses the client,
notifies the appropriate provider, follows organizational policy, and
accurately documents the event. Which professional principle is best
demonstrated?
A. Accountability
B. Paternalism
C. Advocacy
D. Delegation
Answer: A
6. A client asks the nurse whether a newly prescribed medication can cause
serious adverse effects. The nurse does not know the complete answer and
tells the client that the information will be verified rather than giving an
uncertain response. Which ethical principle is demonstrated?
A. Justice
B. Autonomy
C. Veracity
D. Fidelity
Answer: C
7. A nurse promises a hospitalized client that the nurse will return after rounds
to discuss the discharge plan and then returns as promised. Which
professional value is most clearly demonstrated?
pg. 2
, A. Beneficence
B. Fidelity
C. Justice
D. Nonmaleficence
Answer: B
8. A client tells the nurse that a family member is not permitted to receive
information about the client's diagnosis. Later, the family member calls the
unit requesting an update. What is the nurse's most appropriate response?
A. Provide information because the caller is a family member
B. Provide only the diagnosis but not the treatment plan
C. Refer the caller to another family member
D. Decline to disclose information without appropriate authorization
Answer: D
9. A nurse is caring for four clients and must determine which client requires
immediate assessment. Which finding represents the highest priority?
A. A client with asthma who has increasing work of breathing and difficulty
speaking
B. A client with chronic arthritis reporting pain rated 7/10
C. A postoperative client requesting assistance with bathing
D. A client with diabetes asking when lunch will arrive
Answer: A
10. At the beginning of a shift, a nurse receives report on four clients. Which
client should the nurse assess first using airway, breathing, and circulation
priorities?
A. A client with pneumonia whose oxygen saturation has decreased and
who is becoming increasingly confused
B. A client with a urinary catheter who reports mild bladder discomfort
C. A client with hypertension whose blood pressure is moderately elevated
D. A client awaiting discharge instructions after an uncomplicated
procedure
Answer: A
pg. 3
, 11. A postoperative client suddenly becomes restless, tachycardic, and short of
breath, with an oxygen saturation of 84% despite oxygen therapy. Which
action should the nurse take first?
A. Document the findings in the medical record
B. Encourage the client to ambulate
C. Assess airway and breathing while initiating immediate supportive
measures
D. Ask the family whether similar symptoms occurred previously
Answer: C
12. A nurse is caring for a client who suddenly develops facial drooping,
unilateral arm weakness, and difficulty speaking. Which action has the
highest priority?
A. Offer oral fluids
B. Activate the facility's stroke response and determine the last-known-well
time
C. Place the client in a quiet room and reassess in 30 minutes
D. Administer the client's scheduled antihypertensive medication
Answer: B
13. A nurse is caring for a client with suspected sepsis who has hypotension,
altered mental status, tachycardia, and elevated respiratory rate. Which
nursing action is most appropriate?
A. Delay treatment until all laboratory results are available
B. Encourage the client to ambulate to improve circulation
C. Recognize the condition as an emergency and initiate the prescribed
sepsis-management pathway
D. Restrict fluids until the client's blood pressure normalizes
Answer: C
14. A nurse receives a verbal medication order from a provider during an
emergency. Which action is most appropriate to reduce communication
errors?
A. Accept the order without repeating it because the situation is urgent
pg. 4
PRACTICE QUESTIONS AND STUDY GUIDE COMPLETE ACCURATE EXAM
1. A nurse caring for a client with leukemia is participating in a
multidisciplinary discussion about whether a bone marrow transplant
should proceed. The team carefully weighs the expected benefits against
treatment-related risks and specifically seeks to minimize preventable harm
to the client. Which ethical principle is most directly demonstrated by this
approach?
A. Justice
B. Fidelity
C. Autonomy
D. Nonmaleficence
Answer: D
2. A competent adult client refuses a recommended blood transfusion
because of personal beliefs after the nurse has explained the potential
consequences. The family asks the nurse to administer the blood despite
the refusal. Which ethical principle should guide the nurse's response?
A. Autonomy
B. Beneficence
C. Justice
D. Veracity
Answer: A
3. A nurse administers an influenza vaccination to an eligible client after
obtaining appropriate consent, recognizing that the injection may cause
temporary discomfort but provides protection against serious illness. Which
ethical principle is primarily illustrated?
A. Fidelity
B. Beneficence
C. Autonomy
D. Confidentiality
Answer: B
pg. 1
, 4. A nurse discovers that two clients with similar clinical needs are receiving
different amounts of nursing attention because one client is a personal
acquaintance of a staff member. Which ethical principle is most directly
violated?
A. Fidelity
B. Autonomy
C. Justice
D. Veracity
Answer: C
5. A nurse realizes that a medication error occurred but the client has not yet
developed any symptoms. The nurse immediately assesses the client,
notifies the appropriate provider, follows organizational policy, and
accurately documents the event. Which professional principle is best
demonstrated?
A. Accountability
B. Paternalism
C. Advocacy
D. Delegation
Answer: A
6. A client asks the nurse whether a newly prescribed medication can cause
serious adverse effects. The nurse does not know the complete answer and
tells the client that the information will be verified rather than giving an
uncertain response. Which ethical principle is demonstrated?
A. Justice
B. Autonomy
C. Veracity
D. Fidelity
Answer: C
7. A nurse promises a hospitalized client that the nurse will return after rounds
to discuss the discharge plan and then returns as promised. Which
professional value is most clearly demonstrated?
pg. 2
, A. Beneficence
B. Fidelity
C. Justice
D. Nonmaleficence
Answer: B
8. A client tells the nurse that a family member is not permitted to receive
information about the client's diagnosis. Later, the family member calls the
unit requesting an update. What is the nurse's most appropriate response?
A. Provide information because the caller is a family member
B. Provide only the diagnosis but not the treatment plan
C. Refer the caller to another family member
D. Decline to disclose information without appropriate authorization
Answer: D
9. A nurse is caring for four clients and must determine which client requires
immediate assessment. Which finding represents the highest priority?
A. A client with asthma who has increasing work of breathing and difficulty
speaking
B. A client with chronic arthritis reporting pain rated 7/10
C. A postoperative client requesting assistance with bathing
D. A client with diabetes asking when lunch will arrive
Answer: A
10. At the beginning of a shift, a nurse receives report on four clients. Which
client should the nurse assess first using airway, breathing, and circulation
priorities?
A. A client with pneumonia whose oxygen saturation has decreased and
who is becoming increasingly confused
B. A client with a urinary catheter who reports mild bladder discomfort
C. A client with hypertension whose blood pressure is moderately elevated
D. A client awaiting discharge instructions after an uncomplicated
procedure
Answer: A
pg. 3
, 11. A postoperative client suddenly becomes restless, tachycardic, and short of
breath, with an oxygen saturation of 84% despite oxygen therapy. Which
action should the nurse take first?
A. Document the findings in the medical record
B. Encourage the client to ambulate
C. Assess airway and breathing while initiating immediate supportive
measures
D. Ask the family whether similar symptoms occurred previously
Answer: C
12. A nurse is caring for a client who suddenly develops facial drooping,
unilateral arm weakness, and difficulty speaking. Which action has the
highest priority?
A. Offer oral fluids
B. Activate the facility's stroke response and determine the last-known-well
time
C. Place the client in a quiet room and reassess in 30 minutes
D. Administer the client's scheduled antihypertensive medication
Answer: B
13. A nurse is caring for a client with suspected sepsis who has hypotension,
altered mental status, tachycardia, and elevated respiratory rate. Which
nursing action is most appropriate?
A. Delay treatment until all laboratory results are available
B. Encourage the client to ambulate to improve circulation
C. Recognize the condition as an emergency and initiate the prescribed
sepsis-management pathway
D. Restrict fluids until the client's blood pressure normalizes
Answer: C
14. A nurse receives a verbal medication order from a provider during an
emergency. Which action is most appropriate to reduce communication
errors?
A. Accept the order without repeating it because the situation is urgent
pg. 4
