Foundations Ch. 22,23, + 26 NLCLEX Questions (ethics and
values, legal, and informatics/documentation) Questions
With Complete Solutions
1. A nurse is caring for a patient who recently had coronary
bypass surgery. Which are legal sources of standards of care the
nurse uses to deliver safe health care? (Select all that apply.)
A. Information provided by the head nurse
B. Policies and procedures of the employing hospital
C. State Nurse Practice Act
D. Regulations identified in The Joint Commission's manual
E. The American Nurses Association standards of nursing
practice Correct Answers B,C,D,E
1. A nurse preceptor is working with a student nurse. Which
behavior by the student nurse will require the nurse preceptor to
intervene?
a. The student nurse reviews the patient's medical record.
b. The student nurse reads the patient's plan of care.
c. The student nurse shares patient information with a friend.
d. The student nurse documents medication administered to the
patient Correct Answers C
1. Four patients in labor all request epidural analgesia to manage
their pain at the same time. Which ethical principle is
compromised when only one nurse anesthetist is on call?
A. Justice
B. Nonmaleficence
C. Beneficence
D. Fidelity Correct Answers A
,10. A homeless man enters the emergency department seeking
health care. The healthcare provider indicates that the patient
needs to be transferred to the City Hospital for care. This action
is most likely a violation of which of the following laws?
A. Health Insurance Portability and Accountability Act
(HIPAA)
B. Americans with Disabilities Act (ADA)
C. Patient Self-Determination Act (PSDA)
D. Emergency Medical Treatment and Active Labor Act
(EMTALA) without triage completed Correct Answers D
10. A nurse argues that we need to reform our health care
system because we have a large number of people who are
uninsured and end up needing expensive emergent care when
low-cost measures could have prevented their illnesses. What
ethical framework is she using to make this case?
A. Deontology
B.Ethics of care
C.Feminist ethics
D. Utilitarianism Correct Answers D
10. A nurse is using the source record and wants to find the daily
weights. Where should the nurse look?
a. Database
b. Medical history and examination
c. Progress notes
d. Graphic sheet and flow sheet Correct Answers D
11. A nurse is a member of an interdisciplinary team that uses
critical pathways. According to the critical pathway, on day 2 of
the hospital stay, the patient should be sitting in the chair. It is
, day 3, and the patient cannot sit in the chair. What should the
nurse do?
a. Focus charting using the DAR format.
b. Add this data to the problem list.
c. Document the variance in the patient's record.
d. Report a positive variance in the next interdisciplinary team
meeting. Correct Answers C
11. The nurse has become aware of missing narcotics in the
patient care area. Which ethical principle obligates the nurse to
report the missing medications?
A. Advocacy
B. Responsibility
C. Confidentiality
D. Accountability Correct Answers B
11. You are the night shift nurse caring for a newly admitted
patient who appears to be confused. The family asks to see the
patient's medical record. What is the priority nursing action?
A. Give the family the record
B. Discuss the issues that concern the family with them
C. Call the nursing supervisor
D. Determine from the medical record if the family has been
granted permission by the patient to access his or her medical
information Correct Answers D
12. A home health nurse notices significant bruising on a 2-year-
old patient's head, arms, abdomen, and legs. The patient's
mother describes the patient's frequent falls. What is the best
nursing action for the home health nurse to take?
A. Document her findings and treat the patient
values, legal, and informatics/documentation) Questions
With Complete Solutions
1. A nurse is caring for a patient who recently had coronary
bypass surgery. Which are legal sources of standards of care the
nurse uses to deliver safe health care? (Select all that apply.)
A. Information provided by the head nurse
B. Policies and procedures of the employing hospital
C. State Nurse Practice Act
D. Regulations identified in The Joint Commission's manual
E. The American Nurses Association standards of nursing
practice Correct Answers B,C,D,E
1. A nurse preceptor is working with a student nurse. Which
behavior by the student nurse will require the nurse preceptor to
intervene?
a. The student nurse reviews the patient's medical record.
b. The student nurse reads the patient's plan of care.
c. The student nurse shares patient information with a friend.
d. The student nurse documents medication administered to the
patient Correct Answers C
1. Four patients in labor all request epidural analgesia to manage
their pain at the same time. Which ethical principle is
compromised when only one nurse anesthetist is on call?
A. Justice
B. Nonmaleficence
C. Beneficence
D. Fidelity Correct Answers A
,10. A homeless man enters the emergency department seeking
health care. The healthcare provider indicates that the patient
needs to be transferred to the City Hospital for care. This action
is most likely a violation of which of the following laws?
A. Health Insurance Portability and Accountability Act
(HIPAA)
B. Americans with Disabilities Act (ADA)
C. Patient Self-Determination Act (PSDA)
D. Emergency Medical Treatment and Active Labor Act
(EMTALA) without triage completed Correct Answers D
10. A nurse argues that we need to reform our health care
system because we have a large number of people who are
uninsured and end up needing expensive emergent care when
low-cost measures could have prevented their illnesses. What
ethical framework is she using to make this case?
A. Deontology
B.Ethics of care
C.Feminist ethics
D. Utilitarianism Correct Answers D
10. A nurse is using the source record and wants to find the daily
weights. Where should the nurse look?
a. Database
b. Medical history and examination
c. Progress notes
d. Graphic sheet and flow sheet Correct Answers D
11. A nurse is a member of an interdisciplinary team that uses
critical pathways. According to the critical pathway, on day 2 of
the hospital stay, the patient should be sitting in the chair. It is
, day 3, and the patient cannot sit in the chair. What should the
nurse do?
a. Focus charting using the DAR format.
b. Add this data to the problem list.
c. Document the variance in the patient's record.
d. Report a positive variance in the next interdisciplinary team
meeting. Correct Answers C
11. The nurse has become aware of missing narcotics in the
patient care area. Which ethical principle obligates the nurse to
report the missing medications?
A. Advocacy
B. Responsibility
C. Confidentiality
D. Accountability Correct Answers B
11. You are the night shift nurse caring for a newly admitted
patient who appears to be confused. The family asks to see the
patient's medical record. What is the priority nursing action?
A. Give the family the record
B. Discuss the issues that concern the family with them
C. Call the nursing supervisor
D. Determine from the medical record if the family has been
granted permission by the patient to access his or her medical
information Correct Answers D
12. A home health nurse notices significant bruising on a 2-year-
old patient's head, arms, abdomen, and legs. The patient's
mother describes the patient's frequent falls. What is the best
nursing action for the home health nurse to take?
A. Document her findings and treat the patient
