NURS 171 Exam 1 NCLEX UPDATED
QUESTIONS AND CORRECT ANSWERS
Which principle refers to the professional obligation of the nurse to assume responsibility for
actions?
A. Accountability
B. Individuality
C. Responsibility
D. Bioethics - CORRECT ANSWER A. Accountability
Rationale: "Accountability refers to individuals being answerable for their actions... It means
that as a nurse you take responsibility to provide excellent patient care by following standards
of practice and agency policies and procedures. You assume responsibility for the outcomes
of the actions, clinical judgments, and omissions in providing patient care" (Potter pg. 307)
Which legal complication might the nurse face for using a restraint without a legal warrant on
a client?
A. Libel
B. Negligence
C. Malpractice
D. False imprisonment - CORRECT ANSWER D. False imprisonment
Rationale: "False imprisonment occurs when a patient is restrained without a legal reason"
(Potter pg. 337)
Which tort involves intentional touching without the client's consent?
A. Battery
B. Invasion of privacy
C. False imprisonment
D. Defamation of character - CORRECT ANSWER A. Battery
,Rationale: "Battery is any intentional offensive touching without consent or lawful
justification" (Potter pg. 337)
Which teaching point is appropriate for the nurse to include in the education of the ethical
principle of nonmaleficence to a group of nursing students?
A. Treat all clients equitably and fairly
B. Act in ways to prevent harm to patients
C. Tell the client the truth about their health
D. Help te clients make informed choices - CORRECT ANSWER B. Act in ways to
prevent harm to patients
Rationale: "nonmaleficence refers to the avoidance of arm or hurt....[the] commitment to do
no harm" (Potter pg. 317)
B. Act in ways to prevent harm to patients
Rationale: "nonmaleficence refers to the avoidance of arm or hurt....[the] commitment to do
no harm" (Potter pg. 317)Wh - CORRECT ANSWER B. Surgeon
Rationale: In terms of informed consent, we know that this is a "health care provider-patient
relationship". And "The person responsible for performing the procedure is responsible for
obtaining the informed consent" (Potter pg. 333). In a situation like a surgery, it would be the
responsibility of the surgeon to provide the risks, complications, and benefits
When working with an older adult who is hearing impaired, the use of which techniques
would improve communication? (SELECT ALL THAT APPLY)
A. Check for needed adaptive equipment
B. Exaggerate lip movements to help the patient lip read
C. Give the patient time to respond to questions
D. Keep communication short and to the point
E. Communicate only through written information - CORRECT ANSWER A. Check
for needed adaptive equipment
, C. Give the patient time to respond to questions
D. Keep communication short and to the point
Rationale: In Potter pg 361, there's a good table with special communication approaches to
many scenarios (such as; cognitive impairment, English second language, visually impaired,
unresponsive, hearing impairment, etc).
A woman has severe life-threatening injuries, is unresponsive, and is hemorrhaging following
a car accident. The health care provider orders 2 units of packed red blood cells to treat the
woman's anemia. The woman's husband refuses to allow the nurse to give his wife the blood
for religious reasons. What is the nurses responsibility.
A. Obtain a court order to give the blood
B. Convince the husband to allow her to give the blood
C. Call security and have the husband removed from the hospital
D. Gather more information about the wife's preferences and determine whether the husband
has her power of attorney for healthcare. - CORRECT ANSWER D. Gather more
information about the wife's preferences and determine whether the husband has her power of
attorney for healthcare.
Rationale: "An advanced directive is a document developed by patients that instructs others
to do tasks before, during, and after their death....[it also includes] the designated person
[that] can make decisions when the patient becomes incapacitated" (Potter pg. 331).
Therefore, it would be best to see if the patient has a POLST or other living will set in place,
to honor her wishes
A nurse sends a text message to the oncoming nurse that states, "Mr. Kodro in room 3348-1
refused to take his sertraline hydrochloride as ordered his morning because he said he was
feeling better". What should the oncoming nurse do? (SELECT ALL THAT APPLY)
A. Add this information to the board hanging at the patient's bedside
B. Tell the nurse who sent the text that the text is a HIPAA violation
C. Inform the nursing supervisor
D. Forward the text to the charge nurse
E. Thank the nurse for sending the information - CORRECT ANSWER B. Tell the
nurse who sent the text that the text is a HIPAA violation
QUESTIONS AND CORRECT ANSWERS
Which principle refers to the professional obligation of the nurse to assume responsibility for
actions?
A. Accountability
B. Individuality
C. Responsibility
D. Bioethics - CORRECT ANSWER A. Accountability
Rationale: "Accountability refers to individuals being answerable for their actions... It means
that as a nurse you take responsibility to provide excellent patient care by following standards
of practice and agency policies and procedures. You assume responsibility for the outcomes
of the actions, clinical judgments, and omissions in providing patient care" (Potter pg. 307)
Which legal complication might the nurse face for using a restraint without a legal warrant on
a client?
A. Libel
B. Negligence
C. Malpractice
D. False imprisonment - CORRECT ANSWER D. False imprisonment
Rationale: "False imprisonment occurs when a patient is restrained without a legal reason"
(Potter pg. 337)
Which tort involves intentional touching without the client's consent?
A. Battery
B. Invasion of privacy
C. False imprisonment
D. Defamation of character - CORRECT ANSWER A. Battery
,Rationale: "Battery is any intentional offensive touching without consent or lawful
justification" (Potter pg. 337)
Which teaching point is appropriate for the nurse to include in the education of the ethical
principle of nonmaleficence to a group of nursing students?
A. Treat all clients equitably and fairly
B. Act in ways to prevent harm to patients
C. Tell the client the truth about their health
D. Help te clients make informed choices - CORRECT ANSWER B. Act in ways to
prevent harm to patients
Rationale: "nonmaleficence refers to the avoidance of arm or hurt....[the] commitment to do
no harm" (Potter pg. 317)
B. Act in ways to prevent harm to patients
Rationale: "nonmaleficence refers to the avoidance of arm or hurt....[the] commitment to do
no harm" (Potter pg. 317)Wh - CORRECT ANSWER B. Surgeon
Rationale: In terms of informed consent, we know that this is a "health care provider-patient
relationship". And "The person responsible for performing the procedure is responsible for
obtaining the informed consent" (Potter pg. 333). In a situation like a surgery, it would be the
responsibility of the surgeon to provide the risks, complications, and benefits
When working with an older adult who is hearing impaired, the use of which techniques
would improve communication? (SELECT ALL THAT APPLY)
A. Check for needed adaptive equipment
B. Exaggerate lip movements to help the patient lip read
C. Give the patient time to respond to questions
D. Keep communication short and to the point
E. Communicate only through written information - CORRECT ANSWER A. Check
for needed adaptive equipment
, C. Give the patient time to respond to questions
D. Keep communication short and to the point
Rationale: In Potter pg 361, there's a good table with special communication approaches to
many scenarios (such as; cognitive impairment, English second language, visually impaired,
unresponsive, hearing impairment, etc).
A woman has severe life-threatening injuries, is unresponsive, and is hemorrhaging following
a car accident. The health care provider orders 2 units of packed red blood cells to treat the
woman's anemia. The woman's husband refuses to allow the nurse to give his wife the blood
for religious reasons. What is the nurses responsibility.
A. Obtain a court order to give the blood
B. Convince the husband to allow her to give the blood
C. Call security and have the husband removed from the hospital
D. Gather more information about the wife's preferences and determine whether the husband
has her power of attorney for healthcare. - CORRECT ANSWER D. Gather more
information about the wife's preferences and determine whether the husband has her power of
attorney for healthcare.
Rationale: "An advanced directive is a document developed by patients that instructs others
to do tasks before, during, and after their death....[it also includes] the designated person
[that] can make decisions when the patient becomes incapacitated" (Potter pg. 331).
Therefore, it would be best to see if the patient has a POLST or other living will set in place,
to honor her wishes
A nurse sends a text message to the oncoming nurse that states, "Mr. Kodro in room 3348-1
refused to take his sertraline hydrochloride as ordered his morning because he said he was
feeling better". What should the oncoming nurse do? (SELECT ALL THAT APPLY)
A. Add this information to the board hanging at the patient's bedside
B. Tell the nurse who sent the text that the text is a HIPAA violation
C. Inform the nursing supervisor
D. Forward the text to the charge nurse
E. Thank the nurse for sending the information - CORRECT ANSWER B. Tell the
nurse who sent the text that the text is a HIPAA violation
