ACTUAL EXAM 180 QUESTIONS AND
CORRECT DETAILED ANSWERS EXAM
SCRIPT COMPLETE Q AND A
⩥ A nurse manager of a med surge unit is assigning care responsibilities
for the oncoming shift. A client is waiting transfer back to the unit from
the PACU following thoracic surgery. To which staff member should the
nurse assign the client?
A. Charge nurse
B. RN
C. LVN
D. AP. Answer: B
⩥ What is the study of conduct and character?. Answer: Ethics
⩥ What are the values and beliefs that guide behavior and decision
making?. Answer: Morals
⩥ What is the right to make ones own personal decisions, even tho those
decisions might not be in the persons best interest. Answer: Autonomy
⩥ What are positive actions to help others. Answer: Beneficience
,⩥ What is an agreement to keep promises. Answer: Fidelity
⩥ What is fairness in care delivery and use of resources. Answer: Justice
⩥ What is avoidance of harm or injury. Answer: Non-maleficence
⩥ A nurse is caring for a client who decides not to have surgery despite
significant blockages in his coronary arteries. The nurse understands that
this clients choice is an example of what principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificience. Answer: A
⩥ A nurse offers pain meds to a client who is postop prior to ambulation.
The nurse understands that this aspect of care delivery is an example of
which of the following ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Beneficience. Answer: D
,⩥ A nurse is instructing a group of nursing students about the
responsibilities involved with organ donation and procurement. When
the nurse explains that all clients waiting for a kidney transplant have to
meet the same qualifications, the students should understand that this
aspect of care delivery is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence. Answer: C
⩥ A nurse questions a med prescription as too extreme and light of the
clients advanced age and unstable status. The nurse understands that this
action is an example of which ethical principle
A. Fidelity
B. Autonomy
C. Justice
D. Nonmalificence. Answer: D
⩥ Which of the following situations can be identified as an ethical
dilemma?
A. A nurse on a med surge unit demonstrates signs of chemical
impairment
B. A nurse over hears another nurse telling an older adult client that if he
doesnt stay in bed she will restrain him
, C. A family has conflicting feelings about the initiation of enteral tube
feedings of their father who is terminally ill
D. A client who is terminally ill hesitates to name her spouse on her
durable power of attorney form. Answer: C
⩥ Most managers can be categorized as. Answer: authoritative,
democratic, and laissez faire
⩥ makes decisions of the group
motivates by coercion
communication occurs down the chain of command
Work output by the staff is usually high-good for crisis situations and
bureaucratic settings. Answer: Authoritative
⩥ includes the group when decisions are made
Motivates by supporting star achievements
Communication occurs up and down the chain of command
Work output by staff is usually of good quality-good when cooperation
and collaboration is necessary. Answer: Democratic
⩥ makes very few decisions and does little planning
motivation is largely the responsibility of individuals staff members
Communication occurs up and down the chain of command and between
group members