NURS 101 FINAL EXAM 2026 COMPLETE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |100% ACCURATE!! TEST!!

NURS 101 FINAL EXAM 2026 COMPLETE QUESTIONS AND VERIFIED ACCURATE SOLUTION (DETAILED & ELABORATED) |100% ACCURATE!! TEST!! After a car/pedestrian accident, the pedestrian is brought to the ER. The client is alert & oriented but complains of dyspnea. O2 sat levels vary from 88-90%. O2 is applied at 2 L per nc with no improvement in SpO2. Radiograph films reveal no obvious injury or fractures. Suddenly the pt loses consciousness has a respiratory arrest & subsequently dies. During the respiratory arrest resuscitation it is determined that a nurse failed to open the valve to the O2 tank & the client had not been receiving O2. What is the key ethical principal involved in this situation? 1. Nonmaleficence 2. Fidelity 3. Beneficence 4. Justice Correct Answer # 1 - nonmaleficenceis the requirement that health care providers do no harm to their clients either intentionally or unintentionally. Think of remember nonmaleficenceis not harm 2 - incorrect - fidelity is the obligation of an individual to be faithful 3 - incorrect - beneficence is doing food for the clients 4 - incorrect - justice is the obligation to be fair to all people. Which factor is unique to malpractice when comparing negligence and malpractice? 1. The action did not meet standards of care. 2. The inappropriate care is an act of commission. 3. There is harm to the patient as a result of the care 4. There is a contractual relationship between the nurse and patient. Correct Answer - 4 - only malpractice is misconduct performed in professional practice, where there is a contractual relationship between the patient and nurse, which results in harm to the patient. 1 - incorrect - there is a violation of standards of care with both negligence and malpractice 2 - incorrect - negligence and malpractice both involve acts of either commission (did do something) or omission (did not do something). 3 - incorrect - the patient must have sustained injury, damage, or harm with both negligence and malpractice. An anxious patient repeatedly uses the call bell to get the nurse to come to the room. Finally the nurse says to the patient, "If you keep ringing, there will come a time I won't answer your bell."this is an example of: 1. Slander 2. Assault 3. Battery 4. Libel Correct Answer 2 - this is an example of assault. Assault is a verbal attack or unlawful threat causing a fear of harm. No actual contact is necessary for a threat to be an assault. 1 - incorrect - slander is a false spoken statement resulting in damage to a person's character or reputation. 3 - incorrect - battery is the unlawful touching of a person's body without consent. 4 - incorrect - libel is a false printed statement resulting in damage to a person's character or reputation. A patient asks the nurse, "what is a Living Will?"the nurse should respond that it is a document that: 1. Instructs a physician to withhold/withdraw life sustaining procedures if death is near. 2. Enables a person to request medication to end life in a humane and dignified manner. 3. Gives consent to perform life sustaining medical interventions during an emergency 4. Wills ones organs to help others who needs a transplant to sustain life. Correct Answer - 1 - a living will provides specific instructions about the care the person does or does not want to receive, including withholding or withdrawing life sustaining procedures. 2 - incorrect - euthanasia is the act of painlessly putting to death a person who is suffering and is against the law in most states. 3 - incorrect - when an individual can not provide written or oral consent (express consent) during an emergency, care is provided under the concept of implied consent. 4 - incorrect - under the Uniform Anatomical Gift Act and the National Organ Transplant Act in the US, individuals 18 years or odlermay donate all or part of their bodies for education, research, advancement of science, therapy, or transplantation. Consent for organ donation usually is made via a signed organ donation card. A patient falls while getting out of bed unassisted. When completing an Incident Report, the nurse understands that its main purpose is to: 1. Ensure that all parties have an opportunity to document what happened. 2. Help establish who is responsible for the incident 3. Make data available for quality control analysis 4. Document the incident on the patient's chart Correct Answer - 3 - incident reports help identify patterns of risk so that corrective action plans can take place. 1 - incorrect - the nurse who identifies or creates the potential or actual harm completes the Incident Report. The report identifies the people involved in the incident, describes the incident, and records the date, time, location, actions taken, and other relevant information. 2 - incorrect - documentation should be as factual as possible and avoid accusations. Questions of liability are the responsibility of the courts. 4 - incorrect - the report is not part of the patient's medical record, and reference to the report should not be made in the patient's medical record. The physician asks the nurse to witness an informed consent. The nurse understands that a patient who is unable to give informed consent for surgery is a: 1. 16 who is married 2. 35 n who is depressed 3. 50 n who does not speak english 4. 65 who has received a narcotic for pain. Correct Answer - 4 - narcotics depress the central nervous system including decision making abilities. This person is considered functionally incompetent. 1 - incorrect - legally individuals younger than 18 provide informed consent if they are married, pregnant, parents, members of the military or emancipated. 2 - incorrect - a depressed person is capable of making health care decisions until proven to be mentally incompetent 3 - incorrect - this person can provide informed consent after interventions ensure that the person understands the facts and risks concerning the treatment. Licensure of Registered Professional Nurses is required primarily to protect: 1. Nurses 2. Patients 3. Common law 4. Healthcare agencies Correct Answer is # 2 - licensure indicates that a person has met minimal standards of competency, thus protecting the public's safety. 1 - incorrect - licensure does not protect the nurse. Licensure grants an individual the legal rights to practice as a RN. 3 - incorrect - licensure does not protect common law. Common law comprises standards and rules based on the principles established in prior judicial decisions 4 - incorrect - it is the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) that determines if agencies meet minimal standards of healthcare delivery, thus protecting the public. A nurse is assigned to 6 clients along with an LPN and unlicensed assistive personnel (UAP) One client is scheduled for surgery in 15 min, another is having pain, one is complaining of a sudden onset of itching after receiving a new medication & another has a family who wants to talk to the physician immediately. Which action should the nurse take to best manage & delegate client care? 1. Ask the LPN to give the client in pain an analgesic & the UAP to get the client ready for surgery 2. Assess the client with itching & ask the UAP to get a cart for the client needing to go to surgery 3. Ask the LPN to talk to the family & the UAP to notify the client with pan that an analgesic will be given soon 4. Assess the client with pain & ask the LPN to let the family know the doctor is coming soon Correct Answer # 2 - the client with itching should be assessed immediately as this may be the 1stsign of an anaphylactic reaction to a new medication. Delegation of retrieving a cart is appropriate for an UAP. 1 - incorrect - It is appropriate for the LPN to give medication but not appropriate for the UAP to prepare the client for surgery. In preparation for surgery the client may require additional preoperative teaching, medication administration & validation of medical record documentation which are outside the UAPs scope of practice. 3 - incorrect - Communication with the family who is requesting an urgent consult with the physician should not be delegated. The UAP should not need to ask the client to wait for an analgesic as the LPN can administer analgesics and should be assigned that task. 4 - incorrect - The nurse should not prioritize the client withpain over the client with a new onset of itching as the itching may be a sign of an anaphylactic reaction