Nursing 112 Final Exam Questions With Complete Solutions
1. A new nurse notes that the health care unit keeps a listing of
patient names in a closed book behind the front desk of the
nursing station so patients can be located easily. Which action
is most appropriate for the nurse to take?
a) Talk with the nurse manager about the listing being a
violation of the Health Insurance Portability and Accountability
Act (HIPAA)
b) Use the book as needed while keeping it away from
individuals not involved in patient care
c) Move the book to the upper ledge of the nursing station for
easier access
d) Ask the nurse manager to move the book to a more secluded
area
b) Use the book as needed while keeping it away from
individuals not involved in patient care
1. A 17-year-old patient, dying of heart failure, wants to have
organs removed for transplantation after death. Which action by
the nurse is correct?
a) Instruct the patient to talk with parents about the desire to
donate organs
b) Notify the health care provider about the patient's desire to
donate organs
c) Prepare the organ donation form for the patient to sign while
still oriented
,d) Contact the United Network for Organ Sharing after talking
with the patient
a) Instruct the patient to talk with parents about the desire to
donate organs
Rationale:Parents would need to sign the form b/c the teenager
is under age 18.
1. An obstetric nurse comes across an automobile accident. The
driver seems to have a crushed upper airway, and while waiting
for emergency medical services to arrive, the nurse makes a cut
in the trachea and inserts a straw from a purse to provide an
airway. The patient survives and has a permanent problem with
vocal cords, making it difficult to talk. Which statement is true
regarding the nurse's performance?
a) The nurse acted appropriately and saved the patient's life
b) The nurse stayed within the guidelines of the Good Samaritan
Law
c) The nurse took actions beyond those that are standard and
appropriate
d) The nurse should have just stayed with the patient and waited
for help
c) The nurse took actions beyond those that are standard and
appropriate
Rationale: An obstetric nurse would not have been trained in
performing a tracheostomy and doing so would be beyond what
the nurse has been trained or educated to do.
,1. While recovering from a severe illness, a hospitalized patient
wants to change a living will, which was signed 9 months ago.
Which response by the nurse is most appropriate?
a) “Check with your admitting health care provider whether a
copy is on your chart.”
b) “Let me check with someone here in the hospital who can
assist you.”
c) “You are not allowed to ever change a living will after
signing it.”
d) “Your living will can be changed only once each calendar
year.”
b) "Let me check with someone here in the hospital who can
assist you."
Rationale: As long as the patient is not declared legally
incompetent or lacks the capacity to make decisions, living wills
can be changed.
1. A nurse wants to present information about flu immunizations
to the olde adults in the community. Which type of
communication should the nurse use?
a) Public
b) Small group
c) Interpersonal
d) Intrapersonal
, a) Public
Rationale:Public communication is interaction with an audience.
1. A nurse believes that the nurse-patient relationship is a
partnership and that both are equal participants. Which term
should the nurse use to describe this belief?
a) Critical thinking
b) Authentic
c) Mutuality
d) Attend
c) Mutuality
Rationale: Effective interpersonal communication requires a
sense of mutuality, a belief that the nurse-patient relationship is
a partnership and that both are equal participants.
1. A nurse is sitting at the patient's bedside taking a nursing
history. Which zone of personal space is the nurse using?
a) Socio-consultative
b) Personal
c) Intimate
d) Public
b) Personal
Rationale: Personal space is 18 inches to 4 feet and involves
things such as sitting at a patient's bedside, taking a patient's
nursing history, or teaching an individual patient.
1. A new nurse notes that the health care unit keeps a listing of
patient names in a closed book behind the front desk of the
nursing station so patients can be located easily. Which action
is most appropriate for the nurse to take?
a) Talk with the nurse manager about the listing being a
violation of the Health Insurance Portability and Accountability
Act (HIPAA)
b) Use the book as needed while keeping it away from
individuals not involved in patient care
c) Move the book to the upper ledge of the nursing station for
easier access
d) Ask the nurse manager to move the book to a more secluded
area
b) Use the book as needed while keeping it away from
individuals not involved in patient care
1. A 17-year-old patient, dying of heart failure, wants to have
organs removed for transplantation after death. Which action by
the nurse is correct?
a) Instruct the patient to talk with parents about the desire to
donate organs
b) Notify the health care provider about the patient's desire to
donate organs
c) Prepare the organ donation form for the patient to sign while
still oriented
,d) Contact the United Network for Organ Sharing after talking
with the patient
a) Instruct the patient to talk with parents about the desire to
donate organs
Rationale:Parents would need to sign the form b/c the teenager
is under age 18.
1. An obstetric nurse comes across an automobile accident. The
driver seems to have a crushed upper airway, and while waiting
for emergency medical services to arrive, the nurse makes a cut
in the trachea and inserts a straw from a purse to provide an
airway. The patient survives and has a permanent problem with
vocal cords, making it difficult to talk. Which statement is true
regarding the nurse's performance?
a) The nurse acted appropriately and saved the patient's life
b) The nurse stayed within the guidelines of the Good Samaritan
Law
c) The nurse took actions beyond those that are standard and
appropriate
d) The nurse should have just stayed with the patient and waited
for help
c) The nurse took actions beyond those that are standard and
appropriate
Rationale: An obstetric nurse would not have been trained in
performing a tracheostomy and doing so would be beyond what
the nurse has been trained or educated to do.
,1. While recovering from a severe illness, a hospitalized patient
wants to change a living will, which was signed 9 months ago.
Which response by the nurse is most appropriate?
a) “Check with your admitting health care provider whether a
copy is on your chart.”
b) “Let me check with someone here in the hospital who can
assist you.”
c) “You are not allowed to ever change a living will after
signing it.”
d) “Your living will can be changed only once each calendar
year.”
b) "Let me check with someone here in the hospital who can
assist you."
Rationale: As long as the patient is not declared legally
incompetent or lacks the capacity to make decisions, living wills
can be changed.
1. A nurse wants to present information about flu immunizations
to the olde adults in the community. Which type of
communication should the nurse use?
a) Public
b) Small group
c) Interpersonal
d) Intrapersonal
, a) Public
Rationale:Public communication is interaction with an audience.
1. A nurse believes that the nurse-patient relationship is a
partnership and that both are equal participants. Which term
should the nurse use to describe this belief?
a) Critical thinking
b) Authentic
c) Mutuality
d) Attend
c) Mutuality
Rationale: Effective interpersonal communication requires a
sense of mutuality, a belief that the nurse-patient relationship is
a partnership and that both are equal participants.
1. A nurse is sitting at the patient's bedside taking a nursing
history. Which zone of personal space is the nurse using?
a) Socio-consultative
b) Personal
c) Intimate
d) Public
b) Personal
Rationale: Personal space is 18 inches to 4 feet and involves
things such as sitting at a patient's bedside, taking a patient's
nursing history, or teaching an individual patient.
