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NR 226/ NR226: Exam 1: Fundamentals: Patient Care Guide |
(Latest 2025/ 2026 Update) Questions & Answers| Grade A|
100% Correct (Verified Solutions).
1. A nurse is asked to witness the signing of an informed consent form. For which of the
following patients should the nurse identify that the patient is unable to provide valid
informed consent?
A) A 16-year-old boy who is married.
B) A 35-year-old woman diagnosed with depression.
C) A 50-year-old woman who does not speak English but has a certified interpreter
present.
D) A 65-year-old man who received a narcotic analgesic 30 minutes ago.
CORRECT ANSWER: D
Rationale: A patient under the influence of medications that impair cognition, such as
narcotics, is not considered competent to give informed consent. Competency requires
the ability to understand information and make a reasoned decision.
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2. When administering a medication, a confused patient states, "This pill looks different
from the one I had before." What is the nurse's priority action?
A) Ask the patient to describe the previous pill.
B) Explain the therapeutic purpose of the new medication.
C) Check the original medication prescription and medication administration record
(MAR).
D) Encourage the patient to take the medication as it was prescribed.
CORRECT ANSWER: C
Rationale: Patient safety is the priority. The nurse must first verify the accuracy of the
medication by checking the original prescription and MAR to prevent a potential
medication error, especially with a confused patient.
3. A nurse administers an incorrect dose of medication to a patient. What is the primary
purpose of documenting this event in an incident report?
A) To create a record for potential future litigation.
B) To provide a basis for designing new policies.
C) To prevent similar incidents from occurring through risk management analysis.
D) To ensure personal accountability is assigned for the cause.
CORRECT ANSWER: C
Rationale: Incident reports are internal risk-management tools designed to identify
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system issues and trends so that corrective actions can be implemented to improve
safety and prevent recurrence.
4. A practitioner writes a prescription for a medication dose that is higher than the
standard range. What is the most appropriate action for the nurse to take?
A) Inform the nursing supervisor.
B) Administer the drug as prescribed.
C) Administer the average standard dose instead.
D) Discuss the prescription with the practitioner.
CORRECT ANSWER: D
Rationale: The nurse has an independent duty to ensure patient safety. The first action
is to clarify any questionable order directly with the prescriber before administration.
5. A patient refuses a medication, stating it causes diarrhea. After patient teaching, the
patient continues to adamantly refuse. What should the nurse do first?
A) Document the patient's refusal in the medical record.
B) Notify the prescribing practitioner of the refusal.
C) Discuss the need for the medication with a family member.
D) Re-explain the consequences of not taking the medication.
CORRECT ANSWER: A
Rationale: The patient has the right to refuse treatment. The nurse's immediate
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responsibility is to respect that right and accurately document the refusal. Notification
of the provider is important but is not the first action.
6. The family member of a terminally ill patient says, "I need your help to hasten my
mother's death to end her suffering." Based on the American Nurses Association's
position, how should the nurse respond?
A) Refuse to participate in active euthanasia.
B) Participate based on the nurse's personal values and beliefs.
C) Participate only if the patient is in severe, uncontrollable pain.
D) Participate only after two physicians consult and the patient receives counseling.
CORRECT ANSWER: A
Rationale: The ANA's Code of Ethics explicitly states that nurses should not participate
in active euthanasia or assisted suicide, as it is incompatible with the ethical
commitment to "do no harm."
7. Which organization is primarily responsible for ensuring that Registered Nurses are
minimally qualified to practice?
A) Sigma Theta Tau International
B) The State Board of Nursing
C) The American Nurses Association (ANA)
D) The National League for Nursing (NLN)
NR226
NR226
NR 226/ NR226: Exam 1: Fundamentals: Patient Care Guide |
(Latest 2025/ 2026 Update) Questions & Answers| Grade A|
100% Correct (Verified Solutions).
1. A nurse is asked to witness the signing of an informed consent form. For which of the
following patients should the nurse identify that the patient is unable to provide valid
informed consent?
A) A 16-year-old boy who is married.
B) A 35-year-old woman diagnosed with depression.
C) A 50-year-old woman who does not speak English but has a certified interpreter
present.
D) A 65-year-old man who received a narcotic analgesic 30 minutes ago.
CORRECT ANSWER: D
Rationale: A patient under the influence of medications that impair cognition, such as
narcotics, is not considered competent to give informed consent. Competency requires
the ability to understand information and make a reasoned decision.
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2. When administering a medication, a confused patient states, "This pill looks different
from the one I had before." What is the nurse's priority action?
A) Ask the patient to describe the previous pill.
B) Explain the therapeutic purpose of the new medication.
C) Check the original medication prescription and medication administration record
(MAR).
D) Encourage the patient to take the medication as it was prescribed.
CORRECT ANSWER: C
Rationale: Patient safety is the priority. The nurse must first verify the accuracy of the
medication by checking the original prescription and MAR to prevent a potential
medication error, especially with a confused patient.
3. A nurse administers an incorrect dose of medication to a patient. What is the primary
purpose of documenting this event in an incident report?
A) To create a record for potential future litigation.
B) To provide a basis for designing new policies.
C) To prevent similar incidents from occurring through risk management analysis.
D) To ensure personal accountability is assigned for the cause.
CORRECT ANSWER: C
Rationale: Incident reports are internal risk-management tools designed to identify
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system issues and trends so that corrective actions can be implemented to improve
safety and prevent recurrence.
4. A practitioner writes a prescription for a medication dose that is higher than the
standard range. What is the most appropriate action for the nurse to take?
A) Inform the nursing supervisor.
B) Administer the drug as prescribed.
C) Administer the average standard dose instead.
D) Discuss the prescription with the practitioner.
CORRECT ANSWER: D
Rationale: The nurse has an independent duty to ensure patient safety. The first action
is to clarify any questionable order directly with the prescriber before administration.
5. A patient refuses a medication, stating it causes diarrhea. After patient teaching, the
patient continues to adamantly refuse. What should the nurse do first?
A) Document the patient's refusal in the medical record.
B) Notify the prescribing practitioner of the refusal.
C) Discuss the need for the medication with a family member.
D) Re-explain the consequences of not taking the medication.
CORRECT ANSWER: A
Rationale: The patient has the right to refuse treatment. The nurse's immediate
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responsibility is to respect that right and accurately document the refusal. Notification
of the provider is important but is not the first action.
6. The family member of a terminally ill patient says, "I need your help to hasten my
mother's death to end her suffering." Based on the American Nurses Association's
position, how should the nurse respond?
A) Refuse to participate in active euthanasia.
B) Participate based on the nurse's personal values and beliefs.
C) Participate only if the patient is in severe, uncontrollable pain.
D) Participate only after two physicians consult and the patient receives counseling.
CORRECT ANSWER: A
Rationale: The ANA's Code of Ethics explicitly states that nurses should not participate
in active euthanasia or assisted suicide, as it is incompatible with the ethical
commitment to "do no harm."
7. Which organization is primarily responsible for ensuring that Registered Nurses are
minimally qualified to practice?
A) Sigma Theta Tau International
B) The State Board of Nursing
C) The American Nurses Association (ANA)
D) The National League for Nursing (NLN)
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