Fundamentals of Nursing Exam 1
Practice Questions with solutions
A client is referred to a surgeon by the healthcare provider. After meeting
the surgeon, the client decides to consult with a different surgeon about
treatment options. The nurse supports the client's action, utilizing which
ethical principle?
1.Beneficence
2.Veracity
3.Autonomy
4.Privacy - -3. Autonomy
-A nurse forgets to administer a dose of a client's diuretic drug and the
client experiences an episode of pulmonary edema. The nurse should
consider that this error constitutes negligence because the situation contains
which element?
1.Purposeful failure to perform a healthcare procedure
2.Unintentional failure to perform a healthcare procedure
3.Act of substituting a different medication for the one prescribed
4.Failure to follow a healthcare provider's prescription - -2. unintentional
failure to perform a healthcare procedure
-An individual falls and fractures a hip while walking down the street. A
companion notices a nurse drive past without stopping to assist. The
individual sues the nurse for negligence but fails to win a judgment for which
reason?
1.The nurse had no duty to the individual.
2.The nurse did what most nurses would do in the same circumstance.
3.The nurse did not cause the client's injuries.
4.The nurse was off-duty at that time. - -1. the nurse had no duty to the
individual.
-A client asks why a diagnostic test has been prescribed and the nurse
replies, "I'm unsure but will find out for you." When the nurse later returns
and provides an explanation, the nurse is acting under which principle?
1.Nonmaleficence
2.Veracity
3.Beneficence
4.Fidelity - -4. fidelity
, -A client who takes warfarin is given aspirin for a headache while visiting a
neighbor, who is a nurse. The client subsequently has a bleeding episode
caused by interaction of these drugs. The legal nurse consultant interprets
which necessary elements of malpractice are missing from this case? Select
all that apply.
1.Breach of duty
2.Duty owed
3.Injury experienced
4.Causation between nurse's action and injury
5.Intent to cause harm or injury - -2 & 5.
- The nurse did not have a duty to the neighbor and was not in an
employment capacity.
- The nurse did not intend to cause injury or harm
-A client with cancer has decided to discontinue further treatment. Although
the nurse would like the client to continue treatment, the nurse recognizes
the client is competent and supports the client's decision using which ethical
principle?
1.Justice
2.Fidelity
3.Autonomy
4.Confidentiality - -3. Autonomy
-The healthcare provider prescribes a medication in a dose that is
considered toxic. The nurse administers the medication to the client, who
later suffers a cardiac arrest and dies. What consequence can the nurse
expect from this situation? Select all that apply.
1.The healthcare provider who prescribed the drug can be charged with
negligence.
2.As the employing agency, only the hospital can be charged with
negligence.
3.The nurse and prescriber may be terminated from employment to prevent
a charge of negligence to the hospital.
4.Negligence will not be charged, as this event could happen to any
reasonable person.
5.The nurse can be charged with negligence for administering the toxic dose
- -1 & 5.
- The healthcare provider who prescribed the drug can be charged with
negligence because they are liable for their errors.
- The nurse can be charged with negligence for failing to verify and question
the incorrect dose.
, -A nurse and teacher are discussing legal issues related to the practice of
their professions. The teacher asks about the functions of the Nurse Practice
Act (NPA). The nurse should include which elements in a response? Select all
that apply.
1.Accredit schools of nursing
2.Enforce ethical standards of behavior
3.Protect the public
4.Define the scope of nursing practice
5.Determine liability insurance rates - -3 & 4.
- The NPA serves to protect the public by setting minimum qualifications for
nursing relating to skills & competencies
- The NPA defines the scope of nursing practice in that state or province.
-A staff nurse concerned about maintaining client confidentiality would take
which action while carrying out assigned duties?
1.Read non-assigned client records to become more familiar with disease
processes.
2.Share client information with nurses from the unit to which the client may
eventually be transferred.
3.Allow the family to review the client's health record to obtain answers to
their questions.
4.Share information about the client with those directly involved in that
client's care - -4. Share information about the client with only those directly
involved in that clients care.
-The nurse working in an acute care environment would utilize which
strategies to reduce the risk of malpractice litigation? Select all that apply.
1.Discuss any errors with the client and family in detail.
2.Keep incident reports on file.
3.Maintain expertise in practice.
4.Offer opinions to clients when the situation warrants.
5.Report unsafe staffing levels to supervisor - -3 & 5.
- Maintain expertise in practice
- Report unsafe staffing levels to supervisor
-1.The nurse determines a new mother is in greatest need of more
education about infant care and safety when the mother makes which
statement?
1."I am pretty sure that I am going to breastfeed my baby."
2."After feeding, I should put my baby on her tummy to prevent choking."
3."Solid foods are unnecessary during the baby's first 4-6 months."
Practice Questions with solutions
A client is referred to a surgeon by the healthcare provider. After meeting
the surgeon, the client decides to consult with a different surgeon about
treatment options. The nurse supports the client's action, utilizing which
ethical principle?
1.Beneficence
2.Veracity
3.Autonomy
4.Privacy - -3. Autonomy
-A nurse forgets to administer a dose of a client's diuretic drug and the
client experiences an episode of pulmonary edema. The nurse should
consider that this error constitutes negligence because the situation contains
which element?
1.Purposeful failure to perform a healthcare procedure
2.Unintentional failure to perform a healthcare procedure
3.Act of substituting a different medication for the one prescribed
4.Failure to follow a healthcare provider's prescription - -2. unintentional
failure to perform a healthcare procedure
-An individual falls and fractures a hip while walking down the street. A
companion notices a nurse drive past without stopping to assist. The
individual sues the nurse for negligence but fails to win a judgment for which
reason?
1.The nurse had no duty to the individual.
2.The nurse did what most nurses would do in the same circumstance.
3.The nurse did not cause the client's injuries.
4.The nurse was off-duty at that time. - -1. the nurse had no duty to the
individual.
-A client asks why a diagnostic test has been prescribed and the nurse
replies, "I'm unsure but will find out for you." When the nurse later returns
and provides an explanation, the nurse is acting under which principle?
1.Nonmaleficence
2.Veracity
3.Beneficence
4.Fidelity - -4. fidelity
, -A client who takes warfarin is given aspirin for a headache while visiting a
neighbor, who is a nurse. The client subsequently has a bleeding episode
caused by interaction of these drugs. The legal nurse consultant interprets
which necessary elements of malpractice are missing from this case? Select
all that apply.
1.Breach of duty
2.Duty owed
3.Injury experienced
4.Causation between nurse's action and injury
5.Intent to cause harm or injury - -2 & 5.
- The nurse did not have a duty to the neighbor and was not in an
employment capacity.
- The nurse did not intend to cause injury or harm
-A client with cancer has decided to discontinue further treatment. Although
the nurse would like the client to continue treatment, the nurse recognizes
the client is competent and supports the client's decision using which ethical
principle?
1.Justice
2.Fidelity
3.Autonomy
4.Confidentiality - -3. Autonomy
-The healthcare provider prescribes a medication in a dose that is
considered toxic. The nurse administers the medication to the client, who
later suffers a cardiac arrest and dies. What consequence can the nurse
expect from this situation? Select all that apply.
1.The healthcare provider who prescribed the drug can be charged with
negligence.
2.As the employing agency, only the hospital can be charged with
negligence.
3.The nurse and prescriber may be terminated from employment to prevent
a charge of negligence to the hospital.
4.Negligence will not be charged, as this event could happen to any
reasonable person.
5.The nurse can be charged with negligence for administering the toxic dose
- -1 & 5.
- The healthcare provider who prescribed the drug can be charged with
negligence because they are liable for their errors.
- The nurse can be charged with negligence for failing to verify and question
the incorrect dose.
, -A nurse and teacher are discussing legal issues related to the practice of
their professions. The teacher asks about the functions of the Nurse Practice
Act (NPA). The nurse should include which elements in a response? Select all
that apply.
1.Accredit schools of nursing
2.Enforce ethical standards of behavior
3.Protect the public
4.Define the scope of nursing practice
5.Determine liability insurance rates - -3 & 4.
- The NPA serves to protect the public by setting minimum qualifications for
nursing relating to skills & competencies
- The NPA defines the scope of nursing practice in that state or province.
-A staff nurse concerned about maintaining client confidentiality would take
which action while carrying out assigned duties?
1.Read non-assigned client records to become more familiar with disease
processes.
2.Share client information with nurses from the unit to which the client may
eventually be transferred.
3.Allow the family to review the client's health record to obtain answers to
their questions.
4.Share information about the client with those directly involved in that
client's care - -4. Share information about the client with only those directly
involved in that clients care.
-The nurse working in an acute care environment would utilize which
strategies to reduce the risk of malpractice litigation? Select all that apply.
1.Discuss any errors with the client and family in detail.
2.Keep incident reports on file.
3.Maintain expertise in practice.
4.Offer opinions to clients when the situation warrants.
5.Report unsafe staffing levels to supervisor - -3 & 5.
- Maintain expertise in practice
- Report unsafe staffing levels to supervisor
-1.The nurse determines a new mother is in greatest need of more
education about infant care and safety when the mother makes which
statement?
1."I am pretty sure that I am going to breastfeed my baby."
2."After feeding, I should put my baby on her tummy to prevent choking."
3."Solid foods are unnecessary during the baby's first 4-6 months."
