2025-2026 NEWEST NR 226 ACTUAL
FINAL Exam 1 WITH MULTIPLE
QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
A practitioner asks the nurse to witness an informed consent. Which patient does the nurse identify is
unable to give an informed consent for surgery?
1) 16 year old boy who is married
2) 35 year old woman who is depressed
3) 50 year old woman who does not speak English
4) 65 year old man who has received a narcotic for pain. - answerCorrect Answer: 4 (Narcotics depress
the CNS, including decision-making abilities.
1 - Because legally anyone under 18 who is married can make the decision.
2 - wrong because a depressed person can make these decisions until proven mentally incompetent.
3 - Wrong because this person can provide informed consent after translations.
When the nurse is administering a medication to a confused patient, the patient says, "this pill looks
different from the one I had before." What should the nurse do?
1) Ask what the other pill looked like.
2) Explain the purpose of the medication.
3) Check the original medication prescription.
4) Encourage the patient to take the medication. - answerCorrect answer: 3 (This is the safest
intervention because it goes to the original source of the prescription.)
1 - Wrong because This action by itself is unsafe because the patient is confused and the information
obtained may be innacurate.
,2 - This intervention ignores the patient's concern.
4 - This action ignores the patient's statement and is unsafe without obtaining additional information.
The nurse administers an incorrect dose of a medication to a patient. What is the primary purpose of
documenting this event in an Incident Report?
1) Record the event for future litigation.
2) Provide a basis for designing new policies.
3) Prevent similar situations from happening again.
4) Ensure accountability for the cause of the accident. - answerCorrect answer: 3 (Risk-management
committees use stats about accidents & incidents to identify patterns of risk and prevent future
accidents/incidents.)
1 - Wrong because although documentation of an incident may be used in a court of law, it is not the
primary reason for an incident report.
2- This is not the primary reason. New policies may or may not have to be written and implemented.
4 - Although nurses are always accountable for their actions, accountability for the cause of an incidence
is the role of the courts.
A practitioner writes a prescription for a medication that is larger than the standard dose. What should
the nurse do?
1) Inform the supervisor
2) Give the drug as prescribed.
3) Give the average dose of the medication.
4) Discuss the prescription with the practitioner. - answerCorrect Answer: 4 (Nurses have a prof.
resonsibility to know/investigate the standard dose for medications being administered. In addition,
nurses are responsible for their own actions regardless of whether there is a written prescription)
1 - It is unnecessary to call the supervisor.
2 - This is unsafe for the patient and may result in malpractice.
3 - Changing a medication prescription is not within the scope of nursing practice.
,When the nurse attempts to administer a medication to a patient, the patient refuses to take the
medication because it causes diarrhea. The nurse provides teaching about the medication, but the
patient continues to adamantly refuse the medication. What should the nurse do first?
1) Document the patient's refusal to take the medication.
2) Notify the practitioner of the patient's refusal to take the medication.
3) Discuss with a family member the need for the patient to take the medication.
4) Explain again to the patient the consequences of refusing to take the medication. - answerCorrect
Answer: 1 (The patient has the right to refuse)
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
3. Discussing the situation with a family member without the patient's consent is a violation of
confidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication. Further
teaching at this time may be viewed by the patient as badgering.
When caring for a terminally ill patient, a family member says, "I need your help to hasten my mother's
death so that she is no longer suffering." What should the nurse do based on the position of the
American Nurse association in relation to assisted suicide?
1) Not participate in active euthanasia.
2) Participate based on personal values and beliefs.
3) Participate when the patient is experiencing severe pain.
4) Not participate unless two practitioners are consulted and the patient has had counseling. -
answerCorrect Answer: 1 (Withholding the medication and docu- menting the patient's refusal are the
appropriate interventions. Patient's have a right to refuse care.)
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
3. Discussing the situation with a family member without the patient's consent is a violation of
confidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication. Further
teaching at this time may be viewed by the patient as badgering.
, Which organization is responsible for ensuring that Registered Nurses are minimally qualified to practice
nursing?
1) Sigma Theta Tau
2) State Boards of Nursing
3) American Nurses Association
4) Constituent leagues of the National League for Nursing. - answerCorrect Answer: 2. (The National
Council of State Boards of Nursing is responsible for the NCLEX examinations; however, the licensing
authority in the jurisdiction in which the graduate takes the examination verifies the acceptable score on
the examination.)
1. Sigma Theta Tau, the international honor society of nursing, recognizes academic achievement and
leadership qualities, encourages high professional standards, fosters creative endeavors, and supports
excellence in the profession of nursing. This organization does not grant licensure.
3. The American Nurses Association (ANA) is the national professional organization for nursing in the
United States. It fosters high standards of nursing practice; it does not grant licensure.
4. The National League for Nursing (NLN) is committed to promoting and improving nursing service and
nursing education; it does not grant licensure
A nurse expert is called to testify in a lawsuit regarding professional nursing malpractice primarily to
testify:
1. About standards of nursing care as they apply to the facts in the case
2. With regard to laws governing the practice of nursing
3. For the prosecution
4. For the defense - answerCorrect Answer: 1 (The American Nurses Association Standards of Clinical
Nursing Practice are authoritative statements by which the national organization for nursing describes
the responsibilities for which its practitioners are accountable. An expert nurse is capable of explaining
these standards as they apply to the situation under litigation. These professional standards are one
criterion that helps a judge or jury determine if a nurse committed malpractice or negligence.)
2. An expert nurse is not an expert in the law. The expert nurse's role is not to make judgments about
the laws as they apply to the practice of nursing.
FINAL Exam 1 WITH MULTIPLE
QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
A practitioner asks the nurse to witness an informed consent. Which patient does the nurse identify is
unable to give an informed consent for surgery?
1) 16 year old boy who is married
2) 35 year old woman who is depressed
3) 50 year old woman who does not speak English
4) 65 year old man who has received a narcotic for pain. - answerCorrect Answer: 4 (Narcotics depress
the CNS, including decision-making abilities.
1 - Because legally anyone under 18 who is married can make the decision.
2 - wrong because a depressed person can make these decisions until proven mentally incompetent.
3 - Wrong because this person can provide informed consent after translations.
When the nurse is administering a medication to a confused patient, the patient says, "this pill looks
different from the one I had before." What should the nurse do?
1) Ask what the other pill looked like.
2) Explain the purpose of the medication.
3) Check the original medication prescription.
4) Encourage the patient to take the medication. - answerCorrect answer: 3 (This is the safest
intervention because it goes to the original source of the prescription.)
1 - Wrong because This action by itself is unsafe because the patient is confused and the information
obtained may be innacurate.
,2 - This intervention ignores the patient's concern.
4 - This action ignores the patient's statement and is unsafe without obtaining additional information.
The nurse administers an incorrect dose of a medication to a patient. What is the primary purpose of
documenting this event in an Incident Report?
1) Record the event for future litigation.
2) Provide a basis for designing new policies.
3) Prevent similar situations from happening again.
4) Ensure accountability for the cause of the accident. - answerCorrect answer: 3 (Risk-management
committees use stats about accidents & incidents to identify patterns of risk and prevent future
accidents/incidents.)
1 - Wrong because although documentation of an incident may be used in a court of law, it is not the
primary reason for an incident report.
2- This is not the primary reason. New policies may or may not have to be written and implemented.
4 - Although nurses are always accountable for their actions, accountability for the cause of an incidence
is the role of the courts.
A practitioner writes a prescription for a medication that is larger than the standard dose. What should
the nurse do?
1) Inform the supervisor
2) Give the drug as prescribed.
3) Give the average dose of the medication.
4) Discuss the prescription with the practitioner. - answerCorrect Answer: 4 (Nurses have a prof.
resonsibility to know/investigate the standard dose for medications being administered. In addition,
nurses are responsible for their own actions regardless of whether there is a written prescription)
1 - It is unnecessary to call the supervisor.
2 - This is unsafe for the patient and may result in malpractice.
3 - Changing a medication prescription is not within the scope of nursing practice.
,When the nurse attempts to administer a medication to a patient, the patient refuses to take the
medication because it causes diarrhea. The nurse provides teaching about the medication, but the
patient continues to adamantly refuse the medication. What should the nurse do first?
1) Document the patient's refusal to take the medication.
2) Notify the practitioner of the patient's refusal to take the medication.
3) Discuss with a family member the need for the patient to take the medication.
4) Explain again to the patient the consequences of refusing to take the medication. - answerCorrect
Answer: 1 (The patient has the right to refuse)
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
3. Discussing the situation with a family member without the patient's consent is a violation of
confidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication. Further
teaching at this time may be viewed by the patient as badgering.
When caring for a terminally ill patient, a family member says, "I need your help to hasten my mother's
death so that she is no longer suffering." What should the nurse do based on the position of the
American Nurse association in relation to assisted suicide?
1) Not participate in active euthanasia.
2) Participate based on personal values and beliefs.
3) Participate when the patient is experiencing severe pain.
4) Not participate unless two practitioners are consulted and the patient has had counseling. -
answerCorrect Answer: 1 (Withholding the medication and docu- menting the patient's refusal are the
appropriate interventions. Patient's have a right to refuse care.)
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
3. Discussing the situation with a family member without the patient's consent is a violation of
confidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication. Further
teaching at this time may be viewed by the patient as badgering.
, Which organization is responsible for ensuring that Registered Nurses are minimally qualified to practice
nursing?
1) Sigma Theta Tau
2) State Boards of Nursing
3) American Nurses Association
4) Constituent leagues of the National League for Nursing. - answerCorrect Answer: 2. (The National
Council of State Boards of Nursing is responsible for the NCLEX examinations; however, the licensing
authority in the jurisdiction in which the graduate takes the examination verifies the acceptable score on
the examination.)
1. Sigma Theta Tau, the international honor society of nursing, recognizes academic achievement and
leadership qualities, encourages high professional standards, fosters creative endeavors, and supports
excellence in the profession of nursing. This organization does not grant licensure.
3. The American Nurses Association (ANA) is the national professional organization for nursing in the
United States. It fosters high standards of nursing practice; it does not grant licensure.
4. The National League for Nursing (NLN) is committed to promoting and improving nursing service and
nursing education; it does not grant licensure
A nurse expert is called to testify in a lawsuit regarding professional nursing malpractice primarily to
testify:
1. About standards of nursing care as they apply to the facts in the case
2. With regard to laws governing the practice of nursing
3. For the prosecution
4. For the defense - answerCorrect Answer: 1 (The American Nurses Association Standards of Clinical
Nursing Practice are authoritative statements by which the national organization for nursing describes
the responsibilities for which its practitioners are accountable. An expert nurse is capable of explaining
these standards as they apply to the situation under litigation. These professional standards are one
criterion that helps a judge or jury determine if a nurse committed malpractice or negligence.)
2. An expert nurse is not an expert in the law. The expert nurse's role is not to make judgments about
the laws as they apply to the practice of nursing.
