PNC Final UPDATED Exam Questions and
CORRECT Answers
A 17 year old male is admitted for Acute Respiratory Distress Syndrome and communicates to
the nurse that they wish they had never given in to smoking with his high school friends. What
stage of moral development was the patient in when he gave in to peer-pressure and started
smoking cigarettes?
a) Social Contract Legalistic Orientation
b) Interpersonal Concordance Orientation
c) Punishment and Obedient Orientation
d) Universal Ethical Principle Orientation - CORRECT ANSWER - b) Interpersonal
Concordance Orientation
Rationale: Young adults and adults fall into the stage of moral development. In Interpersonal
Concordance Orientation, individual's behavior is driven by the individuals peer's approval or
societal reward. Source:
Which two professional bodies guide the ethical practices in nursing healthcare? Select all that
apply.
A. The American Nurses Association
B. The international council of nurses
C. The joint commission
D. The American hospital association - CORRECT ANSWER - Answer: A and B
A. The American Nurses Association
B. The international council of nurses
Rationale: The ANA code of ethics and ICN outlines the ethical standards that nurses are
expected to use inform the behavior toward clients and their families , other nurses and health
care professionals, and the larger community.
Who is responsible for obtaining informed consent from a patient who is preparing for
abdominal surgery?
a. The LPN
,b. The RN
c. The Physician
d. The Nursing Assistant - CORRECT ANSWER - Correct answer C: the Physician
Rational: It is the responsibility if the physician. Although the nurse assumes the responsibility
for witnessing the signature, they are not legally accountable for obtaining Source : Pearson, Vol.
2, pg. 2580
You are the day nurse who just completed your morning rounds and a patient tells you that the
night nurse did not attend his repeated calls. Which of the following interventions is the most
appropriate to be taken by the nurse as an advocate?
A. Discuss the patient's complains with the night nurse and clarify the incident
B. Report the incident directly and submit the documentation to the charge nurse
C. Promise to provide all the care for the patient
D. Observe the other nurse to determine if this negligence is repeated - CORRECT
ANSWER - Correct answer: A Rationale: The nurse represent the patient and calls for
his/her rights. The first things is to clarify the complaint with the nurse involved. If the issue is
not resolved, it should then be reported to the manager. Source: Pearson, Vol.2, pg. 2556.
A nursing student is employed and working as an unlicensed assistive personnel (UAP) on a
busy surgical unit. The nurses know that the UAP is enrolled in a nursing program and will be
graduating soon. A nurse asks the UAP if he has performed a urinary catheritization on clients
while in school. When the UAP says yes, the nurses asks him to help her by doing a urinary
catheterization on a post-surgical client. What is the best response by the UAP?
a. "Let me get permission from the client first."
b. "Sure which client is it?"
c. "I cannot do it unless you supervise me."
d. "I cannot do it. Is there something else I can help you with?" - CORRECT ANSWER -
Rationale: A sterile invasive procedure that places the client at significant risk for infection is
outside the scope of practice of a UAP. Even though the UAP is a nursing student, the agency
job description should be
followed. Pearson. (2015). Nursing A Concept Based Approach to Learning. Volume 2. Ethics.
pg. 2473
, A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on
oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The
nurse explains the risk and
benefits of the surgery to the family and discusses the patient's wishes with the family. The nurse
is acting as
the patients a. Educator
b. Caregiver c. Case manager d. Advocate - CORRECT ANSWER - Rationale: The
overall goal of the client advocate is to protect client's rights. The nurse provides clients with the
information they need to make informed decisions and supports all client's rights to make their
own
healthcare decision.
A nurse is an effective advocate when he/she does the following. Select all that apply.
A. Is assertive
B. Aware that conflicts may arise that require consultation, confrontation or negotiation
C. Work with community agencies and lay practitioners D. Recognizes that the rights and values
of clients and families must take precedence when they conflict
with those of health care providers - CORRECT ANSWER - Rational: All of the above are
qualities of being an effective advocate according Advocacy: Concept of advocacy; Concept
based approach to learning (2556). Pearson Educational Inc.
A nurse demonstrates proper client teaching when they do all of the following except.
A. Asses the clients learning needs on admission
B. Plan appropriate teaching methods for client and appropriate interventions
C. Insure that access to client information is made available only to appropriate staff members
D. Asses your own assumptions and values about receiving care information and the best way to
receive
that information - CORRECT ANSWER - Rational: answer C the exception because
insuring access to client information demonstrates the concept of confidentiality not teaching
Ethics: concept of ethics; concept based approach to learning (2566). Pearson Educational Inc.
CORRECT Answers
A 17 year old male is admitted for Acute Respiratory Distress Syndrome and communicates to
the nurse that they wish they had never given in to smoking with his high school friends. What
stage of moral development was the patient in when he gave in to peer-pressure and started
smoking cigarettes?
a) Social Contract Legalistic Orientation
b) Interpersonal Concordance Orientation
c) Punishment and Obedient Orientation
d) Universal Ethical Principle Orientation - CORRECT ANSWER - b) Interpersonal
Concordance Orientation
Rationale: Young adults and adults fall into the stage of moral development. In Interpersonal
Concordance Orientation, individual's behavior is driven by the individuals peer's approval or
societal reward. Source:
Which two professional bodies guide the ethical practices in nursing healthcare? Select all that
apply.
A. The American Nurses Association
B. The international council of nurses
C. The joint commission
D. The American hospital association - CORRECT ANSWER - Answer: A and B
A. The American Nurses Association
B. The international council of nurses
Rationale: The ANA code of ethics and ICN outlines the ethical standards that nurses are
expected to use inform the behavior toward clients and their families , other nurses and health
care professionals, and the larger community.
Who is responsible for obtaining informed consent from a patient who is preparing for
abdominal surgery?
a. The LPN
,b. The RN
c. The Physician
d. The Nursing Assistant - CORRECT ANSWER - Correct answer C: the Physician
Rational: It is the responsibility if the physician. Although the nurse assumes the responsibility
for witnessing the signature, they are not legally accountable for obtaining Source : Pearson, Vol.
2, pg. 2580
You are the day nurse who just completed your morning rounds and a patient tells you that the
night nurse did not attend his repeated calls. Which of the following interventions is the most
appropriate to be taken by the nurse as an advocate?
A. Discuss the patient's complains with the night nurse and clarify the incident
B. Report the incident directly and submit the documentation to the charge nurse
C. Promise to provide all the care for the patient
D. Observe the other nurse to determine if this negligence is repeated - CORRECT
ANSWER - Correct answer: A Rationale: The nurse represent the patient and calls for
his/her rights. The first things is to clarify the complaint with the nurse involved. If the issue is
not resolved, it should then be reported to the manager. Source: Pearson, Vol.2, pg. 2556.
A nursing student is employed and working as an unlicensed assistive personnel (UAP) on a
busy surgical unit. The nurses know that the UAP is enrolled in a nursing program and will be
graduating soon. A nurse asks the UAP if he has performed a urinary catheritization on clients
while in school. When the UAP says yes, the nurses asks him to help her by doing a urinary
catheterization on a post-surgical client. What is the best response by the UAP?
a. "Let me get permission from the client first."
b. "Sure which client is it?"
c. "I cannot do it unless you supervise me."
d. "I cannot do it. Is there something else I can help you with?" - CORRECT ANSWER -
Rationale: A sterile invasive procedure that places the client at significant risk for infection is
outside the scope of practice of a UAP. Even though the UAP is a nursing student, the agency
job description should be
followed. Pearson. (2015). Nursing A Concept Based Approach to Learning. Volume 2. Ethics.
pg. 2473
, A nurse is caring for a patient with end-stage lung disease. The patient wants to go home on
oxygen and be comfortable. The family wants the patient to have a new surgical procedure. The
nurse explains the risk and
benefits of the surgery to the family and discusses the patient's wishes with the family. The nurse
is acting as
the patients a. Educator
b. Caregiver c. Case manager d. Advocate - CORRECT ANSWER - Rationale: The
overall goal of the client advocate is to protect client's rights. The nurse provides clients with the
information they need to make informed decisions and supports all client's rights to make their
own
healthcare decision.
A nurse is an effective advocate when he/she does the following. Select all that apply.
A. Is assertive
B. Aware that conflicts may arise that require consultation, confrontation or negotiation
C. Work with community agencies and lay practitioners D. Recognizes that the rights and values
of clients and families must take precedence when they conflict
with those of health care providers - CORRECT ANSWER - Rational: All of the above are
qualities of being an effective advocate according Advocacy: Concept of advocacy; Concept
based approach to learning (2556). Pearson Educational Inc.
A nurse demonstrates proper client teaching when they do all of the following except.
A. Asses the clients learning needs on admission
B. Plan appropriate teaching methods for client and appropriate interventions
C. Insure that access to client information is made available only to appropriate staff members
D. Asses your own assumptions and values about receiving care information and the best way to
receive
that information - CORRECT ANSWER - Rational: answer C the exception because
insuring access to client information demonstrates the concept of confidentiality not teaching
Ethics: concept of ethics; concept based approach to learning (2566). Pearson Educational Inc.
