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NSG 310 Exam 2 Questions with Complete Answers
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NSG 310 Exam 2 Questions with Complete Answers
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NSG 310 Exam 2 Questions withComplete Answers
1. What areas does the nurse explore with the patient when using patient-level ethics?
(Select all that apply.)
a. External factors
b. Medical indications
c. Previous health history
d. Patient preferences
e. Quality of life - Answer-a, b, d,e
2. The nursing faculty member correctly classifies the American Nurses Association
(ANA) Code of Ethics as a tool for:
a. articulating actions that incorporate professional values.
b. describing ethics associated with membership in the ANA.
c. listing and explaining ethical principles used in nursing.
d. solving ethical dilemmas encountered in daily practice. - Answer-a
3. A nurse is in a difficult patient care situation and thinks that there is an ethical
dilemma. The first action this nurse should take is to:
a. decide what predominant values are operating in the situation.
b. determine who is involved and uncover their individual goals.
c. identify courses of action and possible consequences of actions.
d. identify the actions that are justifiable. - Answer-d
4. A patient is in pain and requests pain medication. The nurse sees that it is too early
to administer the medication. Practicing under the principle of veracity, the nurse
should:
a. bring the medication a little bit early to give the patient pain relief.
b. call the physician and request an extra dose of the pain medication.
c. sit with the patient and offer nonpharmacological pain interventions.
d. tell the patient when to expect the medication and bring it on time. - Answer-d
5. This patient with a head injury is confused and combative and wants to leave the
hospital, repeatedly getting out of bed. The nurses obtain an order for soft wrist
restraints and a vest restraint. This action best demonstrates:
a. beneficence.
b. justice.
c. nonmaleficence.
d. paternalism. - Answer-d
6. A nursing instructor tells the class the most important ethical principle involved in
informed consent is:
a. autonomy.
,b. beneficence.
c. confidentiality.
d. veracity. - Answer-a
1. The nurse fails to demonstrate effective communication by engaging in which
activity?
a. Implementing a two-way exchange of information among patients and health
providers
b. Assuring that information is exchanged unilateral from nurse to patient
c. Making sure that the expectations and responsibilities of all are clearly understood
d. Recognizing that effective communication is an active process for all involved -
Answer-b
2. A preoperative assessment shows that a patient's hemoglobin level is dropping. The
anesthetist orders 3 units of blood to be administered. The nurse administers the first
unit before discovering that the patient is a Jehovah's Witness, as documented in the
record. This scenario is referred to using which phrase?
a. Professional conduct
b. A negligent act
c. Physical abuse
d. Breaching patient confidentiality - Answer-b
3. Reporting which information is a violation of patient confidentiality?
a. Certain communicable diseases to the Health Department
b. Child abuse to local authorities
c. Gunshot wounds to the police
d. Patient data to an employer - Answer-d
4. A 16-year-old unconscious trauma victim arrives in the emergency department with a
life-threatening condition and requires emergency surgery. Under these circumstances,
what can the nurse correctly assume?
a. A parent/guardian must give consent prior to surgery.
b. The patient can give consent if able to provide proof of emancipation.
c. the patient must first be evaluated for competency before obtaining consent.
d. The surgery can be performed without consent. - Answer-d
5. Regarding informed consent, which of the following statements is true?
a. Only legally incompetent adults can give consent.
b. Only parents can give consent for minor children.
c. It is not required that the patient be told about costs and alternatives to treatment.
d. Consent must be voluntary. - Answer-d
6. Which of the following statements does NOT adequately describe evidence-based
practice?
a. A conscious choice to use the most current research to provide "best care."
, b. Guidelines to clinical behaviors compiled from the best current research evidence
available and the expertise of clinicians.
c. Translating knowledge into practice using findings from multiple empirical studies to
help solve clinical problems.
d. Application of standards of professional communication necessitates use of critical
thinking and problem-solving skills in all aspects of care. - Answer-d
1. A patient is having an operation in the morning. During the nurse's shift, the patient
asks several questions that lead the nurse to determine that the patient does not
understand the procedure. The best action by the nurse is to:
a. call the surgeon to come back and explain the procedure.
b. pass this information on to the day shift in shift report.
c. reassure the patient that he or she understood the operation correctly earlier.
d. try to explain the operation so that the patient understands. - Answer-a
2. A patient walked into an emergency department (ED) and then collapsed before
checking in. The priority action by the nurse is to:
a. check the patient's wallet for identification.
b. get consent when the patient wakes up.
c. check to see whether the patient has any family nearby.
d. treat the patient first because consent is implied. - Answer-d
3. A patient is constantly disrupting therapeutic medical devices, such as intravenous
lines and catheters. The staff wants to restrain the patient. Before doing this, the best
action by the nursing staff would be to:
a. be sure security is available to apply restraints.
b. get orders from the physician for a sedative.
c. move the patient away from other patients.
d. try other methods to keep the patient safe. - Answer-d
4. A nurse is performing a procedure on a patient, and the patient suddenly says, "I
don't want you to do that anymore." The best action by the nurse is to:
a. discuss the patient's wishes.
b. finish the procedure quickly.
c. stop the procedure immediately.
d. tell the patient that the procedure is almost done. - Answer-c
5. A nurse is testifying as a witness in a court case. The attorney has asked a series of
questions that the nurse is having trouble understanding. The best action by the nurse
is to:
a. ask that the questions be reworded for comprehension.
b. be cautious and not answer questions about medical care.
c. request a break to get something to eat or drink.
d. try his or her best to answer all of the questions honestly. - Answer-a
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