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NU131 EXAM 2 Actual Exam 2026/2027
Complete Questions and Verified Answers
with Detailed Rationales Nursing and
Healthcare I 100% Correct Grade A Pass
Guaranteed - A+ Graded
SECTION 1: FOUNDATIONS OF NURSING PRACTICE
Q1: A nurse is caring for a postoperative patient who is refusing to get out of bed despite
ambulation orders. The nurse tells the patient, "If you don't get up and walk, you'll develop
pneumonia and blood clots." This statement is an example of which ethical dilemma?
A. Beneficence
B. Nonmaleficence
C. Paternalism
D. Coercion. [CORRECT]
Correct Answer: D
Rationale: Coercion involves using threats or intimidation to force a patient to comply with
treatment. The nurse is threatening negative consequences to manipulate the patient's decision.
Beneficence is doing good. Nonmaleficence is avoiding harm. Paternalism is making decisions
for patients but doesn't necessarily involve threats.
Q2: During morning assessment, a nurse discovers that a patient received the wrong medication
from the previous shift. The patient is stable with no adverse effects. According to the principle
of veracity, what is the nurse's priority action?
A. Document the error in the medical record without informing the patient to prevent anxiety
B. Notify the physician and complete an incident report, but withhold information from the
patient to maintain trust
C. Inform the patient about the error, notify the physician, and complete an incident report
[CORRECT]
,2
D. Wait to see if adverse effects develop before reporting the error
Correct Answer: C
Rationale: Veracity (truth-telling) requires nurses to be honest with patients about their care,
including errors. Full disclosure respects patient autonomy and builds trust. The nurse must
inform the patient, notify the physician for orders/monitoring, and complete an incident report
for quality improvement. Concealing errors violates ethical principles and institutional policies.
Q3: A nursing student is reviewing the care plan for a patient with diabetes. The student
identifies "Risk for unstable blood glucose" as which component of the nursing process?
A. Assessment
B. Nursing diagnosis [CORRECT]
C. Planning
D. Evaluation
Correct Answer: B
Rationale: "Risk for unstable blood glucose" is a nursing diagnosis (specifically a risk diagnosis)
that identifies a potential health problem the patient may develop. It follows assessment data
collection and precedes the planning phase where outcomes and interventions are developed.
Evaluation occurs after implementation to determine if goals were met.
Q4: A nurse delegates vital sign measurement to a UAP (Unlicensed Assistive Personnel). Which
action by the UAP requires immediate intervention by the nurse?
A. Taking an oral temperature on a conscious adult patient
B. Measuring blood pressure on the right arm of a patient with a left-sided mastectomy
[CORRECT]
C. Counting respirations for 30 seconds and multiplying by 2
D. Recording an apical pulse rate of 72 beats per minute
Correct Answer: B
Rationale: Blood pressure should never be taken on the arm of a mastectomy side due to risk of
lymphedema, infection, and compromised lymphatic drainage. The UAP must be redirected to
use the opposite arm or a leg. Oral temperature on conscious adults, 30-second respiration
counting, and normal apical pulse rates are appropriate UAP tasks.
Q5: A patient with terminal cancer asks the nurse, "Am I dying?" The family previously
requested that the patient not be told the prognosis. Which ethical principle supports the nurse's
obligation to respond honestly to the patient?
, 3
A. Fidelity to the family's wishes
B. Autonomy of the patient to receive truthful information about their condition [CORRECT]
C. Justice in distributing healthcare resources
D. Beneficence in protecting the patient from emotional distress
Correct Answer: B
Rationale: Patient autonomy supersedes family preferences regarding disclosure of health
information. The patient has the right to truthful information about their condition to make
informed decisions. While the nurse should approach the conversation with sensitivity,
withholding the truth violates autonomy and veracity. The nurse can facilitate family
communication but cannot lie to the patient.
Q6: A nurse administers the wrong dose of medication to a patient. After ensuring patient safety,
which legal document must be completed?
A. Physician's order sheet
B. Incident report (occurrence report) [CORRECT]
C. Patient's advance directive
D. Nursing care plan
Correct Answer: B
Rationale: An incident report documents unusual occurrences, errors, or accidents for risk
management and quality improvement purposes. It is not part of the medical record and is
protected from legal discovery in many jurisdictions. The report helps identify system failures
and prevent future errors. Physician notification and documentation in the medical record occur
separately.
Q7: Which action by a nurse constitutes battery?
A. Failing to administer a scheduled medication
B. Touching a patient without consent or touching a patient in a harmful or offensive manner
[CORRECT]
C. Threatening to restrain a patient who is agitated
D. Documenting inaccurate vital signs in the medical record
Correct Answer: B
Rationale: Battery is the intentional, unconsented touching of another person or touching in a
way that is harmful or offensive. It requires actual physical contact. Assault is the threat of harm.
NU131 EXAM 2 Actual Exam 2026/2027
Complete Questions and Verified Answers
with Detailed Rationales Nursing and
Healthcare I 100% Correct Grade A Pass
Guaranteed - A+ Graded
SECTION 1: FOUNDATIONS OF NURSING PRACTICE
Q1: A nurse is caring for a postoperative patient who is refusing to get out of bed despite
ambulation orders. The nurse tells the patient, "If you don't get up and walk, you'll develop
pneumonia and blood clots." This statement is an example of which ethical dilemma?
A. Beneficence
B. Nonmaleficence
C. Paternalism
D. Coercion. [CORRECT]
Correct Answer: D
Rationale: Coercion involves using threats or intimidation to force a patient to comply with
treatment. The nurse is threatening negative consequences to manipulate the patient's decision.
Beneficence is doing good. Nonmaleficence is avoiding harm. Paternalism is making decisions
for patients but doesn't necessarily involve threats.
Q2: During morning assessment, a nurse discovers that a patient received the wrong medication
from the previous shift. The patient is stable with no adverse effects. According to the principle
of veracity, what is the nurse's priority action?
A. Document the error in the medical record without informing the patient to prevent anxiety
B. Notify the physician and complete an incident report, but withhold information from the
patient to maintain trust
C. Inform the patient about the error, notify the physician, and complete an incident report
[CORRECT]
,2
D. Wait to see if adverse effects develop before reporting the error
Correct Answer: C
Rationale: Veracity (truth-telling) requires nurses to be honest with patients about their care,
including errors. Full disclosure respects patient autonomy and builds trust. The nurse must
inform the patient, notify the physician for orders/monitoring, and complete an incident report
for quality improvement. Concealing errors violates ethical principles and institutional policies.
Q3: A nursing student is reviewing the care plan for a patient with diabetes. The student
identifies "Risk for unstable blood glucose" as which component of the nursing process?
A. Assessment
B. Nursing diagnosis [CORRECT]
C. Planning
D. Evaluation
Correct Answer: B
Rationale: "Risk for unstable blood glucose" is a nursing diagnosis (specifically a risk diagnosis)
that identifies a potential health problem the patient may develop. It follows assessment data
collection and precedes the planning phase where outcomes and interventions are developed.
Evaluation occurs after implementation to determine if goals were met.
Q4: A nurse delegates vital sign measurement to a UAP (Unlicensed Assistive Personnel). Which
action by the UAP requires immediate intervention by the nurse?
A. Taking an oral temperature on a conscious adult patient
B. Measuring blood pressure on the right arm of a patient with a left-sided mastectomy
[CORRECT]
C. Counting respirations for 30 seconds and multiplying by 2
D. Recording an apical pulse rate of 72 beats per minute
Correct Answer: B
Rationale: Blood pressure should never be taken on the arm of a mastectomy side due to risk of
lymphedema, infection, and compromised lymphatic drainage. The UAP must be redirected to
use the opposite arm or a leg. Oral temperature on conscious adults, 30-second respiration
counting, and normal apical pulse rates are appropriate UAP tasks.
Q5: A patient with terminal cancer asks the nurse, "Am I dying?" The family previously
requested that the patient not be told the prognosis. Which ethical principle supports the nurse's
obligation to respond honestly to the patient?
, 3
A. Fidelity to the family's wishes
B. Autonomy of the patient to receive truthful information about their condition [CORRECT]
C. Justice in distributing healthcare resources
D. Beneficence in protecting the patient from emotional distress
Correct Answer: B
Rationale: Patient autonomy supersedes family preferences regarding disclosure of health
information. The patient has the right to truthful information about their condition to make
informed decisions. While the nurse should approach the conversation with sensitivity,
withholding the truth violates autonomy and veracity. The nurse can facilitate family
communication but cannot lie to the patient.
Q6: A nurse administers the wrong dose of medication to a patient. After ensuring patient safety,
which legal document must be completed?
A. Physician's order sheet
B. Incident report (occurrence report) [CORRECT]
C. Patient's advance directive
D. Nursing care plan
Correct Answer: B
Rationale: An incident report documents unusual occurrences, errors, or accidents for risk
management and quality improvement purposes. It is not part of the medical record and is
protected from legal discovery in many jurisdictions. The report helps identify system failures
and prevent future errors. Physician notification and documentation in the medical record occur
separately.
Q7: Which action by a nurse constitutes battery?
A. Failing to administer a scheduled medication
B. Touching a patient without consent or touching a patient in a harmful or offensive manner
[CORRECT]
C. Threatening to restrain a patient who is agitated
D. Documenting inaccurate vital signs in the medical record
Correct Answer: B
Rationale: Battery is the intentional, unconsented touching of another person or touching in a
way that is harmful or offensive. It requires actual physical contact. Assault is the threat of harm.
