INTRO. TO NURSING, EXAM #1: ADAPTIVE QUIZZING
QUESTIONS (CHAPTERS 1, 2, 4, 5, 6, 7, 9 , 27) EXAM
QUESTIONS WITH ACCURATE RIGHT ANSWERS .
2. Question the action of the placebo prescription. - Correct Answer -Ch. 1: A postoperative
patient reports pain at the site of surgery. On examination, the nurse finds that the incision is
healing well and there are no signs of infection. The nurse instructs a student nurse to give a
placebo drug to the patient. Which action would be the most appropriate action for the
student nurse to take?
1
Follow the instructions given by the nurse.
2
Question the action of the placebo prescription.
3
Administer another analgesic drug.
4
Administer the placebo and inform the primary health care provider immediately.
2, 3 and 4 are correct.
A patient in the last stages of life may greatly benefit from a visit from a member of the
clergy. A meeting with a cleric might help the patient attain peace and tranquility. If the
patient desires to meet someone in particular, the nurse should arrange for such a meeting.
The nurse can help the patient get relief from pain and be comforted and relaxed with the
help of guided imagery and other relaxation techniques. Spiritual interventions should be
continued until the end of life. They prepare the patient to leave the world in peace.
Withdrawal of life support should be a decision made by family or the patient and is
definitely not the nurse's call.
1
,Test-Taking Tip: On multiple response questions, be sure to pick at least two of the choices.
When you see "Select all that apply" at the end of the question, you know there will be at
least two correct answers. - Correct Answer -Ch. 1: An elderly patient is suffering from a
chronic illness with multiple medical conditions and has a poor prognosis for recovery. What
nursing actions are appropriate during the last hours of life before death? Select all that apply.
1
Avoid further spiritual interventions.
2
Arrange a visit from a cleric.
3
Ask if the patient wants to meet loved ones.
4
Help the patient with guided imagery to attain peace.
5
Withdraw all life-supporting modalities.
4. Nonmaleficence
Nonmaleficence is the act of avoiding harm or hurt to the patient. Justice refers to the
promotion of open discussion whenever mistakes occur, or nearly occur, without fear of
recrimination. Autonomy refers to the commitment to include patients in decisions about all
aspects of care as a way of acknowledging and protecting a patient's independence.
Beneficence refers to taking positive actions to help others.
Test-Taking Tip: Be aware that information you gained from another question may help you
answer the current question. - Correct Answer -Ch. 1: Which principle of health ethics refers
to the avoidance of harm or hurt?
1
Justice
2
,2
Autonomy
3
Beneficence
4
Nonmaleficence
2. living will
A living will contains the decisions about medical procedures a patient would undergo or not
undergo when terminally ill or in a vegetative state. The nurse's records are written
documents maintained by the nurse about the daily care provided to the patient. Health care
proxies or durable powers of attorney are legal documents that designate a person to make
decisions on the patient's behalf. These documents are used when the patient is no longer
capable of making decisions. - Correct Answer -Ch. 1: A terminally ill patient does not want
to be resuscitated if complications arise. Which document would record the patient's wishes
regarding treatment?
1
Nurse's records
2
Living will
3
Health care proxies
4
Durable powers of attorney
3
, 4. "Taking positive actions to help others is beneficence."
Beneficence involves taking positive actions to help others. Agreeing to act with beneficence
implies that the best interest of the patient is more important for the nurse than self-interest.
Avoidance of harm or hurt is nonmaleficence. Support of a particular cause is advocacy.
Agreement to keep promises is fidelity. - Correct Answer -The nurse educator is lecturing a
group of nursing students about ethics and values. Which statement made by the student
indicates a correct understanding of beneficence?
1
"Avoidance of harm or hurt is beneficence."
2
"Support of a particular cause is beneficence."
3
"Agreement to keep promises is beneficence."
4
"Taking positive actions to help others is beneficence."
4. Emergency Medical Treatment and Active Labor Act
According to the Emergency Medical Treatment and Active Labor Act, patients who have an
emergency condition should not be discharged or referred to another hospital unless the
condition stabilizes. Pulmonary embolism is a life-threatening condition, and according to
this law the patient should not be transferred to another hospital unless the condition is
stabilized. According to the Mental Health Parity Act, health insurance companies should not
place lifetime or annual limits on mental health coverage, and the coverage should be as
generous as coverage for medical or surgical care. The Americans with Disability Act
prevents discrimination against persons with disabilities and ensures equal opportunities in
employment, state and local government services, public accommodations, commercial
facilities, and transportation. According to the Patient Self-Determination - Correct Answer -
Ch. 1: A patient who has developed a pulmonary embolism after abdominal surgery is
immediately transferred to another hospital. Which law has been broken in this case?
1
4
QUESTIONS (CHAPTERS 1, 2, 4, 5, 6, 7, 9 , 27) EXAM
QUESTIONS WITH ACCURATE RIGHT ANSWERS .
2. Question the action of the placebo prescription. - Correct Answer -Ch. 1: A postoperative
patient reports pain at the site of surgery. On examination, the nurse finds that the incision is
healing well and there are no signs of infection. The nurse instructs a student nurse to give a
placebo drug to the patient. Which action would be the most appropriate action for the
student nurse to take?
1
Follow the instructions given by the nurse.
2
Question the action of the placebo prescription.
3
Administer another analgesic drug.
4
Administer the placebo and inform the primary health care provider immediately.
2, 3 and 4 are correct.
A patient in the last stages of life may greatly benefit from a visit from a member of the
clergy. A meeting with a cleric might help the patient attain peace and tranquility. If the
patient desires to meet someone in particular, the nurse should arrange for such a meeting.
The nurse can help the patient get relief from pain and be comforted and relaxed with the
help of guided imagery and other relaxation techniques. Spiritual interventions should be
continued until the end of life. They prepare the patient to leave the world in peace.
Withdrawal of life support should be a decision made by family or the patient and is
definitely not the nurse's call.
1
,Test-Taking Tip: On multiple response questions, be sure to pick at least two of the choices.
When you see "Select all that apply" at the end of the question, you know there will be at
least two correct answers. - Correct Answer -Ch. 1: An elderly patient is suffering from a
chronic illness with multiple medical conditions and has a poor prognosis for recovery. What
nursing actions are appropriate during the last hours of life before death? Select all that apply.
1
Avoid further spiritual interventions.
2
Arrange a visit from a cleric.
3
Ask if the patient wants to meet loved ones.
4
Help the patient with guided imagery to attain peace.
5
Withdraw all life-supporting modalities.
4. Nonmaleficence
Nonmaleficence is the act of avoiding harm or hurt to the patient. Justice refers to the
promotion of open discussion whenever mistakes occur, or nearly occur, without fear of
recrimination. Autonomy refers to the commitment to include patients in decisions about all
aspects of care as a way of acknowledging and protecting a patient's independence.
Beneficence refers to taking positive actions to help others.
Test-Taking Tip: Be aware that information you gained from another question may help you
answer the current question. - Correct Answer -Ch. 1: Which principle of health ethics refers
to the avoidance of harm or hurt?
1
Justice
2
,2
Autonomy
3
Beneficence
4
Nonmaleficence
2. living will
A living will contains the decisions about medical procedures a patient would undergo or not
undergo when terminally ill or in a vegetative state. The nurse's records are written
documents maintained by the nurse about the daily care provided to the patient. Health care
proxies or durable powers of attorney are legal documents that designate a person to make
decisions on the patient's behalf. These documents are used when the patient is no longer
capable of making decisions. - Correct Answer -Ch. 1: A terminally ill patient does not want
to be resuscitated if complications arise. Which document would record the patient's wishes
regarding treatment?
1
Nurse's records
2
Living will
3
Health care proxies
4
Durable powers of attorney
3
, 4. "Taking positive actions to help others is beneficence."
Beneficence involves taking positive actions to help others. Agreeing to act with beneficence
implies that the best interest of the patient is more important for the nurse than self-interest.
Avoidance of harm or hurt is nonmaleficence. Support of a particular cause is advocacy.
Agreement to keep promises is fidelity. - Correct Answer -The nurse educator is lecturing a
group of nursing students about ethics and values. Which statement made by the student
indicates a correct understanding of beneficence?
1
"Avoidance of harm or hurt is beneficence."
2
"Support of a particular cause is beneficence."
3
"Agreement to keep promises is beneficence."
4
"Taking positive actions to help others is beneficence."
4. Emergency Medical Treatment and Active Labor Act
According to the Emergency Medical Treatment and Active Labor Act, patients who have an
emergency condition should not be discharged or referred to another hospital unless the
condition stabilizes. Pulmonary embolism is a life-threatening condition, and according to
this law the patient should not be transferred to another hospital unless the condition is
stabilized. According to the Mental Health Parity Act, health insurance companies should not
place lifetime or annual limits on mental health coverage, and the coverage should be as
generous as coverage for medical or surgical care. The Americans with Disability Act
prevents discrimination against persons with disabilities and ensures equal opportunities in
employment, state and local government services, public accommodations, commercial
facilities, and transportation. According to the Patient Self-Determination - Correct Answer -
Ch. 1: A patient who has developed a pulmonary embolism after abdominal surgery is
immediately transferred to another hospital. Which law has been broken in this case?
1
4
