PN4001 FINAL EXAM 2026/2027
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES || 100% GUARANTEED PASS!!
<LATEST VERSION>
1. A patient refuses a life-saving blood transfusion due to religious beliefs. As an
LPN, your best action is to:
A. Persuade the patient to accept the transfusion
B. Respect the patient’s decision and notify the RN or physician
C. Administer the transfusion anyway because it is life-saving
D. Delay care until the family consents
Answer: B
Rationale: Respecting autonomy is a legal and ethical principle. Patients have the
right to refuse treatment even if it may result in harm. The LPN should respect the
decision and notify the RN or physician to ensure proper documentation and
support.
2. Informed consent is considered valid if the patient:
A. Signs the consent without any explanation
B. Is given all relevant information and voluntarily agrees
C. Consents under pressure from family
D. Has a nurse witness the signature only
Answer: B
Rationale: Valid informed consent requires that the patient receives complete,
understandable information about risks, benefits, and alternatives, and makes a
voluntary decision.
,3. MAiD (Medical Assistance in Dying) is legally permissible in Canada for adults
who:
A. Are suffering from a terminal illness and request it voluntarily
B. Are under 18 years old with parental consent
C. Cannot communicate their wishes
D. Are experiencing mild chronic pain
Answer: A
Rationale: MAiD in Canada is restricted to adults experiencing intolerable
suffering from a grievous and irremediable medical condition. LPNs must follow
organizational policies and report any requests to the RN or physician.
4. Beneficence in nursing practice refers to:
A. Doing no harm
B. Acting in the patient’s best interest
C. Following all hospital policies
D. Allowing the patient to make decisions
Answer: B
Rationale: Beneficence involves actions that promote the well-being of the
patient. Non-maleficence (“do no harm”) is a separate principle.
5. A patient asks you to withhold information from their family. You should:
A. Share the information anyway
B. Respect confidentiality unless disclosure is legally required
C. Call security for guidance
D. Ask the family to leave the unit
Answer: B
Rationale: Confidentiality is a legal and ethical duty. Information may only be
disclosed if required by law or if the patient lacks capacity and there is imminent
risk.
,6. Which action represents an ethical violation by an LPN?
A. Administering medications under RN supervision
B. Delegating IV therapy to a PSW
C. Ignoring a patient’s request for pain medication
D. Reporting a medication error
Answer: C
Rationale: Ignoring a patient’s request for pain management violates the ethical
principles of beneficence and patient advocacy. Delegation of tasks outside scope
(like IV therapy to PSWs) is also unsafe and illegal.
7. A patient has signed a Do Not Resuscitate (DNR) order. Your responsibility is
to:
A. Provide all life-sustaining interventions anyway
B. Follow the DNR order and continue comfort care
C. Ignore the DNR if family disagrees
D. Remove all monitoring equipment
Answer: B
Rationale: LPNs must follow legally valid DNR orders while continuing to
provide appropriate comfort and supportive care.
8. Which of the following demonstrates professional advocacy?
A. Refusing to answer a patient’s question
B. Educating a patient about discharge options
C. Performing a procedure without consent
D. Delegating medication administration to a family member
Answer: B
Rationale: Advocacy involves supporting patient autonomy, providing education,
and helping patients make informed decisions.
, 9. Which is an example of non-maleficence in nursing practice?
A. Encouraging mobility in a post-operative patient
B. Checking medication doses carefully before administration
C. Providing emotional support
D. Explaining procedures to a patient
Answer: B
Rationale: Non-maleficence means avoiding harm. Carefully checking
medications prevents errors that could harm the patient.
10. An LPN notices that a physician has ordered a potentially harmful medication
dose. The correct action is:
A. Administer it without question
B. Question the order and verify with the physician or RN
C. Delegate it to a PSW
D. Wait to see if adverse effects occur
Answer: B
Rationale: LPNs must practice safely and advocate for patients by clarifying
questionable orders. Administering harmful medication violates both ethical and
legal standards.
11. A patient with dementia refuses a bath. You should:
A. Force the patient to comply
B. Respect their refusal and try later
C. Document refusal only if family complains
D. Bath the patient without explanation
Answer: B
Rationale: Respect for autonomy applies even in cognitively impaired patients
when safe. Delaying care is preferable to force.
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES || 100% GUARANTEED PASS!!
<LATEST VERSION>
1. A patient refuses a life-saving blood transfusion due to religious beliefs. As an
LPN, your best action is to:
A. Persuade the patient to accept the transfusion
B. Respect the patient’s decision and notify the RN or physician
C. Administer the transfusion anyway because it is life-saving
D. Delay care until the family consents
Answer: B
Rationale: Respecting autonomy is a legal and ethical principle. Patients have the
right to refuse treatment even if it may result in harm. The LPN should respect the
decision and notify the RN or physician to ensure proper documentation and
support.
2. Informed consent is considered valid if the patient:
A. Signs the consent without any explanation
B. Is given all relevant information and voluntarily agrees
C. Consents under pressure from family
D. Has a nurse witness the signature only
Answer: B
Rationale: Valid informed consent requires that the patient receives complete,
understandable information about risks, benefits, and alternatives, and makes a
voluntary decision.
,3. MAiD (Medical Assistance in Dying) is legally permissible in Canada for adults
who:
A. Are suffering from a terminal illness and request it voluntarily
B. Are under 18 years old with parental consent
C. Cannot communicate their wishes
D. Are experiencing mild chronic pain
Answer: A
Rationale: MAiD in Canada is restricted to adults experiencing intolerable
suffering from a grievous and irremediable medical condition. LPNs must follow
organizational policies and report any requests to the RN or physician.
4. Beneficence in nursing practice refers to:
A. Doing no harm
B. Acting in the patient’s best interest
C. Following all hospital policies
D. Allowing the patient to make decisions
Answer: B
Rationale: Beneficence involves actions that promote the well-being of the
patient. Non-maleficence (“do no harm”) is a separate principle.
5. A patient asks you to withhold information from their family. You should:
A. Share the information anyway
B. Respect confidentiality unless disclosure is legally required
C. Call security for guidance
D. Ask the family to leave the unit
Answer: B
Rationale: Confidentiality is a legal and ethical duty. Information may only be
disclosed if required by law or if the patient lacks capacity and there is imminent
risk.
,6. Which action represents an ethical violation by an LPN?
A. Administering medications under RN supervision
B. Delegating IV therapy to a PSW
C. Ignoring a patient’s request for pain medication
D. Reporting a medication error
Answer: C
Rationale: Ignoring a patient’s request for pain management violates the ethical
principles of beneficence and patient advocacy. Delegation of tasks outside scope
(like IV therapy to PSWs) is also unsafe and illegal.
7. A patient has signed a Do Not Resuscitate (DNR) order. Your responsibility is
to:
A. Provide all life-sustaining interventions anyway
B. Follow the DNR order and continue comfort care
C. Ignore the DNR if family disagrees
D. Remove all monitoring equipment
Answer: B
Rationale: LPNs must follow legally valid DNR orders while continuing to
provide appropriate comfort and supportive care.
8. Which of the following demonstrates professional advocacy?
A. Refusing to answer a patient’s question
B. Educating a patient about discharge options
C. Performing a procedure without consent
D. Delegating medication administration to a family member
Answer: B
Rationale: Advocacy involves supporting patient autonomy, providing education,
and helping patients make informed decisions.
, 9. Which is an example of non-maleficence in nursing practice?
A. Encouraging mobility in a post-operative patient
B. Checking medication doses carefully before administration
C. Providing emotional support
D. Explaining procedures to a patient
Answer: B
Rationale: Non-maleficence means avoiding harm. Carefully checking
medications prevents errors that could harm the patient.
10. An LPN notices that a physician has ordered a potentially harmful medication
dose. The correct action is:
A. Administer it without question
B. Question the order and verify with the physician or RN
C. Delegate it to a PSW
D. Wait to see if adverse effects occur
Answer: B
Rationale: LPNs must practice safely and advocate for patients by clarifying
questionable orders. Administering harmful medication violates both ethical and
legal standards.
11. A patient with dementia refuses a bath. You should:
A. Force the patient to comply
B. Respect their refusal and try later
C. Document refusal only if family complains
D. Bath the patient without explanation
Answer: B
Rationale: Respect for autonomy applies even in cognitively impaired patients
when safe. Delaying care is preferable to force.
