NUR2811: Professional Nursing Concepts & Practice
Midterm Examination
Comprehensive Practice Exam | 100 Questions | Evidence-Based
Rationales
• Course: NUR2811 – Professional Nursing Concepts & Practice (Midterm)
• Total Questions: 100
SECTION I: PROFESSIONAL NURSING CONCEPTS
(Questions 1-20)
Question 1
A nurse is caring for a postoperative client who refuses to ambulate despite
education about the benefits. The nurse states, "If you don't get out of bed now, I will
have to restrain you." This statement is an example of which ethical violation?
A) Battery
B) Assault
C) Negligence
D) Malpractice
Correct Answer: B) Assault
Rationale: Assault is the threat or attempt to touch another person without consent,
causing fear of harmful or offensive contact. The nurse's threat to restrain the client
,constitutes assault. Battery is actual physical contact without consent. Negligence is
failure to provide standard care; malpractice is professional negligence causing harm
.
Question 2
A newly licensed nurse is orienting to the medical-surgical unit. Which action by the
new nurse requires intervention by the preceptor?
A) Delegating vital signs to the unlicensed assistive personnel (UAP)
B) Administering IV push medication without a second nurse verification
C) Documenting client refusal of medication
D) Reporting abnormal lab values to the healthcare provider
Correct Answer: B) Administering IV push medication without a second nurse
verification
Rationale: Many facilities require two-nurse verification for IV push medications,
especially high-alert medications. This is a safety measure to prevent medication
errors. Delegating vital signs (A) is within the UAP's scope. Documenting refusals (C)
and reporting abnormal labs (D) are appropriate nursing actions .
Question 3
A nurse is providing care to a client of a different cultural background. The client
refuses to eat the hospital food, stating it does not align with their dietary practices.
What is the nurse's best response?
A) "You need to eat to get better. The food is nutritious."
B) "I will contact the dietary department to see if we can accommodate your dietary
needs."
C) "You can have your family bring food from home."
D) "The hospital food meets all nutritional requirements."
,Correct Answer: B) I will contact the dietary department to see if we can
accommodate your dietary needs.
Rationale: Culturally competent care involves respecting and accommodating
clients' cultural and religious practices. The nurse should advocate for the client by
working with dietary services to meet the client's needs. Dismissing the client's
concerns (A, D) is culturally insensitive. While family-provided food (C) is an option,
the nurse should first attempt to accommodate within hospital resources .
Question 4
A nurse is caring for a terminally ill client who expresses a desire to end life-
sustaining treatment. The client's family disagrees with this decision. What is the
nurse's priority action?
A) Support the family's decision to maintain treatment
B) Respect the client's autonomy and advocate for the client's wishes
C) Request an ethics committee consultation immediately
D) Document the disagreement and take no further action
Correct Answer: B) Respect the client's autonomy and advocate for the client's
wishes
Rationale: Autonomy is a fundamental ethical principle in healthcare. Competent
clients have the right to make decisions about their own care, including refusing
treatment. The nurse's role is to advocate for the client's wishes. An ethics
consultation (C) may be appropriate if there is conflict, but the nurse should first
support the client's autonomy .
Question 5
A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
A) Assessing a client's pain level
B) Evaluating the effectiveness of a pain medication
, C) Measuring a client's vital signs
D) Developing a client's plan of care
Correct Answer: C) Measuring a client's vital signs
Rationale: The five rights of delegation include right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation. Measuring
vital signs is a stable, predictable task appropriate for UAP. Assessment (A),
evaluation (B), and care planning (D) require nursing judgment and cannot be
delegated .
Question 6
A client tells the nurse, "I don't want to be a burden to my family anymore." What is
the nurse's most therapeutic response?
A) "You shouldn't feel that way. Your family loves you."
B) "Tell me more about what you're feeling."
C) "Everything will be okay. Don't worry."
D) "I understand how you feel."
Correct Answer: B) "Tell me more about what you're feeling."
Rationale: The therapeutic communication technique of exploring encourages the
client to express thoughts and feelings more fully. This open-ended response
validates the client's feelings and promotes further discussion. False reassurance (A,
C) and assuming understanding (D) are nontherapeutic .
Question 7
A nurse is caring for a client who has a living will. The client becomes unable to make
decisions, and the healthcare provider orders a life-sustaining treatment that the
client had previously declined in the living will. What is the nurse's best action?
Midterm Examination
Comprehensive Practice Exam | 100 Questions | Evidence-Based
Rationales
• Course: NUR2811 – Professional Nursing Concepts & Practice (Midterm)
• Total Questions: 100
SECTION I: PROFESSIONAL NURSING CONCEPTS
(Questions 1-20)
Question 1
A nurse is caring for a postoperative client who refuses to ambulate despite
education about the benefits. The nurse states, "If you don't get out of bed now, I will
have to restrain you." This statement is an example of which ethical violation?
A) Battery
B) Assault
C) Negligence
D) Malpractice
Correct Answer: B) Assault
Rationale: Assault is the threat or attempt to touch another person without consent,
causing fear of harmful or offensive contact. The nurse's threat to restrain the client
,constitutes assault. Battery is actual physical contact without consent. Negligence is
failure to provide standard care; malpractice is professional negligence causing harm
.
Question 2
A newly licensed nurse is orienting to the medical-surgical unit. Which action by the
new nurse requires intervention by the preceptor?
A) Delegating vital signs to the unlicensed assistive personnel (UAP)
B) Administering IV push medication without a second nurse verification
C) Documenting client refusal of medication
D) Reporting abnormal lab values to the healthcare provider
Correct Answer: B) Administering IV push medication without a second nurse
verification
Rationale: Many facilities require two-nurse verification for IV push medications,
especially high-alert medications. This is a safety measure to prevent medication
errors. Delegating vital signs (A) is within the UAP's scope. Documenting refusals (C)
and reporting abnormal labs (D) are appropriate nursing actions .
Question 3
A nurse is providing care to a client of a different cultural background. The client
refuses to eat the hospital food, stating it does not align with their dietary practices.
What is the nurse's best response?
A) "You need to eat to get better. The food is nutritious."
B) "I will contact the dietary department to see if we can accommodate your dietary
needs."
C) "You can have your family bring food from home."
D) "The hospital food meets all nutritional requirements."
,Correct Answer: B) I will contact the dietary department to see if we can
accommodate your dietary needs.
Rationale: Culturally competent care involves respecting and accommodating
clients' cultural and religious practices. The nurse should advocate for the client by
working with dietary services to meet the client's needs. Dismissing the client's
concerns (A, D) is culturally insensitive. While family-provided food (C) is an option,
the nurse should first attempt to accommodate within hospital resources .
Question 4
A nurse is caring for a terminally ill client who expresses a desire to end life-
sustaining treatment. The client's family disagrees with this decision. What is the
nurse's priority action?
A) Support the family's decision to maintain treatment
B) Respect the client's autonomy and advocate for the client's wishes
C) Request an ethics committee consultation immediately
D) Document the disagreement and take no further action
Correct Answer: B) Respect the client's autonomy and advocate for the client's
wishes
Rationale: Autonomy is a fundamental ethical principle in healthcare. Competent
clients have the right to make decisions about their own care, including refusing
treatment. The nurse's role is to advocate for the client's wishes. An ethics
consultation (C) may be appropriate if there is conflict, but the nurse should first
support the client's autonomy .
Question 5
A nurse is preparing to delegate tasks to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
A) Assessing a client's pain level
B) Evaluating the effectiveness of a pain medication
, C) Measuring a client's vital signs
D) Developing a client's plan of care
Correct Answer: C) Measuring a client's vital signs
Rationale: The five rights of delegation include right task, right circumstances, right
person, right direction/communication, and right supervision/evaluation. Measuring
vital signs is a stable, predictable task appropriate for UAP. Assessment (A),
evaluation (B), and care planning (D) require nursing judgment and cannot be
delegated .
Question 6
A client tells the nurse, "I don't want to be a burden to my family anymore." What is
the nurse's most therapeutic response?
A) "You shouldn't feel that way. Your family loves you."
B) "Tell me more about what you're feeling."
C) "Everything will be okay. Don't worry."
D) "I understand how you feel."
Correct Answer: B) "Tell me more about what you're feeling."
Rationale: The therapeutic communication technique of exploring encourages the
client to express thoughts and feelings more fully. This open-ended response
validates the client's feelings and promotes further discussion. False reassurance (A,
C) and assuming understanding (D) are nontherapeutic .
Question 7
A nurse is caring for a client who has a living will. The client becomes unable to make
decisions, and the healthcare provider orders a life-sustaining treatment that the
client had previously declined in the living will. What is the nurse's best action?
