FOUNDATIONS FINAL PRACTICE EXAM
QUESTIONS WITH 100% CORRECT ANSWERS .
A nurse is caring for a client who decides not to have surgery despite significant blockages of the
coronary arteries. The nurse understands that this clients choice is an example of which of the
following ethical principles?
A. Fidelity
B. autonomy
C. Justice
D. Nonmaleficence - Correct Answer -B. Autonomy
A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the following ethical
principles?
A. fidelity
B. autonomy
C. justice
D. Beneficence - Correct Answer -D. Beneficence
A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation
and procurement involve. When the nurse explains that all clients waiting for a kidney transplant
have to meet the same qualifications, the newly licensed nurses should understand that this
aspect of care delivery is an example of which of the following ethical principles
A. Fidelity
B. autonomy
C. justice
D. nonmaleficence - Correct Answer -D. nonmaleficence
A nurse questions a medication prescription as too extreme in light of the client's advanced age
1
,and unstable status. The nurse understands that this action is an example of which of the
following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - Correct Answer -D. Nonmaleficence
a nurse is instructing a group of newly licensed nurses about how to know and what to expect
when ethical dilemmas arise. Which of the following situations should the newly licensed nurses
identify as an ethical dilemma?
a. a nurse on a medical-surgical unit demonstrates signs of chemical impairment
b. a nurse overhears another nurse telling an older adult client that if he doesn't stay in older adult
client that if he doesn't stay in bed she will have to apply restraints
c. a family has conflicting feelings about the initiation of enteral tube feedings for their father,
who is terminally ill
d. a client who is terminally ill hesitates to name their partner on their durable power of attorney
form - Correct Answer -C. a family has conflicting feelings about the initiation of enteral tube
feedings for their father, who is terminally ill
A nurse observes an assistive personnel (AP) reprimanding a licent for not using the urinal
properly. the AP tells the client that diapers will be used next time the urinal is used improperly.
Which of the following torts is the AP committing?
a. assault
b. battery
c. false imprisonment
d. invasion of privacy - Correct Answer -a. assault
a nurse is caring for a competent adult client who tells the nurse "i am leaving the hospital this
morning whether the doctor discharges me or not". the nurse believes that this is not in the
clients best interest, and prepares to administer a PRN sedative medication the client has not
requested along with the scheduled morning medication. which of the following types of tort is
the nurse about to commit.
2
,a. assault
b. false imprisonment
c. negligence
d. breach of confidentiality - Correct Answer -b. false imprisonment
A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for
surgery the following week. The client tells the nurse that he will prepare his advance directives
before he goes to the hospital. Which of the following statements made by the client should
indicate to the nurse an understanding of advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead with the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital." - Correct
Answer -C. "I plan to write that I don't want them to keep me on a breathing machine."
a nurse is caring for a client who is about undergo an elective surgical procedure. the nurse
should take which of the following actions regarding informed consent. SATA
a. make sure the surgeon obtained the clients consent
b. witness the clients signature on the consent form
c. explain the risks and benefits of the procedure
d. describe the consequences of choosing not to have the surgery
e. tell the client about alternatives to having the surgery - Correct Answer -a. make sure the
surgeon obtained the clients consent
b. witness the clients signature on the consent form
A nurse has noticed several occasions in the past week when another nurse on the unit seemed
drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in
the break room when she was not on break. Which of the following actions should the nurse
take?
A. Remind the nurse that safe client care is a priority on the unit
3
, B. Ask others on the team whether they have observed the same behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve - Correct Answer -C. Report
observations to the nurse manager on the unit
a nurse on a medical-surgical unit has received change-of-shift report and will care for four
clients. Which of the following asks should the nurse assign to an assistive personnel (AP)
a. updating the plan of care for a client who is post-operative
b. reinforcing teaching with a client who is learning to walk using a quad cane
c. reapplying a condom catheter for a client who has urinary incontinence
d. applying a sterile dressing to a pressure injury - Correct Answer -c. reapplying a condom
catheter for a client who has urinary incontinence
a nurse manager is assigning care of a client who is being admitted from the PACU following
thoracic surgery. the nurse manager should assign the client to which of the following staff
members.
a. charge nurse
b. RN
c. PN
d. AP - Correct Answer -b. RN
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP.
Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - Correct Answer -B. The client ambulates
with his slippers on over his antiembolic stockings
4
QUESTIONS WITH 100% CORRECT ANSWERS .
A nurse is caring for a client who decides not to have surgery despite significant blockages of the
coronary arteries. The nurse understands that this clients choice is an example of which of the
following ethical principles?
A. Fidelity
B. autonomy
C. Justice
D. Nonmaleficence - Correct Answer -B. Autonomy
A nurse offers pain medication to a client who is postoperative prior to ambulation. The nurse
understands that this aspect of care delivery is an example of which of the following ethical
principles?
A. fidelity
B. autonomy
C. justice
D. Beneficence - Correct Answer -D. Beneficence
A nurse is instructing a group of newly licensed nurses about the responsibilities organ donation
and procurement involve. When the nurse explains that all clients waiting for a kidney transplant
have to meet the same qualifications, the newly licensed nurses should understand that this
aspect of care delivery is an example of which of the following ethical principles
A. Fidelity
B. autonomy
C. justice
D. nonmaleficence - Correct Answer -D. nonmaleficence
A nurse questions a medication prescription as too extreme in light of the client's advanced age
1
,and unstable status. The nurse understands that this action is an example of which of the
following
ethical principles?
A. Fidelity
B. Autonomy
C. Justice
D. Nonmaleficence - Correct Answer -D. Nonmaleficence
a nurse is instructing a group of newly licensed nurses about how to know and what to expect
when ethical dilemmas arise. Which of the following situations should the newly licensed nurses
identify as an ethical dilemma?
a. a nurse on a medical-surgical unit demonstrates signs of chemical impairment
b. a nurse overhears another nurse telling an older adult client that if he doesn't stay in older adult
client that if he doesn't stay in bed she will have to apply restraints
c. a family has conflicting feelings about the initiation of enteral tube feedings for their father,
who is terminally ill
d. a client who is terminally ill hesitates to name their partner on their durable power of attorney
form - Correct Answer -C. a family has conflicting feelings about the initiation of enteral tube
feedings for their father, who is terminally ill
A nurse observes an assistive personnel (AP) reprimanding a licent for not using the urinal
properly. the AP tells the client that diapers will be used next time the urinal is used improperly.
Which of the following torts is the AP committing?
a. assault
b. battery
c. false imprisonment
d. invasion of privacy - Correct Answer -a. assault
a nurse is caring for a competent adult client who tells the nurse "i am leaving the hospital this
morning whether the doctor discharges me or not". the nurse believes that this is not in the
clients best interest, and prepares to administer a PRN sedative medication the client has not
requested along with the scheduled morning medication. which of the following types of tort is
the nurse about to commit.
2
,a. assault
b. false imprisonment
c. negligence
d. breach of confidentiality - Correct Answer -b. false imprisonment
A nurse in a surgeon's office is providing preoperative teaching for a client who is scheduled for
surgery the following week. The client tells the nurse that he will prepare his advance directives
before he goes to the hospital. Which of the following statements made by the client should
indicate to the nurse an understanding of advance directives?
A. "I'd rather have my brother make decisions for me, but I know it has to be my wife."
B. "I know they won't go ahead with the surgery unless I prepare these forms."
C. "I plan to write that I don't want them to keep me on a breathing machine."
D. "I will get my regular doctor to approve my plan before I hand it in at the hospital." - Correct
Answer -C. "I plan to write that I don't want them to keep me on a breathing machine."
a nurse is caring for a client who is about undergo an elective surgical procedure. the nurse
should take which of the following actions regarding informed consent. SATA
a. make sure the surgeon obtained the clients consent
b. witness the clients signature on the consent form
c. explain the risks and benefits of the procedure
d. describe the consequences of choosing not to have the surgery
e. tell the client about alternatives to having the surgery - Correct Answer -a. make sure the
surgeon obtained the clients consent
b. witness the clients signature on the consent form
A nurse has noticed several occasions in the past week when another nurse on the unit seemed
drowsy & unable to focus on the issue at hand. Today, she found the nurse asleep in a chair in
the break room when she was not on break. Which of the following actions should the nurse
take?
A. Remind the nurse that safe client care is a priority on the unit
3
, B. Ask others on the team whether they have observed the same behavior
C. Report observations to the nurse manager on the unit
D. Conclude that her coworker's fatigue is not her problem to solve - Correct Answer -C. Report
observations to the nurse manager on the unit
a nurse on a medical-surgical unit has received change-of-shift report and will care for four
clients. Which of the following asks should the nurse assign to an assistive personnel (AP)
a. updating the plan of care for a client who is post-operative
b. reinforcing teaching with a client who is learning to walk using a quad cane
c. reapplying a condom catheter for a client who has urinary incontinence
d. applying a sterile dressing to a pressure injury - Correct Answer -c. reapplying a condom
catheter for a client who has urinary incontinence
a nurse manager is assigning care of a client who is being admitted from the PACU following
thoracic surgery. the nurse manager should assign the client to which of the following staff
members.
a. charge nurse
b. RN
c. PN
d. AP - Correct Answer -b. RN
A nurse is delegating the ambulation of a client who had knee arthroplasty 5 days ago to an AP.
Which of the following info should the nurse share with the AP?
Select all:
A. the roommate is up independently
B. The client ambulates with his slippers on over his antiembolic stockings
C. The client uses a front wheeled walker when ambulating
D. The client had pain meds 30 minutes ago
E. The client is allergic to codeine
F. the client ate 50 % of his breakfast this morning - Correct Answer -B. The client ambulates
with his slippers on over his antiembolic stockings
4
