Nursing Health Sciences University of Texas at Arlington Adult Health Nursing
(BSN)Final Clinical Theory Exam
Date: May 6–8, 2026. questions with answers and rationales with mutiple choice
UTA Adult Health Nursing (BSN) – Final Clinical Theory Exam
Course Alignment: NURS 3632 / Clinical Nursing Foundations
Simulated Exam Window: May 6–8, 2026
Total Questions: 200 Multiple Choice
PART I: CRITICAL THINKING, VALUES & LEGAL ISSUES (Questions 1-20)
Q1. A nurse is caring for a patient who refuses a blood transfusion due to religious
beliefs (Jehovah's Witness). The surgeon insists the patient will die without it.
What is the nurse's priority action?
A) Inform the surgeon that the patient has the right to refuse treatment.
B) Ask the family to convince the patient to accept the blood.
C) Prepare the consent form for the transfusion.
D) Call security to restrain the patient for the procedure.
,Answer: A
Rationale: A competent adult has the legal and ethical right to refuse treatment,
even if that decision leads to death. The nurse acts as a patient advocate.
Informed consent requires the patient to agree voluntarily without coercion .
Q2. A nurse is delegating a task to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A) Assessing a patient’s lung sounds.
B) Creating a plan of care for a diabetic patient.
C) Feeding a stable patient with dysphagia.
D) Administering IV push morphine.
Answer: C
Rationale: Delegation involves transferring responsibility for a specific task. The
RN cannot delegate assessment, planning, evaluation, or nursing judgment.
Feeding a stable patient is within the UAP's scope if the patient has no active
airway concerns .
,Q3. Which scenario is an example of "Assault" in a nursing context?
A) A nurse fails to turn a patient, resulting in a pressure injury.
B) A nurse threatens to give an injection if the patient does not stay still.
C) A nurse gives the wrong medication due to a similar name.
D) A nurse discusses a patient's diagnosis in the elevator with a friend.
Answer: B
Rationale: Assault is the threat of bodily harm (making the patient afraid). Battery
is the actual harmful contact. Giving the wrong medication is
negligence/malpractice; breaking confidentiality is invasion of privacy .
Q4. A nurse enters a room and notices the small bathroom trash can is on fire.
The patient is ambulatory. What is the priority action per RACE protocol?
A) Pull the fire alarm.
B) Remove the patient from the room.
C) Close the patient's door.
D) Extinguish the fire with the extinguisher.
Answer: B
, Rationale: The acronym RACE stands for Rescue (remove patients in immediate
danger), Alarm (activate), Contain (close doors), Evacuate/Extinguish. The priority
is always life safety .
Q5. A nurse is preparing a patient for surgery. The patient verbalizes
understanding of the procedure but appears highly anxious. What is the nurse's
best legal responsibility regarding informed consent?
A) Sign the consent form as a witness to the signature.
B) Explain the risks of the surgery to the patient.
C) Notify the provider that the patient is anxious.
D) Cancel the surgery due to emotional distress.
Answer: A
Rationale: The nurse's role in informed consent is to witness the patient's
signature, verify the patient is signing voluntarily, and confirm the patient
understands the information provided by the physician. The physician is
responsible for explaining risks/benefits .
(BSN)Final Clinical Theory Exam
Date: May 6–8, 2026. questions with answers and rationales with mutiple choice
UTA Adult Health Nursing (BSN) – Final Clinical Theory Exam
Course Alignment: NURS 3632 / Clinical Nursing Foundations
Simulated Exam Window: May 6–8, 2026
Total Questions: 200 Multiple Choice
PART I: CRITICAL THINKING, VALUES & LEGAL ISSUES (Questions 1-20)
Q1. A nurse is caring for a patient who refuses a blood transfusion due to religious
beliefs (Jehovah's Witness). The surgeon insists the patient will die without it.
What is the nurse's priority action?
A) Inform the surgeon that the patient has the right to refuse treatment.
B) Ask the family to convince the patient to accept the blood.
C) Prepare the consent form for the transfusion.
D) Call security to restrain the patient for the procedure.
,Answer: A
Rationale: A competent adult has the legal and ethical right to refuse treatment,
even if that decision leads to death. The nurse acts as a patient advocate.
Informed consent requires the patient to agree voluntarily without coercion .
Q2. A nurse is delegating a task to an Unlicensed Assistive Personnel (UAP). Which
task is appropriate for the nurse to delegate?
A) Assessing a patient’s lung sounds.
B) Creating a plan of care for a diabetic patient.
C) Feeding a stable patient with dysphagia.
D) Administering IV push morphine.
Answer: C
Rationale: Delegation involves transferring responsibility for a specific task. The
RN cannot delegate assessment, planning, evaluation, or nursing judgment.
Feeding a stable patient is within the UAP's scope if the patient has no active
airway concerns .
,Q3. Which scenario is an example of "Assault" in a nursing context?
A) A nurse fails to turn a patient, resulting in a pressure injury.
B) A nurse threatens to give an injection if the patient does not stay still.
C) A nurse gives the wrong medication due to a similar name.
D) A nurse discusses a patient's diagnosis in the elevator with a friend.
Answer: B
Rationale: Assault is the threat of bodily harm (making the patient afraid). Battery
is the actual harmful contact. Giving the wrong medication is
negligence/malpractice; breaking confidentiality is invasion of privacy .
Q4. A nurse enters a room and notices the small bathroom trash can is on fire.
The patient is ambulatory. What is the priority action per RACE protocol?
A) Pull the fire alarm.
B) Remove the patient from the room.
C) Close the patient's door.
D) Extinguish the fire with the extinguisher.
Answer: B
, Rationale: The acronym RACE stands for Rescue (remove patients in immediate
danger), Alarm (activate), Contain (close doors), Evacuate/Extinguish. The priority
is always life safety .
Q5. A nurse is preparing a patient for surgery. The patient verbalizes
understanding of the procedure but appears highly anxious. What is the nurse's
best legal responsibility regarding informed consent?
A) Sign the consent form as a witness to the signature.
B) Explain the risks of the surgery to the patient.
C) Notify the provider that the patient is anxious.
D) Cancel the surgery due to emotional distress.
Answer: A
Rationale: The nurse's role in informed consent is to witness the patient's
signature, verify the patient is signing voluntarily, and confirm the patient
understands the information provided by the physician. The physician is
responsible for explaining risks/benefits .
