NURS 110 Study Guide Exam 3 (Professional Nursing) 2026 |WCU
1. A nurse is caring for a client who refuses to take a prescribed medication due
to religious beliefs. The nurse documents the refusal and informs the provider.
Which ethical principle is the nurse upholding?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding healthcare, even if those decisions conflict with the medical team’s
recommendations.
2. A nurse administers the wrong dosage of a medication to a patient, leading to
a prolonged hospital stay. The nurse’s failure to follow the ‘Rights of Medication
Administration’ constitutes which legal concept?
A. Malpractice
B. Assault
C. Battery
D. Slander
Answer: A
Rationale: Malpractice is professional negligence that occurs when a professional’s
conduct falls below the standard of care, resulting in harm to the patient.
,3. When witnessing a patient sign an informed consent form for surgery, what is
the nurse’s primary responsibility?
A. Explaining the risks and benefits of the procedure
B. Evaluating the surgeon’s competence to perform the task
C. Describing alternative treatment options to the patient
D. Ensuring the patient’s signature is authentic and voluntary
Answer: D
Rationale: The nurse’s role in informed consent is to witness the signature, ensuring the
patient is competent, the signature is authentic, and consent was given voluntarily.
4. Which phase of the nursing process involves the nurse developing ‘SMART’
goals with the patient?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Answer: C
Rationale: The planning phase involves setting priorities, identifying patient-centered
goals and expected outcomes, and selecting nursing interventions.
5. A nurse is communicating a patient’s worsening condition to a physician using
the SBAR tool. Which statement represents the ‘A’ in SBAR?
A. ‘The patient’s heart rate is 120 beats per minute and blood pressure is 90/60.’
B. ‘I believe the patient is developing pulmonary edema.’
C. ‘I am calling about Mr. Jones in room 402 who is experiencing shortness of breath.’
D. ‘I suggest we order a chest X-ray and start oxygen.’
Answer: B
Rationale: ‘A’ stands for Assessment, where the nurse provides their professional
conclusion about what the situation is or what might be happening.
, 6. Which ethical principle is demonstrated when a nurse keeps a promise to
return to a patient’s room in 10 minutes to help them walk?
A. Veracity
B. Non-maleficence
C. Fidelity
D. Justice
Answer: C
Rationale: Fidelity refers to the agreement to keep promises and be faithful to
commitments made to patients.
7. During the implementation phase of the nursing process, which action is the
nurse performing?
A. Carrying out nursing interventions to meet patient goals
B. Collecting subjective and objective data
C. Comparing actual outcomes with expected outcomes
D. Identifying potential health problems through data clustering
Answer: A
Rationale: Implementation is the ‘doing’ phase where the nurse executes the planned
interventions to help the patient achieve the desired outcomes.
8. A nurse is caring for a patient with a known diagnosis of Tuberculosis (TB).
Which type of precautions should the nurse implement?
A. Airborne Precautions
B. Contact Precautions
C. Droplet Precautions
D. Standard Precautions
Answer: A
Rationale: Tuberculosis requires airborne precautions, including a negative pressure
room and the use of an N95 respirator.
1. A nurse is caring for a client who refuses to take a prescribed medication due
to religious beliefs. The nurse documents the refusal and informs the provider.
Which ethical principle is the nurse upholding?
A. Autonomy
B. Beneficence
C. Justice
D. Fidelity
Answer: A
Rationale: Autonomy refers to the right of the patient to make their own decisions
regarding healthcare, even if those decisions conflict with the medical team’s
recommendations.
2. A nurse administers the wrong dosage of a medication to a patient, leading to
a prolonged hospital stay. The nurse’s failure to follow the ‘Rights of Medication
Administration’ constitutes which legal concept?
A. Malpractice
B. Assault
C. Battery
D. Slander
Answer: A
Rationale: Malpractice is professional negligence that occurs when a professional’s
conduct falls below the standard of care, resulting in harm to the patient.
,3. When witnessing a patient sign an informed consent form for surgery, what is
the nurse’s primary responsibility?
A. Explaining the risks and benefits of the procedure
B. Evaluating the surgeon’s competence to perform the task
C. Describing alternative treatment options to the patient
D. Ensuring the patient’s signature is authentic and voluntary
Answer: D
Rationale: The nurse’s role in informed consent is to witness the signature, ensuring the
patient is competent, the signature is authentic, and consent was given voluntarily.
4. Which phase of the nursing process involves the nurse developing ‘SMART’
goals with the patient?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Answer: C
Rationale: The planning phase involves setting priorities, identifying patient-centered
goals and expected outcomes, and selecting nursing interventions.
5. A nurse is communicating a patient’s worsening condition to a physician using
the SBAR tool. Which statement represents the ‘A’ in SBAR?
A. ‘The patient’s heart rate is 120 beats per minute and blood pressure is 90/60.’
B. ‘I believe the patient is developing pulmonary edema.’
C. ‘I am calling about Mr. Jones in room 402 who is experiencing shortness of breath.’
D. ‘I suggest we order a chest X-ray and start oxygen.’
Answer: B
Rationale: ‘A’ stands for Assessment, where the nurse provides their professional
conclusion about what the situation is or what might be happening.
, 6. Which ethical principle is demonstrated when a nurse keeps a promise to
return to a patient’s room in 10 minutes to help them walk?
A. Veracity
B. Non-maleficence
C. Fidelity
D. Justice
Answer: C
Rationale: Fidelity refers to the agreement to keep promises and be faithful to
commitments made to patients.
7. During the implementation phase of the nursing process, which action is the
nurse performing?
A. Carrying out nursing interventions to meet patient goals
B. Collecting subjective and objective data
C. Comparing actual outcomes with expected outcomes
D. Identifying potential health problems through data clustering
Answer: A
Rationale: Implementation is the ‘doing’ phase where the nurse executes the planned
interventions to help the patient achieve the desired outcomes.
8. A nurse is caring for a patient with a known diagnosis of Tuberculosis (TB).
Which type of precautions should the nurse implement?
A. Airborne Precautions
B. Contact Precautions
C. Droplet Precautions
D. Standard Precautions
Answer: A
Rationale: Tuberculosis requires airborne precautions, including a negative pressure
room and the use of an N95 respirator.
