|WCU
1. A nurse is faced with a situation where a patient’s wishes conflict with the
family’s desires regarding end-of-life care. Which ethical principle is most
directly involved when the nurse supports the patient’s right to make their own
decision?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
Answer: C
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care without their healthcare provider trying to influence the decision.
2. Which of the following best describes the ‘Meaningful Use’ objective in
nursing informatics?
A. The ability to type quickly in electronic health records
B. Using certified EHR technology to improve quality, safety, and efficiency of care
C. Mandatory social media use for patient education
D. Increasing the cost of technology to ensure high-end security
Answer: B
Rationale: Meaningful Use is a set of specific objectives that eligible professionals and
hospitals must achieve to participate in CMS Incentive Programs, focusing on improving
care quality.
,3. A nurse is involved in a Root Cause Analysis (RCA) after a medication error
occurred. What is the primary purpose of an RCA?
A. To prevent the same error from happening again by identifying system failures
B. To identify which staff member should be terminated
C. To document the error for legal defense purposes only
D. To assign blame to the pharmacy department
Answer: A
Rationale: RCA is a structured process used to identify the underlying causes of adverse
events to implement system-wide improvements rather than individual punishment.
4. In the PICO(T) format for Evidence-Based Practice, what does the ‘I’
represent?
A. Institution
B. Intervention
C. Individual
D. Implementation
Answer: B
Rationale: PICO(T) stands for Patient/Population, Intervention, Comparison, Outcome,
and Time.
5. A nurse leader encourages staff participation in decision-making and values
the input of every team member. Which leadership style is being
demonstrated?
A. Autocratic
B. Democratic
C. Laissez-faire
D. Dictatorial
Answer: B
, Rationale: Democratic leadership, also known as participative leadership, encourages
group members to participate in decision-making.
6. Which level of evidence is considered the ‘gold standard’ in the hierarchy of
evidence for Evidence-Based Practice?
A. Expert opinion
B. Case studies
C. Non-experimental studies
D. Systematic reviews or meta-analyses of RCTs
Answer: D
Rationale: Systematic reviews and meta-analyses of randomized controlled trials (RCTs)
are at the top of the evidence hierarchy.
7. The nurse maintains a patient’s confidentiality by not discussing their medical
condition in the hospital cafeteria. This action adheres to which ethical
principle?
A. Veracity
B. Confidentiality
C. Privacy
D. Fidelity
Answer: B
Rationale: Confidentiality is the duty to protect privileged information from unauthorized
disclosure.