|WCU
1. A nurse is caring for a patient who is deciding whether to undergo a high-risk
surgical procedure. The nurse provides unbiased information and supports the
patient’s right to make their own choice. Which ethical principle is the nurse
demonstrating?
A. Beneficence
B. Nonmaleficence
C. Justice
D. Autonomy
Answer: D
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care without being influenced by the healthcare provider.
2. During the assessment phase of the nursing process, the nurse collects both
subjective and objective data. Which of the following is an example of objective
data?
A. The patient reports feeling dizzy.
B. The patient describes their pain as a 7 out of 10.
C. The patient states they are anxious about surgery.
D. The patient’s blood pressure is 145/92 mmHg.
Answer: D
Rationale: Objective data are observable and measurable signs, such as vital signs, that can
be verified by another person.
,3. Which step of the nursing process involves the nurse determining if the
patient’s goals and expected outcomes were met?
A. Assessment
B. Evaluation
C. Implementation
D. Diagnosis
Answer: B
Rationale: Evaluation is the final step where the nurse compares the patient’s current
status with the goals set during the planning phase.
4. A nurse fails to raise the side rails for an elderly patient who is at high risk for
falls. The patient falls and sustains a hip fracture. This is an example of which
legal concept?
A. Assault
B. Negligence
C. Battery
D. Libel
Answer: B
Rationale: Negligence is the failure to provide the standard of care that a reasonably
prudent person would have provided in a similar situation.
5. In the ‘SMART’ acronym used for planning patient outcomes, what does the
‘R’ stand for?
A. Reasonable
B. Reliable
C. Result-oriented
D. Relevant
Answer: D
Rationale: SMART stands for Specific, Measurable, Attainable, Relevant, and Time-bound.
, 6. A nurse is using a nursing diagnosis for a patient. Which part of the PES
(Problem, Etiology, Signs/Symptoms) format describes the cause of the patient’s
problem?
A. Problem
B. Etiology
C. Signs/Symptoms
D. Diagnosis
Answer: B
Rationale: The etiology is the ‘related to’ factor that identifies the cause or contributing
factors of the nursing diagnosis.
7. The nurse is practicing the principle of beneficence. Which action best
illustrates this?
A. Telling the truth about a poor prognosis.
B. Administering pain medication to a patient in distress.
C. Following through on a promise to return in ten minutes.
D. Ensuring equal distribution of resources among all patients.
Answer: B
Rationale: Beneficence involves taking positive actions to help others and doing ‘good’ for
the patient.
8. A nurse is caring for a patient from a different culture. To provide culturally
competent care, what should the nurse do first?
A. Ask the family to explain all cultural traditions.
B. Treat the patient exactly the same as all other patients.
C. Read a textbook about the patient’s specific culture.
D. Perform a self-assessment of their own biases and values.
Answer: D