|WCU
1. A nurse is caring for a terminally ill patient who wishes to stop all life-
sustaining treatments. The nurse advocates for the patient’s right to refuse
treatment, even though the family disagrees. Which ethical principle is the
nurse primarily demonstrating?
A. Autonomy
B. Justice
C. Beneficence
D. Nonmaleficence
Answer: A
Rationale: Autonomy refers to the right of patients to make their own decisions about
their medical care. By supporting the patient’s decision to refuse treatment, the nurse
upholds this principle despite external pressure.
2. A nurse manager is evaluating a staff nurse’s performance and notes that the
nurse frequently assists colleagues without being asked and inspires others to
improve their clinical skills. Which leadership style does this staff nurse exhibit?
A. Transactional Leadership
B. Transformational Leadership
C. Laissez-faire Leadership
D. Autocratic Leadership
Answer: B
Rationale: Transformational leadership involves motivating and inspiring others to
achieve high goals and improve their performance through vision and empowerment.
,3. When applying the ‘Five Rights of Delegation,’ which of the following
scenarios represents an error in the ‘Right Circumstance’?
A. Delegating the feeding of a patient with a high risk of aspiration to a new UAP.
B. Asking a UAP to perform a sterile dressing change on a fresh post-operative wound.
C. Delegating vital signs for a stable patient to a nursing assistant.
D. Requesting an LPN to administer oral medications to a patient with a known allergy.
Answer: A
Rationale: Right Circumstance refers to the health condition and complexity of the patient.
A patient at high risk for aspiration is unstable for delegation of feeding to unlicensed
personnel.
4. A nurse administers the wrong dosage of a medication because the
physician’s order was illegible, and the nurse failed to clarify it. The patient
suffers a seizure as a result. Which element of malpractice is specifically defined
by the nurse’s failure to clarify the order?
A. Duty to the patient
B. Breach of duty
C. Proximate cause
D. Damages
Answer: B
Rationale: Breach of duty occurs when a nurse fails to meet the standard of care, which
includes clarifying illegible or unsafe orders.
, 5. Which document provides the legal framework for nursing practice within a
specific state, including the definition of the scope of practice and requirements
for licensure?
A. ANA Code of Ethics
B. State Nurse Practice Act
C. The Joint Commission Standards
D. Institutional Policy and Procedure Manual
Answer: B
Rationale: The Nurse Practice Act (NPA) is state-specific legislation that defines the legal
boundaries and scope of nursing practice.
6. A nurse is participating in a Quality Improvement (QI) project to reduce
catheter-associated urinary tract infections (CAUTIs). The team is currently
analyzing data to identify the gap between current practice and best practice.
This stage is known as:
A. Root Cause Analysis
B. Benchmarking
C. Implementation
D. Outcome Evaluation
Answer: B
Rationale: Benchmarking involves comparing current performance against industry
standards or best practices to identify areas for improvement.