NURS 110: Introduction to Professional Nursing - Week 8
Comprehensive Quiz 2026 |WCU
1. A nurse is faced with a situation where a patient’s family refuses a blood
transfusion based on religious beliefs, even though the patient is unconscious
and the transfusion is life-saving. Which ethical principle is primarily at stake
regarding the patient’s prior expressed wishes?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions. If the
patient had expressed their wishes before becoming unconscious, those wishes must be
respected even if they conflict with medical advice.
2. Which of the following elements is mandatory for a successful nursing
malpractice lawsuit?
A. The nurse’s intention to cause harm
B. Breach of duty resulting in actual harm or injury
C. A verbal agreement between the nurse and patient
D. The involvement of at least two eyewitnesses
Answer: B
Rationale: Malpractice requires four elements: duty, breach of duty, causation, and
damages (harm). Intent is not required for negligence or malpractice.
,3. A nurse explains a surgical procedure to a patient and witnesses the signature
on the consent form. Legally, the nurse’s signature primarily confirms which of
the following?
A. The patient’s signature is authentic and the patient appears competent
B. The patient fully understands the risks and benefits of the surgery
C. The nurse has explained the alternative treatments to the patient
D. The surgeon has completed the preoperative assessment
Answer: A
Rationale: When a nurse witnesses a signature on a consent form, they are confirming that
the patient signed it voluntarily, the signature is authentic, and the patient appears
competent to give consent.
4. According to the American Nurses Association (ANA) Code of Ethics, what is
the nurse’s primary commitment?
A. The patient, whether an individual, family, group, or community
B. The healthcare institution where they are employed
C. The physician in charge of the care plan
D. The advancement of the nursing profession
Answer: A
Rationale: Provision 2 of the ANA Code of Ethics states that the nurse’s primary
commitment is to the patient, regardless of the setting or the population.
, 5. A nurse provides pain medication to a patient terminal with cancer, knowing
it might depress respiration but focusing on the goal of relieving suffering.
Which ethical concept does this reflect?
A. Paternalism
B. Fidelity
C. Veracity
D. The Rule of Double Effect
Answer: D
Rationale: The Rule of Double Effect applies when an action has both a good effect (pain
relief) and a potentially bad effect (respiratory depression), and the intent is the good
effect.
6. Which nursing theorist defined nursing as ‘the act of utilizing the
environment of the patient to assist him in his recovery’?
A. Florence Nightingale
B. Virginia Henderson
C. Jean Watson
D. Dorothea Orem
Answer: A
Rationale: Florence Nightingale’s Environmental Theory emphasized the importance of
external conditions like cleanliness, light, and fresh air on patient health.
7. A nurse is caring for a patient from a different culture. Which action best
demonstrates cultural competence?
A. Assuming the patient follows all traditions of their ethnic group
B. Providing a standard care plan translated into the patient’s language
C. Asking the patient about their health beliefs and preferences
D. Explaining to the patient why Western medicine is superior
Answer: C
Comprehensive Quiz 2026 |WCU
1. A nurse is faced with a situation where a patient’s family refuses a blood
transfusion based on religious beliefs, even though the patient is unconscious
and the transfusion is life-saving. Which ethical principle is primarily at stake
regarding the patient’s prior expressed wishes?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C
Rationale: Autonomy refers to the right of the patient to make their own decisions. If the
patient had expressed their wishes before becoming unconscious, those wishes must be
respected even if they conflict with medical advice.
2. Which of the following elements is mandatory for a successful nursing
malpractice lawsuit?
A. The nurse’s intention to cause harm
B. Breach of duty resulting in actual harm or injury
C. A verbal agreement between the nurse and patient
D. The involvement of at least two eyewitnesses
Answer: B
Rationale: Malpractice requires four elements: duty, breach of duty, causation, and
damages (harm). Intent is not required for negligence or malpractice.
,3. A nurse explains a surgical procedure to a patient and witnesses the signature
on the consent form. Legally, the nurse’s signature primarily confirms which of
the following?
A. The patient’s signature is authentic and the patient appears competent
B. The patient fully understands the risks and benefits of the surgery
C. The nurse has explained the alternative treatments to the patient
D. The surgeon has completed the preoperative assessment
Answer: A
Rationale: When a nurse witnesses a signature on a consent form, they are confirming that
the patient signed it voluntarily, the signature is authentic, and the patient appears
competent to give consent.
4. According to the American Nurses Association (ANA) Code of Ethics, what is
the nurse’s primary commitment?
A. The patient, whether an individual, family, group, or community
B. The healthcare institution where they are employed
C. The physician in charge of the care plan
D. The advancement of the nursing profession
Answer: A
Rationale: Provision 2 of the ANA Code of Ethics states that the nurse’s primary
commitment is to the patient, regardless of the setting or the population.
, 5. A nurse provides pain medication to a patient terminal with cancer, knowing
it might depress respiration but focusing on the goal of relieving suffering.
Which ethical concept does this reflect?
A. Paternalism
B. Fidelity
C. Veracity
D. The Rule of Double Effect
Answer: D
Rationale: The Rule of Double Effect applies when an action has both a good effect (pain
relief) and a potentially bad effect (respiratory depression), and the intent is the good
effect.
6. Which nursing theorist defined nursing as ‘the act of utilizing the
environment of the patient to assist him in his recovery’?
A. Florence Nightingale
B. Virginia Henderson
C. Jean Watson
D. Dorothea Orem
Answer: A
Rationale: Florence Nightingale’s Environmental Theory emphasized the importance of
external conditions like cleanliness, light, and fresh air on patient health.
7. A nurse is caring for a patient from a different culture. Which action best
demonstrates cultural competence?
A. Assuming the patient follows all traditions of their ethnic group
B. Providing a standard care plan translated into the patient’s language
C. Asking the patient about their health beliefs and preferences
D. Explaining to the patient why Western medicine is superior
Answer: C
