NR 226 Exam 1 – Nursing Leadership & Management Practice Questions and
Study Guide
A practitioner asks the nurse to witness an informed consent. Which patient does the nurse
identify is unable to give an informed consent for surgery?
1) 16 year old boy who is married
2) 35 year old woman who is depressed
3) 50 year old woman who does not speak English
4) 65 year old man who has received a narcotic for pain. - correct answer ✔✔Correct Answer: 4
(Narcotics depress the CNS, including decision-making abilities.
1 - Because legally anyone under 18 who is married can make the decision.
2 - wrong because a depressed person can make these decisions until proven mentally
incompetent.
3 - Wrong because this person can provide informed consent after translations.
When the nurse is administering a medication to a confused patient, the patient says, "this pill
looks different from the one I had before." What should the nurse do?
1) Ask what the other pill looked like.
2) Explain the purpose of the medication.
3) Check the original medication prescription.
4) Encourage the patient to take the medication. - correct answer ✔✔Correct answer: 3 (This is
the safest intervention because it goes to the original source of the prescription.)
1 - Wrong because This action by itself is unsafe because the patient is confused and the
information obtained may be innacurate.
,2 - This intervention ignores the patient's concern.
4 - This action ignores the patient's statement and is unsafe without obtaining additional
information.
The nurse administers an incorrect dose of a medication to a patient. What is the primary
purpose of documenting this event in an Incident Report?
1) Record the event for future litigation.
2) Provide a basis for designing new policies.
3) Prevent similar situations from happening again.
4) Ensure accountability for the cause of the accident. - correct answer ✔✔Correct answer: 3
(Risk-management committees use stats about accidents & incidents to identify patterns of risk
and prevent future accidents/incidents.)
1 - Wrong because although documentation of an incident may be used in a court of law, it is
not the primary reason for an incident report.
2- This is not the primary reason. New policies may or may not have to be written and
implemented.
4 - Although nurses are always accountable for their actions, accountability for the cause of an
incidence is the role of the courts.
A practitioner writes a prescription for a medication that is larger than the standard dose. What
should the nurse do?
1) Inform the supervisor
2) Give the drug as prescribed.
3) Give the average dose of the medication.
4) Discuss the prescription with the practitioner. - correct answer ✔✔Correct Answer: 4 (Nurses
have a prof. resonsibility to know/investigate the standard dose for medications being
,administered. In addition, nurses are responsible for their own actions regardless of whether
there is a written prescription)
1 - It is unnecessary to call the supervisor.
2 - This is unsafe for the patient and may result in malpractice.
3 - Changing a medication prescription is not within the scope of nursing practice.
When the nurse attempts to administer a medication to a patient, the patient refuses to take
the medication because it causes diarrhea. The nurse provides teaching about the medication,
but the patient continues to adamantly refuse the medication. What should the nurse do first?
1) Document the patient's refusal to take the medication.
2) Notify the practitioner of the patient's refusal to take the medication.
3) Discuss with a family member the need for the patient to take the medication.
4) Explain again to the patient the consequences of refusing to take the medication. - correct
answer ✔✔Correct Answer: 1 (The patient has the right to refuse)
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
3. Discussing the situation with a family member without the patient's consent is a violation of
confidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication.
Further teaching at this time may be viewed by the patient as badgering.
When caring for a terminally ill patient, a family member says, "I need your help to hasten my
mother's death so that she is no longer suffering." What should the nurse do based on the
position of the American Nurse association in relation to assisted suicide?
1) Not participate in active euthanasia.
2) Participate based on personal values and beliefs.
, 3) Participate when the patient is experiencing severe pain.
4) Not participate unless two practitioners are consulted and the patient has had counseling. -
correct answer ✔✔Correct Answer: 1 (Withholding the medication and docu- menting the
patient's refusal are the appropriate interventions. Patient's have a right to refuse care.)
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
3. Discussing the situation with a family member without the patient's consent is a violation of
confidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication.
Further teaching at this time may be viewed by the patient as badgering.
Which organization is responsible for ensuring that Registered Nurses are minimally qualified to
practice nursing?
1) Sigma Theta Tau
2) State Boards of Nursing
3) American Nurses Association
4) Constituent leagues of the National League for Nursing. - correct answer ✔✔Correct Answer:
2. (The National Council of State Boards of Nursing is responsible for the NCLEX examinations;
however, the licensing authority in the jurisdiction in which the graduate takes the examination
verifies the acceptable score on the examination.)
1. Sigma Theta Tau, the international honor society of nursing, recognizes academic
achievement and leadership qualities, encourages high professional standards, fosters creative
endeavors, and supports excellence in the profession of nursing. This organization does not
grant licensure.
3. The American Nurses Association (ANA) is the national professional organization for nursing
in the United States. It fosters high standards of nursing practice; it does not grant licensure.
4. The National League for Nursing (NLN) is committed to promoting and improving nursing
service and nursing education; it does not grant licensure
Study Guide
A practitioner asks the nurse to witness an informed consent. Which patient does the nurse
identify is unable to give an informed consent for surgery?
1) 16 year old boy who is married
2) 35 year old woman who is depressed
3) 50 year old woman who does not speak English
4) 65 year old man who has received a narcotic for pain. - correct answer ✔✔Correct Answer: 4
(Narcotics depress the CNS, including decision-making abilities.
1 - Because legally anyone under 18 who is married can make the decision.
2 - wrong because a depressed person can make these decisions until proven mentally
incompetent.
3 - Wrong because this person can provide informed consent after translations.
When the nurse is administering a medication to a confused patient, the patient says, "this pill
looks different from the one I had before." What should the nurse do?
1) Ask what the other pill looked like.
2) Explain the purpose of the medication.
3) Check the original medication prescription.
4) Encourage the patient to take the medication. - correct answer ✔✔Correct answer: 3 (This is
the safest intervention because it goes to the original source of the prescription.)
1 - Wrong because This action by itself is unsafe because the patient is confused and the
information obtained may be innacurate.
,2 - This intervention ignores the patient's concern.
4 - This action ignores the patient's statement and is unsafe without obtaining additional
information.
The nurse administers an incorrect dose of a medication to a patient. What is the primary
purpose of documenting this event in an Incident Report?
1) Record the event for future litigation.
2) Provide a basis for designing new policies.
3) Prevent similar situations from happening again.
4) Ensure accountability for the cause of the accident. - correct answer ✔✔Correct answer: 3
(Risk-management committees use stats about accidents & incidents to identify patterns of risk
and prevent future accidents/incidents.)
1 - Wrong because although documentation of an incident may be used in a court of law, it is
not the primary reason for an incident report.
2- This is not the primary reason. New policies may or may not have to be written and
implemented.
4 - Although nurses are always accountable for their actions, accountability for the cause of an
incidence is the role of the courts.
A practitioner writes a prescription for a medication that is larger than the standard dose. What
should the nurse do?
1) Inform the supervisor
2) Give the drug as prescribed.
3) Give the average dose of the medication.
4) Discuss the prescription with the practitioner. - correct answer ✔✔Correct Answer: 4 (Nurses
have a prof. resonsibility to know/investigate the standard dose for medications being
,administered. In addition, nurses are responsible for their own actions regardless of whether
there is a written prescription)
1 - It is unnecessary to call the supervisor.
2 - This is unsafe for the patient and may result in malpractice.
3 - Changing a medication prescription is not within the scope of nursing practice.
When the nurse attempts to administer a medication to a patient, the patient refuses to take
the medication because it causes diarrhea. The nurse provides teaching about the medication,
but the patient continues to adamantly refuse the medication. What should the nurse do first?
1) Document the patient's refusal to take the medication.
2) Notify the practitioner of the patient's refusal to take the medication.
3) Discuss with a family member the need for the patient to take the medication.
4) Explain again to the patient the consequences of refusing to take the medication. - correct
answer ✔✔Correct Answer: 1 (The patient has the right to refuse)
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
3. Discussing the situation with a family member without the patient's consent is a violation of
confidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication.
Further teaching at this time may be viewed by the patient as badgering.
When caring for a terminally ill patient, a family member says, "I need your help to hasten my
mother's death so that she is no longer suffering." What should the nurse do based on the
position of the American Nurse association in relation to assisted suicide?
1) Not participate in active euthanasia.
2) Participate based on personal values and beliefs.
, 3) Participate when the patient is experiencing severe pain.
4) Not participate unless two practitioners are consulted and the patient has had counseling. -
correct answer ✔✔Correct Answer: 1 (Withholding the medication and docu- menting the
patient's refusal are the appropriate interventions. Patient's have a right to refuse care.)
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
3. Discussing the situation with a family member without the patient's consent is a violation of
confidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication.
Further teaching at this time may be viewed by the patient as badgering.
Which organization is responsible for ensuring that Registered Nurses are minimally qualified to
practice nursing?
1) Sigma Theta Tau
2) State Boards of Nursing
3) American Nurses Association
4) Constituent leagues of the National League for Nursing. - correct answer ✔✔Correct Answer:
2. (The National Council of State Boards of Nursing is responsible for the NCLEX examinations;
however, the licensing authority in the jurisdiction in which the graduate takes the examination
verifies the acceptable score on the examination.)
1. Sigma Theta Tau, the international honor society of nursing, recognizes academic
achievement and leadership qualities, encourages high professional standards, fosters creative
endeavors, and supports excellence in the profession of nursing. This organization does not
grant licensure.
3. The American Nurses Association (ANA) is the national professional organization for nursing
in the United States. It fosters high standards of nursing practice; it does not grant licensure.
4. The National League for Nursing (NLN) is committed to promoting and improving nursing
service and nursing education; it does not grant licensure
