Nursing 1170 Midterm ACTUAL EXAM
2026/2027 | 75 Verified Q&A | A+ Graded
Pass Guaranteed - A+ Graded
Section 1: Foundational Nursing Concepts (Questions 1–10)
Q1: A nurse is caring for a patient who refuses a blood transfusion based on religious beliefs. The
provider has ordered the transfusion as life-saving treatment. What is the nurse's priority action?
A. Administer the transfusion immediately to save the patient's life
B. Notify the hospital administrator to override the patient's decision
C. Respect the patient's right to autonomous decision-making and document the refusal. [CORRECT]
D. Convince the patient to accept the transfusion by explaining the risks of refusal
Correct Answer: C
Rationale: Patient autonomy is a fundamental ethical principle in nursing. Competent adults have the
legal right to refuse treatment, and the nurse must honor this decision while ensuring proper
documentation.
Q2: A nurse receives a handoff report via SBAR from the outgoing shift. Which component of SBAR
focuses on the nurse's clinical interpretation of the patient's current status?
A. Situation
B. Background
C. Assessment
D. Recommendation
Correct Answer: C
Rationale: The Assessment component of SBAR includes the nurse's professional judgment and analysis
of the patient's condition, distinguishing it from raw data.
Q3: Which step of the nursing process (ADPIE) involves setting measurable, patient-centered goals?
,A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: C
Rationale: During the Planning phase, nurses develop measurable outcomes and interventions tailored
to the patient's needs, which guide subsequent care delivery.
Q4: A nurse is documenting a medication error in which a patient received the wrong dose of insulin.
What is the nurse's first legal and ethical responsibility?
A. Delete the original documentation to prevent legal action
B. Complete an incident report and notify the provider immediately. [CORRECT]
C. Wait to see if the patient experiences adverse effects before reporting
D. Ask a colleague to document the error instead
Correct Answer: B
Rationale: Transparent reporting of errors supports patient safety and quality improvement. Incident
reports and immediate provider notification are required by facility policy and ethical standards.
Q5: A nurse is using evidence-based practice (EBP) to develop a care plan for pressure injury prevention.
What is the correct sequence for implementing EBP?
A. Evaluate outcomes → Ask clinical question → Search literature → Appraise evidence → Apply to
practice
B. Ask clinical question → Search literature → Appraise evidence → Apply to practice → Evaluate
outcomes. [CORRECT]
C. Search literature → Ask clinical question → Appraise evidence → Apply to practice → Evaluate
outcomes
D. Appraise evidence → Ask clinical question → Search literature → Apply to practice → Evaluate
outcomes
Correct Answer: B
Rationale: EBP follows a systematic sequence beginning with a focused clinical question (PICO), followed
by literature search, critical appraisal, implementation, and outcome evaluation.
Q6: A nurse discovers that a colleague has posted a patient's photo on social media without consent.
What is the nurse's appropriate action?
, A. Ignore it because the patient's face is not visible
B. Report the violation to the nurse manager and privacy officer. [CORRECT]
C. Ask the colleague to delete the post but take no further action
D. Comment on the post to warn the colleague about HIPAA
Correct Answer: B
Rationale: HIPAA violations require mandatory reporting to protect patient privacy. The nurse manager
and privacy officer must be notified to investigate and take corrective action.
Q7: A patient with advanced dementia has no advance directive, and family members disagree about
life-sustaining treatment. Who has the legal authority to make decisions?
A. The nurse, based on clinical judgment
B. The physician, based on medical expertise
C. The court-appointed guardian or designated surrogate decision-maker. [CORRECT]
D. The eldest family member, by default
Correct Answer: C
Rationale: When no advance directive exists and family disagrees, legal authority falls to a court-
appointed guardian or state-designated surrogate to ensure decisions align with the patient's best
interests.
Q8: A nurse is performing a focused assessment on a postoperative patient. Which finding requires
immediate follow-up?
A. Pain rated 4/10
B. Respiratory rate of 28 breaths/minute. [CORRECT]
C. Urine output of 200 mL in 4 hours
D. Temperature of 99.2°F
Correct Answer: B
Rationale: A respiratory rate of 28 is tachypneic and may indicate respiratory compromise, pain, or
impending complications requiring immediate nursing intervention.
Q9: [SATA] A nurse is obtaining informed consent for a surgical procedure. Which elements are required
for valid informed consent? Select all that apply.
A. The patient must be competent to make decisions
B. The nurse must explain all possible complications
C. The patient must voluntarily agree without coercion
2026/2027 | 75 Verified Q&A | A+ Graded
Pass Guaranteed - A+ Graded
Section 1: Foundational Nursing Concepts (Questions 1–10)
Q1: A nurse is caring for a patient who refuses a blood transfusion based on religious beliefs. The
provider has ordered the transfusion as life-saving treatment. What is the nurse's priority action?
A. Administer the transfusion immediately to save the patient's life
B. Notify the hospital administrator to override the patient's decision
C. Respect the patient's right to autonomous decision-making and document the refusal. [CORRECT]
D. Convince the patient to accept the transfusion by explaining the risks of refusal
Correct Answer: C
Rationale: Patient autonomy is a fundamental ethical principle in nursing. Competent adults have the
legal right to refuse treatment, and the nurse must honor this decision while ensuring proper
documentation.
Q2: A nurse receives a handoff report via SBAR from the outgoing shift. Which component of SBAR
focuses on the nurse's clinical interpretation of the patient's current status?
A. Situation
B. Background
C. Assessment
D. Recommendation
Correct Answer: C
Rationale: The Assessment component of SBAR includes the nurse's professional judgment and analysis
of the patient's condition, distinguishing it from raw data.
Q3: Which step of the nursing process (ADPIE) involves setting measurable, patient-centered goals?
,A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: C
Rationale: During the Planning phase, nurses develop measurable outcomes and interventions tailored
to the patient's needs, which guide subsequent care delivery.
Q4: A nurse is documenting a medication error in which a patient received the wrong dose of insulin.
What is the nurse's first legal and ethical responsibility?
A. Delete the original documentation to prevent legal action
B. Complete an incident report and notify the provider immediately. [CORRECT]
C. Wait to see if the patient experiences adverse effects before reporting
D. Ask a colleague to document the error instead
Correct Answer: B
Rationale: Transparent reporting of errors supports patient safety and quality improvement. Incident
reports and immediate provider notification are required by facility policy and ethical standards.
Q5: A nurse is using evidence-based practice (EBP) to develop a care plan for pressure injury prevention.
What is the correct sequence for implementing EBP?
A. Evaluate outcomes → Ask clinical question → Search literature → Appraise evidence → Apply to
practice
B. Ask clinical question → Search literature → Appraise evidence → Apply to practice → Evaluate
outcomes. [CORRECT]
C. Search literature → Ask clinical question → Appraise evidence → Apply to practice → Evaluate
outcomes
D. Appraise evidence → Ask clinical question → Search literature → Apply to practice → Evaluate
outcomes
Correct Answer: B
Rationale: EBP follows a systematic sequence beginning with a focused clinical question (PICO), followed
by literature search, critical appraisal, implementation, and outcome evaluation.
Q6: A nurse discovers that a colleague has posted a patient's photo on social media without consent.
What is the nurse's appropriate action?
, A. Ignore it because the patient's face is not visible
B. Report the violation to the nurse manager and privacy officer. [CORRECT]
C. Ask the colleague to delete the post but take no further action
D. Comment on the post to warn the colleague about HIPAA
Correct Answer: B
Rationale: HIPAA violations require mandatory reporting to protect patient privacy. The nurse manager
and privacy officer must be notified to investigate and take corrective action.
Q7: A patient with advanced dementia has no advance directive, and family members disagree about
life-sustaining treatment. Who has the legal authority to make decisions?
A. The nurse, based on clinical judgment
B. The physician, based on medical expertise
C. The court-appointed guardian or designated surrogate decision-maker. [CORRECT]
D. The eldest family member, by default
Correct Answer: C
Rationale: When no advance directive exists and family disagrees, legal authority falls to a court-
appointed guardian or state-designated surrogate to ensure decisions align with the patient's best
interests.
Q8: A nurse is performing a focused assessment on a postoperative patient. Which finding requires
immediate follow-up?
A. Pain rated 4/10
B. Respiratory rate of 28 breaths/minute. [CORRECT]
C. Urine output of 200 mL in 4 hours
D. Temperature of 99.2°F
Correct Answer: B
Rationale: A respiratory rate of 28 is tachypneic and may indicate respiratory compromise, pain, or
impending complications requiring immediate nursing intervention.
Q9: [SATA] A nurse is obtaining informed consent for a surgical procedure. Which elements are required
for valid informed consent? Select all that apply.
A. The patient must be competent to make decisions
B. The nurse must explain all possible complications
C. The patient must voluntarily agree without coercion
