NUR2115/NUR 2115 Exam 4 V2 |
Fundamentals of Professional
Nursing Q&A with Rationale |
Rasmussen University
1. Which ethical principle is a nurse practicing when they ensure that a patient has been fully
informed of the risks and benefits of a procedure before signing a consent form?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Correct Answer: B
Expert Explanation: Autonomy refers to the right of patients to make their own decisions
about their healthcare. By ensuring the patient is informed, the nurse supports the patient’s
right to self-determination. This principle is fundamental to the process of informed
consent in clinical practice.
2. A nurse is caring for a patient who is refusing a necessary blood transfusion for religious
reasons. What is the nurse’s priority action?
A. Inform the family so they can persuade the patient
,B. Notify the provider and document the refusal
C. Administer the blood anyway as it is life-saving
D. Wait until the patient is unconscious to proceed
Correct Answer: B
Expert Explanation: The nurse must respect the patient’s right to refuse treatment even if
it is life-saving. Documentation of the refusal and the patient’s understanding of the
consequences is legally required. Notifying the provider ensures that alternative
treatments can be explored if possible.
3. Which of the following describes the ‘S’ in the SBAR communication tool?
A. Standard
B. Safety
C. Situation
D. Subjective
Correct Answer: C
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation. The Situation component involves identifying oneself and briefly stating
the current issue with the patient. This structured communication helps prevent errors
during handoffs or when contacting providers.
, 4. A nurse is preparing to administer an intramuscular injection to an infant. Which site is
most appropriate?
A. Dorsogluteal
B. Deltoid
C. Vastus lateralis
D. Ventrogluteal
Correct Answer: C
Expert Explanation: The vastus lateralis is the preferred site for intramuscular injections
in infants because it is the most developed muscle at birth. The deltoid is usually too small
for significant volume in infants. Using the dorsogluteal site is avoided due to the proximity
of the sciatic nerve.
5. A patient has a large surgical wound healing by secondary intention. The nurse
understands this means:
A. The wound edges are sutured together immediately
B. The wound is left open to heal from the bottom up
C. The wound will have minimal scarring
D. The wound is closed with surgical staples
Correct Answer: B
Fundamentals of Professional
Nursing Q&A with Rationale |
Rasmussen University
1. Which ethical principle is a nurse practicing when they ensure that a patient has been fully
informed of the risks and benefits of a procedure before signing a consent form?
A. Beneficence
B. Autonomy
C. Justice
D. Nonmaleficence
Correct Answer: B
Expert Explanation: Autonomy refers to the right of patients to make their own decisions
about their healthcare. By ensuring the patient is informed, the nurse supports the patient’s
right to self-determination. This principle is fundamental to the process of informed
consent in clinical practice.
2. A nurse is caring for a patient who is refusing a necessary blood transfusion for religious
reasons. What is the nurse’s priority action?
A. Inform the family so they can persuade the patient
,B. Notify the provider and document the refusal
C. Administer the blood anyway as it is life-saving
D. Wait until the patient is unconscious to proceed
Correct Answer: B
Expert Explanation: The nurse must respect the patient’s right to refuse treatment even if
it is life-saving. Documentation of the refusal and the patient’s understanding of the
consequences is legally required. Notifying the provider ensures that alternative
treatments can be explored if possible.
3. Which of the following describes the ‘S’ in the SBAR communication tool?
A. Standard
B. Safety
C. Situation
D. Subjective
Correct Answer: C
Expert Explanation: SBAR stands for Situation, Background, Assessment, and
Recommendation. The Situation component involves identifying oneself and briefly stating
the current issue with the patient. This structured communication helps prevent errors
during handoffs or when contacting providers.
, 4. A nurse is preparing to administer an intramuscular injection to an infant. Which site is
most appropriate?
A. Dorsogluteal
B. Deltoid
C. Vastus lateralis
D. Ventrogluteal
Correct Answer: C
Expert Explanation: The vastus lateralis is the preferred site for intramuscular injections
in infants because it is the most developed muscle at birth. The deltoid is usually too small
for significant volume in infants. Using the dorsogluteal site is avoided due to the proximity
of the sciatic nerve.
5. A patient has a large surgical wound healing by secondary intention. The nurse
understands this means:
A. The wound edges are sutured together immediately
B. The wound is left open to heal from the bottom up
C. The wound will have minimal scarring
D. The wound is closed with surgical staples
Correct Answer: B
