NSG 300/NSG300 Exam 2 V2 | Foundations
of Nursing Q&A with Rationale | Grand
Canyon University
1. A nurse is caring for a patient who decides to stop chemotherapy despite a poor prognosis.
The nurse supports this decision because it honors which ethical principle?
A. Justice
B. Nonmaleficence
C. Beneficence
D. Autonomy
Correct Answer: D
Expert Explanation: Autonomy is the ethical principle that recognizes the patient’s right
to make their own healthcare decisions. By supporting the patient’s choice to stop
treatment, the nurse validates the patient’s self-determination. This remains true even if
the healthcare team believes a different course of action would be clinically beneficial.
2. Which element is necessary to prove professional negligence in a court of law?
A. A written apology from the healthcare provider
B. Evidence of intent to harm the patient
C. A breach of duty that resulted in patient injury
D. The presence of a witness during the incident
,Correct Answer: C
Expert Explanation: To establish negligence, four elements must be proven: duty, breach
of duty, causation, and damages. Professional negligence occurs when a nurse’s conduct
fails to meet the standard of care, directly causing harm. Unlike intentional torts,
negligence does not require the intent to cause harm to be present.
3. A nurse is teaching a patient how to self-administer insulin. This type of learning falls under
which domain?
A. Cognitive domain
B. Psychomotor domain
C. Affective domain
D. Intellectual domain
Correct Answer: B
Expert Explanation: The psychomotor domain involves the acquisition of physical skills
and manual dexterity. Learning to self-inject insulin requires the patient to coordinate
physical movements and use equipment correctly. This differs from the cognitive domain,
which focuses on knowledge, and the affective domain, which focuses on feelings and
attitudes.
4. When using the SBAR communication tool, which information belongs in the ‘Assessment’
section?
A. The nurse’s name and unit location
, B. A summary of the patient’s medical history
C. The patient’s current vital signs and clinical symptoms
D. A suggestion for a change in the medication dosage
Correct Answer: C
Expert Explanation: The ‘Assessment’ portion of SBAR is where the nurse communicates
what they think the problem is based on current findings. This includes subjective and
objective data such as vital signs, lab results, and physical changes. It provides the logical
bridge between the situation/background and the final recommendation.
5. Which action by the nurse represents the ethical principle of beneficence?
A. Administering pain medication to a patient in distress
B. Ensuring all patients receive equal resources
C. Keeping a promise to return to the room in 10 minutes
D. Telling the patient the truth about a terminal diagnosis
Correct Answer: A
Expert Explanation: Beneficence is the duty to do good and act in the best interest of the
patient. Administering pain medication alleviates suffering and promotes the patient’s
well-being. This principle focuses on positive actions taken to help others, whereas
nonmaleficence focuses on avoiding harm.
of Nursing Q&A with Rationale | Grand
Canyon University
1. A nurse is caring for a patient who decides to stop chemotherapy despite a poor prognosis.
The nurse supports this decision because it honors which ethical principle?
A. Justice
B. Nonmaleficence
C. Beneficence
D. Autonomy
Correct Answer: D
Expert Explanation: Autonomy is the ethical principle that recognizes the patient’s right
to make their own healthcare decisions. By supporting the patient’s choice to stop
treatment, the nurse validates the patient’s self-determination. This remains true even if
the healthcare team believes a different course of action would be clinically beneficial.
2. Which element is necessary to prove professional negligence in a court of law?
A. A written apology from the healthcare provider
B. Evidence of intent to harm the patient
C. A breach of duty that resulted in patient injury
D. The presence of a witness during the incident
,Correct Answer: C
Expert Explanation: To establish negligence, four elements must be proven: duty, breach
of duty, causation, and damages. Professional negligence occurs when a nurse’s conduct
fails to meet the standard of care, directly causing harm. Unlike intentional torts,
negligence does not require the intent to cause harm to be present.
3. A nurse is teaching a patient how to self-administer insulin. This type of learning falls under
which domain?
A. Cognitive domain
B. Psychomotor domain
C. Affective domain
D. Intellectual domain
Correct Answer: B
Expert Explanation: The psychomotor domain involves the acquisition of physical skills
and manual dexterity. Learning to self-inject insulin requires the patient to coordinate
physical movements and use equipment correctly. This differs from the cognitive domain,
which focuses on knowledge, and the affective domain, which focuses on feelings and
attitudes.
4. When using the SBAR communication tool, which information belongs in the ‘Assessment’
section?
A. The nurse’s name and unit location
, B. A summary of the patient’s medical history
C. The patient’s current vital signs and clinical symptoms
D. A suggestion for a change in the medication dosage
Correct Answer: C
Expert Explanation: The ‘Assessment’ portion of SBAR is where the nurse communicates
what they think the problem is based on current findings. This includes subjective and
objective data such as vital signs, lab results, and physical changes. It provides the logical
bridge between the situation/background and the final recommendation.
5. Which action by the nurse represents the ethical principle of beneficence?
A. Administering pain medication to a patient in distress
B. Ensuring all patients receive equal resources
C. Keeping a promise to return to the room in 10 minutes
D. Telling the patient the truth about a terminal diagnosis
Correct Answer: A
Expert Explanation: Beneficence is the duty to do good and act in the best interest of the
patient. Administering pain medication alleviates suffering and promotes the patient’s
well-being. This principle focuses on positive actions taken to help others, whereas
nonmaleficence focuses on avoiding harm.
