NUR 101 FINAL EXAM – Health Assessment (100
Questions AND ANSWERS) ALREADY GRADED A+
GUARANTEED PASS
Section 1: Foundations, Ethics, Legal, & Communication
1. A nurse is caring for a patient who refuses to take a prescribed medication.
The nurse respects the patient's decision. This is an example of which ethical
principle?
a) Beneficence
b) Nonmaleficence
c) Autonomy
d) Justice
Answer: c
Rationale: Autonomy refers to the patient's right to make their own healthcare
decisions, including the right to refuse treatment. Beneficence means doing good;
nonmaleficence means doing no harm; justice means fairness in care distribution.
2. A nurse documents in the electronic health record (EHR): "Patient is difficult
and uncooperative today." Which of the following is true about this
documentation?
a) It is objective and appropriate.
b) It is subjective and should be avoided because it is an opinion, not a fact.
c) It is acceptable if the patient was truly uncooperative.
d) It is a legal requirement to document patient behavior.
Answer: b
Rationale: Charting must be objective, factual, and descriptive (e.g., "Patient
,refused oral medication at 0900 and turned away from the nurse"). Subjective
labels like "difficult" are opinions and can be seen as unprofessional or biased in
legal situations.
3. A patient tells the nurse, "I don't want to take that medicine; it makes me feel
sick." The nurse responds, "Tell me more about what happens when you take
it." This is an example of which therapeutic communication technique?
a) Focusing
b) Clarifying
c) Exploring
d) Restating
Answer: c
Rationale: Exploring involves asking the patient to elaborate on a concern to gain
a deeper understanding. Focusing narrows the topic; clarifying checks for
understanding; restating repeats the patient's words.
4. The nurse is preparing to witness a patient signing an informed consent form
for surgery. Which of the following is the nurse's primary responsibility?
a) Explain the surgical procedure in detail.
b) Ensure the patient understands the risks and benefits and is signing voluntarily.
c) Decide if the surgery is in the patient's best interest.
d) Obtain the physician's signature on the form.
Answer: b
Rationale: The nurse's role in informed consent is to witness the patient's
signature and confirm that the patient appears to understand the information
provided by the provider and is signing voluntarily. The provider
(physician/surgeon) is responsible for explaining the procedure, risks, and
benefits.
,5. A patient is in isolation for an airborne infection. The nurse notices a visitor
entering the room without a mask. What should the nurse do?
a) Ignore it; the visitor is not a healthcare worker.
b) Politely stop the visitor, provide a mask, and explain the isolation requirements.
c) Call security to remove the visitor.
d) Let the visitor in but document the incident.
Answer: b
Rationale: The nurse has a responsibility to educate and enforce infection control
precautions for all individuals entering an isolation room. The nurse should
politely provide a mask and explain the need for it to protect the visitor and the
patient.
6. A patient falls in the hallway. The nurse's priority action is to:
a) Fill out an incident report.
b) Call the healthcare provider.
c) Assess the patient for injuries.
d) Move the patient back to bed.
Answer: c
Rationale: The nursing process begins with assessment. The nurse must first
assess the patient's airway, breathing, circulation, and for any obvious fractures or
injuries before moving the patient. Incident reports are completed after the
patient is stabilized.
7. A nurse receives a verbal order from a physician over the phone for a new
medication. Which action is most important for the nurse to take?
a) Write the order down and implement it immediately.
b) Repeat the order back to the physician using "read-back" verification.
c) Ask another nurse to listen on the extension.
d) Ignore the order until it is written in the chart.
Answer: b
Rationale: The Joint Commission requires read-back verification for all
, verbal/telephone orders. The nurse must write down the order, read it back to the
prescriber to confirm accuracy, and then document it as a telephone order.
8. A nurse is caring for a patient who is terminally ill. The patient asks, "Am I
going to die?" Which response is most therapeutic?
a) "You shouldn't think like that."
b) "Let's focus on something more positive."
c) "What are your thoughts and fears about what is happening?"
d) "I can't answer that; you should ask your doctor."
Answer: c
Rationale: This is an open-ended question that encourages the patient to express
their feelings. It allows the nurse to explore the patient's concerns and provide
emotional support without giving false reassurance or avoiding the topic.
9. A patient is alert and oriented. The nurse administers a medication without
checking the patient's ID band. The patient receives the wrong medication. This
is an example of:
a) Negligence
b) Malpractice
c) Battery
d) Assault
Answer: a
Rationale: Negligence is a failure to act as a reasonably prudent nurse would,
resulting in harm. The nurse failed to follow the "right patient" safety check.
Malpractice is negligence by a professional (same concept, often used
interchangeably in legal terms). Battery is harmful/offensive contact without
consent; assault is the threat of it.
10. A nurse is caring for a patient who speaks a different language. An
interpreter is not immediately available. What is the best action?
Questions AND ANSWERS) ALREADY GRADED A+
GUARANTEED PASS
Section 1: Foundations, Ethics, Legal, & Communication
1. A nurse is caring for a patient who refuses to take a prescribed medication.
The nurse respects the patient's decision. This is an example of which ethical
principle?
a) Beneficence
b) Nonmaleficence
c) Autonomy
d) Justice
Answer: c
Rationale: Autonomy refers to the patient's right to make their own healthcare
decisions, including the right to refuse treatment. Beneficence means doing good;
nonmaleficence means doing no harm; justice means fairness in care distribution.
2. A nurse documents in the electronic health record (EHR): "Patient is difficult
and uncooperative today." Which of the following is true about this
documentation?
a) It is objective and appropriate.
b) It is subjective and should be avoided because it is an opinion, not a fact.
c) It is acceptable if the patient was truly uncooperative.
d) It is a legal requirement to document patient behavior.
Answer: b
Rationale: Charting must be objective, factual, and descriptive (e.g., "Patient
,refused oral medication at 0900 and turned away from the nurse"). Subjective
labels like "difficult" are opinions and can be seen as unprofessional or biased in
legal situations.
3. A patient tells the nurse, "I don't want to take that medicine; it makes me feel
sick." The nurse responds, "Tell me more about what happens when you take
it." This is an example of which therapeutic communication technique?
a) Focusing
b) Clarifying
c) Exploring
d) Restating
Answer: c
Rationale: Exploring involves asking the patient to elaborate on a concern to gain
a deeper understanding. Focusing narrows the topic; clarifying checks for
understanding; restating repeats the patient's words.
4. The nurse is preparing to witness a patient signing an informed consent form
for surgery. Which of the following is the nurse's primary responsibility?
a) Explain the surgical procedure in detail.
b) Ensure the patient understands the risks and benefits and is signing voluntarily.
c) Decide if the surgery is in the patient's best interest.
d) Obtain the physician's signature on the form.
Answer: b
Rationale: The nurse's role in informed consent is to witness the patient's
signature and confirm that the patient appears to understand the information
provided by the provider and is signing voluntarily. The provider
(physician/surgeon) is responsible for explaining the procedure, risks, and
benefits.
,5. A patient is in isolation for an airborne infection. The nurse notices a visitor
entering the room without a mask. What should the nurse do?
a) Ignore it; the visitor is not a healthcare worker.
b) Politely stop the visitor, provide a mask, and explain the isolation requirements.
c) Call security to remove the visitor.
d) Let the visitor in but document the incident.
Answer: b
Rationale: The nurse has a responsibility to educate and enforce infection control
precautions for all individuals entering an isolation room. The nurse should
politely provide a mask and explain the need for it to protect the visitor and the
patient.
6. A patient falls in the hallway. The nurse's priority action is to:
a) Fill out an incident report.
b) Call the healthcare provider.
c) Assess the patient for injuries.
d) Move the patient back to bed.
Answer: c
Rationale: The nursing process begins with assessment. The nurse must first
assess the patient's airway, breathing, circulation, and for any obvious fractures or
injuries before moving the patient. Incident reports are completed after the
patient is stabilized.
7. A nurse receives a verbal order from a physician over the phone for a new
medication. Which action is most important for the nurse to take?
a) Write the order down and implement it immediately.
b) Repeat the order back to the physician using "read-back" verification.
c) Ask another nurse to listen on the extension.
d) Ignore the order until it is written in the chart.
Answer: b
Rationale: The Joint Commission requires read-back verification for all
, verbal/telephone orders. The nurse must write down the order, read it back to the
prescriber to confirm accuracy, and then document it as a telephone order.
8. A nurse is caring for a patient who is terminally ill. The patient asks, "Am I
going to die?" Which response is most therapeutic?
a) "You shouldn't think like that."
b) "Let's focus on something more positive."
c) "What are your thoughts and fears about what is happening?"
d) "I can't answer that; you should ask your doctor."
Answer: c
Rationale: This is an open-ended question that encourages the patient to express
their feelings. It allows the nurse to explore the patient's concerns and provide
emotional support without giving false reassurance or avoiding the topic.
9. A patient is alert and oriented. The nurse administers a medication without
checking the patient's ID band. The patient receives the wrong medication. This
is an example of:
a) Negligence
b) Malpractice
c) Battery
d) Assault
Answer: a
Rationale: Negligence is a failure to act as a reasonably prudent nurse would,
resulting in harm. The nurse failed to follow the "right patient" safety check.
Malpractice is negligence by a professional (same concept, often used
interchangeably in legal terms). Battery is harmful/offensive contact without
consent; assault is the threat of it.
10. A nurse is caring for a patient who speaks a different language. An
interpreter is not immediately available. What is the best action?
