NEWEST UPDATED ACTUAL EXAM 2025/2026
Question:1
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. - 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.
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,Question:2
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. - 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.
Question:3
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.
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,3) Prevent similar situations from happening again.
4) Ensure accountability for the cause of the accident. - 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.
Question:4
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. - 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)
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, 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.
Question:5
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. - 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.
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