1.

The best definition of a tort is:

a. The application of force to the person of another by a reasonable individual
b. An illegally committed by one person against the property or person of another
c. Doing something that a reasonable person under ordinary circumstances would not do
d. An illegally committed against the public and punishable by the law through the courts

2. A client is placed on a stretcher and restrained with straps while being transported to the x-ray
department. A strap breaks, and the client falls to the floor, sustaining a fractured arm. Later the
client states, “The strap was worn just at the very spot where the strap snapped.” The nurse is:
a. Exempt from any lawsuit because of the doctrine of respondeat superior
b. Totally and singly responsible for the obvious negligence because of failure to report
defective equipment
c. Liable, along with the employer, for misapplication of equipment or use of defective
equipment that harms the client
d. Completely exonerated, because only the hospital, as principal responsible for the quality
and maintenance of equipment

3. An example of intentional tort would be:

a. Malpractice
b. Negligence
c. Breach of duty
d. False imprisonment

4. A 3 year-old with eczema of the face and arms has not heeded the nurse’s warnings to “stop
scratching- or else! The nurse finds the toddler scratching so intensely that the arms are
bleeding. With great flurry, the nurse ties the toddler’s arms to the crib sides, saying, “I’m going
to teach you one way or another.” In this situation, the nurse:
a. Has merely dine the job with considerable accountability
b. Has used actions that can be interpreted as assault and battery
c. Had to protect the toddler’s skin and acted as any reasonable prudent nurse would do
d. Tried to explain to the toddler and rightly expected the toddler to understand and
cooperate

5. When obtaining consent for surgery, initially the nurse should:

a. Explain the risks involved in the surgery
b. Explain that obtaining the signature is routine for any surgery
c. Evaluate if the client’s knowledge level is sufficient to give consent
d. Witness the signature because this is what the nurse’s signature documents

6. A client who has been told she needs a hysterectomy for cervical cancer is upset about being
unable to have more children. The nurse should:
a. Evaluate her willingness to pursue adoption
b. Encourage her to focus on her own children
c. Emphasize that she does have two children already
d. Ensure that all treatment options have been explored

7. In relation to obtaining an informed consent from a 17 -year-old adolescent, the nurse should
remember that the adolescent:
 a. Does not have the legal capacity to give consent
b. Is not able to make an acceptable or intelligent choice
c. Is bale to give voluntary consent when asked to consent
d. Will most likely be unable to choose between alternatives when asked to consent

8. A client arrives in the emergency room and is assessed by a nurse. The client is staggering,
confused, and verbally abusive. The client complains of headache from drinking alcohol and is
asking for medication. The nurse explains to the client that the physician will need to perform
an assessment prior to the administration of medication. When the client becomes verbally
abusive, the nurse obtains leather restraints and threatens to place the client in the restraints.
With which of the following can the client legally charge the nurse as a result of the ursing
action?
a. Assault
b. Battery
c. Negligence
d. Invasion of privacy

9. A nurse calls a physician in regard to a new medication order because the dosage prescribed is
higher than the recommended dosage. The nurse is unable to locate the physician, and the
medication is due to be administered. Which of the following actions would the nurse take?
a. Hold the medication until the physician can be contacted
b. Administer the dose prescribed
c. Administer the recommended dose until the physician can be located
d. Contact the nursing supervisor

10. A nursing graduate is employed as a staff nurse in a local hospital. During orientation the new
graduate asks the nurse educator about the need to obtain professional liability insurance. The
most appropriate response by the nurse educator is:
a. “The hospital’s liability insurance will cover your actions.”
b. “It is very expensive and not necessary.”
c. “Nurses are encouraged to have their own malpractice insurance.”
d. “The majority of suits are filed against physicians and the hospital.”

11. A registered nurse arrives at work and is told to report (float) to the ICU for the day because the
ICU is understaffed and needs additional nurse to care for the clients. The nurse has never
worked in the ICU. Which of the following is the most appropriate nursing action?
a. Refuse to float to the ICU
b. Call the hospital lawyer
c. Call the nursing supervisor
d. Report to the ICU and identify tasks that can be safely performed

12. What type of law concerns the individual’s relationship to the state?
a. Civil c. Public
b. Contract d. Tort

13. What type of law concerns relationships among individuals?

a. Administrative c. Constitutional
b. Civil d. Public
14. Nursing practice acts are created and governed under what type of law?
a. Administrative c. Criminal
b. Constitutional d. Statutory

15. What type of public law is developed by persons appointed to government administrative
agencies that must enforce the laws by the legislature?
a. Administrative c. Criminal
b. Constitutional d. Statutory

16. Which of these terms describes a civil wrong committed by a person against another person or
property?
a. Crime c. Misdemeanor
b. Felony d. Tort

17. Which of these laws protects off-duty health care workers from civil liability when they render
aid within their specialized body of knowledge at the scene of an emergency?
a. Emergent Care Act of 1975 c. Nursing Practice Act
b. Good Samaritan Act d. State Civil Law

18. Which of these statements about the relationship of the Good Samaritan Act and Health Care
Professionals is true?
a. They are compared to any other caregiver at the scene of an emergency
b. They are expected to provide care as would another professional with the same background
and education
c. They are required to stop at the scene of accidents to render aid to injured persons
d. They are to be paid by service rendered at an emergency scene

19. In most cases, a nurse would experience loss of license and be sentenced to jail time if found
guilty of breaking which type of law?
a. Contract c. Public
b. Civil d. Tort

20. Guidelines developed by the state boards of nursing to direct nursing care are called?
a. Nursing Practice Acts c. Standards of practice
b. Policies and procedures d. Title Acts

21. Which of these terms refers to the threat to do something that may cause harm or be
unpleasant to another person?
a. Assault c. Slander
b. Battery d. Verbal abuse

22. The unauthorized or unwanted touching of a person by another person is called?

a. Abuse c. Battery
b. Assault d. Malpractice
23. In an effort to gain promotion, a nurse tells a supervisor damaging information regarding
another co-worker viewed as a competitor for the competition. In revealing information about
the c0-worker, the nurse is guilty of which charge?
a. Harassment c. Libel
b. Invasion of privacy d. Slander

24. When use of restraints is prescribed for a client by a health care provider, which of these actions
must the nurse take?
a. Insert a urinary catheter while the client is restrained
b. Administer psychotropic drugs while the client is restrained
c. Assign a nursing assistant to sit with the client to gain cooperation
d. Document client assessment and position changes

25. How does malpractice differ form negligence?

a. Malpractice occurs only when someone is learning to do something new or “practicing” a
new skill
b. Malpractice is defined by the state board of nursing
c. Negligence refers specifically to the duties and responsibilities of the professional
d. Only professionals can be accused of malpractice

26. Which of the following represents an example of correct documentation under the standard of
care?
a. Each chart entry should be signed or initialed
b. Administration of medication is documented before they are actually given
c. Nursing noted reflect facts and opinions about the client
d. Nursing notes are changed to reflect changes in client status

27. Whose responsibility is it to obtain informed consent from a client requiring medical or surgical
treatment?
a. Hospital administration representative c. Health care provider
b. Nurse d. Unit clerk

28. Who can obtain the signature of a client for an informed consent form?
a. Anyone who is not related to the client
b. Only the nurse who will be caring for the client when the treatment or surgery occurs
c. The health care provider, nurse, or another hospital representative
d. Only the health care provider who will be performing the procedure

29. If a nurse obtains a signature for informed consent, responsibilities include verification that the
client:
a. Was not coerced into signing the form
b. Can read and write
c. Has a family member witness the signature
d. Clearly understands the things discussed with the doctor

30. Which of the following clients could not be treated without a guardian or parent giving consent?
a. 10-year old female brought in by an ambulance and who is bleeding from a punctured
wound
 b. 14-year old female requesting treatment for alcohol addiction
c. 17-year old male requiring MMR immunization for his college application health exam
d. 32-year old married male requesting HIV testing

31. Which of these statements about an advanced directive is true?

a. It can be made by the client’s next kin
b. It describes a client’s preferences regarding life-sustaining methods
c. It must be written
d. It cannot be changed once written

32. A 97-year old client with renal failure has been hospitalized frequently during the past year. The
client expresses “not wanting to go on like this” and fears being put on a “breathing machine” as
the condition worsen. Which of these documents could the nurse suggest that the client sign to
ensure his or her wishes are carried out?
a. Durable power of attorney for health care
b. Health care directive
c. Life-prolonging procedure declaration
d. Living will

33. When an incident report is completed by a nurse, which of these actions should take place next?
a. The report is channeled to the facility’s risk management department
b. The nurse makes a verbal apology to the client
c. The report is placed in the affected client’s chart
d. The nurse makes an appointment with the immediate supervisor

34. A nurse should complete an incident report in which of the following situations?
a. Blood samples were sent to the lab and result were reported in 4 hours
b. Diuril 1 g PO was ordered 3:30 PM and administered at 4:00 PM
c. A visitor stayed 2 hours beyond normal visiting hours
d. An insulin-dependent diabetic receives her roommate’s regular diet tray

35. It is one way to gain insight into how and when a person is most productive?
a. Personal time management c. Time management
b. Time inventory d. Creating planning list

36. Which of these systems helps individual meet goals through problem solving?
a. Encoding c. Mnemonics
b. Metacognition d. Time management

37. Barriers to effective use of time include such things as clutter, interruptions, procrastination,
and:
a. Delegation c. Making lists
b. Perfectionism d. Taking activity breaks

38. Which of these terms best describes the intentional putting off or delaying of an activity that
should be done?
a. Delegation c. Learning disabilities
b. Perfectionism d. Procrastination
39. Which of these terms best describes a barrier to effective use of time caused by setting
unrealistic goals?
a. Delegation c. Learning disabilities
b. Perfectionism d. Procrastination

40. In developing a study plan to cover a particular chapter or unit of nursing content, which of
these steps would be most helpful as part of the plan?
a. Previewing the material to be included
b. Taking specific study breaks
c. Listening to classical music
d. Having snacks and beverages available

41. Ms. Hinsahw, RN, is a nurse manger who gives her clinical nurses responsibility for their work.
She talks to them whenever they ask. Otherwise, her sole scheduled meeting with them is a
monthly unit meeting. Her staff would like more communication and planning. Match this
statement to one of Kurt Lewin’s three types of leadership style:
a. Autocratic
b. Democratic
c. Laissez-faire

42. Mr. Munoz, RN is a nurse manager who seeks input on decisions of all nursing personnel who
will be affected by them. He uses their input. Match this statement to one of Kurt Lewin’s three
types of leadership style:
a. Autocratic
b. Democratic
c. Laissez-fair

43. Ms. Dy, RN is a nurse manager who makes all decisions herself. She then posts them in memo
form on the unit bulletin board. Match this statement to one of Kurt Lewin’s three types of
leadership style:
a. Autocratic
b. Democratic
c. Laissez-fair

44. While Ms. Martinez, RN nurse manager of SICU, is highly intelligent, listens to her staff, can
analyze difficult situations, and represents her staff well at parties, receptions, and meetings,
she seldom goes through a day without having a tantrum. This statement illustrates the
a. Trait theory of leadership
b. Charismatic theory of leadership
c. Behavioral theory of leadership
d. Contingency theory of leadership
e. Situational theory of leadership

45. Mr. Teodoro, RN, is nurse manager of the emergency department. While he demonstrates all of
the technological skills needed in his department, he does not always live up to the
achievements about which he speaks. His personnel are totally enthralled by him and perceive
him to be all that a leader can be. This statement illustrates the:
 a. Trait theory of leadership
b. Charismatic theory of leadership
c. Behavioral theory of leadership
d. Contingency theory of leadership
e. Situational theory of leadership

46. Ms. Roxas, RN, says that she was one of the few people born to build a great nursing
organization. For that reason she believes she can obtain all the nursing resources needed and
allow her subordinates to provide input into decisions concerning their practice. This statement
illustrates the:
a. trait theory of leadership
b. charismatic theory of leadership
c. behavioral theory of leadership
d. contingency theory of leadership
e. situational theory of leadership

47. Ms. Tolentino, RN, nurse manager of the recovery room, is like a chameleon. She is calm when a
physician is loud and complaining. When one of her nursing staff achieves some special honor,
she is effusive in her praise and recognition of the event. Regardless of the patient load, she can
make her area conform to the circumstances. When one of her nurses is more proficient than
she would be in caring for a particular patient, she says, “You know more about the care of this
patient than I so tell me what to do.” This statement illustrates the:
a. trait theory of leadership
b. charismatic theory of leadership
c. behavioral theory of leadership
d. contingency theory of leadership
e. situational theory of leadership

48. Mr. Bayani, RN, nurse manager of an ambulatory care center, attempt to behave differently
according to whether he perceives that an individual nurse likes or dislikes him. All of the nurses
know that he does the hiring and firing, and that his recommendations for promotions and pay
increases weigh heavily with nursing administration. He can modify his behavior according to
whether he needs to focus upon the work to be done or the people doing it. This statement
illustrates the:
a. trait theory of leadership
b. charismatic theory of leadership
c. behavioral theory of leadership
d. contingency theory of leadership
e. situational theory of leadership

49. Theory X indicates that workers want to be told what to do while theory Y emphasizes that they
will be self-directed and self-controlled when given the opportunity. This statement illustrates
management and leadership theory attributed to:
a. trait theory of leadership
b. charismatic theory of leadership
c. behavioral theory of leadership
d. contingency theory of leadership
e. situational theory of leadership
 Ethical theories and approaches provide a foundation for ethical decision making, match the
following theories with the definitions:

a. Utilitarianism
b. Holistic ethics
c. Deontologic
d. Teleologic

50. Considers unity and integral wholeness of all people; acts are performed from a desire to do
freely in order to witness, identify, and contribute to unity of the self, the universe, of which the
individual is apart of: