You pick the legal, honest next step when rights, consent, or a policy collide with a request. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the LPN exams exam guide or more LPN exams practice questions.
Five ethics questions with answers
Cover the key. Write the first action. Then open the rationale and name why the other choices fail.
Question 1
In the United States, the system of healthcare has historically given and continues to give stronger support to which types of care?
A. Individual care with a focus on cure
B. Community care with a focus on cure
C. Individual care with a focus on prevention
D. Community care with a focus on prevention
Show answer and rationale
Correct answer: A — Individual care with a focus on cure
Step-by-step rationale:
1. Historically, US healthcare system emphasizes individual care over community care.
2. The focus is on providing treatment and cure for individual patients.
3. This approach is reflected in the dominant fee-for-service model.
4. Preventive care has gained importance recently but historically, focus has been on curative care.
5. Therefore, choice A is correct as it aligns with the historical emphasis on individual care and cure.
Summary:
A: Individual care with a focus on cure - Correct. Reflects historical emphasis on curative care.
B: Community care with a focus on cure - Incorrect. US system historically prioritizes individual care.
C: Individual care with a focus on prevention - Incorrect. Although prevention is important, historical emphasis is on cure.
D: Community care with a focus on prevention - Incorrect. US system traditionally focuses more on individual care than community care.
Question 2
When caring for a terminally ill client, a family member says, 'I need your help to hasten my mother's death so that she is no longer suffering.' Which should the nurse do based on the position of the American Nurses Association in relation to assisted suicide?
A. Not participate in active euthanasia
B. Participate based on personal values and beliefs
C. Participate when the client is experiencing severe pain
D. Not participate unless two primary health-care providers are consulted and the client has had counseling
Show answer and rationale
Correct answer: A — Not participate in active euthanasia
Rationale A: Nursing actions must comply with the law, and the law states that euthanasia is legally wrong. Euthanasia can lead to criminal charges of homicide or civil lawsuits for providing an unacceptable standard of care. Rationale B: A nurse's beliefs, values, or moral convictions should not be imposed on clients. In addition, nurses cannot participate in euthanasia. Rationale C: Compassion and good intentions are not an acceptable basis for actions beyond the scope of nursing practice. Rationale D: Nurses cannot legally be involved with euthanasia. In some states in the U.S., a primary health-care provider can prescribe a medication that can be taken by a client to cause death (e.g., Oregon, Washington, Vermont, Colorado, California, and the District of Columbia). The ANA, according to its Code for Nurses with Interpretive Statements, indicates that nurses should not participate in active euthanasia or assistive suicide.
Question 3
Which is the main role of the American Nurses Association?
A. Establish standards of nursing practice.
B. Recognize academic achievement in nursing.
C. Monitor educational institutions granting degrees in nursing.
D. Prepare nurses to become members of the nursing profession.
Show answer and rationale
Correct answer: A — Establish standards of nursing practice.
Rationale A: The American Nurses Association has established Standards of Care and Standards of Professional Performance. These standards reflect the values of the nursing profession, provide expectations for nursing practice, facilitate the evaluation of nursing practice, and define the profession's accountability to the public. Rationale B: Sigma Theta Tau International, Honor Society of Nursing, recognizes academic achievement and scholarship in nursing. Rationale C: The National League for Nursing Accrediting Commission, the Commission on Collegiate Nursing Education, and state education departments monitor educational institutions granting degrees in nursing. Rationale D: Schools of nursing award a diploma, associate degree, or baccalaureate degree in nursing after successful completion of the program. These graduates are eligible to take the missing examination for entry into the practice of nursing.
Question 4
Select the great public health achievements in the United States in the 20th century. (Select all that apply.)
A. Elimination of common infectious diseases
B. Recognition of tobacco as a health hazard
C. Fluoridation of drinking water
D. Healthier mothers and babies
Show answer and rationale
Correct answer: A — Elimination of common infectious diseases
The correct answer is A: Elimination of common infectious diseases. This is a significant public health achievement in the 20th century due to the development of vaccines and antibiotics, leading to the eradication or control of diseases like smallpox and polio. This achievement has had a substantial impact on improving population health.
Summary:
- Choice A is correct as it directly addresses a major public health milestone.
- Choice B is incorrect as recognizing tobacco as a health hazard, while important, is not a specific public health achievement in the 20th century.
- Choice C is incorrect as fluoridation of drinking water is a notable public health intervention but not one of the great achievements in the 20th century.
- Choice D is incorrect as healthier mothers and babies is an important public health goal but does not represent a specific achievement in the 20th century.
Question 5
Which person requires a co-signature for a valid consent for surgery?
A. 15-year-old mother whose infant requires exploratory surgery
B. 40-year-old client in a home for developmentally disabled adults
C. 90-year-old adult who wants more information about the risks of surgery
D. 50-year-old unconscious trauma victim who needs insertion of a chest tube
Show answer and rationale
Correct answer: B — 40-year-old client in a home for developmentally disabled adults
Rationale A: A mother may legally make medical decisions for her children, even if the mother is younger than 18 years of age. Rationale B: A person living in a protected environment, such as a home for developmentally disabled adults, may not have the mental capacity to make medical decisions and requires the signature of a court-appointed legal representative. This person can be a parent, sibling, relative, or unrelated individual. Rationale C: Older adults can make decisions for themselves as long as they understand the risks and benefits of the surgery and are not receiving medication that may interfere with cognitive ability. Rationale D: The insertion of a chest tube to inflate a lung is an emergency intervention to facilitate respiration and oxygenation. This emergency procedure is implemented to sustain life and does not require a signed consent if the client is incapacitated.
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Question 6
Which of the following is the best way to increase the number of persons who come to their screening test appointments?
A. Reminding clients via telephone, e-mail, or mail
B. Emphasizing long life and happy family when conditions are caught early and treated successfully
C. Pointing out how inexpensive and convenient screening tests are
D. Stressing the dangerousness of the condition if not caught early
Correct answer:
The correct answer is A: Reminding clients via telephone, e-mail, or mail. This option directly addresses the issue of increasing attendance by actively reminding individuals of their screening appointments, which can significantly improve compliance rates. By proactively reaching out through various communication channels, it increases the likelihood of individuals showing up for their appointments.
Other choices are incorrect because:
B: Emphasizing long life and happy family may not directly address the issue of attendance and may not be a strong motivator for everyone.
C: Pointing out cost and convenience is important but may not be sufficient to motivate individuals to attend their appointments.
D: Stressing dangerousness of the condition can induce fear, but fear-based messaging may not always be effective in influencing behavior positively.
The licensure of Registered Professional Nurses protects which of the following?
A. Nurses
B. Clients
C. Common law
D. Health-care agencies
Correct answer:
Rationale A: Licensure does not protect nurses. Licensure only ensures that the individual has met the requirements to practice nursing. Earning a license to practice as a Licensed Practical Nurse or Registered Nurse is granted to an individual who passes the NCLEX-PN® or NCLEX-RN® examination, respectively, according to the licensure requirements for the state in which the license is issued. Rationale B: Licensure indicates that a person has met minimal standards of competency, thus protecting the public's safety. Rationale C: Licensure does not protect common law. Common law comprises standards and rules based on the principles established in prior judicial decisions. Rationale D: Licensure does not protect health-care agencies. The Joint Commission determines if agencies meet minimal standards of health-care delivery, thus protecting the public.
A nurse reads that a case involving the care provided in a hospital will be reviewed by the United States Supreme Court. The nurse suspects that which situations could have occurred ? Select one that does not apply
A. The case involves a constitutional issue.
B. Two lower federal courts have reached different conclusions in the case.
C. The hospital involved is a military hospital.
D. The care in question included the suspicion of premeditated homicide.
Correct answer:
Rationale 1: The U.S. Supreme Court reviews cases in which constitutional issues have been decided. Rationale 2: The U.S. Supreme Court reviews cases in which two or more lower courts have reached different conclusions. Rationale 3: Typically the care in a civilian hospital would be under the jurisdiction of state courts. Cases involving military, veterans', or other federally funded health centers are frequently settled in federal courts. This may result in Supreme Court review. Rationale 4: The question of premeditated homicide would not change the jurisdiction to the federal system. Rationale 5: The citizenship status of the patient involved in the case would not determine if the case was under federal jurisdiction. [Note: Choice E 'The patient involved in the case was an undocumented alien' is not listed as a choice but addressed in Rationale 5.]
When considering legal issues, the word contract is to liable as standard is to which word?
A. Rights
B. Negligence
C. Malpractice
D. Accountability
Correct answer:
Rationale A: Although clients have a right to receive care that meets appropriate standards, the word right does not have the same relationship to the word standard as the relationship between the words contract and liable. Rationale B: The words standard and negligence do not have the same relationship as the words contract and liable. Negligence involves an act of commission or omission that a reasonably prudent person would not do. Rationale C: The words standard and malpractice do not have the same relationship as the words contract and liable. Malpractice is negligence by a professional person. Rationale D: Liable means a person is accountable for fulfilling a contract that is enforceable by law. Accountable means a person is responsible (liable) for meeting standards, which are expectations established for making judgments or comparisons.
Which of the following is responsible for ensuring that Registered Nurses are minimally qualified to practice nursing?
A. American Nurses Association
B. Sigma Theta Tau International
C. National Council of State Boards of Nursing
D. Constituent Leagues of the National League for Nursing
Correct answer:
Rationale A: The American Nurses Association (ANA) is the national professional organization for nursing in the United States. It fosters high standards of nursing. Rationale B: Sigma Theta Tau International, Honor Society of Nursing, recognizes academic assessment and leadership qualities, encourages high professional standards, fosters creative endeavors, and supports excellence in the profession of nursing. Rationale C: The National Council of State Boards of Nursing is responsible for the NCLEX examinations. Passing the NCLEX examination establishes competencies required to perform safely and effectively as a newly licensed nurse. Passing an NCLEX examination assists State Boards of Nursing in making licensure decisions. Rationale D: The National League for Nursing (NLN) is committed to promoting and improving nursing service and nursing.
When attempting to administer a 10 p.m. sleeping medication, the nurse assesses that the client appears to be asleep. Which should the nurse do?
A. Withhold the drug.
B. Notify the primary health-care provider.
C. Awaken the client to administer the drug.
D. Administer it later if the client awakens during the night.
Correct answer:
Rationale A: This is a violation of the primary healthcare provider's prescription. Drug administration is a dependent nursing function. [Inferred: Withholding the drug is appropriate if the client is asleep and the medication is for sleep, as administering it is unnecessary.] Rationale B: Notifying the primary health-care provider is unnecessary. Rationale C: Administering a medication is a dependent function of the nurse. The prescription should be followed as written if the prescription is reasonable and prudent. This medication was not a permanent condition. [Inferred: Awakening the client to administer a sleeping pill is unnecessary and disruptive.] Rationale D: The drug should be administered as prescribed, not at a later time. [Inferred: Administering later may not align with the prescription's intent for sleep at a specific time.]
Which best describes a philanthropic organization?
A. Agency that is based in only one country but provides services to many other countries
B. Agency that acquires resources to help others from private rather than public sources
C. A group that collects data related to healthcare use across a variety of professional and service parameters
D. An organization that uses endowed funds or private fundraising to address the needs of individuals, families, and populations
Correct answer:
The correct answer is D because a philanthropic organization typically relies on endowed funds or private fundraising to support its mission of addressing the needs of individuals, families, and populations through charitable activities. This aligns with the core purpose of philanthropy, which is to promote the well-being of others through financial support.
Option A is incorrect because a philanthropic organization is not limited to providing services across multiple countries; it can focus on specific populations or regions. Option B is incorrect as philanthropic organizations can receive funding from both private and public sources, but the key distinction is the use of funds for charitable purposes. Option C is incorrect as it describes a data collection group rather than an organization that directly supports charitable causes.
A patient brought suit against a hospital for injuries sustained in a fall. The case went to trial and the jury found for the hospital. Can the patient take this same suit and evidence to another trial court in hopes of a different decision?
A. No, because of the doctrine of res judicata
B. Yes, stare decisis allows retrial
C. Yes, because of the doctrine of precedent
D. No, this is a landmark decision
Correct answer:
Rationale 1: Res judicata means 'a thing or matter settled by judgment' and applies when a legal dispute has been decided by a competent court of jurisdiction. This doctrine prevents the same parties in the original lawsuit from retrying the same issues involved in the first lawsuit. Rationale 2: Stare decisis means to 'let the decision stand' and is applied by courts of law in cases with similar fact patterns that have been previously decided by the court system. Rationale 3: The doctrine of precedent means to 'let the decision stand' and is applied by courts of law in cases with similar fact patterns that have been previously decided by the court system. Landmark decisions signify that precedent is changed by the current court decision. Rationale 4: Landmark decisions signify that precedent is changed by the current court decision.
A nurse has decided to increase the evidence base of current nursing practice in an agency. Which of the following describes a barrier that could be encountered by the nurse? (Select all that apply.)
A. Colleagues who do not know how to search the literature or critique research
B. Dedication to the history and tradition of the agency
C. Little or no research published in the clinical area of concern
D. Several meta-analyses in the literature with inconsistent results
Correct answer:
Correct Answer: A
Rationale:
1. Colleagues lacking skills in searching literature or critiquing research can hinder the nurse's efforts to increase evidence-based practice.
2. Lack of research skills can lead to difficulty in finding and evaluating relevant evidence.
3. This barrier directly impacts the nurse's ability to enhance the evidence base of practice in the agency.
Summary:
B: Dedication to history and tradition does not necessarily impede evidence-based practice; in fact, it can be complementary.
C: While a lack of research in the clinical area is a challenge, it is not a barrier that prevents the nurse from actively seeking evidence.
D: Inconsistent meta-analyses can present challenges, but they do not directly impede the nurse's efforts to increase the evidence base through literature review and critique.
A school health nurse plans to use evidence-based practice (EBP) to guide the development of health education programs most likely to increase retention of learning in elementary schoolchildren. Which of the following would be the best way to use EBP in this situation?
A. Ask other school health nurses what they included in their own education programs.
B. Compare and contrast randomized controlled trials related to learning in elementary schoolchildren.
C. Develop a series of games to accompany the programs developed to promote health.
D. Seek out and examine health education programs for elementary schoolchildren on the Internet.
Correct answer:
The correct answer is B: Compare and contrast randomized controlled trials related to learning in elementary schoolchildren. This is the best way to use evidence-based practice (EBP) because it involves analyzing scientific studies that have used rigorous methodology to test interventions in real-world settings. By comparing and contrasting these trials, the school health nurse can identify the most effective health education programs for elementary schoolchildren based on empirical evidence.
Other choices are incorrect:
A: Asking other school health nurses about their programs is anecdotal and lacks empirical evidence.
C: Developing games may be engaging but doesn't necessarily ensure the effectiveness of the programs.
D: Searching the internet for programs may not guarantee the quality or validity of the information.
LPN exams ethics practice questions, set 2 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.
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