This free Fundamentals of Nursing Practice Test #6 covers communication, legal and ethics — therapeutic communication, informed consent, privacy, restraints, advance directives, SBAR, and ethical principles. Work through 10 timed questions, then check every answer with the full rationales below. No sign-up required.
All 10 Questions With Answers & Rationales
Prefer to work at your own pace? Every question from the timed quiz above is listed here in full. Choose your answer, then tap Show Answer & Rationale to check it.
Question 1: Communication
A client says, "I'm scared about my surgery tomorrow." Which response by the nurse is most therapeutic?
- A. "Don't worry, your surgeon is excellent."
- B. "Why are you scared?"
- C. "Everyone feels that way."
- D. "Tell me more about what is worrying you."
Show Answer & Rationale
Answer: D. "Tell me more about what is worrying you."
Rationale: An open-ended invitation encourages the client to share feelings. False reassurance and generalizations shut the conversation down, and "why" questions can feel judgmental.
Question 2: Legal
What is the nurse's role when a client signs an informed consent form for surgery?
- A. Explain the risks and benefits of the surgery
- B. Answer all questions about the procedure
- C. Witness the client's signature
- D. Choose the type of anesthesia
Show Answer & Rationale
Answer: C. Witness the client's signature
Rationale: The provider performing the procedure is responsible for explaining it, including risks, benefits, and alternatives. The nurse witnesses the signature and confirms the client is competent and signing voluntarily. If the client has questions, the nurse notifies the provider.
Question 3: Privacy
A caller says they are the client's friend and asks how the client is doing. What should the nurse do?
- A. Give a brief update on the client's condition
- B. Decline to share information unless the client has given permission
- C. Confirm the client is on the unit but give no details
- D. Transfer the call to the client's provider
Show Answer & Rationale
Answer: B. Decline to share information unless the client has given permission
Rationale: HIPAA protects client information. Without the client's permission, the nurse does not share health information, and depending on the client's wishes and facility policy, may not even confirm the client is there.
Question 4: Restraints
Where should the nurse secure a client's wrist restraint?
- A. To the bed frame with a quick-release knot
- B. To the side rail with a square knot
- C. To the side rail with a quick-release knot
- D. To the mattress
Show Answer & Rationale
Answer: A. To the bed frame with a quick-release knot
Rationale: Tying to the bed frame keeps the restraint from tightening when the side rail is raised or lowered. A quick-release knot can be undone fast in an emergency. Restraints need a current order, frequent checks of skin and circulation, and release per facility policy.
Question 5: Advance Directives
What does a living will do?
- A. Appoints a person to manage the client's money
- B. Gives the provider permission to make all decisions
- C. States the client's wishes about life-sustaining treatment
- D. Lists how the client's property will be divided
Show Answer & Rationale
Answer: C. States the client's wishes about life-sustaining treatment
Rationale: A living will states which treatments a client does or does not want if they cannot speak for themselves. A health care power of attorney names a person to make health decisions. Financial power of attorney and property wills are separate legal documents.
Question 6: Communication
When a nurse uses SBAR to call a provider, what does the "R" stand for?
- A. Recommendation
- B. Rationale
- C. Results
- D. Report
Show Answer & Rationale
Answer: A. Recommendation
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation. Ending with a clear recommendation or request, such as asking the provider to see the client, makes the call more effective.
Question 7: Legal
A competent client wants to leave the hospital against medical advice. What should the nurse do?
- A. Restrain the client until the provider arrives
- B. Explain the risks, notify the provider, and ask the client to sign the AMA form
- C. Take the client's clothes so they cannot leave
- D. Tell the client their insurance will not pay
Show Answer & Rationale
Answer: B. Explain the risks, notify the provider, and ask the client to sign the AMA form
Rationale: A competent adult has the right to leave. The nurse explains the risks, notifies the provider, and documents. Keeping a competent client against their will can be false imprisonment. If the client refuses to sign the form, the nurse documents that too.
Question 8: Communication
A client speaks limited English. Who should interpret during the admission assessment?
- A. The client's teenage child
- B. A bilingual visitor
- C. A trained medical interpreter
- D. The nurse, using simple gestures
Show Answer & Rationale
Answer: C. A trained medical interpreter
Rationale: Trained medical interpreters translate accurately and protect privacy. Family members, especially children, may leave out or change information, and the client may not share sensitive details in front of them.
Question 9: Ethics
A nurse supports a competent client's decision to refuse chemotherapy. Which ethical principle is the nurse upholding?
- A. Beneficence
- B. Nonmaleficence
- C. Justice
- D. Autonomy
Show Answer & Rationale
Answer: D. Autonomy
Rationale: Autonomy is respect for a person's right to make their own decisions. Beneficence is doing good, nonmaleficence is avoiding harm, and justice is fair distribution of care.
Question 10: Communication
Which nonverbal behavior shows active listening?
- A. Standing at the door with arms crossed
- B. Writing notes throughout the conversation
- C. Looking at the monitor while the client talks
- D. Sitting facing the client and making appropriate eye contact
Show Answer & Rationale
Answer: D. Sitting facing the client and making appropriate eye contact
Rationale: Facing the client at eye level, with an open posture and appropriate eye contact, shows attention and interest. Crossed arms, standing at the door, and looking elsewhere signal that the nurse is in a hurry or not listening. Norms for eye contact vary between cultures.
Fundamentals of Nursing Practice Tests
Six free, timed tests on the nursing basics — every question with a full rationale. Work through all six to build speed and confidence.
Safety, Infection Control & Priorities
Hand hygiene, PPE, fire safety, falls, positioning, vital signs, documentation, delegation, and prioritization.
Infection Control & Asepsis
Isolation precautions, PPE order, sterile technique, sterile gloves, hand hygiene, and sharps safety.
Vital Signs & Assessment
Apical pulse, blood pressure errors, respirations, temperature, oxygen saturation, pain scales, and abdominal assessment.
Hygiene, Mobility & Body Mechanics
Body mechanics, transfers, canes, crutches, walkers, oral care, foot care, and immobility.
Medication Administration
Client identifiers, IM sites, sublingual meds, eye and ear drops, mixing insulin, and NG tube meds.
Communication, Legal & Ethics
Therapeutic communication, informed consent, HIPAA, restraints, advance directives, SBAR, and ethics.
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