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1. A nurse is caring for a patient who has been diagnosed
with a terminal illness and has a do-not-resuscitate (DNR)
order. The patient's family members are upset and want the
nurse to perform CPR if the patient stops breathing. What
should the nurse do in this situation?
a) Respect the patient's wishes and follow the DNR order.
b) Explain to the family members that CPR is futile and
may cause more harm than good.
c) Ask the patient to reconsider the DNR order and discuss
the benefits of CPR.
d) Contact the physician and request a palliative care
consultation.
*Answer: a) Respect the patient's wishes and follow the
DNR order.*
Rationale: The nurse has a legal and ethical obligation to
respect the patient's autonomy and right to selfdetermination. The patient has the right to refuse any
treatment, including CPR, that they do not want. The nurse
should not try to persuade the patient or the family
members to change their decision, but rather provide
support and education as needed.
2. A nurse is leading a quality improvement project to
reduce the incidence of catheter-associated urinary tract
infections (CAUTIs) in a hospital unit. The nurse has
collected data on the current practices and outcomes related
to catheter use and care. What is the next step in the quality
improvement process?
a) Implement evidence-based interventions to preventÂ
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