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 prevent