Definitions to Know
Delegation
Who Can Perform This Task?
Legal Implications
Negligence & Malpractice
100
Exam that each nurse must take in order to show that minimum criteria has been met in order to safely practice as a nurse.
What is NCLEX?
100
Who is responsible to delegate tasks for the shift? a) Physician b) Nurse c) Family d) Hospital executive
What is b) Nurse
100
You are caring for a patient with an acute MI. Which of the following would be an appropriate job to give the CNA? a. teaching the patient about a low salt diet b. helping the patient to bathe c. assessing their pain
What is b. helping the patient to bathe
100
1. In which situation is a nurse immune from being sued? A) They are off duty B) They are retired C) They are on vacation D) They are no longer practicing nursing. E) None of the above
What is E) None of the above
100
More People die each year because of… A) MVAs B) Medical mistakes C) AIDS D) Breast Cancer
What is B) Medical mistakes
200
Established by the state’s NPA; has authority to develop administrative rules/regulations to clarify or make law more specific. Undergo public review before being enacted.
What is Board of Nursing (BON)?
200
Define the 5 Rights of Delegation
What is: Right task right circumstance right person right direction/communication right supervision
200
From the following list of patients which one can be assigned to a nursing assistant/CNA? a. A patient with sudden unexplained bleeding b. A patient with unresolved pain over the past 8 hour shift c. A patient scheduled to have a chest x-ray done
What is c. A patient scheduled to have a chest x-ray done
200
A board can decide on on which of the following disciplinary actions? A) Revocation of nurse's license. B) Suspension of nurse's license. C) Letter of reprimand. D) Imposition of a fine. E) All of the above.
What is E) All of the above.
200
Is it necessary for nurses to carry malpractice insurance? A) No B) Yes C) Only if you are a bad nurse D) It is not necessary, but is recommended.
What is D) It is not necessary, but is recommended.
300
Uniform Licensure Requirements (ULRs) are the essential prerequisites for initial, endorsement, renewal and reinstatement licensure needed across every NCSBN jurisdiction to ensure the safe and competent practice of nursing. ULRs protect the public by setting consistent standards and promoting a health care system that is fluid and accessible by removing barriers to care and maximizing portability for nurses. They also assure the consumer that a nurse in one state has met the requirements of the nurses in every other state. ULRs support the fact that the expectations for the education of a nurse and the responsibilities of a nurse are the same throughout every NCSBN member board jurisdiction in the United States.
What is licensure?
300
What is delegation accountability? a) Being legally responsible for what someone else does b) Making sure the task is job appropriate c) Following up with the CAN d) Checking the chart to double check that the medications were given e) All of the above
What is e) All of the above
300
The nurse is observing an unlicensed assistive personnel (UAP) who is performing morning care for bedridden client. Which care measure is most important for the nurse to supervise? a. Oral care b. Bathing c. Foot care
What is a. oral care
300
3. What are the most common grounds for disciplinary action? A) Fraud or deception in obtaining a nursing license, or falsifying insurance claim forms or patient hospital records. B) Illegal conduct, incompetence, or negligence in carrying out a nursing function. C) Drug or alcohol abuse D) Abusive behavior (physical or verbal). E) All of the above
What is E) All of the above
300
The ANA defines negligence as: A) when a nurse fails to competently perform his or her medical duties and that failure harms the patient. B) Inability to do something successfully C) the doing of something which a reasonably prudent person would not do, or the failure to do something which a reasonably prudent person would do D) The actions that are performed with accuracy or caution
What is C) the doing of something which a reasonably prudent person would not do, or the failure to do something which a reasonably prudent person would do.
400
Enacted by the each state’s legislature. Each state will vary but all cover: Authority, power and composition of the BON, Education program standards, Standards and scope of nursing practice; Types of titles and licenses; Requirements for licensure; Grounds for disciplinary action.
What is the Nurse Practice Acts (NPAs)?
400
Which of these cannot be delegated? a) Oral care b) Bath c) Assessment d) Medication administration
What is c) Assessment
400
A nurse is delegating care of clients to the certified nursing assistant (CNA) and licensed practical nurse (LPN). Which tasks should the nurse give the CNA and LPN? a. CNA: Measure vital signs; LPN/LVN: Give oral medications on assigned clients b. CNA: Ambulate a client who had a CVA; LPN/LVN: Assess two clients c. CNA: Measure vital signs; LPN/LVN: Complete a head-to-toe assessment on a newly admitted client
What is a. CNA: Measure vital signs; LPN/LVN: Give oral medications on assigned clients
400
The 5 rights of medication administration.
What is: Right Patient Drug Dose Time Route
400
4. Which of the following has to happen to be considered abandonment? A) Dropping your patient off at the train station and telling your supervisor they are no longer your responsibility. B) The nurse accepted the patient assignment and established a nurse/patient relationship and then severed the relationship. C) The nurse failed to give reasonable notice to the appropriate person, so that an arrangement of continued nursing care can be continued by someone else. D) All of the above
What is D) All of the above
500
When a Registered Nurse (RN) authorizes a Certified Nursing Assistants (CNAs) or Licensed Practical Nurse (LPN) to perform a task of nursing, while retaining accountability for the outcome.
What is delegation?
500
Why is delegation important? a) Work is finished faster b) Distributes the work load c) Nurse can sit down for the rest of the shift d) More people can find possible mistakes
What is b) Distributes the work load
500
A RN is assigning clients to her staff (an RN and an LPN) for the shift. Which of the following is the best assignment? a. The RN is assigned to care for a client with newly diagnosed diabetes mellitus who will need to be taught how to self-administer insulin. b. The LPN is assigned to provide discharge teaching about dressing changes and medications to a 35-year-old man. c. The RN is assigned to care for a 75- year- old woman, hospitalized for dehydration, who is being discharged home today with no medications.
What is a. The RN is assigned to care for a client with newly diagnosed diabetes mellitus who will need to be taught how to self-administer insulin.
500
5. Which criminal charges may a nurse face if their behavior rises to a negligence level considered “reckless disregard for human life”? A) Manslaughter B) Carelessness C) Negligent Homicide D) A and C E) A and B
What is D) A and C
500
Nurse Suzette was taking care of Patient Ronald McDonald. Mr. McDonald was admitted to the hospital after passing out from working all day in the sun on his farm. Nurse Suzette was not good at putting in an IV so she decided not to give Mr. McDonald any fluids during his visit. Mr. McDonald went into shock while in Nurse Suzette’s care. Are the nurse’s actions considered malpractice or negligence? A) Malpractice B) Negligence C) Both D) Neither
What is A) Malpractice
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