A
1.A client is admitted to a hospital for bronchial asthma and is allergic to certain smells. A nurse sprays freshener in the room. The client develops an allergy because of the freshener and his condition worsens. It is clear that the action of the nurse amounts to an offense. Under what category can the offense be classified?
A)Negligence
B)Tort
C)Battery
D)Malpractice
1.A
6.The legislative power to initiate, regulate, and enforce the provisions of the Nurse Practice Act, including conditions under which a license may be suspended or revoked and conditions for reinstatement, is delegated to a specific state agency. Which body has the legislative power to initiate, regulate, and enforce the provisions of the Nurse Practice Act?
A)State Board of Nursing
B)Board of Medical Examiners
C)Department of Health Services
D)Department of Consumer Affairs
6.A
11.A primary care provider's orders indicate that an informed consent needs to be signed for a cardiac catheterization. Which statement best illustrates the nurse fulfilling the client advocate role?
A)“The cardiologist has requested that you sign this informed consent form.”
B)“Do you have any questions about the cardiac catheterization procedure that the cardiologist explained to you earlier today?”
C)“What were you told by the cardiologist about the cardiac catheterization procedure?”
D)“Did the student nurse assist you in getting the informed consent signed for the cardiac catheterization procedure?”
11.C
16.There are three major types of advance directives. The patient tells the nurse of having a living will. What is a living will?
A)A written and legally witnessed document that request no extraordinary measures be taken to save a person's life in the event of terminal illness.
B)A written and legally witnessed document that directs the physician to be the client's decision maker in the event of terminal illness.
C)A written document that a client names another person to make healthcare decisions in case the client becomes unable to do so.
D)Verbal communication that directs the physician to be the client's decision maker in the event of terminal illness.
16.A
21.A client admitted to a hospital is suspected to be brain dead. Which of the following would most likely be used to determine brain death?
A)Marked hypothermia
B)Severe depression of the central nervous system
C)Complete absence of brainstem reflexes
D)Dilated pupils
21.C
2.A nurse takes pictures of a client with a dog in the bed during an animal-assisted therapy visit in the long-term care facility. The nurse and organization do not request permission to have the photographs sent to a nursing magazine for publication. It is clear that the action of the nurse amounts to an offense. Under what category can the offense be classified?
A)Slander
B)Malpractice
C)Libel
D)Assault
2.C
7.A male client visits a healthcare center complaining of a skin infection. He has been prescribed an ointment to use for the next 10 days, every morning after a bath. A nurse has been assigned to demonstrate how to apply the ointment. After 2 days, the client reports to the nurse that the ointment gives him a burning sensation. The nurse does not inform the supervisor. The client revisits the hospital 5 days later complaining that his infection has spread, giving him a bad itch. What reason should the hospital management cite while holding the nurse responsible for the worsened condition of the client?
A)Withholding treatment
B)Termination of treatment
C)Refusal of care
D)Abandonment of care
8.
A nurse in a medical care center notices that the sphygmomanometer used to measure the blood pressure of clients has a defective part and gives inaccurate readings. What initial action should the nurse take in this case?
A)
Report and label the defective sphygmomanometer immediately.
B)
Replace the sphygmomanometer immediately.
C)
Try to repair the defect in the instrument.
D)
Order a new sphygmomanometer.
9.
A prescription containing various medicines issued by a physician for a client with typhoid appears incorrect to a nurse. Which is an appropriate action for the nurse?
A)
Administer the client medications according to the ordered prescription.
B)
Administer the recommended dosage of the prescribed medication.
C)
Contact the primary care provider that the order needs correction.
D)
Rectify the prescription personally.
10.
There are benefits and limitations of the Good Samaritan Act. Following a motor vehicle accident, a nurse stops and offers assistance.
A)
The nurse is not held liable unless there is gross negligence.
B)
In most states, a nurse is not required to assist at the scene of an accident.
C)
The nurse can expect compensation for assisting at the scene of the accident.
D)
The nurse can act outside the limits of education and experience in this type of emergency.
11.
A primary care provider's orders indicate that an informed consent needs to be signed for a cardiac catheterization. Which statement best illustrates the nurse fulfilling the client advocate role?
A)
“The cardiologist has requested that you sign this informed consent form.”
B)
“Do you have any questions about the cardiac catheterization procedure that the cardiologist explained to you earlier today?”
C)
“What were you told by the cardiologist about the cardiac catheterization procedure?”
D)
“Did the student nurse assist you in getting the informed consent signed for the cardiac catheterization procedure?”
12.
A client refused to have a urinary catheter placed. The nurse insisted that the catheter be inserted and did so. The hospital attorney recommends that the lawsuit be settled as quickly as possible because the nurse is most likely going to be found guilty. What legal standard has been violated?
A)Assault
B)Battery
C)Invasion of privacy
D)False imprisonment
7.D
12.
A client refused to have a urinary catheter placed. The nurse insisted that the catheter be inserted and did so. The hospital attorney recommends that the lawsuit be settled as quickly as possible because the nurse is most likely going to be found guilty. What legal standard has been violated?
A)Assault
B)Battery
C)Invasion of privacy
D)False imprisonment
12.B
17.There are three major types of advance directives. The patient tells the nurse of having a directive to the physician. What is a directive to the physician?
A)A written and legally witnessed document that request no extraordinary measures to be taken to save a person's life in the event of terminal illness.
B)A written and legally witnessed document that directs the physician to be the client's decision maker in the event of terminal illness.
C)A written document in which a client names another person to make healthcare decisions should the client become unable to do so.
D)Verbal communication that directs the physician to be the client's decision maker in the event of terminal illness.
17.B
22.The student nurse asks how the nurse will know when the client has actually died. The nurse tells the student nurse about the signs of brain death and biological death. When does the client experience biological death?
A)Irreversible coma
B)Pupils fixed and dilated
C)Irreversible cessation of all functions of the brain
D)Absence of respirations and the absence of a heartbeat
22.D
3.There are implications for nurses for the concepts of false imprisonment, abandonment of care, invasion of privacy, and confidentiality. Who establishes the standards for confidentiality?
A)State Board of Nursing
B)National Council of State Boards of Nursing
C)Health Insurance Portability and Accountability Act (HIPPA)
D)Patient Self-Determination Act
3.C
8.A nurse in a medical care center notices that the sphygmomanometer used to measure the blood pressure of clients has a defective part and gives inaccurate readings. What initial action should the nurse take in this case?
A)Report and label the defective sphygmomanometer immediately.
B)Replace the sphygmomanometer immediately.
C)Try to repair the defect in the instrument.
D)Order a new sphygmomanometer.
8.A
13.A nurse discovers that a primary care provider has prescribed a medication to which the client is allergic. What is the most appropriate action?
A)Administer the medication despite the client's allergy.
B)Contact the primary care provider who wrote the order for the prescribed medication.
C)Contact the pharmacist about the allergy and prescribed medication.
D)Refuse to administer the medication to the client.
13.B
18.There are three major types of advance directives. The patient tells the nurse that her two daughters have Durable Power of Attorney for healthcare. What is meant by Durable Power of Attorney for healthcare?
A)A written and legally witnessed document that request no extraordinary measures be taken to save a person's life in the event of terminal illness.
B)A written and legally witnessed document that directs the physician to be the client's decision maker in the event of terminal illness.
C)A written document in which a client names another person to make healthcare decisions should the client become unable to do so.
D)Verbal communication that directs the physician to be the client's decision maker in the event of terminal illness.
18.C
23.Which nursing action by a nurse ensures that HIPPA legislation of a client's electronic medical record is being maintained?
A)The nurse logs on to the client's medical record and leaves the computer on to answer another client's call light.
B)The nurse shares her computer password with the student nurse.
C)The nurse turns off the computer and logs off when having to care for another client.
D)The nurse leaves the printed diagnostic test results for a patient at a public computer workstation.
23.C
4.The nurse has received a diagnostic test report over the telephone and is updating the client's medical records on the computer with these results. What care should the nurse take when doing so?
1. Care should be taken to make sure the medical record can be pulled up and shared with the client and family members visiting the client.
2. Care must be taken not to share verbal and written communications regarding the client with unauthorized individuals.
3. The primary care provider should take accountability to maintain the confidentiality of the client's medical record.
4. Care should be taken not to pull client information onto the computer screen when other clients can see it.
A)1, 2
B)1, 3
C)2, 4
D)3, 4
4.D
9.A prescription containing various medicines issued by a physician for a client with typhoid appears incorrect to a nurse. Which is an appropriate action for the nurse?
A)Administer the client medications according to the ordered prescription.
B)Administer the recommended dosage of the prescribed medication.
C)Contact the primary care provider that the order needs correction.
D)Rectify the prescription personally.
9.C
14.A primary care provider orders 10 units of regular insulin to be administered subcutaneously to the client. The nurse administered 10 unit of NPH insulin subcutaneously to the client. After notification of the charge nurse and primary care provider, the nurse monitors the client and no untoward effects occurred from the administration of the incorrect insulin. Would the client likely to be successful in suing the nurse for malpractice?
A)Yes, a breach of duty exists
B)Yes, foreseeability was present
C)No, the nurse correctly notified the charge nurse and primary care provider
D)No, there was no harm to the client as result of administration of the incorrect insulin
14.D
19.Which client in a hospital can be considered a vulnerable person and needs special attention?
A)A teenage girl with asthma
B)A middle-aged client with leukemia
C)A 4-year-old child with heart value malfunction
D)A 35-year-old man with a ventral hernia
19.C
24.A nurse was practicing without a nursing license. What legal and ethical standard of healthcare is being violated?
A)Slander
B)Libel
C)Felony
D)Malpractice
24.C
5.The Nurse Practice Act is a law that defines and regulates the practice of nursing in the United States. Based on the fact that this law that requires regulation of nursing practice, what are the components of the Nursing Practice Act?
1. Definition of practical and registered nursing
2. Primary care provider functions protected for nurses by the law
3. Establishment of requirements for licensure
4. Procedures for issue and renewal of nursing licenses
A)1, 2, 3
B)1, 2, 4
C)1, 3, 4
D)2, 3, 4
5.C
10.There are benefits and limitations of the Good Samaritan Act. Following a motor vehicle accident, a nurse stops and offers assistance.
A)The nurse is not held liable unless there is gross negligence.
B)In most states, a nurse is not required to assist at the scene of an accident.
C)The nurse can expect compensation for assisting at the scene of the accident.
D)The nurse can act outside the limits of education and experience in this type of emergency.
10.A
15.Which nursing action could result in malpractice?
A)Attendance at an in-service to learn about a new automated blood pressure machine
B)Did not follow up on a client's complaint about itching from a topical medication
C)Documentation of a client's allergy
D)Asks the primary care provider about a medication order that is illegible
15.B
20.A client is admitted to a hospital for diabetes. A medical team of doctors and nurses is assigned by the hospital to treat him. The client expects to receive efficient care from the assigned nurse. What kind of services can the client expect from the nurses in this regard?
A)Get help from one of the nurses in making a living will
B)Have knowledge about the medication to be administered
C)Get special care from the nurses compared with other clients
D)Get legal advice pertaining to an advanced directive from the nurses
20.B
25.All nurses are expected to give competent and efficient care to clients. For which nursing action can a nurse be held liable?
A)Giving emergency CPR to a client and the client's rib is cracked
B)Endorsing organic commercial products
C)Not reporting a malfunctioning suction machine
D)Meeting established standards of practice
25.C