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Question 1  (1 point)   A nurse is caring for a client who is...

Question 1 (1 point)

 

A nurse is caring for a client who is dying. The nurse should incorporate the principle of nonmaleficence into practice by taking which of the following actions?

Question 1 options:

Discussing advance directives with the client and the client's family

Providing comfort care measures to the client

Withholding a dose of narcotic pain medication when the client has respiratory depression

Allowing the client's family unlimited visitation at the time of death

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Question 2 (1 point)

 

A nurse is caring for a group of clients. The nurse demonstrates adherence to the ethical principle of fidelity by doing which of the following?

Question 2 options:

Keeping an appointment with a client

Allowing a new mother to hold her stillborn infant

Confirming that a client going for surgery has signed a consent form

Refusing to disclose information about a client to the media

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Question 3 (1 point)

 

A nurse is caring for a client who is dying of metastatic breast cancer. She has a prescription for an opioid pain medication PRN. The nurse is concerned that administering a dose of pain medication might hasten the client's death. Which of the following ethical principles should the nurse use to support the decision not to administer the medication?

Question 3 options:

Utilitarianism

Nonmaleficence

Fidelity

Veracity

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Question 4 (1 point)

 

A nurse is teaching a class on torts. The nurse should include which of the following situations as an example of negligence?

Question 4 options:

A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to the provider in the early afternoon

A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to her without her knowledge.

A client who is alert and oriented makes an informed decision to leave the hospital against medical advice. The nurse applies restraints to the client to prevent him from leaving.

A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells the client that she will apply wrist restraints if he does not stop eating the potato chips.

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Question 5 (1 point)

 

A nurse is caring for a client who has named a person to serve as his health care proxy. The client states he needs clarification about this type of advance directives. Which of the following statements by the client indicates a need for clarification?

Question 5 options:

"I can change who I designate as my health care proxy at any time."

"If I become incapacitated, end-of-life choices will be made by my proxy."

"I have to choose a family member as my health proxy."

"The health care proxy does not go into effect until I am incapable of making decisions."

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Question 6 (1 point)

 

A nurse is caring for a group of clients in an acute mental health facility. Which of the following clients has the legal right to refuse treatment?

Question 6 options:

A 16-year-old client whose parents have requested treatment

An adult client who has delusions and refuses treatment for religious reasons

An older adult client who was voluntarily admitted

A client who is competent but was involuntarily admitted

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Question 7 (1 point)

 

A nurse on a medical-surgical unit has accepted a transfer to the intensive care unit (ICU). Prior to transfer to the ICU, the nurse completes an online critical care and emergency nursing course. The nurse is demonstrating which of the following ethical principles?

Question 7 options:

Veracity

Autonomy

Fidelity

Nonmaleficence

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Question 8 (1 point)

 

The nurse has become aware of missing narcotics in the patient care area. Which ethical principle obligates the nurse to report the missing medications?

Question 8 options:

Advocacy

Responsibility

Confidentiality

Accountability

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Question 9 (1 point)

 

A nurse administers an incorrect medication to a client. Following an assessment of the client, the nurse determines that the client has experienced no untoward effects as a result of the medication. The nurse does not complete an incident report because no harm came to the client. Which of the following ethical principles did the nurse violate?

Question 9 options:

Autonomy

Beneficence

Veracity

Confidentiality

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Question 10 (1 point)

 

A nurse is providing care to a client who is on strict bed rest following surgery. The nurse assists the patient to the bedside commode and the client sustains an injury to the operative area. Which of the following types of torts has the nurse committed?

Question 10 options:

Battery

Negligence

Malpractice

Assault

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Question 11 (1 point)

 

A nurse is teaching a class on torts. The nurse should instruct the class that administering an antibiotic medication to a competent client after the client has refused it is an example of which of the following torts?

Question 11 options:

Assault

False Imprisonment

Negligence

Battery

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Question 12 (1 point)

 

A nurse is caring for a client who is preoperative. The nurse signs as a witness on the client's consent form.The nurse's signature on the consent form indicates which of the following?

Question 12 options:

Determines the client does not have a mental illness

Confirms the client appears competent to provide consent

Asserts the nurse has explained the risks and benefits of the procedure

Records that the client? .? .s spouse agrees the procedure is necessary

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Question 13 (1 point)

 

A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the client, if necessary, to keep her from leaving the hospital. The nurse understands that restraining this client would be considered which type of civil action by the nurse?

Question 13 options:

Invasion of privacy

Assault

Battery

False imprisonment

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Question 14 (1 point)

 

A nurse manager has received information from the facility's risk management department that a former client is pursuing a lawsuit. The nurse manager should anticipate a deposition will be required during which phase of the legal process?

Question 14 options:

Complaint phase

Discovery phase

Discovery phase

Trial phase

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Question 15 (1 point)

 

A nurse is caring for several clients. For which of the following situations should the nurse complete an incident report?

Question 15 options:

The nurse identifies a broken piece of equipment.

A staff member does not show up to work her assigned shift.

A client discovers that his dentures are missing.

The nurse has a disagreement with the nursing supervisor about inadequate staffing.

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Question 16 (1 point)

 

When planning delegation of tasks to assistive personnel (AP), a nurse considers the five rights of delegation. Which of the following should the nurse consider when using one of the five rights of delegation?

Question 16 options:

The AP's ability to prioritize

The AP has the knowledge and skill to perform the task

The AP's rapport with clients

The AP'.s ability to complete the task without assistance

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Question 17 (1 point)

 

A 17-year-old patient, dying of heart failure, wants to have his organs removed for transplantation after his death. What action by the nurse is correct?

Question 17 options:

Prepare the organ donation form for the patient to sign while he is still oriented.

Instruct the patient to talk with his parents about his desire to donate his organs.

Notify the physician about the patient's desire to donate his organs.

Contact the United Network for Organ Sharing after talking with the patient.

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Question 18 (1 point)

 

A charge nurse is delegating tasks to nursing personnel on a 10-bed medical-surgical nursing unit. Which of the following assignments is an example of overdelegation?

Question 18 options:

Assigning two assistive personnel (AP) to ambulate all clients

Assigning a new graduate nurse to perform a wet-to-dry dressing change

Assigning the most efficient AP to perform glucometer monitoring for each client

Assigning the most competent RN to perform a central line dressing change

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Question 19 (1 point)

 

A nurse is assisting a newly licensed nurse with delegating tasks to an assistive personnel on the unit. Which of the following statements by the nurse explains the purpose of delegation?

Question 19 options:

"Delegation provides appropriate resources for the client."

"Delegation permits a designated individual to meet a goal on your behalf."

"Delegation promotes discharge teaching activities for clients."

"Delegation decreases health care costs."

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Question 20 (1 point)

 

A nurse manager is providing an inservice program about delegation to assistive personnel (AP) with staff nurses on the unit. Which of the following statements by a staff nurse indicates an understanding of the teaching?

Question 20 options:

"The nurse relinquishes accountability for client outcomes when care is delegated to an AP."

"The AP can provide client education about how to perform basic self-care to the client."

"The nurse should consider the AP's level of experience when making delegation decisions."

"The AP can re-delegate a task to another AP who has similar work experience."

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Question 21 (1 point)

 

A confused patient with a urinary catheter, nasogastric tube, and intravenous line keeps touching these needed items for care. The nurse has tried to explain to the patient that he should not touch these lines, but the patient continues. What is the best action by the nurse at this time?

Question 21 options:

Apply restraints loosely on the patient's dominant wrist.

Try other approaches to prevent the patient from touching these care items.

Notify the health care provider that restraints are needed immediately to maintain the patient's safety.

Allow the patient to pull out lines to prove that the patient needs to be restrained.

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Question 22 (1 point)

 

A nursing student has been written up several times for being late with providing patient care and for omitting aspects of patient care and not knowing basic procedures that were taught in the skills course one term earlier. The nursing student says, "I don't understand what the big deal is. As my instructor, you are there to protect me and make sure I don't make mistakes." What is the best response from the nursing instructor?

Question 22 options:

"You are expected to perform at the level of a professional nurse."

"You are expected to perform at the level of a nursing student."

"You are practicing under the license of the nurse assigned to the patient."

"You are expected to perform at the level of a skilled nursing assistant."

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Question 23 (1 point)

 

A nursing student in the final term of nursing school is overheard by a nursing faculty member telling another student that she got to insert a nasogastric tube in the emergency department while she was working as a nursing assistant. What advice is best for the nursing faculty member to give to the nursing student?

Question 23 options:

"Just be careful when you are doing new procedures and make sure you are following directions by the nurse."

"Review your procedures before you go to work, so you will be prepared to do them if you have a chance."

"The nurse should not have allowed you to insert the nasogastric tube because something bad could have happened."

"You are not allowed to perform any procedures other than those in your job description even with the nurse's permission."

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Question 24 (1 point)

 

The nurse hears a physician say to the charge nurse that he doesn't want that same nurse caring for his patients because she is stupid and won't follow his orders. The physician also writes on his patient's medical records that the same nurse, by name, is not to care for any of his patients because of her incompetence. What component(s) of defamation has the physician committed? (Select all that apply.)

Question 24 options:

Slander

Invasion of privacy

Libel

Assault

Battery

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Question 25 (1 point)

 

A patient has just been told that he has approximately six months to live and asks about advance directives. Which statements by the nurse give the patient correct information? (Select all that apply.)

Question 25 options:

"You have the right to refuse treatment at any time."

"If you want certain procedures or actions taken or not taken, and you might not be able to tell anyone at the time, you need to complete documents ahead of time that give your health care provider this information."

"You will be resuscitated at any time to allow you the longest length of survival."

"You might want to think about choosing someone who will make medical decisions for you in the event that you are unable to make your desires known."

"We will get someone who knows the state's guidelines to assist you in setting up your living will."

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