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Nursing Fundamentals Exam 1 Practice Test/29 Accurate Questions and Answers
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Nursing Fundamentals Exam 1 PracticeTest/29 Accurate Questions and Answers
A nurse is caring for a patient who recently had coronary bypass surgery.
Which are legal sources of standards of care the nurse uses to deliver safe
healthcare? (Select all that apply). [23]
1. Information provided by the head nurse
2. Policies and procedures of the employing hospital
3. State Nurse Practice Act
4. Regulations identified in the Joint Commission's manual.
5. The American Nurses Association standards of practice. - -2, 3, 4, 5
-A nurse is sued for failure to monitor a patient appropriately after a
procedure,. Which of the following statements are correct about this lawsuit?
(Select all that apply) [23]
1. The nurse represents the plaintiff.
2. The defendant must prove injury, damage, or loss.
3. The person filing the lawsuit has the burden of proof.
4. The plaintiff must prove that a breach in the prevailing standard of care
caused an injury. - -3, 4
-A nurse stops to help in an emergency at at the scene of an accident. The
injured party files a suit and the nurse's employing institution insurance does
not cover the nurse. What would probably cover the nurse in this situation?
[23]
1. The nurse's auto insurance
2. The nurse's homeowner's insurance
3. The Good Samaritan laws, which grant immunity from suit if there is no
gross negligence.
4. The Patient Care Partnership, which may grant immunity from suit if the
injured party contends. - -3
-A nurse is planning care for a patient going to surgery. Who is responsible
for informing the patient about the surgery along with the possible risks,
complications, and benefits? [23]
1. Family member
2. Surgeon
3. Nurse
4. Nurse Manager - -2
-A woman who is a Jehovah's Witness has severe, life-threatening injuries
and is hemorrhaging following a car accident. The healthcare provider
ordered 2 units of packed red blood cells to treat the woman's anemia. The
,woman's husband refuses to allow the nurse to give his wife the blood. What
is the nurse's responsibility? [23]
1. Obtain a court order to give the blood
2. Coerce the husband into giving the blood
3. Call security and have the husband removed from the hospital
4. Abide by the husband's wishes and inform the healthcare provider - -4
-The nurse notes that an advance directive is on a patient's medical record.
Which statement represents the best description of an advance directive
guideline the nurse will follow? [23]
1. A living will allows an appointed person to make health care decisions
when the patient is in an incapacitated state.
2. A living will is invoked only when the patient has a terminal condition or is
in a persistent vegetative state.
3. The patient can not make changes in the advance directive once admitted
to the hospital.
4. A durable power of attorney for health care is invoked only when the
patient has a terminal condition or is in a persistent vegetative state. - -2
-A nurse notes that the health care unit keeps a listing of the patient names
at the front desk in easy view for health care providers to more efficiently
locate the patient. The nurse talks with the nursing manager because this
action is a violoation of which act? [23]
1. Mental Health Parity Act
2. Patient Self-Determination Act (PSDA)
3. Health Insurance Portability and Accountability Act (HIPPA)
4. Emergency Medical Treatment and Active Labor Act - -3
-Which of the following actions, if performed by a registered nurse, would
result in both criminal and administrative law sanctions against the nurse?
(Select all that apply.) [23]
1. Taking and selling controlled substances
2. Refusing to provide health care information to a patient's child
3. Reporting suspected abuse and neglect of children
4. Applying physical restraints without a written physician's order. - -1, 4
-The nurse received a hand-off report at the change of shift in the
conference room from the night shift nurse. The nursing student assigned to
the nurse asks to review the medical records of the patients assigned to
them. The nurse begins assessing the assigned patients and lists the nursing
care information for each patient on each individual patient's message board
in the patient rooms. The nurse also lists the patient's medical diagnoses on
the message board. Later in the day, the nurse discusses the plan of care for
a patient who is dying with the patient's family. Which of these actions
describes a violation of the Health Insurance Portability and Accountability
Act (HIPPA)? [23]
, 1. Discussing the patient conditions in the nursing report room at the change
of shift
2. Allowing nursing students to review patient charts before caring for
patients to whom they are assigned
3. Posting medical information about the p - -3
-The patient has a fractured femur that is placed in skeletal traction with a
fresh plaster cast applied. The patient experiences decreased sensation and
a cold feeling in the toes of the affected leg. The nurse observes that the
patient's toes have become pale and cold but forgets to document this
because one of the nurse's other patient's experienced cardiac arrest at the
same time. Two days later the patient in skeletal traction has an elevated
temperature, and he is prepared for surgery to amputate the leg below the
knee. Which of the following statements regarding a breach of duty apply to
this situation? (Select all that apply). [23]
1. Failure to document a change in assessment data
2. Failure to provide discharge instructions
3. Failure to follow the six rights of medication administration
4. Failure to use proper medical equipment ordered for patient monitoring
5. Failure to notify a health care provider abou - -1, 5
-A homeless man enters the emergency department seeking health care.
The health care provider indicates that the patient needs to be transferred to
the City Hospital for care. This action is most likely a violation of which of the
following laws? [23]
1. Health Insurance Portability and Accountability Act (HIPPA)
2. Americans with Disabilities Act (ADA)
3. Patient Self-Determination Act (PSDA)
4. Emergency Medical Treatment and Active Labor Act (EMTALA) - -4
-You are the night shift nurse and are caring for a newly admitted patient
who appears confused. The family asks to see the patient's medical record.
What is the first nursing action to take? [23]
1. Give the family the record
2. Give the patient the record
3. Discuss the issues that concern the family with them
4. Call the nursing supervisor - -3
-A home health nurse notices significant bruising on the 2-year-old patient's
head, arms, abdomen, and legs. The patient's mother describes the patient's
frequent falls. What is the best nursing action for the home health nurse to
take? [23]
1. Document her findings and treat the patient
2. Instruct the mother on safe handling of a 2-year-old child
3. Contact a child abuse hotline
4. Discuss this story with a colleague - -3
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