Fundamentals of Nursing Exam 1
Practice
A client is referred to a surgeon by the healthcare provider. After meeting the
surgeon, the client decides to consult with a different surgeon about treatment
options. The nurse supports the client's action, utilizing which ethical
principle?
1.Beneficence
2.Veracity
✅✅-3. Autonomy
3.Autonomy
4.Privacy -
A nurse forgets to administer a dose of a client's diuretic drug and the client
experiences an episode of pulmonary edema. The nurse should consider that
this error constitutes negligence because the situation contains which
element?
1.Purposeful failure to perform a healthcare procedure
2.Unintentional failure to perform a healthcare procedure
✅✅
3.Act of substituting a different medication for the one prescribed
4.Failure to follow a healthcare provider's prescription - -2. unintentional
failure to perform a healthcare procedure
An individual falls and fractures a hip while walking down the street. A
companion notices a nurse drive past without stopping to assist. The
individual sues the nurse for negligence but fails to win a judgment for which
reason?
1.The nurse had no duty to the individual.
2.The nurse did what most nurses would do in the same circumstance.
✅✅
3.The nurse did not cause the client's injuries.
4.The nurse was off-duty at that time. - -1. the nurse had no duty to the
individual.
A client asks why a diagnostic test has been prescribed and the nurse replies,
"I'm unsure but will find out for you." When the nurse later returns and
provides an explanation, the nurse is acting under which principle?
1.Nonmaleficence
2.Veracity
3.Beneficence
,4.Fidelity - ✅✅-4. fidelity
A client who takes warfarin is given aspirin for a headache while visiting a
neighbor, who is a nurse. The client subsequently has a bleeding episode
caused by interaction of these drugs. The legal nurse consultant interprets
which necessary elements of malpractice are missing from this case? Select
all that apply.
1.Breach of duty
2.Duty owed
3.Injury experienced
✅✅
4.Causation between nurse's action and injury
5.Intent to cause harm or injury - -2 & 5.
- The nurse did not have a duty to the neighbor and was not in an employment
capacity.
- The nurse did not intend to cause injury or harm
A client with cancer has decided to discontinue further treatment. Although
the nurse would like the client to continue treatment, the nurse recognizes the
client is competent and supports the client's decision using which ethical
principle?
1.Justice
2.Fidelity
✅✅-3. Autonomy
3.Autonomy
4.Confidentiality -
The healthcare provider prescribes a medication in a dose that is considered
toxic. The nurse administers the medication to the client, who later suffers a
cardiac arrest and dies. What consequence can the nurse expect from this
situation? Select all that apply.
1.The healthcare provider who prescribed the drug can be charged with
negligence.
2.As the employing agency, only the hospital can be charged with negligence.
3.The nurse and prescriber may be terminated from employment to prevent a
charge of negligence to the hospital.
4.Negligence will not be charged, as this event could happen to any
reasonable person.
✅✅
5.The nurse can be charged with negligence for administering the toxic dose -
-1 & 5.
- The healthcare provider who prescribed the drug can be charged with
negligence because they are liable for their errors.
, - The nurse can be charged with negligence for failing to verify and question
the incorrect dose.
A nurse and teacher are discussing legal issues related to the practice of their
professions. The teacher asks about the functions of the Nurse Practice Act
(NPA). The nurse should include which elements in a response? Select all that
apply.
1.Accredit schools of nursing
2.Enforce ethical standards of behavior
3.Protect the public
✅✅
4.Define the scope of nursing practice
5.Determine liability insurance rates - -3 & 4.
- The NPA serves to protect the public by setting minimum qualifications for
nursing relating to skills & competencies
- The NPA defines the scope of nursing practice in that state or province.
A staff nurse concerned about maintaining client confidentiality would take
which action while carrying out assigned duties?
1.Read non-assigned client records to become more familiar with disease
processes.
2.Share client information with nurses from the unit to which the client may
eventually be transferred.
3.Allow the family to review the client's health record to obtain answers to their
questions.
✅✅
4.Share information about the client with those directly involved in that client's
care - -4. Share information about the client with only those directly
involved in that clients care.
The nurse working in an acute care environment would utilize which strategies
to reduce the risk of malpractice litigation? Select all that apply.
1.Discuss any errors with the client and family in detail.
2.Keep incident reports on file.
3.Maintain expertise in practice.
✅✅
4.Offer opinions to clients when the situation warrants.
5.Report unsafe staffing levels to supervisor - -3 & 5.
- Maintain expertise in practice
- Report unsafe staffing levels to supervisor
1.The nurse determines a new mother is in greatest need of more education
about infant care and safety when the mother makes which statement?
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