Exam (elaborations)
Nursing Fundamentals Exam 1 Practice Test (1)
Nursing Fundamentals Exam 1 Practice Test (1)
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Nursing Fundamentals Exam 1 Practice TestA 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. - ANS-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. -
ANS-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. - ANS-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 - ANS-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 - ANS-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. - ANS-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 - ANS-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. - ANS-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 - ANS-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 - ANS-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) - ANS-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 - ANS-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 - ANS-3
A new graduate nurse is being mentored by a more experienced nurse. They are discussing the
ways nurses need to remain active professionally. Which of the statements below indicates the
new graduate understands ways to remain involved professionally? (Select all that apply) [23]
1. "I am thinking about joining the health committee at my church."
2. "I need to read newspapers, watch news broadcasts, and search the Internet for information
related to health."
3. "I will join nursing committees at the hospital after I have several years of experience and
better understand the issues affecting nursing."
4. "Nurses do not have very much voice in legislation in Washington, D.C. because of the
shortage of nurses." - ANS-1, 2
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