EXAM 3 Nursing Fund Exam Questions
With Verified Answers
Which of the following are considered ethical problems? Select all that apply. Hint: There are 4
correct answers. - answer✔A physician is performing a thoracentesis on a patient who does not
particularly like the doctor. After one failed attempt, the patient tells the physician to stop. The
physician asks you to give an anxiolytic so she can just get the procedure done quickly.
You are taking care of a patient with a history of cocaine abuse who is in severe pain following
several thoracic vertebrae fractures secondary to a fall off a ladder. After multiple calls to a
resident physician, you are still waiting for a response when you decide to call the resident's
attending physician.
In your post-clinical conference discussion with your nursing instructor, you avoid using patient
identifiers in describing the care you gave to your patient today.
A student is about to administer an intramuscular injection for the first time, when the client asks
"Is this your first shot?" The student responds with "No, I've given several before" because they
want to decrease the client's anxiety.
You are frustrated with the lack of response by management in addressing the severe short
staffing within your hospital unit. Your brother tells you that he can get you an interview with a
local news station to help address the issue.
A nurse shows a fellow nurse on another floor a picture of a patient's large sacral pressure ulcer
that she posted to Instagram. The patient is lying down and all identifiers have been removed
from the photograph.
In what way can a nurse differentiate strong research from poor research? - answer✔by
critiquing the study
Feedback:Nurses must have a working knowledge of research methods, and basic ability to read
for application and to critique research.
During a clinical placement on a subacute, geriatric medicine unit, a student nurse fed a stroke
client some beef broth, despite the fact that the client's diet was restricted to thickened fluids. As
a result, the client aspirated and developed pneumonia. Which statement underlies the student's
potential liability in this situation? - answer✔The same standards of care that apply to a
registered nurse apply to the student.
Feedback:Despite the fact that their knowledge and skills are still under development, nursing
students are held to the same standards of care as registered nurses. Consequently, primary
liability does not lie with the student's instructor or the client's primary nurse. Insurance may be
carried by the school of nursing, but this does not negate the student's legal responsibility to
provide care at a high standard.
What nursing organization first legitimized the use of the nursing process? - answer✔American
Nurses Association
Feedback:Although the term "nursing process" was first used by Lydia Hall in 1955 and nursing
theorists delineated specific steps in a process approach to nursing, use of the nursing process
was legitimized in 1973, when the American Nurses Association's Congress for Nursing Practice
developed Standards of Practice to guide nursing performance.
A group of nurse researchers has proposed a study to examine the efficacy of a new wound care
product. Which aspect of the methodology demonstrates that the nurses are attempting to
maintain the ethical principle of nonmaleficence? - answer✔The nurses are taking every
reasonable measure to ensure that no participants experience impaired wound healing as a result
of the study intervention.
Feedback:The principle of nonmaleficence dictates that nurses avoid causing harm. In this study,
this may appear in the form of taking measures to ensure that the intervention will not cause
more harm than good. The principle of justice addresses the distribution of risks and benefits.
The informed consent process demonstrates that autonomy is being protected. Preliminary
indications of the therapeutic value of the intervention show a respect for the principle of
beneficence.
Which aspect of nursing would be most likely defined by legislation at a state level? -
answer✔The differences in the scope of practice between registered nurses (RNs) and licensed
practical nurses (LPNs).
Feedback:The scope of practice defines the parameters within which nurses provide care, and is
established by state legislation, most commonly in the form of a Nurse Practice Act. The criteria
and due process for delegation in the clinical setting is addressed by a state board of nursing.
Qualification criteria for programs such as Medicare and Medicaid are established by federal
legislation, while the process for safe and appropriate medication administration is defined and
monitored by a state board of nursing.
On the first postoperative day, the client is assisted to the bathroom. It is important for the nurse
to: - answer✔assess the client's safety.
Feedback:Toileting often is associated with falls; the nurse must ensure the client's safety.
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