DOS II FINAL EXAM QUESTIONS
What are the three types of authorizing mechanisms?
a) Medical directives, MD orders, NP orders
b) Standing orders, medical directives, delegation
c) MD orders, NP orders, directives
d) Order, initiation, delegation - -D
-When initiating a controlled act, an RN or RPN must : (put the following into
the correct order as per the CNO document Authorizing Mechanisms)
1) Assess the client and identify the problem
2) Anticipate the management of potential outcomes
3) Decide on a course of action
4) Accept accountability for deciding the particular procedure is required and
for ensuring that any potential outcomes are managed appropriately
5) Weight the risks and benefits of each option, considering the clients
condition
6) Consider all of the available options to address the problem - -1,6,5,3,2,4
-The nurse provides immunizations to a primary school class of 40 patients -
-Medical directive
-The nurse provides her patient with 500 mg of Tylenol to treat the patients
headache - -Order
-The nurse goes through a formal process to allow a family member provide
wound care to the client - -Delegation
-The nurse in the community independently decides it is the patients best
interest to have an I/O catheter to address the patients urinary retention - -
Initiation
-A patient needs to have emergent surgery. The patient will need
intravenous access for the surgery. The RPN starts the patient's IV. What will
she need to be able to do this?
a) Nothing, she is able to initiate this procedure
b) An order
c) A medical directive
d) Permission from the CNO - -B
-Which Controlled Acts are authorized to nurses?
1) Performing allergy testing
2) Dispensing a drug
3) Treating by means of psychotherapy technique
,4) Putting a hand, instrument or finger beyond a natural or artificial opening
of the body
5) Managing labour, or conducting a delivery
6) Performing a prescribed procedure below the dermis or mucous
membrane
7) Administering a substance by inhalation or injection - -2,3,4,6,7
-An RPN orders an RPN colleague to insert a urinary catheter for a newly
admitted patient.
a) Confirm RPN order with MD before proceeding
b) Accept the order and proceed with the intervention
c) Consult with an RN before proceeding
d) Decline to accept the order - -D
-Shannon is an RN in an urban hospital and a preceptor for Mei, a nursing
student on a clinical placement. Sharon has a client who requires urinary
catheterization. Sharon introduces Mei to the client and asks for consent to
allow Mei to perform the procedure. After the client agrees, Sharon
supervises Mei as she inserts the catheter. It was appropriate for Sharon to
allow to perform this controlled act. True or False? - -True
-A professional standard is an authoritative statement that sets out the legal
and professional basis of nursing practice. All nurses are held to the same
standard throughout their careers
a) True
b) False - -A
-Which of the following are NOT entry to Practice requirements?
a) Successful completion of the nursing education requirements
b) Proof of citizenship, permanent residency or authorization under the
immigration protection act
c) Obtain a minimum average of 70% on your academic record
d) Successful of the jurisprudence exam - -C
-Which of the following is NOT considered one of the roles of the CNO in
supporting Nursing Self Regulation?
a) Establishing requirements for entry to practice
b) Administering the QA program
c) Developing and Reviewing Nursing Curriculum
d) Articulating, Promoting, and Enforcing Standards of practice - -C
-The Registered Health Professions Act applies to all of the following except:
a) Nurses
b) Physiotherapists
c) Paramedics
d) Physicians - -C
, -The purpose of entry to practice competencies are the following except:
a) Inform the public about what they can expect from the nurses
b) Expectations for nurses to provide cost effective and efficient care
c) Demonstrate how nursing practice is influenced by the current
competencies
d) Describe the expected performance behaviors that reflect safe, competent
and ethical care. - -B
-Which of the following does NOT apply to the nursing act?
a) The nursing act identifies each of the controlled acts and what
professionals can perform them
b) The nursing act authorizes nurses to perform their controlled acts
c) The nursing act provides title protection for nurses
d) The nursing act defines professional misconduct - -A
-When initiating a controlled act an RN or RPN must Assess, consider
options, weigh the risks, decide on action and anticipate or accept
a) treatment and outcomes
b) outcomes and accountability
c) observe and accountability
d) observe and treatment - -B
-Mandatory reporting requirements for the college of nurses apply to all
regulated health care providers, employers and facility operators.
a) True
b) False - -B
-what must an individual achieve in order to use the title "nurse" in Ontario
a) Complete an accredited nursing program
b) Membership with the College of Nurses of Ontario
c) Completion of the CPNRE
d) Completion of the Jurisprudence Exam - -B
-an oncology nurse attends a conference on new pain management
techniques during the end of life. upon returning to the unit, he works with
the educator to share the new knowledge he attained at the conference. By
sharing these new techniques with his colleagues, he is upholding which
professional standard?
a) Ethics
b) Accountability
c) Continuing Competence
d) Knowledge Translation - -C
-What are Controlled Acts?
a) Activities that have been established by the Nursing Act
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