Nursing Fundamentals Exam 1 Practice Test Questions Answered Correctly.
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Course
Nursing Fundamentals
Institution
Nursing Fundamentals
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 ...
Nursing Fundamentals Exam 1 Practice
Test Questions Answered Correctly.
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. - Answer 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. - Answer 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. -
Answer 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 - Answer 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 - Answer 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. - Answer 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 - Answer 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. - Answer 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 - Answer 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 - Answer 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) - Answer 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 - Answer 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 - Answer 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."
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