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Exam (elaborations)

NURS 101 Final Exam Questions and Correct Answers the Latest Update and Recommended Version

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After a car/pedestrian accident, the pedestrian is brought to the ER. The client is alert & oriented but complains of dyspnea. O2 sat levels vary from 88-90%. O2 is applied at 2 L per nc with no improvement in SpO2. Radiograph films reveal no obvious injury or fractures. Suddenly the pt loses...

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  • October 24, 2024
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NURS 101 Final Exam Questions and
Correct Answers the Latest Update and
Recommended Version
After a car/pedestrian accident, the pedestrian is brought to the ER. The client is alert &

oriented but complains of dyspnea. O2 sat levels vary from 88-90%. O2 is applied at 2 L

per nc with no improvement in SpO2. Radiograph films reveal no obvious injury or fractures.

Suddenly the pt loses consciousness has a respiratory arrest & subsequently dies. During the

respiratory arrest resuscitation it is determined that a nurse failed to open the valve to the O2

tank & the client had not been receiving O2. What is the key ethical principal involved in this

situation?




1. Nonmaleficence

2. Fidelity

3. Beneficence

4. Justice

✓ Correct answer # 1 - nonmaleficenceis the requirement that health care providers do no
harm to their clients either intentionally or unintentionally. Think of remember
nonmaleficenceis not harm
✓ 2 - incorrect - fidelity is the obligation of an individual to be faithful
✓ 3 - incorrect - beneficence is doing food for the clients
✓ 4 - incorrect - justice is the obligation to be fair to all people.


Which factor is unique to malpractice when comparing negligence and malpractice?




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1. The action did not meet standards of care.

2. The inappropriate care is an act of commission.

3. There is harm to the patient as a result of the care

4. There is a contractual relationship between the nurse and patient.

✓ Correct answer - 4 - only malpractice is misconduct performed in professional practice,
where there is a contractual relationship between the patient and nurse, which results in
harm to the patient.
✓ 1 - incorrect - there is a violation of standards of care with both negligence and
malpractice
✓ 2 - incorrect - negligence and malpractice both involve acts of either commission (did do
something) or omission (did not do something).
✓ 3 - incorrect - the patient must have sustained injury, damage, or harm with both
negligence and malpractice.


An anxious patient repeatedly uses the call bell to get the nurse to come to the room. Finally

the nurse says to the patient, "If you keep ringing, there will come a time I won't answer your

bell."this is an example of:




1. Slander

2. Assault

3. Battery

4. Libel




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✓ Correct answer 2 - this is an example of assault. Assault is a verbal attack or unlawful
threat causing a fear of harm. No actual contact is necessary for a threat to be an
assault.
✓ 1 - incorrect - slander is a false spoken statement resulting in damage to a person's
character or reputation.
✓ 3 - incorrect - battery is the unlawful touching of a person's body without consent.
✓ 4 - incorrect - libel is a false printed statement resulting in damage to a person's
character or reputation.


A patient asks the nurse, "what is a Living Will?"the nurse should respond that it is a document

that:




1. Instructs a physician to withhold/withdraw life sustaining procedures if death is near.

2. Enables a person to request medication to end life in a humane and dignified manner.

3. Gives consent to perform life sustaining medical interventions during an emergency

4. Wills ones organs to help others who needs a transplant to sustain life.

✓ Correct answer - 1 - a living will provides specific instructions about the care the person
does or does not want to receive, including withholding or withdrawing life sustaining
procedures.
✓ 2 - incorrect - euthanasia is the act of painlessly putting to death a person who is
suffering and is against the law in most states.
✓ 3 - incorrect - when an individual can not provide written or oral consent (express
consent) during an emergency, care is provided under the concept of implied consent.
✓ 4 - incorrect - under the Uniform Anatomical Gift Act and the National Organ Transplant
Act in the US, individuals 18 years or odlermay donate all or part of their bodies for
education, research, advancement of science, therapy, or transplantation. Consent for
organ donation usually is made via a signed organ donation card.


A patient falls while getting out of bed unassisted. When completing an Incident Report, the

nurse understands that its main purpose is to:




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1. Ensure that all parties have an opportunity to document what happened.

2. Help establish who is responsible for the incident

3. Make data available for quality control analysis

4. Document the incident on the patient's chart

✓ Corrrectanswer - 3 - incident reports help identify patterns of risk so that corrective action
plans can take place.
✓ 1 - incorrect - the nurse who identifies or creates the potential or actual harm completes
the Incident Report. The report identifies the people involved in the incident, describes the
incident, and records the date, time, location, actions taken, and other relevant
information.
✓ 2 - incorrect - documentation should be as factual as possible and avoid accusations.
Questions of liability are the responsibility of the courts.
✓ 4 - incorrect - the report is not part of the patient's medical record, and reference to the
report should not be made in the patient's medical record.


The physician asks the nurse to witness an informed consent. The nurse understands that a

patient who is unable to give informed consent for surgery is a:




1. 16 y.oboy who is married

2. 35 y.owoman who is depressed

3. 50 y.owoman who does not speak english

4. 65 y.oman who has received a narcotic for pain.




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