NCLEX - Legal & Ethical, Nursing Jurisprudence: Legal
and Ethical Considerations NCLEX Practice Quiz, Legal
and Ethical Issues in Nursing, NCLEX Questions-Ethical
and Legal Issues, NCLEX STYLE REVIEW QUESTIONS
FOR NURSE PROCESS, LEGAL, PROFESSIONALIS...
. Even though the nurse may obtain the client's signature on a
form, obtaining informed consent is the responsibility of the:
A. Client
B. Physician
C. Student nurse
D. Supervising nurse. Correct Answer Answer: B. Physician
"Ambulate the patient three times a day at 0900, 1400, 1900 as
tolerated" is an example of:
Nursing order
Nursing diagnosis
Patient goal
Evaluation Correct Answer Nursing order
This statement is an example of an intervention that has been
made more specific to the patient, which is a nursing order.A
nursing diagnosis is a NANDA-approved statement that
identifies a specific problem. A patient goal is a statement that
includes what the patient needs to do to make changes in the
problem. Evaluation is the review of the plan of care to see what
revisions are necessary to the plan of care.
1. The nurse hears a client calling out for help, hurries down the
hallway to the client's room, and finds the client lying on the
,floor. The nurse performs an assessment, assists the client back
to bed, notifies the health care provider of the incident, and
completes an incident report. Which statement should the nurse
document on the incident report?
a. The client fell out of bed
b. The client climbed over the side rails
c. The client was found lying on the floor
d. The client became restless and tried to get out of bed. Correct
Answer 1. C- The incident report should contain the client's
name, age, and diagnosis. The report should contain a factual
description of the incident, any injuries experienced by those
involved, and the outcome of the situation. The correct option is
the only one that describes the facts as observed by the nurse.
Options 1, 2, and 4 are interpretations of the situation and are
not factual information as observed by the nurse.
10. Nursing staff members are sitting in the lounge taking their
morning break. An unlicensed assistive personnel (UAP) tells
the group that she thinks that the unit secretary has acquired
immunodeficiency syndrome (AIDS) and proceeds to tell the
nursing staff that the secretary probably contracted the disease
from her husband, who is supposedly a drug addict. Which legal
tort has the UAP violated?
a. Libel
b. Slander
c. Assault
d. Negligence Correct Answer 10. B- Defamation is a false
communication or a careless disregard for the truth that causes
damage to someone's reputation, either in writing (Libel) or
verbally (slander). An assault occurs when a person puts another
person in fear of a harmful or an offensive contact. Negligence
,involves the actions of professionals that fall below standard of
care for a specific professional group
11. An 87-year-old woman is brought to the emergency
department for treatment of a fractured arm. On assessment, the
nurse notes old and new ecchymotic areas on the client's chest
and legs and asks the client how the bruises were sustained. The
client, although reluctant, tells the nurse in confidence that her
son frequently hits her if supper is not prepared on time when he
arrives home from work. What is the most appropriate nursing
response?
a. "Oh really I will discuss this situation with your son"
b. "Let's talk about the ways you can manage your time to
prevent this from happening"
c. "Do you have any friends that can help you out until you
resolve these important issues with your son?"
d. "As a nurse, I am legally bound to report abuse. I will stay
with you while you give the report and help find a safe place for
you to stay. Correct Answer 11. D- The nurse must report
situations related to child or elder abuse, gunshot wounds and
other criminal acts, and certain infectious diseases. Confidential
issues are not to be discussed with nonmedical personnel or the
client's family or friends without the client's permission. Clients
should be assured under a legal obligation. Option 1, 2, and 3 do
not address the legal implications of the situation and do not
ensure a safe environment for the client.
12. The nurse calls the health care provider (HCP) regarding a
new medication prescription because the dosage prescribed is
higher than the recommended dosage. The nurse is unable to
, locate the HCP, and the medication is due to administered.
Which action should the nurse take?
a. Contact the nursing supervisor
b. Administer the dose prescribed
c. Hold the medication until the HCP can be contacted
d. Administer the recommended dose until the HCP can be
located Correct Answer 12. A- If the HCP writes a prescription
that requires clarification, the nurse's responsibility is to contact
the HCP. If there is no resolution regarding the prescription
because the HCP cannot be located or because the prescription
remains as it was written after talking with the HCP, the nurse
should contact the nurse manager or nursing supervisor for
further clarification as to what the next step should be. Under no
circumstances should the nurse proceed to carry out the
prescription until obtaining clarification.
13. The nurse employed in a hospital is waiting to receive a
report from the laboratory via the facsimile (fax) machine. The
fax machine activates and the nurse expects the report, but
instead receives a sexually oriented photograph. Which is the
most appropriate nursing action?
a. Call the police
b. Cut up the photograph and throw it away
c. Call the nursing supervisor and report the incident
d. Call the laboratory and ask for the individual's name who sent
the photograph Correct Answer 13. C- Ensuring a safe
workplace is a responsibility of an employing institution. Sexual
harassment in the workplace is prohibited by state and federal
laws. Sexually suggestive jokes, touching, pressuring a co-
worker for a date, and open displays of or transmitting sexually
oriented photographs or posters are examples of conducts that
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