NUR 380 Exam 1 (Based on
Blueprint) Questions with
Accurate Answers
A nurse administers medication to a patient, following all protocols and
procedures outlined in
the Nurse Practice Acts and adhering to the standards set forth by HIPAA.
However, an
unforeseen allergic reaction occurs, leading to complications for the patient.
correct answer The nurse is protected by adhering to the Nurse Practice Acts,
which define the scope of
nursing practice and provide guidelines for medication administration.
● HIPAA ensures that the patient's medical information, including any adverse
reactions, is
protected and kept confidential.
● If the allergic reaction was unforeseeable and occurred despite the nurse's
adherence to
protocols, it may be considered an unintentional tort under civil law. The nurse
may not
be held liable if they acted with reasonable care and within their scope of
practice.
● The nurse's role with informed consent is to ensure that the patient
understands the
nature of the procedure, including its risks, benefits, and alternatives, as required
by law
A nurse discovers that a primary care provider has prescribed an unusually large
dosage of a medication. Which is the most appropriate action?
,Administer the medication.
Notify the prescriber.
Call the pharmacist.
Refuse to administer the medication. correct answer Answer: 2. Rationale: The
nurse should call the individual who wrote the order for clarification.
Administering the medication is incorrect because knowing the dose is outside
the normal range and not questioning the order could lead to client harm and
liability for the nurse. Calling the pharmacist is not the best answer because it will
not solve the problem, and the nurse needs to seek clarification from the
individual who wrote the order. The nurse should suspend administration but not
refuse to administer the medication until the issue is resolved.
A nurse is assisting a physician in obtaining informed consent from a patient
before a surgical
procedure. The nurse explains the procedure to the patient, answers any
questions they may
have, and witnesses the patient signing the consent form. correct answer The
nurse acts in accordance with both statutory and common law, which mandate
that
patients have the right to make informed decisions about their medical
treatment.
● By facilitating the informed consent process, the nurse helps protect the
patient's
autonomy and ensures that they are making decisions based on adequate
information.
● If the nurse fails to adequately explain the procedure or obtain valid consent,
they may
be held liable for negligence under tort law. However, as long as the nurse fulfills
their
, duty to provide accurate information and support the patient's decision-making
process,
they are protected under the law.
A nursing student is employed and working as an assistive personnel (AP) on a
busy surgical unit. The nurses know that the AP is enrolled in a nursing program
and will be graduating soon. A nurse asks the AP if he has performed a urinary
catheterization on clients while in the nursing program. When the AP says "Yes,"
the nurse asks him to help her out by doing a urinary catheterization on a
postsurgical client. What is the best response by the AP?
"Let me get permission from the client first."
"Sure. Which client is it?"
"I can't do it unless you supervise me."
"I can't do it. Is there something else I can help you with?" correct answer
Answer: 4. Rationale: A sterile, invasive procedure that places the client at
significant risk for infection is generally outside the scope of practice of a AP. Even
though the AP is a nursing student, the agency job description should be followed.
The job description is the standard of care in this situation.
A primary care provider prescribes one tablet, but the nurse unintentionally
administers two. After notifying the primary care provider, the nurse monitors the
client carefully for untoward effects of which there are none. Is the client likely to
be successful in suing the nurse for professional negligence?
No, the client was not harmed.
No, the nurse notified the primary care provider.
Yes, a breach of duty exists.
Yes, foreseeability is present. correct answer Answer: 1. Rationale: All elements
such as duty, foreseeability, causation, harm, injury, and damages must be
present for professional negligence to be proven. The nurse is a licensed
Blueprint) Questions with
Accurate Answers
A nurse administers medication to a patient, following all protocols and
procedures outlined in
the Nurse Practice Acts and adhering to the standards set forth by HIPAA.
However, an
unforeseen allergic reaction occurs, leading to complications for the patient.
correct answer The nurse is protected by adhering to the Nurse Practice Acts,
which define the scope of
nursing practice and provide guidelines for medication administration.
● HIPAA ensures that the patient's medical information, including any adverse
reactions, is
protected and kept confidential.
● If the allergic reaction was unforeseeable and occurred despite the nurse's
adherence to
protocols, it may be considered an unintentional tort under civil law. The nurse
may not
be held liable if they acted with reasonable care and within their scope of
practice.
● The nurse's role with informed consent is to ensure that the patient
understands the
nature of the procedure, including its risks, benefits, and alternatives, as required
by law
A nurse discovers that a primary care provider has prescribed an unusually large
dosage of a medication. Which is the most appropriate action?
,Administer the medication.
Notify the prescriber.
Call the pharmacist.
Refuse to administer the medication. correct answer Answer: 2. Rationale: The
nurse should call the individual who wrote the order for clarification.
Administering the medication is incorrect because knowing the dose is outside
the normal range and not questioning the order could lead to client harm and
liability for the nurse. Calling the pharmacist is not the best answer because it will
not solve the problem, and the nurse needs to seek clarification from the
individual who wrote the order. The nurse should suspend administration but not
refuse to administer the medication until the issue is resolved.
A nurse is assisting a physician in obtaining informed consent from a patient
before a surgical
procedure. The nurse explains the procedure to the patient, answers any
questions they may
have, and witnesses the patient signing the consent form. correct answer The
nurse acts in accordance with both statutory and common law, which mandate
that
patients have the right to make informed decisions about their medical
treatment.
● By facilitating the informed consent process, the nurse helps protect the
patient's
autonomy and ensures that they are making decisions based on adequate
information.
● If the nurse fails to adequately explain the procedure or obtain valid consent,
they may
be held liable for negligence under tort law. However, as long as the nurse fulfills
their
, duty to provide accurate information and support the patient's decision-making
process,
they are protected under the law.
A nursing student is employed and working as an assistive personnel (AP) on a
busy surgical unit. The nurses know that the AP is enrolled in a nursing program
and will be graduating soon. A nurse asks the AP if he has performed a urinary
catheterization on clients while in the nursing program. When the AP says "Yes,"
the nurse asks him to help her out by doing a urinary catheterization on a
postsurgical client. What is the best response by the AP?
"Let me get permission from the client first."
"Sure. Which client is it?"
"I can't do it unless you supervise me."
"I can't do it. Is there something else I can help you with?" correct answer
Answer: 4. Rationale: A sterile, invasive procedure that places the client at
significant risk for infection is generally outside the scope of practice of a AP. Even
though the AP is a nursing student, the agency job description should be followed.
The job description is the standard of care in this situation.
A primary care provider prescribes one tablet, but the nurse unintentionally
administers two. After notifying the primary care provider, the nurse monitors the
client carefully for untoward effects of which there are none. Is the client likely to
be successful in suing the nurse for professional negligence?
No, the client was not harmed.
No, the nurse notified the primary care provider.
Yes, a breach of duty exists.
Yes, foreseeability is present. correct answer Answer: 1. Rationale: All elements
such as duty, foreseeability, causation, harm, injury, and damages must be
present for professional negligence to be proven. The nurse is a licensed
