Nurse Practitioner’s Business Practice and Legal Guide 6th 7th
Edition Test Bank
Professional regulations and laws that govern nursing practice are in place for which reason?
a) To limit the number of nurses in practice
b) To ensure that practicing nurses are of good moral standing
c) To protect the safety of the public
d) To ensure that enough new nurses are always available - ANSWER: c
A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit
contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse
has revealed the information to the physiotherapist. With what legal action could the nurse be
charged?
a) Libel
b) Slander
c) Negligence
d) Malpractice - ANSWER: b--slander is spoken false statements
libel is PUBLISHED false statements
Nurses complete incident reports as dictated by the agency protocol. What is the primary reason
nurses fill out an incident report?
a) To document everyday occurrences
b) To document the need for disciplinary action
c) To improve quality of care
d) To initiate litigation - ANSWER: c
During a nursing shift, which events warrant completion of an incident report? Select all that apply.
a) A nurse reports that a client is crying and distraught over a diagnosis of metastatic cancer.
b) An intravenous antibiotic was administered 2 hours late because the IV site infiltrated.
c) A visitor slipped and fell in the hallway, but was not injured.
d) A client falls while being transferred from the bed to the chair.
e) A registered nurse asks an unlicensed assistive personnel (UAP) to feed a client. - ANSWER: c,d
A nurse and the facility have been named as defendants in a malpractice lawsuit. In addition to the
nurse's attorney, whom else would be appropriate for the nurse to talk with about the case?
a) A colleague
b) The agency's risk manager
c) The plaintiff's lawyer
d) The local press - ANSWER: b
A physician is called to see a client with angina. During the visit the physician advises the nurse to
decrease the dosage of atenolol to 12.5 mg. However, because the physician is late for another visit,
the physician requests that the nurse write down the order for the physician. What should be the
appropriate nursing action in this situation?
a) The nurse should ask the physician to come back and write the order.
b) The nurse should write the order and implement it.
c) The nurse should inform the client of the change in medication.
d) The nurse should remind the physician later to write the work order. - ANSWER: a
Which scenario is an example of certification?
a) A nurse who demonstrates advanced expertise in a content area of nursing through special testing
b) A graduate of a nursing education program who passes NCLEX-RN
c) An education program that meets standards of the National League for Nursing
, d) A hospital that meets the standards of the Joint Commission - ANSWER: a
A nurse enters the client's room and finds the client lying on the floor experiencing a seizure. After
stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an
incident report. What is the purpose of an incident report?
a) To determine the nurse's fault in the incident
b) To evaluate the quality of care provided and assess the potential risks for injury to the client
c) To provide information to local, state, and federal agencies
d) To evaluate the immediate care provided by the nurse to the client - ANSWER: b
A nurse asks a coworker about the condition of the nurse's next-door neighbor, who has been
admitted to the unit. If the coworker shares the neighbor's client information with the nurse, the
coworker could be held liable for committing which act?
a) Invasion of privacy
b) Negligence
c) Assault
d) Defamation of character - ANSWER: a
A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to
prevent the client from pulling out the endotracheal tube, what is the most appropriate action of the
nurse?
a) Sedate the client.
b) Get written consent.
c) Obtain a medical order.
d) Notify the family. - ANSWER: c
A client was admitted to a postoperative nursing unit after undergoing abdominal surgery. During this
time, the nurse failed to recognize the significance of abdominal swelling, which significantly
increased during the next 6 hours. Later, the client had to undergo emergency surgery. The lack of
action on the nurse's part is liable for action. Which legal term describes the case?
a) Misdemeanor
b) Felony
c) Tort
d) Fraud - ANSWER: c--tort: people are liable for the consequences for their actions, whether
intentional or not
misdemeanor--minor wrongdoing
felony--major wrongdoing, typically involving violence
Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care
to the critically ill client. These nurses can validate this specialty competence through what process?
a) Certification
b) Accreditation
c) Licensure
d) Litigation - ANSWER: a
A nurse is providing care to an older adult client. The client has been alert and independent with
ambulation but now is exhibiting some confusion along with being unsteady when getting out of bed
and walking. The nurse fails to report and document this change in status. No safety measures are
taken and the client falls while getting out of bed to use the bathroom and fractures a hip. The client
is experiencing significant pain from the fractured hip and requires surgery to repair the fracture. The
nurse is sued for malpractice. Which action reflects the element of causation in this case?
a) Responsibility to report changes in status
b) Failure to document and report the change
c) Lack of safety measures implemented with status change
d) Fractured hip, pain, and need for surgery - ANSWER: c
Edition Test Bank
Professional regulations and laws that govern nursing practice are in place for which reason?
a) To limit the number of nurses in practice
b) To ensure that practicing nurses are of good moral standing
c) To protect the safety of the public
d) To ensure that enough new nurses are always available - ANSWER: c
A nurse, while off-duty, tells the physiotherapist that a client who was admitted to the nursing unit
contracted AIDS due to exposure to sex workers at the age of 18. The client discovers that the nurse
has revealed the information to the physiotherapist. With what legal action could the nurse be
charged?
a) Libel
b) Slander
c) Negligence
d) Malpractice - ANSWER: b--slander is spoken false statements
libel is PUBLISHED false statements
Nurses complete incident reports as dictated by the agency protocol. What is the primary reason
nurses fill out an incident report?
a) To document everyday occurrences
b) To document the need for disciplinary action
c) To improve quality of care
d) To initiate litigation - ANSWER: c
During a nursing shift, which events warrant completion of an incident report? Select all that apply.
a) A nurse reports that a client is crying and distraught over a diagnosis of metastatic cancer.
b) An intravenous antibiotic was administered 2 hours late because the IV site infiltrated.
c) A visitor slipped and fell in the hallway, but was not injured.
d) A client falls while being transferred from the bed to the chair.
e) A registered nurse asks an unlicensed assistive personnel (UAP) to feed a client. - ANSWER: c,d
A nurse and the facility have been named as defendants in a malpractice lawsuit. In addition to the
nurse's attorney, whom else would be appropriate for the nurse to talk with about the case?
a) A colleague
b) The agency's risk manager
c) The plaintiff's lawyer
d) The local press - ANSWER: b
A physician is called to see a client with angina. During the visit the physician advises the nurse to
decrease the dosage of atenolol to 12.5 mg. However, because the physician is late for another visit,
the physician requests that the nurse write down the order for the physician. What should be the
appropriate nursing action in this situation?
a) The nurse should ask the physician to come back and write the order.
b) The nurse should write the order and implement it.
c) The nurse should inform the client of the change in medication.
d) The nurse should remind the physician later to write the work order. - ANSWER: a
Which scenario is an example of certification?
a) A nurse who demonstrates advanced expertise in a content area of nursing through special testing
b) A graduate of a nursing education program who passes NCLEX-RN
c) An education program that meets standards of the National League for Nursing
, d) A hospital that meets the standards of the Joint Commission - ANSWER: a
A nurse enters the client's room and finds the client lying on the floor experiencing a seizure. After
stabilizing the client, the nurse informs the physician. The physician advises the nurse to prepare an
incident report. What is the purpose of an incident report?
a) To determine the nurse's fault in the incident
b) To evaluate the quality of care provided and assess the potential risks for injury to the client
c) To provide information to local, state, and federal agencies
d) To evaluate the immediate care provided by the nurse to the client - ANSWER: b
A nurse asks a coworker about the condition of the nurse's next-door neighbor, who has been
admitted to the unit. If the coworker shares the neighbor's client information with the nurse, the
coworker could be held liable for committing which act?
a) Invasion of privacy
b) Negligence
c) Assault
d) Defamation of character - ANSWER: a
A nurse is caring for a client following endotracheal intubation. Before applying soft wrist restraints to
prevent the client from pulling out the endotracheal tube, what is the most appropriate action of the
nurse?
a) Sedate the client.
b) Get written consent.
c) Obtain a medical order.
d) Notify the family. - ANSWER: c
A client was admitted to a postoperative nursing unit after undergoing abdominal surgery. During this
time, the nurse failed to recognize the significance of abdominal swelling, which significantly
increased during the next 6 hours. Later, the client had to undergo emergency surgery. The lack of
action on the nurse's part is liable for action. Which legal term describes the case?
a) Misdemeanor
b) Felony
c) Tort
d) Fraud - ANSWER: c--tort: people are liable for the consequences for their actions, whether
intentional or not
misdemeanor--minor wrongdoing
felony--major wrongdoing, typically involving violence
Nurses practicing in a critical care unit must acquire specialized skills and knowledge to provide care
to the critically ill client. These nurses can validate this specialty competence through what process?
a) Certification
b) Accreditation
c) Licensure
d) Litigation - ANSWER: a
A nurse is providing care to an older adult client. The client has been alert and independent with
ambulation but now is exhibiting some confusion along with being unsteady when getting out of bed
and walking. The nurse fails to report and document this change in status. No safety measures are
taken and the client falls while getting out of bed to use the bathroom and fractures a hip. The client
is experiencing significant pain from the fractured hip and requires surgery to repair the fracture. The
nurse is sued for malpractice. Which action reflects the element of causation in this case?
a) Responsibility to report changes in status
b) Failure to document and report the change
c) Lack of safety measures implemented with status change
d) Fractured hip, pain, and need for surgery - ANSWER: c
