2024-2025 NEWEST NR 226 ACTUAL FINAL Exam
1 WITH MULTIPLE QUESTIONS AND ANSWERS
100% RATED CORRECT WITH 100% SURE
PASS|GRADED A+
A practitioner asks the nurse to witness an informed consent. Which patient does the nurse identif
or or or or or or or or or or or or or or or
y is unable to give an informed consent for surgery?
or or or or or or or or or
1) 16 year old boy who is married
or or or or or or or
2) 35 year old woman who is depressed
or or or or or or or
3) 50 year old woman who does not speak English
or or or or or or or or or
4) 65 year old man who has received a narcotic for pain. -
or or or or or or or or or or or or
answersCorrect Answer: 4 (Narcotics depress the CNS, including decision-making abilities.
or or or or or or or or or or
1 - Because legally anyone under 18 who is married can make the decision.
or or or or or or or or or or or or or
2- or
wrong because a depressed person can make these decisions until proven mentally incompetent.
or or or or or or or or or or or or or
3 - Wrong because this person can provide informed consent after translations.
or or or or or or or or or or or
When the nurse is administering a medication to a confused patient, the patient says, "this pill loo
or or or or or or or or or or or or or or or or
ks different from the one I had before." What should the nurse do?
or or or or or or or or or or or or
1) Ask what the other pill looked like.
or or or or or or or
,2) Explain the purpose of the medication.
or or or or or or
3) Check the original medication prescription.
or or or or or
4) Encourage the patient to take the medication. -
or or or or or or or or
answersCorrect answer: 3 (This is the safest intervention because it goes to the original source of t
or or or or or or or or or or or or or or or or or
he prescription.) or
1- or
Wrong because This action by itself is unsafe because the patient is confused and the information
or or or or or or or or or or or or or or or or or
obtained may be innacurate. or or or
2 - This intervention ignores the patient's concern.
or or or or or or or
4- or
This action ignores the patient's statement and is unsafe without obtaining additional informatio
or or or or or or or or or or or or or
n.
The nurse administers an incorrect dose of a medication to a patient. What is the primary purpose
or or or or or or or or or or or or or or or or or
of documenting this event in an Incident Report?
or or or or or or or
1) Record the event for future litigation.
or or or or or or
2) Provide a basis for designing new policies.
or or or or or or or
3) Prevent similar situations from happening again.
or or or or or or
4) Ensure accountability for the cause of the accident. - answersCorrect answer: 3 (Risk-
or or or or or or or or or or or or or
management committees use stats about accidents & incidents to identify patterns of risk and pre or or or or or or or or or or or or or or
vent future accidents/incidents.) or or
1- or
Wrong because although documentation of an incident may be used in a court of law, it is not the p
or or or or or or or or or or or or or or or or or or or or
rimary reason for an incident report. or or or or or
2-
This is not the primary reason. New policies may or may not have to be written and implemented.
or or or or or or or or or or or or or or or or or or
4- or
Although nurses are always accountable for their actions, accountability for the cause of an incide
or or or or or or or or or or or or or or or
nce is the role of the courts.
or or or or or or
,A practitioner writes a prescription for a medication that is larger than the standard dose. What sh
or or or or or or or or or or or or or or or or
ould the nurse do? or or or
1) Inform the supervisor
or or or
2) Give the drug as prescribed.
or or or or or
3) Give the average dose of the medication.
or or or or or or or
4) Discuss the prescription with the practitioner. -
or or or or or or or
answersCorrect Answer: 4 (Nurses have a prof. resonsibility to know/investigate the standard dos
or or or or or or or or or or or or or
e for medications being administered. In addition, nurses are responsible for their own actions reg
or or or or or or or or or or or or or or
ardless of whether there is a written prescription) or or or or or or or
1 - It is unnecessary to call the supervisor.
or or or or or or or or
2 - This is unsafe for the patient and may result in malpractice.
or or or or or or or or or or or or
3 - Changing a medication prescription is not within the scope of nursing practice.
or or or or or or or or or or or or or
When the nurse attempts to administer a medication to a patient, the patient refuses to take the m
or or or or or or or or or or or or or or or or or
edication because it causes diarrhea. The nurse provides teaching about the medication, but the p
or or or or or or or or or or or or or or
atient continues to adamantly refuse the medication. What should the nurse do first?
or or or or or or or or or or or or
1) Document the patient's refusal to take the medication.
or or or or or or or or
2) Notify the practitioner of the patient's refusal to take the medication.
or or or or or or or or or or or
3) Discuss with a family member the need for the patient to take the medication.
or or or or or or or or or or or or or or
4) Explain again to the patient the consequences of refusing to take the medication. -
or or or or or or or or or or or or or or
answersCorrect Answer: 1 (The patient has the right to refuse)
or or or or or or or or or or
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
or or or or or or or or or or or or or or or or
3. Discussing the situation with a family member without the patient's consent is a violation of con
or or or or or or or or or or or or or or or or
fidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication. Furt
or or or or or or or or or or or or or or
her teaching at this time may be viewed by the patient as badgering.
or or or or or or or or or or or or
, When caring for a terminally ill patient, a family member says, "I need your help to hasten my moth
or or or or or or or or or or or or or or or or or or
er's death so that she is no longer suffering." What should the nurse do based on the position of the
or or or or or or or or or or or or or or or or or or or
American Nurse association in relation to assisted suicide?
or or or or or or or or
1) Not participate in active euthanasia.
or or or or or
2) Participate based on personal values and beliefs.
or or or or or or or
3) Participate when the patient is experiencing severe pain.
or or or or or or or or
4) Not participate unless two practitioners are consulted and the patient has had counseling. -
or or or or or or or or or or or or or or
answersCorrect Answer: 1 (Withholding the medication and docu-
or or or or or or or or
menting the patient's refusal are the appropriate interventions. Patient's have a right to refuse car
or or or or or or or or or or or or or or or
e.)
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
or or or or or or or or or or or or or or or or or
3. Discussing the situation with a family member without the patient's consent is a violation of con
or or or or or or or or or or or or or or or or
fidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication. Furt
or or or or or or or or or or or or or or
her teaching at this time may be viewed by the patient as badgering.
or or or or or or or or or or or or
Which organization is responsible for ensuring that Registered Nurses are minimally qualified to p
or or or or or or or or or or or or or
ractice nursing? or
1) Sigma Theta Tau
or or or
2) State Boards of Nursing
or or or or
3) American Nurses Association
or or or
4) Constituent leagues of the National League for Nursing. -
or or or or or or or or or
answersCorrect Answer: 2. (The National Council of State Boards of Nursing is responsible for the
or or or or or or or or or or or or or or or or
NCLEX examinations; however, the licensing authority in the jurisdiction in which the graduate tak
or or or or or or or or or or or or or
es the examination verifies the acceptable score on the examination.)
or or or or or or or or or
1 WITH MULTIPLE QUESTIONS AND ANSWERS
100% RATED CORRECT WITH 100% SURE
PASS|GRADED A+
A practitioner asks the nurse to witness an informed consent. Which patient does the nurse identif
or or or or or or or or or or or or or or or
y is unable to give an informed consent for surgery?
or or or or or or or or or
1) 16 year old boy who is married
or or or or or or or
2) 35 year old woman who is depressed
or or or or or or or
3) 50 year old woman who does not speak English
or or or or or or or or or
4) 65 year old man who has received a narcotic for pain. -
or or or or or or or or or or or or
answersCorrect Answer: 4 (Narcotics depress the CNS, including decision-making abilities.
or or or or or or or or or or
1 - Because legally anyone under 18 who is married can make the decision.
or or or or or or or or or or or or or
2- or
wrong because a depressed person can make these decisions until proven mentally incompetent.
or or or or or or or or or or or or or
3 - Wrong because this person can provide informed consent after translations.
or or or or or or or or or or or
When the nurse is administering a medication to a confused patient, the patient says, "this pill loo
or or or or or or or or or or or or or or or or
ks different from the one I had before." What should the nurse do?
or or or or or or or or or or or or
1) Ask what the other pill looked like.
or or or or or or or
,2) Explain the purpose of the medication.
or or or or or or
3) Check the original medication prescription.
or or or or or
4) Encourage the patient to take the medication. -
or or or or or or or or
answersCorrect answer: 3 (This is the safest intervention because it goes to the original source of t
or or or or or or or or or or or or or or or or or
he prescription.) or
1- or
Wrong because This action by itself is unsafe because the patient is confused and the information
or or or or or or or or or or or or or or or or or
obtained may be innacurate. or or or
2 - This intervention ignores the patient's concern.
or or or or or or or
4- or
This action ignores the patient's statement and is unsafe without obtaining additional informatio
or or or or or or or or or or or or or
n.
The nurse administers an incorrect dose of a medication to a patient. What is the primary purpose
or or or or or or or or or or or or or or or or or
of documenting this event in an Incident Report?
or or or or or or or
1) Record the event for future litigation.
or or or or or or
2) Provide a basis for designing new policies.
or or or or or or or
3) Prevent similar situations from happening again.
or or or or or or
4) Ensure accountability for the cause of the accident. - answersCorrect answer: 3 (Risk-
or or or or or or or or or or or or or
management committees use stats about accidents & incidents to identify patterns of risk and pre or or or or or or or or or or or or or or
vent future accidents/incidents.) or or
1- or
Wrong because although documentation of an incident may be used in a court of law, it is not the p
or or or or or or or or or or or or or or or or or or or or
rimary reason for an incident report. or or or or or
2-
This is not the primary reason. New policies may or may not have to be written and implemented.
or or or or or or or or or or or or or or or or or or
4- or
Although nurses are always accountable for their actions, accountability for the cause of an incide
or or or or or or or or or or or or or or or
nce is the role of the courts.
or or or or or or
,A practitioner writes a prescription for a medication that is larger than the standard dose. What sh
or or or or or or or or or or or or or or or or
ould the nurse do? or or or
1) Inform the supervisor
or or or
2) Give the drug as prescribed.
or or or or or
3) Give the average dose of the medication.
or or or or or or or
4) Discuss the prescription with the practitioner. -
or or or or or or or
answersCorrect Answer: 4 (Nurses have a prof. resonsibility to know/investigate the standard dos
or or or or or or or or or or or or or
e for medications being administered. In addition, nurses are responsible for their own actions reg
or or or or or or or or or or or or or or
ardless of whether there is a written prescription) or or or or or or or
1 - It is unnecessary to call the supervisor.
or or or or or or or or
2 - This is unsafe for the patient and may result in malpractice.
or or or or or or or or or or or or
3 - Changing a medication prescription is not within the scope of nursing practice.
or or or or or or or or or or or or or
When the nurse attempts to administer a medication to a patient, the patient refuses to take the m
or or or or or or or or or or or or or or or or or
edication because it causes diarrhea. The nurse provides teaching about the medication, but the p
or or or or or or or or or or or or or or
atient continues to adamantly refuse the medication. What should the nurse do first?
or or or or or or or or or or or or
1) Document the patient's refusal to take the medication.
or or or or or or or or
2) Notify the practitioner of the patient's refusal to take the medication.
or or or or or or or or or or or
3) Discuss with a family member the need for the patient to take the medication.
or or or or or or or or or or or or or or
4) Explain again to the patient the consequences of refusing to take the medication. -
or or or or or or or or or or or or or or
answersCorrect Answer: 1 (The patient has the right to refuse)
or or or or or or or or or or
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
or or or or or or or or or or or or or or or or
3. Discussing the situation with a family member without the patient's consent is a violation of con
or or or or or or or or or or or or or or or or
fidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication. Furt
or or or or or or or or or or or or or or
her teaching at this time may be viewed by the patient as badgering.
or or or or or or or or or or or or
, When caring for a terminally ill patient, a family member says, "I need your help to hasten my moth
or or or or or or or or or or or or or or or or or or
er's death so that she is no longer suffering." What should the nurse do based on the position of the
or or or or or or or or or or or or or or or or or or or
American Nurse association in relation to assisted suicide?
or or or or or or or or
1) Not participate in active euthanasia.
or or or or or
2) Participate based on personal values and beliefs.
or or or or or or or
3) Participate when the patient is experiencing severe pain.
or or or or or or or or
4) Not participate unless two practitioners are consulted and the patient has had counseling. -
or or or or or or or or or or or or or or
answersCorrect Answer: 1 (Withholding the medication and docu-
or or or or or or or or
menting the patient's refusal are the appropriate interventions. Patient's have a right to refuse car
or or or or or or or or or or or or or or or
e.)
2. Notifying the practitioner eventually should be done, but it is not the priority at this time.
or or or or or or or or or or or or or or or or or
3. Discussing the situation with a family member without the patient's consent is a violation of con
or or or or or or or or or or or or or or or or
fidentiality.
4. The patient has been taught about the medication and adamantly refuses the medication. Furt
or or or or or or or or or or or or or or
her teaching at this time may be viewed by the patient as badgering.
or or or or or or or or or or or or
Which organization is responsible for ensuring that Registered Nurses are minimally qualified to p
or or or or or or or or or or or or or
ractice nursing? or
1) Sigma Theta Tau
or or or
2) State Boards of Nursing
or or or or
3) American Nurses Association
or or or
4) Constituent leagues of the National League for Nursing. -
or or or or or or or or or
answersCorrect Answer: 2. (The National Council of State Boards of Nursing is responsible for the
or or or or or or or or or or or or or or or or
NCLEX examinations; however, the licensing authority in the jurisdiction in which the graduate tak
or or or or or or or or or or or or or
es the examination verifies the acceptable score on the examination.)
or or or or or or or or or
