FINAL Exam 1 WITH MULTIPLE
QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
Apractitionerasksthenursetowitnessaninformedconsent.Whichpatientdoesthenurseidentifyis
unabletogiveaninformedconsentforsurgery?
1)16yearoldboywhoismarried
2)35yearoldwomanwhoisdepressed
3)50yearoldwomanwhodoesnotspeakEnglish
4)65yearoldmanwhohasreceivedanarcoticforpain.-
Correctanswer~CorrectAnswer:4(NarcoticsdepresstheCNS,includingdecision-makingabilities.
1-Becauselegallyanyoneunder18whoismarriedcanmakethedecision.
2-wrongbecauseadepressedpersoncanmakethesedecisionsuntilprovenmentallyincompetent.
3-Wrongbecausethispersoncanprovideinformedconsentaftertranslations.
Whenthenurseisadministeringamedicationtoaconfusedpatient,thepatientsays,"thispilllooksdi
fferentfromtheoneIhadbefore."Whatshouldthenursedo?
1)Askwhattheotherpilllookedlike.
2)Explainthepurposeofthemedication.
3)Checktheoriginalmedicationprescription.
,4)Encouragethepatienttotakethemedication.-
Correctanswer~Correctanswer:3(Thisisthesafestinterventionbecauseitgoestotheoriginalsourc
eoftheprescription.)
1-
WrongbecauseThisactionbyitselfisunsafebecausethepatientisconfusedandtheinformationobt
ainedmaybeinnacurate.
2-Thisinterventionignoresthepatient'sconcern.
4-
Thisactionignoresthepatient'sstatementandisunsafewithoutobtainingadditionalinformation.
Thenurseadministersanincorrectdoseofamedicationtoapatient.Whatistheprimarypurposeofd
ocumentingthiseventinanIncidentReport?
1)Recordtheeventforfuturelitigation.
2)Provideabasisfordesigningnewpolicies.
3)Preventsimilarsituationsfromhappeningagain.
4)Ensureaccountabilityforthecauseoftheaccident.-Correctanswer~Correctanswer:3(Risk-
managementcommitteesusestatsaboutaccidents&incidentstoidentifypatternsofriskandpreve
ntfutureaccidents/incidents.)
1-
Wrongbecausealthoughdocumentationofanincidentmaybeusedinacourtoflaw,itisnottheprim
aryreasonforanincidentreport.
2-Thisisnottheprimaryreason.Newpoliciesmayormaynothavetobewrittenandimplemented.
4-
Althoughnursesarealwaysaccountablefortheiractions,accountabilityforthecauseofanincidenc
eistheroleofthecourts.
Apractitionerwritesaprescriptionforamedicationthatislargerthanthestandarddose.Whatshoul
dthenursedo?
,1)Informthesupervisor
2)Givethedrugasprescribed.
3)Givetheaveragedoseofthemedication.
4)Discusstheprescriptionwiththepractitioner.-
Correctanswer~CorrectAnswer:4(Nurseshaveaprof.resonsibilitytoknow/investigatethestanda
rddoseformedicationsbeingadministered.Inaddition,nursesareresponsiblefortheirownactions
regardlessofwhetherthereisawrittenprescription)
1-Itisunnecessarytocallthesupervisor.
2-Thisisunsafeforthepatientandmayresultinmalpractice.
3-Changingamedicationprescriptionisnotwithinthescopeofnursingpractice.
Whenthenurseattemptstoadministeramedicationtoapatient,thepatientrefusestotakethemedi
cationbecauseitcausesdiarrhea.Thenurseprovidesteachingaboutthemedication,butthepatient
continuestoadamantlyrefusethemedication.Whatshouldthenursedofirst?
1)Documentthepatient'srefusaltotakethemedication.
2)Notifythepractitionerofthepatient'srefusaltotakethemedication.
3)Discusswithafamilymembertheneedforthepatienttotakethemedication.
4)Explainagaintothepatienttheconsequencesofrefusingtotakethemedication.-
Correctanswer~CorrectAnswer:1(Thepatienthastherighttorefuse)
2.Notifyingthepractitionereventuallyshouldbedone,butitisnotthepriorityatthistime.
3.Discussingthesituationwithafamilymemberwithoutthepatient'sconsentisaviolationofconfid
entiality.
4.Thepatienthasbeentaughtaboutthemedicationandadamantlyrefusesthemedication.Further
teachingatthistimemaybeviewedbythepatientasbadgering.
Whencaringforaterminallyillpatient,afamilymembersays,"Ineedyourhelptohastenmymother's
deathsothatsheisnolongersuffering."WhatshouldthenursedobasedonthepositionoftheAmeric
anNurseassociationinrelationtoassistedsuicide?
, 1)Notparticipateinactiveeuthanasia.
2)Participatebasedonpersonalvaluesandbeliefs.
3)Participatewhenthepatientisexperiencingseverepain.
4)Notparticipateunlesstwopractitionersareconsultedandthepatienthashadcounseling.-
Correctanswer~CorrectAnswer:1(Withholdingthemedicationanddocu-
mentingthepatient'srefusalaretheappropriateinterventions.Patient'shavearighttorefusecare.)
2.Notifyingthepractitionereventuallyshouldbedone,butitisnotthepriorityatthistime.
3.Discussingthesituationwithafamilymemberwithoutthepatient'sconsentisaviolationofconfid
entiality.
4.Thepatienthasbeentaughtaboutthemedicationandadamantlyrefusesthemedication.Further
teachingatthistimemaybeviewedbythepatientasbadgering.
WhichorganizationisresponsibleforensuringthatRegisteredNursesareminimallyqualifiedtopra
cticenursing?
1)SigmaThetaTau
2)StateBoardsofNursing
3)AmericanNursesAssociation
4)ConstituentleaguesoftheNationalLeagueforNursing.-
Correctanswer~CorrectAnswer:2.(TheNationalCouncilofStateBoardsofNursingisresponsiblefo
rtheNCLEXexaminations;however,thelicensingauthorityinthejurisdictioninwhichthegraduatet
akestheexaminationverifiestheacceptablescoreontheexamination.)
1.SigmaThetaTau,theinternationalhonorsocietyofnursing,recognizesacademicachievementan
dleadershipqualities,encourageshighprofessionalstandards,fosterscreativeendeavors,andsup
portsexcellenceintheprofessionofnursing.Thisorganizationdoesnotgrantlicensure.
3.TheAmericanNursesAssociation(ANA)isthenationalprofessionalorganizationfornursinginthe
UnitedStates.Itfostershighstandardsofnursingpractice;itdoesnotgrantlicensure.
4.TheNationalLeagueforNursing(NLN)iscommittedtopromotingandimprovingnursingservicea
ndnursingeducation;itdoesnotgrantlicensure