CNO Jurisprudence Exam Questions &
Answers
1.Mrs Johnston, a frail elderly client with multiple co-morbidities, has
recently developed pneumonia requiring admission to an acute care facility.
Suzanne, a RPN is assigned to care for mrs. johnston in collaboration with a
RN. The family approaches the RN and demand that only RNs care for their
mother. How should the RN respond?
A) Respect the family's wishes and ask the charge nurse to adjust the
nursing assignment
B) Inform the RPN that a change in assignment is necessary due to the
acute pneumonia
C) Refer the family to the facility's client representative for support to have
the assignment changed
D) Explain to the family that the RPN is capable of caring for their mother
with RN support
ANS D
2.A nurse documents all the care provided during the workday at the end
of the shift. Which documentation standard has the nurse breached?
A) Care must be documented immediately after it occurs
B) Documentation must be relevant to client care
C) Documentation must be comprehension
D) Care must be documented in a timely manner
, ANS D
3.Which one of the following actions by a nurse demonstrates unequal
power in the nurse- client relationship?
A) Administering an antibiotic as ordered
B) Assisting a client with personal care
C) Informing a client of a toileting schedule
D) Expressing empathy for a client
ANS C
4.According to the CNO practice standard
Ethics, which one of the following terms represents an ethical value related
to client choice?
A) Self-esteem
B) self worth
C) self respect
D) self determination
ANS D
5.A nurse is assigned a client with complications following a therapeutic
abortion which is in direct conflict with the nurses values and religious
beliefs. What action should the nurse take in this situation
A) reconsider her or his beliefs
B) find another nurse to care for the client
C) inform the client about his or hers personal beliefs
,D) refused assignment and discontinue services for the client
ANS B
6.Which of the following situations would represent a concern about
exceed- ing the boundaries of the therapeutic nurse client relationship?
A) a nurse introduces herself or himself to the client by name and
professional designation
B) A nurse reveals to the healthcare team a secret shared by the client that
is relevant to the plan of care
C) A client asked the nurse to address him by his middle name because
that is what all his friends call him
D) a client is willing to speak only with his primary nurse and refuses to
speak with other nurses
ANS D
7.A nursed disagrees with the clients decision to terminate a pregnancy
for genetic reasons and wishes to discontinue nursing care. What should
the nurse do first?
A) discuss changing the clients plan of care with the healthcare team
B) Attempt to convince the clients family that there are other options
C) consult with a nursing colleague to clarify the nurses on values
D) Report the plan of care to the ethics review committee
ANS C
8.The nurse has a client who does not speak or understand English or
, French. Family members, acting as the interpreters, have stated that the
client would not want to know his prognosis. What is the nurses
responsibility in this situation?
A) respect the wishes of the family and do not disclose this information
B) encourage the family members to reconsider their position
C) involve a non-family member as an interpreter to confirm the clients wishe
D) consult with the client physician
ANS C
9.NP has written an order for influenza immunization at a local clinic
what should the RPM do?
A) implement the order
B) request that RN administer the injection
C) refused to administer the injection
D) Call the physician to confirm the order
ANS A
10.When sharing health information, in which of the following scenarios is
a nurse best demonstrating confidentiality?
A) discussion with the clients family in private, without informing the client
B) Discussion with the clients employer, with the clients permission
C) discussion with any healthcare provider, without informing the client
D) Discussion with the client in a public area, with the clients permission
ANS B
Answers
1.Mrs Johnston, a frail elderly client with multiple co-morbidities, has
recently developed pneumonia requiring admission to an acute care facility.
Suzanne, a RPN is assigned to care for mrs. johnston in collaboration with a
RN. The family approaches the RN and demand that only RNs care for their
mother. How should the RN respond?
A) Respect the family's wishes and ask the charge nurse to adjust the
nursing assignment
B) Inform the RPN that a change in assignment is necessary due to the
acute pneumonia
C) Refer the family to the facility's client representative for support to have
the assignment changed
D) Explain to the family that the RPN is capable of caring for their mother
with RN support
ANS D
2.A nurse documents all the care provided during the workday at the end
of the shift. Which documentation standard has the nurse breached?
A) Care must be documented immediately after it occurs
B) Documentation must be relevant to client care
C) Documentation must be comprehension
D) Care must be documented in a timely manner
, ANS D
3.Which one of the following actions by a nurse demonstrates unequal
power in the nurse- client relationship?
A) Administering an antibiotic as ordered
B) Assisting a client with personal care
C) Informing a client of a toileting schedule
D) Expressing empathy for a client
ANS C
4.According to the CNO practice standard
Ethics, which one of the following terms represents an ethical value related
to client choice?
A) Self-esteem
B) self worth
C) self respect
D) self determination
ANS D
5.A nurse is assigned a client with complications following a therapeutic
abortion which is in direct conflict with the nurses values and religious
beliefs. What action should the nurse take in this situation
A) reconsider her or his beliefs
B) find another nurse to care for the client
C) inform the client about his or hers personal beliefs
,D) refused assignment and discontinue services for the client
ANS B
6.Which of the following situations would represent a concern about
exceed- ing the boundaries of the therapeutic nurse client relationship?
A) a nurse introduces herself or himself to the client by name and
professional designation
B) A nurse reveals to the healthcare team a secret shared by the client that
is relevant to the plan of care
C) A client asked the nurse to address him by his middle name because
that is what all his friends call him
D) a client is willing to speak only with his primary nurse and refuses to
speak with other nurses
ANS D
7.A nursed disagrees with the clients decision to terminate a pregnancy
for genetic reasons and wishes to discontinue nursing care. What should
the nurse do first?
A) discuss changing the clients plan of care with the healthcare team
B) Attempt to convince the clients family that there are other options
C) consult with a nursing colleague to clarify the nurses on values
D) Report the plan of care to the ethics review committee
ANS C
8.The nurse has a client who does not speak or understand English or
, French. Family members, acting as the interpreters, have stated that the
client would not want to know his prognosis. What is the nurses
responsibility in this situation?
A) respect the wishes of the family and do not disclose this information
B) encourage the family members to reconsider their position
C) involve a non-family member as an interpreter to confirm the clients wishe
D) consult with the client physician
ANS C
9.NP has written an order for influenza immunization at a local clinic
what should the RPM do?
A) implement the order
B) request that RN administer the injection
C) refused to administer the injection
D) Call the physician to confirm the order
ANS A
10.When sharing health information, in which of the following scenarios is
a nurse best demonstrating confidentiality?
A) discussion with the clients family in private, without informing the client
B) Discussion with the clients employer, with the clients permission
C) discussion with any healthcare provider, without informing the client
D) Discussion with the client in a public area, with the clients permission
ANS B
