LATEST VERSIONS) 2026
ACTUAL EXAM COMPLETE
250 EXAM
What are the three types of D
authorizing mechanisms?
a) Medical directives,
MDorders, NP orders
b) Standing
orders,medical directives,
delegation
c) MD orders, NP
orders,directives
d) Order,
initiation,delegation
,When initiating a controlled 1,6,5,3,2,4
act, an RN or RPN must : (put
the following into the
correct order as per the CNO
document Authorizing
Mechanisms)
1) Assess the client and
identify the problem 2)
Anticipate the management
of potential outcomes
3) Decide on a course
ofaction
4) Accept
accountabilityfor deciding
the particular procedure is
required and for ensuring
that any potential outcomes
are managed appropriately
5) Weight the risks and
benefits of each option,
considering the clients
condition
6) Consider all of the
available options to
address the problem
The nurse provides Medical directive
immunizations to a primary
school class of 40 patients
Order
The nurse provides her
patient with 500 mg of
Tylenol to treat the
patients headache
,The nurse goes through a Delegation
formal process to allow a
family member provide
wound care to the client
The nurse in the community Initiation
independently decides it is
the patients best interest to
have an I/O catheter to
address the patients urinary
retention
B
A patient needs to have
emergent surgery. The
patient will need intravenous
access for the surgery. The
RPN starts the patient's IV.
What will she need to be
able to do this?
a) Nothing, she is able to
initiate this procedure b)
An order
c) A medical directive
d) Permission from the
CNO
, Which Controlled Acts are 2,3,4,6,7
authorized to nurses? 1)
Performing allergy testing
2) Dispensing a drug 3)
Treating by means of
psychotherapy technique
4) Putting a
hand,instrument or finger
beyond a natural or
artificial opening of the
body
5) Managing labour,
orconducting a delivery 6)
Performing a prescribed
procedure below the
dermis or mucous
membrane
7) Administering a substance
by inhalation or injection
D
An RPN orders an RPN
colleague to insert a
urinary catheter for a
newly admitted patient.
a) Confirm RPN order with
MD before proceeding
b) Accept the order
andproceed with the
intervention
c) Consult with an
RNbefore proceeding
d) Decline to accept
theorder