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Gorski 8e
Chapter 1
Chapter 1: Overview: Professional Practice Issues and Infusion Therapy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is attempting to insert a peripheral IV catheter for a patient diagnosed with gastroenteritis. The
patient is not sure about this and is resisting the insertion. Based upon this situation, what are appropriate
actions?
A. Explain to the patient that this is what the doctor has prescribed.
B. Notify the physician about this patient’s concerns.
C. Tell the patient that it will only hurt for a few seconds.
D. Provide the patient with more information about the catheter insertion.
ANS: D
Page: 20
Feedback
A. Explaining that this is a doctor’s order is not addressing why the patient is not
sure about the insertion.
B. Notifying the physician is not an appropriate action.
C. Telling the patient it will only hurt a bit is not addressing why the patient is not
sure about the insertion.
D. Providing the patient with more information to make decisions is an appropriate
action. This is an element of informed consent that is called the right of self-
determination.
2. A nurse who is caring for patients understands that he or she should provide care that meets at least the
minimum standards of practice for nursing. Which phrase regarding standards of practice is most accurate?
A. Standards of practice focus on the care provider and represent acceptable levels of practice.
B. Standards of practice focus on the recipient of care and describe the outcomes of care.
C. Standards of practice are written laws enacted by the legislature.
D. Standards of practice are the result of the performance of a function or process.
ANS: A
Page: 16
Feedback
A. Standards of practice focus on the provider of care, define accountability, and
provide a framework for evaluation of professional competency.
B. Standards of practice criteria focus on the care provider, not the care recipient.
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Gorski 8e
Chapter 1
C. Standards of practice include evidence-based guidelines, policies, or protocols,
not written laws.
D. Standards of practice are reviewed in response to clinical questions and/or
performance issues, but they are a result of the performance or process.
3. A patient suffers a severe extravasation injury after infusion of calcium chloride through a peripheral IV
catheter. Despite treatment of the injury, patient outcomes include permanent scarring and nerve damage.
Which of the following must be met to substantiate a malpractice claim?
A. The nurse noted blood return in a peripheral IV catheter line.
B. The peripheral catheter was placed by a physician.
C. The nurse followed the physician orders.
D. The injury resulted from nursing negligence during the infusion.
ANS: D
Page: 25
Feedback
A. The presence of a blood return does not substantiate a malpractice claim.
B. Who placed the catheter does not substantiate a malpractice claim.
C. Following physician orders does not substantiate a malpractice claim.
D. This is correct; it must be established that the injury was due to a breach of duty
by the nurse; that is, the injury resulted from nursing negligence.
4. Ethical issues often arise during the provision of health care. A patient with documented cognitive
limitations and no available caregiver, who requires a peripherally inserted central catheter for several
weeks of IV antibiotics, is refusing treatment. The nurse brings this issue to the nursing manager, suggesting
referral to the ethics committee. This nurse is following which of the ANA ethical provisions?
A. Assert the fundamental values and commitments of nurses.
B. Identify nursing duties and responsibilities.
C. Describe duties of the nurse beyond individual patient encounters.
D. Maintaining integrity of the profession.
ANS: A
Page: 24
Feedback
A. This is the best answer; asserting fundamental values and commitments of nurses
is addressed in Provisions 1–3 and includes advocacy and compassion; this nurse
is advocating for this patient.
B. This is not the best answer. Provisions 4–6 on nursing duties and responsibilities
Gorski 8e
Chapter 1
Chapter 1: Overview: Professional Practice Issues and Infusion Therapy
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. A nurse is attempting to insert a peripheral IV catheter for a patient diagnosed with gastroenteritis. The
patient is not sure about this and is resisting the insertion. Based upon this situation, what are appropriate
actions?
A. Explain to the patient that this is what the doctor has prescribed.
B. Notify the physician about this patient’s concerns.
C. Tell the patient that it will only hurt for a few seconds.
D. Provide the patient with more information about the catheter insertion.
ANS: D
Page: 20
Feedback
A. Explaining that this is a doctor’s order is not addressing why the patient is not
sure about the insertion.
B. Notifying the physician is not an appropriate action.
C. Telling the patient it will only hurt a bit is not addressing why the patient is not
sure about the insertion.
D. Providing the patient with more information to make decisions is an appropriate
action. This is an element of informed consent that is called the right of self-
determination.
2. A nurse who is caring for patients understands that he or she should provide care that meets at least the
minimum standards of practice for nursing. Which phrase regarding standards of practice is most accurate?
A. Standards of practice focus on the care provider and represent acceptable levels of practice.
B. Standards of practice focus on the recipient of care and describe the outcomes of care.
C. Standards of practice are written laws enacted by the legislature.
D. Standards of practice are the result of the performance of a function or process.
ANS: A
Page: 16
Feedback
A. Standards of practice focus on the provider of care, define accountability, and
provide a framework for evaluation of professional competency.
B. Standards of practice criteria focus on the care provider, not the care recipient.
, 2
Gorski 8e
Chapter 1
C. Standards of practice include evidence-based guidelines, policies, or protocols,
not written laws.
D. Standards of practice are reviewed in response to clinical questions and/or
performance issues, but they are a result of the performance or process.
3. A patient suffers a severe extravasation injury after infusion of calcium chloride through a peripheral IV
catheter. Despite treatment of the injury, patient outcomes include permanent scarring and nerve damage.
Which of the following must be met to substantiate a malpractice claim?
A. The nurse noted blood return in a peripheral IV catheter line.
B. The peripheral catheter was placed by a physician.
C. The nurse followed the physician orders.
D. The injury resulted from nursing negligence during the infusion.
ANS: D
Page: 25
Feedback
A. The presence of a blood return does not substantiate a malpractice claim.
B. Who placed the catheter does not substantiate a malpractice claim.
C. Following physician orders does not substantiate a malpractice claim.
D. This is correct; it must be established that the injury was due to a breach of duty
by the nurse; that is, the injury resulted from nursing negligence.
4. Ethical issues often arise during the provision of health care. A patient with documented cognitive
limitations and no available caregiver, who requires a peripherally inserted central catheter for several
weeks of IV antibiotics, is refusing treatment. The nurse brings this issue to the nursing manager, suggesting
referral to the ethics committee. This nurse is following which of the ANA ethical provisions?
A. Assert the fundamental values and commitments of nurses.
B. Identify nursing duties and responsibilities.
C. Describe duties of the nurse beyond individual patient encounters.
D. Maintaining integrity of the profession.
ANS: A
Page: 24
Feedback
A. This is the best answer; asserting fundamental values and commitments of nurses
is addressed in Provisions 1–3 and includes advocacy and compassion; this nurse
is advocating for this patient.
B. This is not the best answer. Provisions 4–6 on nursing duties and responsibilities
