NR 226
NR 226 ACTUAL FINAL EXAM 1 WITH MULTIPLE
QUESTIONS AND ANSWERS
A practitioner asks the nurse to witness an informed consent.
Which patient does the nurse identify is unable to give an
informed consent for surgery?
1) 16 year old boy who is married
2) 35 year old woman who is depressed
3) 50 year old woman who does not speak English
4) 65 year old man who has received a narcotic for pain.
Correct Answer: 4 (Narcotics depress the CNS, including
decision-making abilities.
1 - Because legally anyone under 18 who is married can make
the decision.
,NR 226
2 - wrong because a depressed person can make these
decisions until proven mentally incompetent.
3 - Wrong because this person can provide informed consent
after translations.
When the nurse is administering a medication to a confused
patient, the patient says, "this pill looks different from the one I
had before." What should the nurse do?
1) Ask what the other pill looked like.
2) Explain the purpose of the medication.
3) Check the original medication prescription.
4) Encourage the patient to take the medication. Correct
answer: 3 (This is the safest intervention because it goes to the
original source of the prescription.)
1 - Wrong because This action by itself is unsafe because the
patient is confused and the information obtained may be
innacurate.
2 - This intervention ignores the patient's concern.
4 - This action ignores the patient's statement and is unsafe
without obtaining additional information.
,NR 226
The nurse administers an incorrect dose of a medication to a
patient. What is the primary purpose of documenting this event
in an Incident Report?
1) Record the event for future litigation.
2) Provide a basis for designing new policies.
3) Prevent similar situations from happening again.
4) Ensure accountability for the cause of the accident. Correct
answer: 3 (Risk-management committees use stats about
accidents & incidents to identify patterns of risk and prevent
future accidents/incidents.)
1 - Wrong because although documentation of an incident may
be used in a court of law, it is not the primary reason for an
incident report.
2- This is not the primary reason. New policies may or may not
have to be written and implemented.
4 - Although nurses are always accountable for their actions,
accountability for the cause of an incidence is the role of the
courts.
A practitioner writes a prescription for a medication that is
larger than the standard dose. What should the nurse do?
, NR 226
1) Inform the supervisor
2) Give the drug as prescribed.
3) Give the average dose of the medication.
4) Discuss the prescription with the practitioner. Correct
Answer: 4 (Nurses have a prof. resonsibility to know/investigate
the standard dose for medications being administered. In
addition, nurses are responsible for their own actions regardless
of whether there is a written prescription)
1 - It is unnecessary to call the supervisor.
2 - This is unsafe for the patient and may result in malpractice.
3 - Changing a medication prescription is not within the scope
of nursing practice.
When the nurse attempts to administer a medication to a
patient, the patient refuses to take the medication because it
causes diarrhea. The nurse provides teaching about the
medication, but the patient continues to adamantly refuse the
medication. What should the nurse do first?
1) Document the patient's refusal to take the medication.
NR 226 ACTUAL FINAL EXAM 1 WITH MULTIPLE
QUESTIONS AND ANSWERS
A practitioner asks the nurse to witness an informed consent.
Which patient does the nurse identify is unable to give an
informed consent for surgery?
1) 16 year old boy who is married
2) 35 year old woman who is depressed
3) 50 year old woman who does not speak English
4) 65 year old man who has received a narcotic for pain.
Correct Answer: 4 (Narcotics depress the CNS, including
decision-making abilities.
1 - Because legally anyone under 18 who is married can make
the decision.
,NR 226
2 - wrong because a depressed person can make these
decisions until proven mentally incompetent.
3 - Wrong because this person can provide informed consent
after translations.
When the nurse is administering a medication to a confused
patient, the patient says, "this pill looks different from the one I
had before." What should the nurse do?
1) Ask what the other pill looked like.
2) Explain the purpose of the medication.
3) Check the original medication prescription.
4) Encourage the patient to take the medication. Correct
answer: 3 (This is the safest intervention because it goes to the
original source of the prescription.)
1 - Wrong because This action by itself is unsafe because the
patient is confused and the information obtained may be
innacurate.
2 - This intervention ignores the patient's concern.
4 - This action ignores the patient's statement and is unsafe
without obtaining additional information.
,NR 226
The nurse administers an incorrect dose of a medication to a
patient. What is the primary purpose of documenting this event
in an Incident Report?
1) Record the event for future litigation.
2) Provide a basis for designing new policies.
3) Prevent similar situations from happening again.
4) Ensure accountability for the cause of the accident. Correct
answer: 3 (Risk-management committees use stats about
accidents & incidents to identify patterns of risk and prevent
future accidents/incidents.)
1 - Wrong because although documentation of an incident may
be used in a court of law, it is not the primary reason for an
incident report.
2- This is not the primary reason. New policies may or may not
have to be written and implemented.
4 - Although nurses are always accountable for their actions,
accountability for the cause of an incidence is the role of the
courts.
A practitioner writes a prescription for a medication that is
larger than the standard dose. What should the nurse do?
, NR 226
1) Inform the supervisor
2) Give the drug as prescribed.
3) Give the average dose of the medication.
4) Discuss the prescription with the practitioner. Correct
Answer: 4 (Nurses have a prof. resonsibility to know/investigate
the standard dose for medications being administered. In
addition, nurses are responsible for their own actions regardless
of whether there is a written prescription)
1 - It is unnecessary to call the supervisor.
2 - This is unsafe for the patient and may result in malpractice.
3 - Changing a medication prescription is not within the scope
of nursing practice.
When the nurse attempts to administer a medication to a
patient, the patient refuses to take the medication because it
causes diarrhea. The nurse provides teaching about the
medication, but the patient continues to adamantly refuse the
medication. What should the nurse do first?
1) Document the patient's refusal to take the medication.
