Which medication administration situations should be documented in a healthcare facility's in
B B B B B B B B B B B
cident reporting system?
B B
A. Medication errors and adverse drug reactions only
B B B B B B B
B. Medication errors that cause patient harm
B B B B B B
C. Near misses and medication errors only
B B B B B B
D.near misses, medication errors, and adverse drug reactions - ANSWER-
B B B B B B B B B
D. Near misses, medication errors, and adverse drug reactions must all be documented
B B B B B B B B B B B B B
in the facility's incident reporting system.
B B B B B
The patient self-
B B
determination act of 1990 requires all of the hospitals to do which of the following?
B B B B B B B B B B B B B B
A. Collect data on contagious diseases
B B B B B
B. Collect data on patient falls
B B B B B
C. Inform patients about advanced directives
B B B B B
D. Inform patients about medication side effects - ANSWER-
B B B C. The patient self-
B B B B B B B B
determination act of 1990 requires all hospitals to inform patients about advanced healthcare
B B B B B B B B B B B B
directives upon admission to a hospital
B B B B B B
,A nurse is assessing his patients in the morning and finds that a frail a 85 year-
B B B B B B B B B B B B B B B B
old female patient is soiled in bed. The patient reports that she has been asked to cleaned nu
B B B B B B B B B B B B B B B B B
merous times and has been ignored. Of the following, which demonstrates appropriate docu
B B B B B B B B B B B B
mentation in the patient's chart. B B B B
A. The patient was found soiled in bed by this RN. she reports being left alone all night by the n
B B B B B B B B B B B B B B B B B B B B
ight shift RN, who did not clean her before the change of shift. She was given a bed bath and p
B B B B B B B B B B B B B B B B B B B B
rovided skin care. Her skin was reddened on her buttocks; emollient applied.
B B B B B B B B B B B B
B. The patient was found soiled in bed by this RN. She was incontinent of urine and feces and s
B B B B B B B B B B B B B B B B B B B
he said she was "ignored for hours" by the night shift RN. She was given a bed bath and provid
B B B B B B B B B B B B B B B B B B B
ed skin care. Her skin was reddened on her buttocks; emollient applied.
B B B B B B B B B B B
C.The patient was found soiled; incontinent of urine and feces. She was given a bed bath and p
B B B B B B B B B B B B B B B B B
rov - ANSWER- B B
D. The patient was found soiled; incontinent of urine and feces. She was given a bed bat
B B B B B B B B B B B B B B B B
h and provided skin care. Her skin was reddened on the buttocks; emollient applied.
B B B B B B B B B B B B B
**Documentation Must stick to objective descriptions of what happen in any assessments an B B B B B B B B B B B B
d interventions performed. Personal biases or information that applies misconduct should nev
B B B B B B B B B B B
er be documented in the patient's chart
B B B B B B
A home health nurse makes weekly visits to an 87-year-
B B B B B B B B B
old client who lives with her son. When home alone, the client is talkative and friendly, but wh
B B B B B B B B B B B B B B B B B
en the son is home, the client is observed to be withdrawn and appears anxious. The client has
B B B B B B B B B B B B B B B B B
Bbruises, which she states is from "bumping into things" and a weight-
B B B B B B B B B B B
loss of 10 pounds in the past month. With these objective findings, the nurse is required to do
B B B B B B B B B B B B B B B B B B
which of the following? B B B
select all that apply. B B B
A. ask the client if she has any concerns about her living situation, maintaining an objective, n
B B B B B B B B B B B B B B B B
on-accusatory role. B
,B. Confront the son about the abuse, demanding that he turn himself in to seek help for the ab
B B B B B B B B B B B B B B B B B B
usive pattern of behavior.
B B B
C. Question the client's son privately about the suspicions of his mother's condition and about
B B B B B B B B B B B B B B
possible abuse or neglect.
B B B B
D. Report suspected abuse to adult protective services so investigation into the clients welfare
B B B B B B B B B B B B B
B can be per - ANSWER-
B B B B C, D B
All states have statutes requiring mandatory reporting by nurses and other healthcare worker
B B B B B B B B B B B B
s of any suspected abuse of children, disabled, and the elderly.
B B B B B B B B B B B
The nurse should probably discuss with the client any concerns about the client safety
B B B B B B B B B B B B B B
The nurse is also required by law to report any suspected abuse or neglect because the nurses
B B B B B B B B B B B B B B B B B
are mandated reporters.
B B
The nurse understands the following about informing and obtaining consent for an eight-year-
B B B B B B B B B B B B
old patient who is undergoing a heart transplant:
B B B B B B B
Select all that apply. B B B
A. Since the child is a minor, he does not need to be informed about the surgery
B B B B B B B B B B B B B B B B
B. The child must be informed about the surgery.
B B B B B B B B
C. The child must sign the informed consent form along with their parent
B B B B B B B B B B B B
D. The child only needs to know the risks of the surgery.
B B B B B B B B B B B
, E. The parent/guardian must be informed of the risks and benefits of the procedure and sign t
B B B B B B B B B B B B B B B B
he informed consent on behalf of the child - ANSWER-
B B B B B B B B B B, EB
The child must be informed about the surgery and the parent/guardian must be informed of t
B B B B B B B B B B B B B B B
he risks and benefits of the procedure and sign the informed consent on the half of the child
B B B B B B B B B B B B B B B B B
The patient refuses chemotherapy based on religious beliefs. The hospital staff must follow hi
B B B B B B B B B B B B B
s decision based on which patient right?
B B B B B B
A. The right to counsel
B B B B
B. The right to informed consent
B B B B B
C. The right to refuse treatment
B B B B B
D. The right to suffer - ANSWER-
B B B B B B C. The right to refuse treatment
B B B B B
A nurse notices at the start of the shift that the patient's IV anabiotic scheduled to be given six
B B B B B B B B B B B B B B B B B B B
hours ago is still hanging on the patient's IV pole. The pump is turned off and the tubing is not
B B B B B B B B B B B B B B B B B B B B
connected to the patient. The antibiotic is documented as given on the MAR by the previous n
B B B B B B B B B B B B B B B B
urse. What is the first thing that the nurse should do?
B B B B B B B B B B
A. Document findings in the facilities incident reporting system
B B B B B B B B
B. Document physician notification in the medical record
B B B B B B B
C. Notify the charge nurse of the missed dose
B B B B B B B B
D. notify the physician of the missed dose and seek orders for the next dose timing - ANSWER-
B B B B B B B B B B B B B B B B B
D. Notify the physician of the missed dose and seek orders for the next dose timing
B B B B B B B B B B B B B B B
B B B B B B B B B B B
cident reporting system?
B B
A. Medication errors and adverse drug reactions only
B B B B B B B
B. Medication errors that cause patient harm
B B B B B B
C. Near misses and medication errors only
B B B B B B
D.near misses, medication errors, and adverse drug reactions - ANSWER-
B B B B B B B B B
D. Near misses, medication errors, and adverse drug reactions must all be documented
B B B B B B B B B B B B B
in the facility's incident reporting system.
B B B B B
The patient self-
B B
determination act of 1990 requires all of the hospitals to do which of the following?
B B B B B B B B B B B B B B
A. Collect data on contagious diseases
B B B B B
B. Collect data on patient falls
B B B B B
C. Inform patients about advanced directives
B B B B B
D. Inform patients about medication side effects - ANSWER-
B B B C. The patient self-
B B B B B B B B
determination act of 1990 requires all hospitals to inform patients about advanced healthcare
B B B B B B B B B B B B
directives upon admission to a hospital
B B B B B B
,A nurse is assessing his patients in the morning and finds that a frail a 85 year-
B B B B B B B B B B B B B B B B
old female patient is soiled in bed. The patient reports that she has been asked to cleaned nu
B B B B B B B B B B B B B B B B B
merous times and has been ignored. Of the following, which demonstrates appropriate docu
B B B B B B B B B B B B
mentation in the patient's chart. B B B B
A. The patient was found soiled in bed by this RN. she reports being left alone all night by the n
B B B B B B B B B B B B B B B B B B B B
ight shift RN, who did not clean her before the change of shift. She was given a bed bath and p
B B B B B B B B B B B B B B B B B B B B
rovided skin care. Her skin was reddened on her buttocks; emollient applied.
B B B B B B B B B B B B
B. The patient was found soiled in bed by this RN. She was incontinent of urine and feces and s
B B B B B B B B B B B B B B B B B B B
he said she was "ignored for hours" by the night shift RN. She was given a bed bath and provid
B B B B B B B B B B B B B B B B B B B
ed skin care. Her skin was reddened on her buttocks; emollient applied.
B B B B B B B B B B B
C.The patient was found soiled; incontinent of urine and feces. She was given a bed bath and p
B B B B B B B B B B B B B B B B B
rov - ANSWER- B B
D. The patient was found soiled; incontinent of urine and feces. She was given a bed bat
B B B B B B B B B B B B B B B B
h and provided skin care. Her skin was reddened on the buttocks; emollient applied.
B B B B B B B B B B B B B
**Documentation Must stick to objective descriptions of what happen in any assessments an B B B B B B B B B B B B
d interventions performed. Personal biases or information that applies misconduct should nev
B B B B B B B B B B B
er be documented in the patient's chart
B B B B B B
A home health nurse makes weekly visits to an 87-year-
B B B B B B B B B
old client who lives with her son. When home alone, the client is talkative and friendly, but wh
B B B B B B B B B B B B B B B B B
en the son is home, the client is observed to be withdrawn and appears anxious. The client has
B B B B B B B B B B B B B B B B B
Bbruises, which she states is from "bumping into things" and a weight-
B B B B B B B B B B B
loss of 10 pounds in the past month. With these objective findings, the nurse is required to do
B B B B B B B B B B B B B B B B B B
which of the following? B B B
select all that apply. B B B
A. ask the client if she has any concerns about her living situation, maintaining an objective, n
B B B B B B B B B B B B B B B B
on-accusatory role. B
,B. Confront the son about the abuse, demanding that he turn himself in to seek help for the ab
B B B B B B B B B B B B B B B B B B
usive pattern of behavior.
B B B
C. Question the client's son privately about the suspicions of his mother's condition and about
B B B B B B B B B B B B B B
possible abuse or neglect.
B B B B
D. Report suspected abuse to adult protective services so investigation into the clients welfare
B B B B B B B B B B B B B
B can be per - ANSWER-
B B B B C, D B
All states have statutes requiring mandatory reporting by nurses and other healthcare worker
B B B B B B B B B B B B
s of any suspected abuse of children, disabled, and the elderly.
B B B B B B B B B B B
The nurse should probably discuss with the client any concerns about the client safety
B B B B B B B B B B B B B B
The nurse is also required by law to report any suspected abuse or neglect because the nurses
B B B B B B B B B B B B B B B B B
are mandated reporters.
B B
The nurse understands the following about informing and obtaining consent for an eight-year-
B B B B B B B B B B B B
old patient who is undergoing a heart transplant:
B B B B B B B
Select all that apply. B B B
A. Since the child is a minor, he does not need to be informed about the surgery
B B B B B B B B B B B B B B B B
B. The child must be informed about the surgery.
B B B B B B B B
C. The child must sign the informed consent form along with their parent
B B B B B B B B B B B B
D. The child only needs to know the risks of the surgery.
B B B B B B B B B B B
, E. The parent/guardian must be informed of the risks and benefits of the procedure and sign t
B B B B B B B B B B B B B B B B
he informed consent on behalf of the child - ANSWER-
B B B B B B B B B B, EB
The child must be informed about the surgery and the parent/guardian must be informed of t
B B B B B B B B B B B B B B B
he risks and benefits of the procedure and sign the informed consent on the half of the child
B B B B B B B B B B B B B B B B B
The patient refuses chemotherapy based on religious beliefs. The hospital staff must follow hi
B B B B B B B B B B B B B
s decision based on which patient right?
B B B B B B
A. The right to counsel
B B B B
B. The right to informed consent
B B B B B
C. The right to refuse treatment
B B B B B
D. The right to suffer - ANSWER-
B B B B B B C. The right to refuse treatment
B B B B B
A nurse notices at the start of the shift that the patient's IV anabiotic scheduled to be given six
B B B B B B B B B B B B B B B B B B B
hours ago is still hanging on the patient's IV pole. The pump is turned off and the tubing is not
B B B B B B B B B B B B B B B B B B B B
connected to the patient. The antibiotic is documented as given on the MAR by the previous n
B B B B B B B B B B B B B B B B
urse. What is the first thing that the nurse should do?
B B B B B B B B B B
A. Document findings in the facilities incident reporting system
B B B B B B B B
B. Document physician notification in the medical record
B B B B B B B
C. Notify the charge nurse of the missed dose
B B B B B B B B
D. notify the physician of the missed dose and seek orders for the next dose timing - ANSWER-
B B B B B B B B B B B B B B B B B
D. Notify the physician of the missed dose and seek orders for the next dose timing
B B B B B B B B B B B B B B B
