NCLEX Fundamentals Ethical and Legal Issues

The nurse has just assisted a client back to bed after a fall. the client has been assessed and not injured. After completing the incident report the nurse should implement what action next? 1. Reassess client 2. Conduct staff meeting about fall 3. Document in nurse's notes that incident report was completed 4. Contact nursing supervisor to update on info about fall

1. Reassess client

The nurse calls the HCP regarding a new medication prescription because the dosage prescribed is higher than the normal recommended dose. The nurse is unable to locate the HCP and the med is due. What should the nurse do? 1. Contact the nursing supervisor 2. Administer the dose prescribed 3. hold the med until the HCP can be contacted 4. Administer the recommended dose until HCP can be located

1. Contact the nursing supervisor

Which identifies accurate nursing documentation notations? Select all that apply 1. the client slept through the night 2. Abdominal wound dressing is dry and intact without drainage 3. the client seemed angry when awakened for VS measurement 4. The client appears to become anxious when it is time for respiratory treatments 5. The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema

1. the client slept through the night 2. Abdominal wound dressing is dry and intact without drainage 5. The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema

RN floats to ICU but has never worked there. What is the best action for the nurse? 1. Refuse to float 2. Clarify with the team leader to verify a safe ICU client assignment 3. Ask the nursing supervisor to review hospital policy on floating 4. Submit a written protest and then call the hospital lawyer

2. Clarify with the team leader to verify a safe ICU client assignment

The nurse has made an error in a narrative documentation of an assessment finding on a client and obtains the client's record to correct the error. The nurse should take which actions to correct the error? Select all that apply 1. Document a late entry in the client's record 2. Draw 1 line through the error initialing and dating it 3. Try to erase the error for space to write in the correct data 4. Use whiteout to delete the error and write in the correct data 5. Write a concise statement to explain why the correction was needed 6. Document the correct info and end with nurse's signature and title

2. Draw 1 line through the error initialing and dating it 6. Document the correct info and end with nurse's signature and title

A UAP tells the nurses in the lounge that she thinks the US has contracted AIDS from her husband who is supposedly a drug addict. The nurse should inform the UAP that making this accusation has violated what legal tort? 1. Libel 2. Slander 3. Assault 4. Negligence

2. Slander

Nurse is waiting on a report from the lab through fax. When the fax comes through it is a sexually oriented photo. What should the nurse do? 1. Call the police 2. Cut up the photo and throw it away 3. Call nursing supervisor and report the incident 4. Call lab and ask for the name of employee who took the photo and sent it

3. Call nursing supervisor and report the incident

A night shift nurse walks into the med room to find a coworker with a tourniquet on her arm and is about to insert a needle with clear liquid into her antecubital area. What should the nurse do? 1. Call security 2. Call the police 3. Call the nursing supervisor 4. Lock the coworker in the med room until help is obtained

3. Call the nursing supervisor

The nurse hears a client calling out for help, hurries to the client's room. and finds the pt on the floor. Performs an assessment and assists the pt back to bed, notifies HCP of incident , and completes an incident report. What statement should the nurse document in the incident report? 1. The client fell out of bed 2. The client climbed over the side rails 3. The client was found lying on the floor 4. The client became restless and tried to get out of bed

3. The client was found lying on the floor

A client is brought to the ED by EMS after being hit by a car. Client name is unknown and client has severe head injury multiple fractures and is unconscious. An emergency craniotomy should be performed. Regarding informed consent what is the best option? 1. Obtain court order 2. Ask EMS to sign consent 3. Transport victim to the operating room for surgery 4. Call police to identify the client and locate family

3. Transport victim to the operating room for surgery

An 87 year old female gets brought into the ED with a fractured arm. Upon assessment the nurse finds multiple ecchymotic areas on her chest and legs. When asking the client about the bruising the client reluctantly shares that her son frequently hits her if supper is not prepared on time. What is the most appropriate nursing response? 1. Oh really? I will discuss this situation with your son 2. Let's talk about ways you can manage your time to prevent this from happening 3. Do you have any friends that can help you out until you resolve these issues with your son 4. As a nurse I am legally bound to report abuse. I will stay with you while you give the report and help you find a safe place to stay

4. As a nurse I am legally bound to report abuse. I will stay with you while you give the report and help you find a safe place to stay

A hospitalized client tells the nurse that an instructional directive is being prepared and that the lawyer will be bringing the document to the hospital today for witness signatures. the client asks the nurse for assistance in obtaining a witness to the will. Which is the most appropriate response to the client? 1. I will sign as a witness to your signature 2. You will need to find a witness on your own time 3. Whoever is available at the time will sign as a witness for you 4. I will call the nursing supervisor to seek assistance regarding your request

4. I will call the nursing supervisor to seek assistance regarding your request

A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and asks a nursing student to identify a situation representing an invasion of client privacy. Which indicates an understanding of the material? 1. Performing a procedure without consent 2. threatening to give the client a medication 3. telling the client he or she cannot leave the hospital 4. observing care provided to the client without the client's permission

4. observing care provided to the client without the client's permission