Exam 2 practice questions
You have just received report for your upcoming shift and are looking to prioritize your first hours of the day. Which of the following patients would be your first priority?
2-hour post-op with saturated abdominal dressing
A nursing student is listing the different aspects of obtaining informed consent from clients. Which point mentioned by the nursing student needs correction?
"Informed consent is an important part of the nurse-client relationship; it is a vital part of the nursing duty."
Certain questions are applicable in determining nursing negligence. Select all that apply.
"Was reasonable care provided?" "Was there a breach of nursing duty?" "Was there an act of omission that resulted in harm? "Except for the nurse's action, would the injury have occurred?"
A registered nurse is educating a nursing student about nursing malpractice. What information should the nurse provide? Select all that apply.
-"Nursing malpractice takes place when nursing care falls below the standards of care." -"Nursing malpractice may be prevented by developing a caring rapport with the client." -"Nursing malpractice may occur even when the nurses do not intend to harm the clients."
Which patient would be the most appropriate to assign to a new graduate nurse who has just completed their unit orientation?
A patient who is second day post-op and needs pain medication one hour prior to wound dressing changes
You have just received report and will be caring for the following 4 patients on this day shift. Which patient would be your FIRST priority?
A patient who was admitted last night to r/o Crohn's flare up who is now vomiting and having 9/10 abdominal pain
You are working on the Med-Tele unit at your local hospital. Which of the following patients would you prioritize after receiving report for your upcoming shift?
A patient who was admitted overnight to observation to r/o MI who the UAP notes to be sweaty and anxious
You are the charge nurse making out patient-nurse assignments for the next shift. Which patient should you assign to a new graduate nurse who is orienting to the neurology unit?
A patient with Parkinson's disease who needs assistance with bathing
Intentional torts
AMA Restraints Assault Breach of confidentiality
What type of law does the State Board of Nursing implement when granting authority for licencing and nursing practice?
Administrative
What type of law is responsible for the nursing agency in the previous question?
Administrative
Nurses are held responsible for the commission of a tort. What is the definition of a tort?
An illegality committed by one person against the property or person of another
In caring for patients with pain and discomfort issues, which task is the most appropriate for the nurse to delegate to a certified nursing assistant:
Assist the patient with preparation for a sitz bath
Greta is a 78 year-old patient that you are caring for in the LTC setting. One day, she states to you, "Oh, my daughter Betty takes care of all of my financial stuff. It's so nice to not have to worry about that anymore." Upon hearing this information, you recognize that Betty has what relationship to Greta?
Betty is Greta's POA for Finances but you are unsure about being the POA for Healthcare. You write yourself a note to remind Betty and Greta about this at the next care conference meeting.
A nurse caring for a client post-surgery takes necessary steps to achieve quality client care. Which nursing actions satisfy the Quality and Safety Education for Nurses (QSEN) competency called informatics? Select all that apply.
Documenting in the electronic health record (EHR) after performing wound debridement Correct! Locking the electronic health record (EHR) after every entrance of necessary information Correct! Using computer-assisted instruction (CAI) program to provide better quality of care to the client
Unintentional tort
Falls Dog bites Negligence Accidents
Laura, a LPN on the unit, has just received her patient care assignment and will be responsible for the following four patients. Patient J: a one-day post-op knee surgery patient who will need a dressing change. Patient K: a patient with pneumonia receiving IV antibiotics who needs reinforcement of teaching on their incentive spirometer. Patient L: a chronic CHF patient receiving oral Lasix. Patient M: an incoming observation admission from the ER for an acute asthma exacerbation who is now stable. Which of the patients above would require Laura to "reverse back" the assignment as the patient required RN care?
Patient M requires an admission assessment and ongoing assessment for their acute asthma attack and would be best to "reverse back" to the RN. All of the other patients would fall within the LPN Scope of Practice including: wound dressing changes, IV antibiotics, reinforcing teaching, and administering oral medications.
The nurse has just received SBAR shift report. Which patient should the nurse assess first as being the highest priority?
Patient diagnosed with a deep vein thrombosis who is complaining of dyspnea and coughing
You are caring for a team of 4 patients with an UAP on your med-surg unit. After receiving report, you start to plan out your day. Which of the following patient needs would you not want to delegate to the CNA?
Providing discharge teaching to a 85 year-old with pneumonia
You are the RN working with a UAP and LPN today to care for a team of 6 patients. You are working very hard at delegating and perfecting this skill in order to make the most out of everyone's time and scope of practice. Which of the following tasks would be appropriate for you to delegate to either the UAP or LPN?
Repositioning a patient every 2 hours to decrease skin breakdown
The RN is preparing to admit a patient with a seizure disorder. Which of the following actions should the RN delegate to the LPN so they can focus on RN responsibilities?
Setting up oxygen and suction equipment per protocol
A motorist receives a ticket for speeding because the State of Wisconsin has determined that the speed limit in an area is 55mph. What type of law is involved in this case?
Statutory
A patient with migraine headaches has a seizure. After the seizure, which task can the RN delegate to the certified nursing assistant to do first?
Taking the patient's vital signs per policy post-seizure
As a RN, we are required to renew our nursing licenses every two years in the State of Wisconsin. Which agency is responsible for Nursing licensure?
The State Board of Nursing (BON)
You are going to visit your 93 year-old grandfather and upon arrival at his home, you find your mother arrived 5 minutes earlier to find your grandfather unresponsive and she has called 911. After Christmas last year, your grandfather told you about his recent doctor's visit and that he wished to be DNR. What events are likely to occur when the EMS crew arrives?
They will start CPR and transport your grandfather to the hospital
What should the nurse consider when obtaining an informed consent from a 17-year-old adolescent?
Whether the client is allowed to give consent
Which of the following legal defenses are the most important for a nurse to develop?
accountability
When being interviewed for a position as a registered professional nurse, the applicant is asked to identify an example of an intentional tort. What is the appropriate response?
false imprisonment
Administrative law
governs your nursing license
The nurse is admitting a patient with a spinal cord injury at the C3-4 level. What is the priority assessment, by the RN, for this patient? Hint: keep in the mind the location of this injury and its effect on the body's functioning.
monitoring respiratory effort and oxygen saturation levels
A LPN is providing nursing care, under the supervision of the RN, who has completed an initial assessment for a patient with Guillain-Barre syndrome. What data by the LPN should the RN instruct the LPN to report back immediately?
shallow respirations with decreased breath sounds
order to prove negligence/malpractice, the following 4 criteria MUST be PROVEN:
● Duty ● Breach of duty ● Injury ● Causation
5 sources of law
● Legislative ● Executive ● Judicial ● Private ● Public