Quiz 1 Fundamentals
A nurse is preparing to administer metoprolol 200 mg PO daily. The amount available is metoprolol 100 mg/tablet. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Do not use a trailing zero.)
2 tablets
A nurse fails to administer a medication that prevents seizures, and the client has a seizure. The nurse is in violation of the Nurse Practice Act. What type of law is the nurse in violation of? A. Civil B. Federal C. Supreme D. Criminal
A. Civil
A nurse has taken a telephone order from a physician for an emergency medication. The dose of the medication is abnormally high. What should the nurse do next? A. Question the medication order. B. Administer the medication based on the order. C. Refuse to administer the medication. D. Document concerns about the order
A. Question the medication order.
Which aspect of nursing would be most likely defined by legislation at a state level? A. The differences in the scope of practice between registered nurses (RNs) and licensed practical nurses (LPNs). B. The process that nurses must follow when handling and administering medications. C. The criteria that a nurse must consider when delegating tasks to unlicensed assistive personnel (UAP). D. The criteria that clients must meet in order to qualify for Medicare or Medicaid.
A. The differences in the scope of practice between registered nurses (RNs) and licensed practical nurses (LPNs).
A nurse is providing client care in a hospital setting. Who has full legal responsibility and accountability for the nurse's actions? Select all that apply. A. The hospital B. The head nurse C. The physician D. The nurse
A. The hospital and D. The nurse
What type of law regulates the practice of nursing? A. Criminal Law B. Civil Law C. Public Law D. Common Law
B. Civil Law
A nurse does not assist with ambulation for a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse? A.Defamation B. Negligence C. Battery D. Assault
B. Negligence
An on-duty nurse discovers that a colleague is pilfering medicines. According to the Nurse Practice Acts, what should the nurse do? A. Keep silent and overlook the incident. B. Report the incident to the supervisor. C. Discuss this incident with the colleague. D. Inform the local police station.
B. Report the incident to the supervisor.
During a clinical placement on a subacute, geriatric medicine unit, a student nurse fed a stroke client some beef broth, despite the fact that the client's diet was restricted to thickened fluids. As a result, the client aspirated and developed pneumonia. Which statement underlies the student's potential liability in this situation? A. The student and the nursing instructor share liability for this lapse in care. B. The same standards of care that apply to a registered nurse apply to the student. C. The client's primary nurse is liable for failing to ensure that delegated care was appropriate. D. The student's potential liability is likely negated by the insurance carried by the school of nursing.
B. The same standards of care that apply to a registered nurse apply to the student.
The alert and oriented client has just been notified of a terminal cancer diagnosis and the need for surgery to extend life. The client tells the nurse, "I am leaving. I am not having the surgery." The client refuses to wait and talk to the primary care provider. What is an appropriate action by the nurse? A. Ask for a referral for the client to be declared incompetent. B. Have security personnel stationed outside the client's room to prevent the client from leaving. C. Request the primary care provider to prescribe a medication that would sedate the client. D. Ask the client to sign a form that the client is being discharged against medical advice.
D. Ask the client to sign a form that the client is being discharged against medical advice.
A client refuses to have pain medication administered by injection. The nurse states, "If you don't let me give you the shot, I will get help to hold you down and give it." What crime may the nurse be committing? A. Defamation B. Negligence C. Battery D. Assault
D. Assault
When the nurse inserts an ordered urinary catheter into the client's urethra after the client has refused the procedure, and then the client suffers an injury, the client may sue the nurse for which type of tort? A. Invasion of privacy B. Assault C. Dereliction of duty D. Battery
D. Battery
Which is the nurse's best legal safeguard? A. Client education B. Collective bargaining C. Competent practice D. Written or implied contracts
C. Competent practice
A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity? A. Public B. Civil C. Criminal D. Private
C. Criminal
A nurse is teaching a client how to administer medication through a jejunostomy tube. Which of the following instructions should the nurse include? A. "Push tablets through the tube slowly." B. "Mix all the crushed medications prior to dissolving them in cola." C. "Flush the tube before and after each medication." D. "Mix your medications with your enteral feeding."
C. "Flush the tube before and after each medication."
Which of the following is the most frequent reason for revocation or suspension of a nurse's license? all are correct - what is the most common/frequent? A. Mental impairment B. Criminal acts C. Alcohol or drug abuse D. Fraud
C. Alcohol or drug abuse
Two nurses are discussing a client's condition in an elevator full of visitors. With what crime might the nurses be charged? A. Defamation of character B. Unintentional negligence C. Invasion of privacy D. Intentional negligence
C. Invasion of privacy
What is the legal source of rules of conduct for nurses? A. Agency policies and protocols B. American Nurses Association C. Nursing Practice Acts D. Constitution of the United States
C. Nursing Practice Acts
In comparison with licensure, which measures entry-level competence, what does certification validate? A. innocence of any disciplinary violation B. ability to practice in more than one area C. specialty knowledge and clinical judgment D. more than 10 years of nursing practice
C. specialty knowledge and clinical judgment
A group of nurses working in a long-term care facility fails to keep the narcotic medications in a secure location. The nurses also fail to count the medications before and after each shift, as indicated by the institution's policies and procedures. These failures may result in disciplinary action against the: A. Facility's state license B. State regulating body C. the nurse's license D. Pharmacist's license
C. the nurse's license