Week 2 NCLEX Practice Questions
A patient with metastatic cancer tells the nurse. "I am tired and do not want to be put on a breathing machine." The patient's out-of-town son wants "everything done for my mother" when his mother later develops respiratory distress. Which ethical principles are involved in this dilemma? (Select all that apply.) Beneficence Nonmaleficence Justice Paternalism Autonomy
Beneficence Nonmaleficence Autonomy
The family of a patient who is receiving mechanical ventilation for respiratory distress associated with an inoperable brain tumor asks that the patient be extubated to "allow natural death" to occur. This is an example of what situation? Withholding treatment Withdrawing treatment Rationing care A criminal act
Withdrawing treatment
A patient in the critical care unit has an order to be transported off the unit for a diagnostic procedure. The nurse fails to ensure that the patient is properly monitored during transport, and the patient experiences a cardiac arrest. Which of the following actions did the nurse fail to adequately perform? Communicate findings in a timely manner. Assess and analyze the level of care needed by the patient Make the proper nursing diagnosis. Act as a patient advocate to postpone the examination.
Assess and analyze the level of care needed by the patient
A nurse is caring for a patient with chronic heart failure who is very ill. The patient has a "no code" order. The patient goes into ventricular fibrillation and the nurse defibrillates the patient. The nurse states she was unaware of the "no code" order. What part of the nursing process did the nurse fail to perform? Evaluation Planning Assessment Implementation
Assessment
On the morning laboratory report, the patient's potassium is noted to be 2.5 mEg/L. The nurse does not want to "bother the physician this early." During the change-of-shift report, the patient develops ventricular tachycardia and has to be resuscitated. What part of the nursing process did the nurse fail to perform? Planning Assessment Implementation Evaluation
Implementation
A nurse has been having difficulty sleeping since the death of a patient who had a stressful family situation involving a DR (do not resuscitate) order. She is arguing with her husband and coworker and is complaining about working conditions. The nurse's symptoms could be signs of what problem? Immoral cistress Moral confusion Change fatigue Moral distress
Moral distress
The nurse fails to record a set of vital signs on a blood transfusion report, which is against hospital policy. The patient does not sustain any damage as a result. Can the nurse be charged with malpractice in this case? No. Documentation is not part of the duty of nurse. Yes. Failure to document always results in negligence. Yes. Even though there were no damages, the nurse failed to follow hospital protocol. No. There were no damages associated with failure to document
No. There were no damages associated with failure to document
The nurse observes a coworker diverting narcotics by administering normal saline to a patient in pain. By not reporting this observation, the nurse is in violation of what ethical principle concerning the patients under the care of the impaired nurse? Autonomy Nonmaleficence Veracity Justice
Nonmaleficence
The nurse is concerned that the physician is ignoring the wishes of the patient and family in the care of a patient. The nurse should take these concerns to: (Select all that apply.) the ANA (American Nurses Association) the hospital ethics committee the nursing ethics committee the nursing supervisor the policy and procedure committee
the hospital ethics committee the nursing ethics committee the nursing supervisor
