3 major provisions that must be in place due to Emergency
Medical Treatment and Labor Act Correct Answers 1.) All
clients must have medical screening evaluation (MSE)
2.) If experiencing an emergency, Hospital must stabilize client.
If the hospital cannot provide the specific level of care, they
must transfer stabilized client to a new facility
3.) In the event client cannot be stabilized, a physician or other
qualified medical professional must verify and sign off transfer,
clearly indicating that the benefits of transfer outweigh the risks
of transferring an unstable client.
5 elements necessary to prove negligence Correct Answers 1.)
Duty to provide care as defined by a standard
2.) Breach of duty by failure to meet standard
3.) Foreseeability of harm
4.) Breach of duty has potential to cause harm (2 and 3)
5.) Harm Occurs
5 Rights of Delegation Correct Answers 1.) Right Task
2.) Right Circumstance
3.) Right communication
4.) Right Person
5.) Right Supervision
6 Ethical Principles Correct Answers 1.) Autonomy:
Understand the idea that patients are their own people. They are
individuals. Client's right to make their own decisions
2.) Beneficence: Doing good and acting in the best interest of a
client by providing care that benefits them.
,3.) Nonmaleficence: Doing no harm
4.) Veracity: Telling the truth
5.) Fidelity: Honesty, keeping promises or commitments
6.) Justice: Nurses obligation to provide treatment and allocation
of resources in a manner that is impartial, fair, and equitable.
9 Provisions of the ANA Code of Ethics Correct Answers 1:
Respect for others/human dignity
2: Primary Commitment to Patient
3: Advocacy for Patient
4: Accountability and Responsibility for Practice
5: Duty to self and duty to others
6: Contribution to Healthcare Environments
7: Advancement of the Nursing Profession
8: Promotion of community and World Health
9: Promotion of the Nursing Profession
A graduate nurse is offered a position in the emergency
department upon the granting of initial licensure. Which of the
following information should the graduate nurse identify as a
requirement during the initial licensure process? (Select all that
Apply)
a. Verification of graduation
b. Criminal background check in some states
c. Passing score on NCLEX examination
d. Submitting continuing education hours with the application
e. Self-disclosure of any substance use in the past 5 years
Correct Answers a. verification of graduation
b. criminal background check in some states
c. passing score on NCLEX exam
d. Self-disclosure of any substance use in the past 5 years
,A newly licensed nurse is considering strategies to improve
critical thinking. Which of the following should the nurse
do(select all that apply):
a. Find a mentor
b. Use a journal to write about outcomes of clinical judgement
c. Review articles about evidence-based practice
d. Limit consultations with other professionals involved in
client's care
e. Make quick decisions when unsure about a client's needs
Correct Answers a. Find a mentor
b. Use a journal to write about outcomes of clinical judgement
c. Review articles about evidence-based practice
A newly licensed nurse is reviewing Benner's Novice to Expert
Model for nursing competence. At which of the following stages
does the nurse first develop the ability to prioritize tasks by
drawing on experience? Correct Answers Competent. They do
not do it as fast as the proficient nurse, but they do have mastery
in multiple areas.
A nurse applying critical thinking skills will know that critical
thinking: Correct Answers 1.) Involves prioritization of actions
2.) Involves making clinical judgement in practice
3.) Is an active orderly process
4.) Appropriate outcomes taken into consideration
A nurse in an emergency department is caring for four clients.
Which of the following clients requires mandatory reporting?
, a. an adolescent client who has a fractured tibia following a
football game
b. a young adult client who is positive or tuberculosis
c. an older adult who has dementia, a history of falls, and
bruising on their knees
d. a preschooler who has frequent enuresis Correct Answers b. a
young adult client who is positive for TB.
-Disease and illnesses that are considered a threat to public
health, such as TB, HIV, and Influenza require mandatory
reporting to the health department to track and develop
prevention and protection protocols.
A nurse is caring for a client who decides not to have surgery
despite significant blockages of the coronary arteries. The nurse
understands that this client's choice is an example of which of
the following ethical principles? Correct Answers Autonomy
A nurse is caring for a client who is alone and has just received a
serious diagnosis. The client asks the nurse if they can pray
together, and the nurse agrees. The nurse is demonstrating which
of the following ethical principles? Correct Answers
Beneficence
-Providing comfort and praying with the client helps benefit the
client with meeting social/emotional needs since they are alone.
A nurse is compiling an orientation handout related to
accountability and responsibility. Which of the following should
the nurse use to describe responsibilities?
a) An internal obligation to others
b) Duty to report quality of work