Nursing Fundamentals Exam 1 Practice Test
Questions With Correct Answers
A nurse is caring for a patient who recently had coronary bypass surgery. Which
| | | | | | | | | | | | | |
are legal sources of standards of care the nurse uses to deliver safe healthcare?
| | | | | | | | | | | | | |
(Select all that apply). [23]
| | | |
1. Information provided by the head nurse
| | | | | |
2. Policies and procedures of the employing hospital
| | | | | | |
3. State Nurse Practice Act
| | | |
4. Regulations identified in the Joint Commission's manual.
| | | | | | |
5. The American Nurses Association standards of practice. - CORRECT
| | | | | | | | | |
ANSWER✔✔-2, 3, 4, 5 | | |
A nurse is sued for failure to monitor a patient appropriately after a procedure,.
| | | | | | | | | | | | | |
Which of the following statements are correct about this lawsuit? (Select all that
| | | | | | | | | | | | |
apply) [23] |
1. The nurse represents the plaintiff.
| | | | |
2. The defendant must prove injury, damage, or loss.
| | | | | | | |
3. The person filing the lawsuit has the burden of proof.
| | | | | | | | | |
4. The plaintiff must prove that a breach in the prevailing standard of care caused
| | | | | | | | | | | | | | |
an injury. - CORRECT ANSWER✔✔-3, 4
| | | | |
,A nurse stops to help in an emergency at at the scene of an accident. The injured
| | | | | | | | | | | | | | | | |
party files a suit and the nurse's employing institution insurance does not cover
| | | | | | | | | | | | |
the nurse. What would probably cover the nurse in this situation? [23]
| | | | | | | | | | |
1. The nurse's auto insurance
| | | |
2. The nurse's homeowner's insurance
| | | |
3. The Good Samaritan laws, which grant immunity from suit if there is no gross
| | | | | | | | | | | | | | |
negligence. |
4. The Patient Care Partnership, which may grant immunity from suit if the
| | | | | | | | | | | | |
injured party contends. - CORRECT ANSWER✔✔-3
| | | | |
A nurse is planning care for a patient going to surgery. Who is responsible for
| | | | | | | | | | | | | | |
informing the patient about the surgery along with the possible risks,
| | | | | | | | | | |
complications, and benefits? [23] | | |
1. Family member
| |
2. Surgeon
|
3. Nurse
|
4. Nurse Manager - CORRECT ANSWER✔✔-2
| | | | |
A woman who is a Jehovah's Witness has severe, life-threatening injuries and is
| | | | | | | | | | | | |
hemorrhaging following a car accident. The healthcare provider ordered 2 units
| | | | | | | | | | |
of packed red blood cells to treat the woman's anemia. The woman's husband
| | | | | | | | | | | | |
refuses to allow the nurse to give his wife the blood. What is the nurse's
| | | | | | | | | | | | | | |
responsibility? [23] |
1. Obtain a court order to give the blood
| | | | | | | |
2. Coerce the husband into giving the blood
| | | | | | |
3. Call security and have the husband removed from the hospital
| | | | | | | | | |
,4. Abide by the husband's wishes and inform the healthcare provider - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-4
The nurse notes that an advance directive is on a patient's medical record. Which
| | | | | | | | | | | | | |
statement represents the best description of an advance directive guideline the
| | | | | | | | | | |
nurse will follow? [23]
| | |
1. A living will allows an appointed person to make health care decisions when
| | | | | | | | | | | | | |
the patient is in an incapacitated state.
| | | | | |
2. A living will is invoked only when the patient has a terminal condition or is in a
| | | | | | | | | | | | | | | | | |
persistent vegetative state. | |
3. The patient can not make changes in the advance directive once admitted to
| | | | | | | | | | | | | |
the hospital.
|
4. A durable power of attorney for health care is invoked only when the patient
| | | | | | | | | | | | | | |
has a terminal condition or is in a persistent vegetative state. - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-2
A nurse notes that the health care unit keeps a listing of the patient names at the
| | | | | | | | | | | | | | | | |
front desk in easy view for health care providers to more efficiently locate the
| | | | | | | | | | | | | |
patient. The nurse talks with the nursing manager because this action is a
| | | | | | | | | | | | |
violoation of which act? [23] | | | |
1. Mental Health Parity Act
| | | |
2. Patient Self-Determination Act (PSDA)
| | | |
3. Health Insurance Portability and Accountability Act (HIPPA)
| | | | | | |
4. Emergency Medical Treatment and Active Labor Act - CORRECT ANSWER✔✔-3
| | | | | | | | | |
, Which of the following actions, if performed by a registered nurse, would result in
| | | | | | | | | | | | |
both criminal and administrative law sanctions against the nurse? (Select all that
| | | | | | | | | | | | |
apply.) [23] |
1. Taking and selling controlled substances
| | | | |
2. Refusing to provide health care information to a patient's child
| | | | | | | | | |
3. Reporting suspected abuse and neglect of children
| | | | | | |
4. Applying physical restraints without a written physician's order. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-1, 4 |
The nurse received a hand-off report at the change of shift in the conference
| | | | | | | | | | | | | |
room from the night shift nurse. The nursing student assigned to the nurse asks
| | | | | | | | | | | | | |
to review the medical records of the patients assigned to them. The nurse begins
| | | | | | | | | | | | | |
assessing the assigned patients and lists the nursing care information for each
| | | | | | | | | | | |
patient on each individual patient's message board in the patient rooms. The
| | | | | | | | | | | |
nurse also lists the patient's medical diagnoses on the message board. Later in
| | | | | | | | | | | | |
the day, the nurse discusses the plan of care for a patient who is dying with the
| | | | | | | | | | | | | | | | |
patient's family. Which of these actions describes a violation of the Health
| | | | | | | | | | | |
Insurance Portability and Accountability Act (HIPPA)? [23]
| | | | | |
1. Discussing the patient conditions in the nursing report room at the change of
| | | | | | | | | | | | | |
shift
2. Allowing nursing students to review patient charts before caring for patients to
| | | | | | | | | | | | |
whom they are assigned
| | |
3. Posting medical information about the p - CORRECT ANSWER✔✔-3
| | | | | | | | |
The patient has a fractured femur that is placed in skeletal traction with a fresh
| | | | | | | | | | | | | | |
plaster cast applied. The patient experiences decreased sensation and a cold
| | | | | | | | | | |
feeling in the toes of the affected leg. The nurse observes that the patient's toes
| | | | | | | | | | | | | | |
have become pale and cold but forgets to document this because one of the
| | | | | | | | | | | | | |
Questions With Correct Answers
A nurse is caring for a patient who recently had coronary bypass surgery. Which
| | | | | | | | | | | | | |
are legal sources of standards of care the nurse uses to deliver safe healthcare?
| | | | | | | | | | | | | |
(Select all that apply). [23]
| | | |
1. Information provided by the head nurse
| | | | | |
2. Policies and procedures of the employing hospital
| | | | | | |
3. State Nurse Practice Act
| | | |
4. Regulations identified in the Joint Commission's manual.
| | | | | | |
5. The American Nurses Association standards of practice. - CORRECT
| | | | | | | | | |
ANSWER✔✔-2, 3, 4, 5 | | |
A nurse is sued for failure to monitor a patient appropriately after a procedure,.
| | | | | | | | | | | | | |
Which of the following statements are correct about this lawsuit? (Select all that
| | | | | | | | | | | | |
apply) [23] |
1. The nurse represents the plaintiff.
| | | | |
2. The defendant must prove injury, damage, or loss.
| | | | | | | |
3. The person filing the lawsuit has the burden of proof.
| | | | | | | | | |
4. The plaintiff must prove that a breach in the prevailing standard of care caused
| | | | | | | | | | | | | | |
an injury. - CORRECT ANSWER✔✔-3, 4
| | | | |
,A nurse stops to help in an emergency at at the scene of an accident. The injured
| | | | | | | | | | | | | | | | |
party files a suit and the nurse's employing institution insurance does not cover
| | | | | | | | | | | | |
the nurse. What would probably cover the nurse in this situation? [23]
| | | | | | | | | | |
1. The nurse's auto insurance
| | | |
2. The nurse's homeowner's insurance
| | | |
3. The Good Samaritan laws, which grant immunity from suit if there is no gross
| | | | | | | | | | | | | | |
negligence. |
4. The Patient Care Partnership, which may grant immunity from suit if the
| | | | | | | | | | | | |
injured party contends. - CORRECT ANSWER✔✔-3
| | | | |
A nurse is planning care for a patient going to surgery. Who is responsible for
| | | | | | | | | | | | | | |
informing the patient about the surgery along with the possible risks,
| | | | | | | | | | |
complications, and benefits? [23] | | |
1. Family member
| |
2. Surgeon
|
3. Nurse
|
4. Nurse Manager - CORRECT ANSWER✔✔-2
| | | | |
A woman who is a Jehovah's Witness has severe, life-threatening injuries and is
| | | | | | | | | | | | |
hemorrhaging following a car accident. The healthcare provider ordered 2 units
| | | | | | | | | | |
of packed red blood cells to treat the woman's anemia. The woman's husband
| | | | | | | | | | | | |
refuses to allow the nurse to give his wife the blood. What is the nurse's
| | | | | | | | | | | | | | |
responsibility? [23] |
1. Obtain a court order to give the blood
| | | | | | | |
2. Coerce the husband into giving the blood
| | | | | | |
3. Call security and have the husband removed from the hospital
| | | | | | | | | |
,4. Abide by the husband's wishes and inform the healthcare provider - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-4
The nurse notes that an advance directive is on a patient's medical record. Which
| | | | | | | | | | | | | |
statement represents the best description of an advance directive guideline the
| | | | | | | | | | |
nurse will follow? [23]
| | |
1. A living will allows an appointed person to make health care decisions when
| | | | | | | | | | | | | |
the patient is in an incapacitated state.
| | | | | |
2. A living will is invoked only when the patient has a terminal condition or is in a
| | | | | | | | | | | | | | | | | |
persistent vegetative state. | |
3. The patient can not make changes in the advance directive once admitted to
| | | | | | | | | | | | | |
the hospital.
|
4. A durable power of attorney for health care is invoked only when the patient
| | | | | | | | | | | | | | |
has a terminal condition or is in a persistent vegetative state. - CORRECT
| | | | | | | | | | | | |
ANSWER✔✔-2
A nurse notes that the health care unit keeps a listing of the patient names at the
| | | | | | | | | | | | | | | | |
front desk in easy view for health care providers to more efficiently locate the
| | | | | | | | | | | | | |
patient. The nurse talks with the nursing manager because this action is a
| | | | | | | | | | | | |
violoation of which act? [23] | | | |
1. Mental Health Parity Act
| | | |
2. Patient Self-Determination Act (PSDA)
| | | |
3. Health Insurance Portability and Accountability Act (HIPPA)
| | | | | | |
4. Emergency Medical Treatment and Active Labor Act - CORRECT ANSWER✔✔-3
| | | | | | | | | |
, Which of the following actions, if performed by a registered nurse, would result in
| | | | | | | | | | | | |
both criminal and administrative law sanctions against the nurse? (Select all that
| | | | | | | | | | | | |
apply.) [23] |
1. Taking and selling controlled substances
| | | | |
2. Refusing to provide health care information to a patient's child
| | | | | | | | | |
3. Reporting suspected abuse and neglect of children
| | | | | | |
4. Applying physical restraints without a written physician's order. - CORRECT
| | | | | | | | | | |
ANSWER✔✔-1, 4 |
The nurse received a hand-off report at the change of shift in the conference
| | | | | | | | | | | | | |
room from the night shift nurse. The nursing student assigned to the nurse asks
| | | | | | | | | | | | | |
to review the medical records of the patients assigned to them. The nurse begins
| | | | | | | | | | | | | |
assessing the assigned patients and lists the nursing care information for each
| | | | | | | | | | | |
patient on each individual patient's message board in the patient rooms. The
| | | | | | | | | | | |
nurse also lists the patient's medical diagnoses on the message board. Later in
| | | | | | | | | | | | |
the day, the nurse discusses the plan of care for a patient who is dying with the
| | | | | | | | | | | | | | | | |
patient's family. Which of these actions describes a violation of the Health
| | | | | | | | | | | |
Insurance Portability and Accountability Act (HIPPA)? [23]
| | | | | |
1. Discussing the patient conditions in the nursing report room at the change of
| | | | | | | | | | | | | |
shift
2. Allowing nursing students to review patient charts before caring for patients to
| | | | | | | | | | | | |
whom they are assigned
| | |
3. Posting medical information about the p - CORRECT ANSWER✔✔-3
| | | | | | | | |
The patient has a fractured femur that is placed in skeletal traction with a fresh
| | | | | | | | | | | | | | |
plaster cast applied. The patient experiences decreased sensation and a cold
| | | | | | | | | | |
feeling in the toes of the affected leg. The nurse observes that the patient's toes
| | | | | | | | | | | | | | |
have become pale and cold but forgets to document this because one of the
| | | | | | | | | | | | | |
