RNSG 1413 EXAM 1 QUESTIONS AND
ANSWERS ALL CORRECT
A woman has severe life-threatening injuries and is hemorrhaging following a car
accident. The health care 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 for religious reasons. What is the nurse's responsibility? - Answer- More
information is needed about the wife's preference and if the husband has her medical
power of attorney
A nurse notes that an advance directive is on a patient's medical record. Which
statement represents the best description of an advance directive guideline that the
nurse will follow? - Answer- A living will is invoked only when the patient has a terminal
condition or is in a persistent vegetative state.
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 nurse manager because this action is a violation of which act? -
Answer- Health Insurance Portability and Accountability Act (HIPAA)
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.) -
Answer- Taking or selling controlled substances
Applying physical restraints without a written physician's order
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 314patients 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
patients' 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 (HIPAA)? - Answer- Posting medical information about the patient on a message
board in the patient's room
A 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 nurse's other patients experienced
cardiac arrest at the same time. Two days later the patient in skeletal traction has an
,elevated temperature, and he is prepared for surgery to amputate the leg below the
knee. Which of the following statements regarding a breach of duty apply to this
situation? (Select all that apply.) - Answer- Failure to document a change in assessment
data
Failure to notify a health care provider about a change in the patient's condition
A homeless man enters the emergency department seeking health care. The health
care provider indicates that the patient needs to be transferred to the City Hospital for
care. This action is most likely a violation of which of the following laws? - Answer-
Emergency Medical Treatment and Active Labor Act (EMTALA) without triage
completed
You are the night shift nurse caring for a newly admitted patient who appears to be
confused. The family asks to see the patient's medical record. What is the priority
nursing action? - Answer- Determine from the medical record if the family has been
granted permission by the patient to access his or her medical information
A home health nurse notices significant bruising on a 2-year-old patient's head, arms,
abdomen, and legs. The patient's mother describes the patient's frequent falls. What is
the best nursing action for the home health nurse to take? - Answer- Contact a child
abuse hotline
Which of the following statements indicate that the new nursing graduate understands
ways to remain involved professionally? (Select all that apply.) - Answer- I am thinking
about joining the health committee at my church."
"I need to read newspapers, watch news broadcasts, and search the Internet for
information related to health."
"I will join nursing committees at the hospital after I have completed orientation and
better understand the issues affecting nursing."
You are floated to work on a nursing unit where you are given an assignment that is
beyond your capability. Which is the best nursing action to take first? - Answer- Call the
nursing supervisor to discuss the situation
A patient has been newly admitted to a medicine unit with a history of diabetes and
advanced heart failure. The nurse is assessing the patient's fall risks. Place the
following steps for measuring the "Timed Get-up and Go Test" (TUG) in the correct
order: - Answer- Tell patient to walk 10 feet as quickly and safely as possible to a line
you marked on the floor, turn around, walk back, and sit down.
Have patient rise from straight-back chair without using arms for support.
Begin timing.
Look for unsteadiness in patient's gait.
Have patient return to chair and sit down without using arms for support.
Check time elapsed.
, A nurse knows that the people most at risk for accidental hypothermia are: (Select all
that apply.) - Answer- People who are homeless.
People with cardiovascular conditions.
The very old.
A parent calls the pediatrician's office to ask about directions for using a car seat. Which
of the following is the most correct set of instructions the nurse gives to this parent? -
Answer- Toddlers must reach age 2 or the height or weight requirement before they ride
forward facing.
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the preparation
you have your classmates read the Nursing Code of Ethics for Professional Registered
Nurses. Your instructor asks the class why this document is important. Which of the
following statements best describes this code? - Answer- Defines the principles of right
and wrong to provide patient care
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, listens to her lung and heart sounds, determines her level of
comfort, and collects blood and sputum samples for analysis. Which standard of
practice is performed? - Answer- Assessment
A patient in the emergency department has developed wheezing and shortness of
breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours.
Which standard of practice is performed? - Answer- Implementation
A nurse is caring for a patient with end-stage lung disease. The patient wants to go
home on oxygen and be comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risk and benefits of the surgery to the family
and discusses the patient's wishes with them. The nurse is acting as the patient's: -
Answer- Advocate
The nurse spends time with the patient and family reviewing the dressing change
procedure for the patient's wound. The patient's spouse demonstrates how to change
the dressing. The nurse is acting in which professional role? - Answer- Educator
The examination for registered nurse (RN) licensure is exactly the same in every state
in the United States. This examination: - Answer- Provides a minimal standard of
knowledge for an RN in practice.
Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? (Select all
that apply.) - Answer- Caregiver
Autonomy and accountability
Patient advocate
Health promotion
ANSWERS ALL CORRECT
A woman has severe life-threatening injuries and is hemorrhaging following a car
accident. The health care 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 for religious reasons. What is the nurse's responsibility? - Answer- More
information is needed about the wife's preference and if the husband has her medical
power of attorney
A nurse notes that an advance directive is on a patient's medical record. Which
statement represents the best description of an advance directive guideline that the
nurse will follow? - Answer- A living will is invoked only when the patient has a terminal
condition or is in a persistent vegetative state.
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 nurse manager because this action is a violation of which act? -
Answer- Health Insurance Portability and Accountability Act (HIPAA)
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.) -
Answer- Taking or selling controlled substances
Applying physical restraints without a written physician's order
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 314patients 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
patients' 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 (HIPAA)? - Answer- Posting medical information about the patient on a message
board in the patient's room
A 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 nurse's other patients experienced
cardiac arrest at the same time. Two days later the patient in skeletal traction has an
,elevated temperature, and he is prepared for surgery to amputate the leg below the
knee. Which of the following statements regarding a breach of duty apply to this
situation? (Select all that apply.) - Answer- Failure to document a change in assessment
data
Failure to notify a health care provider about a change in the patient's condition
A homeless man enters the emergency department seeking health care. The health
care provider indicates that the patient needs to be transferred to the City Hospital for
care. This action is most likely a violation of which of the following laws? - Answer-
Emergency Medical Treatment and Active Labor Act (EMTALA) without triage
completed
You are the night shift nurse caring for a newly admitted patient who appears to be
confused. The family asks to see the patient's medical record. What is the priority
nursing action? - Answer- Determine from the medical record if the family has been
granted permission by the patient to access his or her medical information
A home health nurse notices significant bruising on a 2-year-old patient's head, arms,
abdomen, and legs. The patient's mother describes the patient's frequent falls. What is
the best nursing action for the home health nurse to take? - Answer- Contact a child
abuse hotline
Which of the following statements indicate that the new nursing graduate understands
ways to remain involved professionally? (Select all that apply.) - Answer- I am thinking
about joining the health committee at my church."
"I need to read newspapers, watch news broadcasts, and search the Internet for
information related to health."
"I will join nursing committees at the hospital after I have completed orientation and
better understand the issues affecting nursing."
You are floated to work on a nursing unit where you are given an assignment that is
beyond your capability. Which is the best nursing action to take first? - Answer- Call the
nursing supervisor to discuss the situation
A patient has been newly admitted to a medicine unit with a history of diabetes and
advanced heart failure. The nurse is assessing the patient's fall risks. Place the
following steps for measuring the "Timed Get-up and Go Test" (TUG) in the correct
order: - Answer- Tell patient to walk 10 feet as quickly and safely as possible to a line
you marked on the floor, turn around, walk back, and sit down.
Have patient rise from straight-back chair without using arms for support.
Begin timing.
Look for unsteadiness in patient's gait.
Have patient return to chair and sit down without using arms for support.
Check time elapsed.
, A nurse knows that the people most at risk for accidental hypothermia are: (Select all
that apply.) - Answer- People who are homeless.
People with cardiovascular conditions.
The very old.
A parent calls the pediatrician's office to ask about directions for using a car seat. Which
of the following is the most correct set of instructions the nurse gives to this parent? -
Answer- Toddlers must reach age 2 or the height or weight requirement before they ride
forward facing.
You are preparing a presentation for your classmates regarding the clinical care
coordination conference for a patient with terminal cancer. As part of the preparation
you have your classmates read the Nursing Code of Ethics for Professional Registered
Nurses. Your instructor asks the class why this document is important. Which of the
following statements best describes this code? - Answer- Defines the principles of right
and wrong to provide patient care
An 18-year-old woman is in the emergency department with fever and cough. The nurse
obtains her vital signs, listens to her lung and heart sounds, determines her level of
comfort, and collects blood and sputum samples for analysis. Which standard of
practice is performed? - Answer- Assessment
A patient in the emergency department has developed wheezing and shortness of
breath. The nurse gives the ordered medicated nebulizer treatment now and in 4 hours.
Which standard of practice is performed? - Answer- Implementation
A nurse is caring for a patient with end-stage lung disease. The patient wants to go
home on oxygen and be comfortable. The family wants the patient to have a new
surgical procedure. The nurse explains the risk and benefits of the surgery to the family
and discusses the patient's wishes with them. The nurse is acting as the patient's: -
Answer- Advocate
The nurse spends time with the patient and family reviewing the dressing change
procedure for the patient's wound. The patient's spouse demonstrates how to change
the dressing. The nurse is acting in which professional role? - Answer- Educator
The examination for registered nurse (RN) licensure is exactly the same in every state
in the United States. This examination: - Answer- Provides a minimal standard of
knowledge for an RN in practice.
Contemporary nursing requires that the nurse has knowledge and skills for a variety of
professional roles and responsibilities. Which of the following are examples? (Select all
that apply.) - Answer- Caregiver
Autonomy and accountability
Patient advocate
Health promotion
