PNR 100: MIDTERM EXAM
QUESTIONS AND ANSWERS
Legislative frame work -
correct answer ✅-The Nursing Act, 1991, along with the Regulated
Health Professions Act, 1991 (RHPA), determines how the nursing
profession is regulated in Ontario.
-The RHPA applies to all of Ontario's self-regulated health
professions.
-The Nursing Act establishes the mandate of the CNO and defines
the scope of practice for the profession.
Nursing Scope of practice statement -
correct answer ✅The practice of nursing is the promotion of
health and the assessment of, the provision of, care for, and the
treatment of, health conditions by supportive, preventive,
therapeutic, palliative and rehabilitative means in order to attain or
maintain optimal function.
•Nurses are expected to practice in compliance with relevant
legislation, the Code and all other CNO practice standards.
Contravening legislation or failing to meet the standards of practice
could be professional misconduct.
Registration categories an classes -
correct answer ✅-General class
,PNR 100: MIDTERM EXAM
QUESTIONS AND ANSWERS
-Extended class
-Temporary class
-Special assignment class
-Emergency class
-Non practicing class
Controlled acts -
correct answer ✅The RHPA lists 14 controlled acts that are
considered potentially harmful if performed by someone who isn't
qualified.
Controlled acts authorized to nursing -
correct answer ✅The Nursing Act, 1991 authorizes nurses to
perform the following controlled acts when ordered or permitted
by the regulations pertaining to initiation:
■ performing a prescribed procedure below the dermis or mucous
membrane;
■ administering a substance by injection or inhalation;
■ putting an instrument, hand or finger:
i. beyond the external ear canal
,PNR 100: MIDTERM EXAM
QUESTIONS AND ANSWERS
ii. beyond the point in the nasal passages where they normally
narrow
iii. beyond the larynx
iv. beyond the opening of the urethra
v. beyond the labia majora
vi. beyond the anal verge or
vii. into an artificial opening in the body.
■ dispensing a drug;
■ treating, by means of psychotherapy technique, delivered
through a therapeutic relationship, an individual's serious disorder
of thought, cognition, mood, emotional regulation, perception or
memory that may seriously impair the individual's judgement,
insight, behavior, communication or social functioning.
A Registered Nurse (RN) or Registered Practical Nurse (RPN) may
perform a procedure within the controlled acts authorized to
nursing:
■ if it is ordered by a physician, dentist, chiropodist,
midwife or Nurse Practitioner (NP); or
■ if it is initiated by an RN or RPN in accordance
with conditions identified in regulation
, PNR 100: MIDTERM EXAM
QUESTIONS AND ANSWERS
Exceptions to the needs for authorization -
correct answer ✅Acupuncture is exempt from the controlled act of
performing a procedure on tissue below the dermis when it is
performed by a nurse in accordance with College standards.
Therefore, authorization (e.g., an order) is not required for nurses
to perform acupuncture.
The RHPA also provides several exceptions that allow persons to
perform controlled acts. These exceptions are as follows:
■ when providing first aid or temporary assistance
in an emergency;
■ when, under the supervision or direction of a
member of the profession, a student is learning to become a
member of that profession and the performance of the procedure
is within the scope of the profession's practice;
■ when treating a member of a person's household and the
procedure is within the second or third controlled act authorized to
nursing;
■ when assisting a person with his/her routine activities of living
and the procedure is within the second or third controlled act
authorized to nursing; or
QUESTIONS AND ANSWERS
Legislative frame work -
correct answer ✅-The Nursing Act, 1991, along with the Regulated
Health Professions Act, 1991 (RHPA), determines how the nursing
profession is regulated in Ontario.
-The RHPA applies to all of Ontario's self-regulated health
professions.
-The Nursing Act establishes the mandate of the CNO and defines
the scope of practice for the profession.
Nursing Scope of practice statement -
correct answer ✅The practice of nursing is the promotion of
health and the assessment of, the provision of, care for, and the
treatment of, health conditions by supportive, preventive,
therapeutic, palliative and rehabilitative means in order to attain or
maintain optimal function.
•Nurses are expected to practice in compliance with relevant
legislation, the Code and all other CNO practice standards.
Contravening legislation or failing to meet the standards of practice
could be professional misconduct.
Registration categories an classes -
correct answer ✅-General class
,PNR 100: MIDTERM EXAM
QUESTIONS AND ANSWERS
-Extended class
-Temporary class
-Special assignment class
-Emergency class
-Non practicing class
Controlled acts -
correct answer ✅The RHPA lists 14 controlled acts that are
considered potentially harmful if performed by someone who isn't
qualified.
Controlled acts authorized to nursing -
correct answer ✅The Nursing Act, 1991 authorizes nurses to
perform the following controlled acts when ordered or permitted
by the regulations pertaining to initiation:
■ performing a prescribed procedure below the dermis or mucous
membrane;
■ administering a substance by injection or inhalation;
■ putting an instrument, hand or finger:
i. beyond the external ear canal
,PNR 100: MIDTERM EXAM
QUESTIONS AND ANSWERS
ii. beyond the point in the nasal passages where they normally
narrow
iii. beyond the larynx
iv. beyond the opening of the urethra
v. beyond the labia majora
vi. beyond the anal verge or
vii. into an artificial opening in the body.
■ dispensing a drug;
■ treating, by means of psychotherapy technique, delivered
through a therapeutic relationship, an individual's serious disorder
of thought, cognition, mood, emotional regulation, perception or
memory that may seriously impair the individual's judgement,
insight, behavior, communication or social functioning.
A Registered Nurse (RN) or Registered Practical Nurse (RPN) may
perform a procedure within the controlled acts authorized to
nursing:
■ if it is ordered by a physician, dentist, chiropodist,
midwife or Nurse Practitioner (NP); or
■ if it is initiated by an RN or RPN in accordance
with conditions identified in regulation
, PNR 100: MIDTERM EXAM
QUESTIONS AND ANSWERS
Exceptions to the needs for authorization -
correct answer ✅Acupuncture is exempt from the controlled act of
performing a procedure on tissue below the dermis when it is
performed by a nurse in accordance with College standards.
Therefore, authorization (e.g., an order) is not required for nurses
to perform acupuncture.
The RHPA also provides several exceptions that allow persons to
perform controlled acts. These exceptions are as follows:
■ when providing first aid or temporary assistance
in an emergency;
■ when, under the supervision or direction of a
member of the profession, a student is learning to become a
member of that profession and the performance of the procedure
is within the scope of the profession's practice;
■ when treating a member of a person's household and the
procedure is within the second or third controlled act authorized to
nursing;
■ when assisting a person with his/her routine activities of living
and the procedure is within the second or third controlled act
authorized to nursing; or
