NUR 164 EXAM 2 QUESTIONS WITH VERIFIED
ANSWERS
A nursing professor pulls a student aside to discuss documenting a patient's blood
pressure of 202/122 but not reporting this to the primary nurse. When discovered, the
patient was transferred to the intensive care unit for treatment and monitoring. How
does the faculty best explain to the student that their inaction reflects negligence?
A. "You did not re-assess your patient."
B. "There was poor interprofessional communication with the health care team."
C. You failed to act as a reasonably prudent nurse would under similar circumstances."
D. "This action is consistent with a felony criminal action." - Answers - C. Negligence is
defined as performing an action that the reasonably prudent nurse would not perform or
failing to act as a reasonably prudent nurse would in similar circumstances. Negligence
may be an act of omission or commission. Criminal law concerning state and federal
criminal statutes includes murder, manslaughter, criminal negligence, theft, and illegal
possession of drugs. Public law regulates relationships between people and the
government. Private or civil law includes laws relating to contracts, ownership of
property, and the practice of nursing, medicine, pharmacy, and dentistry.
Nursing students approaching graduation and licensure are required to read the state
nurse practice act. Which topics in the law will they identity as guides to professional
practice? Select all that apply.
A. Actions resulting in discipline
B. Clinical procedures
C. Medication administration
D. Scope of practice
E. Delegation policies
F. Medicare reimbursement - Answers - A & D. Each state has a nurse practice act that
protects the public by broadly defining the legal scope of nursing practice. Practicing
beyond those limits makes nurses vulnerable to charges of violating the state nurse
practice act. Nurse practice acts also list the violations that can result in disciplinary
actions against nurses. Clinical procedures are covered by the health care institutions
themselves. Medication administration and delegation are topics covered by the board
of nursing. Laws governing Medicare reimbursement are enacted through federal
legislation.
A nurse on a surgical unit is concerned about a colleague's possible substance use
disorder. Which signs and symptoms could support the nurse's suspicion? Select all
that apply.
A. Exhibiting diminished alertness and somnolence while working
, B. Attending multiple continuing education conferences
C. Offering to medicate coworkers' patients for pain
D. Making incorrect narcotics counts and creating wastage
E. Leaving the unit frequently - Answers - A, B, C, D, E. Signs of substance use in
nurses may include diminished alertness or somnolence, leaving the unit frequently,
incorrect narcotic counts, wastage, offers to medicate colleagues' patients, or changes
in job performance, among others. Attending professional conferences is an example of
a nurse who is fully engaged with their work.
A new graduate nurse tells the preceptor they want to obtain recognition in wound care,
a specialty area of nursing. What credential will this nurse need to seek?
A. Accreditation
B. Licensure
C. Certification
D. Board approval - Answers - C. Certification is the process by which a person who
has met certain criteria established by a nongovernmental association is granted
recognition in a specified practice area. Nursing is one of the groups operating under
state laws that promote the general welfare by determining minimum standards of
education through accreditation of schools of nursing. Licensure is a legal document
that permits a person to offer to the public skills and knowledge in a particular
jurisdiction, where such practice would otherwise be unlawful without a license. State
board of approval ensures that nurses have received the proper training to practice
nursing.
The nurse reports to their manager that informed consent was not obtained from a
patient for whom HIV testing was already performed. The nurse suggests which
intentional tort may have been committed?
A. Assault
B. Battery
C. Invasion of privacy
D. False imprisonment - Answers - B. Assault is a threat or an attempt to make bodily
contact with another person without that person's consent. Battery is an assault that is
carried out. Every person is granted freedom from bodily contact by another person
unless consent is granted. The Fourth Amendment gives citizens the right of privacy
and the right to be left alone; a nurse who disregards these rights is guilty of invasion of
privacy. Unjustified retention or prevention of the movement of another person without
proper consent can constitute false imprisonment.
A patient died during routine outpatient surgery, and the nurse was accused of having
failed to monitor and interpret vital signs. Which fact must be established to prove them
guilty of malpractice or negligence?
A. The surgeon testifies the nurse's action was pure negligence, saying that the patient
could have been saved.
ANSWERS
A nursing professor pulls a student aside to discuss documenting a patient's blood
pressure of 202/122 but not reporting this to the primary nurse. When discovered, the
patient was transferred to the intensive care unit for treatment and monitoring. How
does the faculty best explain to the student that their inaction reflects negligence?
A. "You did not re-assess your patient."
B. "There was poor interprofessional communication with the health care team."
C. You failed to act as a reasonably prudent nurse would under similar circumstances."
D. "This action is consistent with a felony criminal action." - Answers - C. Negligence is
defined as performing an action that the reasonably prudent nurse would not perform or
failing to act as a reasonably prudent nurse would in similar circumstances. Negligence
may be an act of omission or commission. Criminal law concerning state and federal
criminal statutes includes murder, manslaughter, criminal negligence, theft, and illegal
possession of drugs. Public law regulates relationships between people and the
government. Private or civil law includes laws relating to contracts, ownership of
property, and the practice of nursing, medicine, pharmacy, and dentistry.
Nursing students approaching graduation and licensure are required to read the state
nurse practice act. Which topics in the law will they identity as guides to professional
practice? Select all that apply.
A. Actions resulting in discipline
B. Clinical procedures
C. Medication administration
D. Scope of practice
E. Delegation policies
F. Medicare reimbursement - Answers - A & D. Each state has a nurse practice act that
protects the public by broadly defining the legal scope of nursing practice. Practicing
beyond those limits makes nurses vulnerable to charges of violating the state nurse
practice act. Nurse practice acts also list the violations that can result in disciplinary
actions against nurses. Clinical procedures are covered by the health care institutions
themselves. Medication administration and delegation are topics covered by the board
of nursing. Laws governing Medicare reimbursement are enacted through federal
legislation.
A nurse on a surgical unit is concerned about a colleague's possible substance use
disorder. Which signs and symptoms could support the nurse's suspicion? Select all
that apply.
A. Exhibiting diminished alertness and somnolence while working
, B. Attending multiple continuing education conferences
C. Offering to medicate coworkers' patients for pain
D. Making incorrect narcotics counts and creating wastage
E. Leaving the unit frequently - Answers - A, B, C, D, E. Signs of substance use in
nurses may include diminished alertness or somnolence, leaving the unit frequently,
incorrect narcotic counts, wastage, offers to medicate colleagues' patients, or changes
in job performance, among others. Attending professional conferences is an example of
a nurse who is fully engaged with their work.
A new graduate nurse tells the preceptor they want to obtain recognition in wound care,
a specialty area of nursing. What credential will this nurse need to seek?
A. Accreditation
B. Licensure
C. Certification
D. Board approval - Answers - C. Certification is the process by which a person who
has met certain criteria established by a nongovernmental association is granted
recognition in a specified practice area. Nursing is one of the groups operating under
state laws that promote the general welfare by determining minimum standards of
education through accreditation of schools of nursing. Licensure is a legal document
that permits a person to offer to the public skills and knowledge in a particular
jurisdiction, where such practice would otherwise be unlawful without a license. State
board of approval ensures that nurses have received the proper training to practice
nursing.
The nurse reports to their manager that informed consent was not obtained from a
patient for whom HIV testing was already performed. The nurse suggests which
intentional tort may have been committed?
A. Assault
B. Battery
C. Invasion of privacy
D. False imprisonment - Answers - B. Assault is a threat or an attempt to make bodily
contact with another person without that person's consent. Battery is an assault that is
carried out. Every person is granted freedom from bodily contact by another person
unless consent is granted. The Fourth Amendment gives citizens the right of privacy
and the right to be left alone; a nurse who disregards these rights is guilty of invasion of
privacy. Unjustified retention or prevention of the movement of another person without
proper consent can constitute false imprisonment.
A patient died during routine outpatient surgery, and the nurse was accused of having
failed to monitor and interpret vital signs. Which fact must be established to prove them
guilty of malpractice or negligence?
A. The surgeon testifies the nurse's action was pure negligence, saying that the patient
could have been saved.
