BCEN Professional Issues in Nursing Review: Ethics, Legal Practice, Leadership & Emergency
Nursing Standards
A nurse is splashed in the eye with the blood from a trauma patient who is HIV seropositive. The
nurse should
A).
B).
C).
D.) - ANS ✔✔
In which of the following cases has the nurse breached patient confidentiality?
a). notifying the health department about measles
b).reporting sudden unexpected deaths to the coroner
c).notifying the police about a possible homicide
d). reporting HIV status to the patient's employer - ANS ✔✔D. Reporting HIV status to the
patients employer
A patient reports sexual assault. According to the Emergency Nurses Association (ENA) and
American College of Emergency Physicians (ACEP), this would be assigned what acuity rating on
the five-tier Emergency Severity Index (ESI)?
a) level 1
B) level 2
c) level 3
d) level 4 - ANS ✔✔level 2
, During quality review, the Quality Improvement Committee identifies a variance from the
standard of nursing care of two patients with chest pain. Which of the following is the MOST
appropriate recommendation by the Committee?
A)Schedule a nursing inservice on the standard of care for chest pain.
B)Design a new flow sheet for cardiac documentation.
C) Request the nurse manager to discipline the nurses involved.
D)Conduct a random audit and determine the frequency of the problem. - ANS ✔✔D)Conduct a
random audit and determine the frequency of the problem.
Which of the following patients has a contraindication for tetanus prophylaxis? Explain why and
list contraindications
A) an 18-year-old with a known egg allergy
B) a 24-year-old in her second trimester of pregnancy
C) a 36-year-old with acute pneumonia
D) a 46-year-old who is HIV-positive - ANS ✔✔C). A 36 year old with acute pneumonia
Ans: Contraindications for tetanus prophylaxis include
- hypersensitivity,
- acute infection
Nursing Standards
A nurse is splashed in the eye with the blood from a trauma patient who is HIV seropositive. The
nurse should
A).
B).
C).
D.) - ANS ✔✔
In which of the following cases has the nurse breached patient confidentiality?
a). notifying the health department about measles
b).reporting sudden unexpected deaths to the coroner
c).notifying the police about a possible homicide
d). reporting HIV status to the patient's employer - ANS ✔✔D. Reporting HIV status to the
patients employer
A patient reports sexual assault. According to the Emergency Nurses Association (ENA) and
American College of Emergency Physicians (ACEP), this would be assigned what acuity rating on
the five-tier Emergency Severity Index (ESI)?
a) level 1
B) level 2
c) level 3
d) level 4 - ANS ✔✔level 2
, During quality review, the Quality Improvement Committee identifies a variance from the
standard of nursing care of two patients with chest pain. Which of the following is the MOST
appropriate recommendation by the Committee?
A)Schedule a nursing inservice on the standard of care for chest pain.
B)Design a new flow sheet for cardiac documentation.
C) Request the nurse manager to discipline the nurses involved.
D)Conduct a random audit and determine the frequency of the problem. - ANS ✔✔D)Conduct a
random audit and determine the frequency of the problem.
Which of the following patients has a contraindication for tetanus prophylaxis? Explain why and
list contraindications
A) an 18-year-old with a known egg allergy
B) a 24-year-old in her second trimester of pregnancy
C) a 36-year-old with acute pneumonia
D) a 46-year-old who is HIV-positive - ANS ✔✔C). A 36 year old with acute pneumonia
Ans: Contraindications for tetanus prophylaxis include
- hypersensitivity,
- acute infection
