Seneca College PNR PNR 300/ PNR300 Exam (solutions)
Latest Spring 2022
1.
Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse
informs Jalpa the day nurse that Jeffrey received one dose of morphine 2 hours
ago and has been sleeping since then with no pain. Jalpa assesses Jeffrey and
finds he has no vital signs, a Code Blue is called and Jeffrey is declared
deceased. On chart review Ashley did not assess Jeffrey at any time after giving
morphine, hospital policy dictated vital signs should be assessed every 15 mins
for one hour after giving morphine. Ashley's failure to properly monitor Jeffrey is
an example of what:
Assault
Intentional
Tort
Negligence
Incapacity
2.
Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse
informs Jalpa the day nurse that Jeffrey received one dose of morphine 2 hours
ago and has been sleeping since then with no pain. Jalpa assesses Jeffrey and
finds he has no vital signs, a Code Blue is called and Jeffrey is declared
deceased. On chart review Ashley did not assess Jeffrey at any time after giving
morphine, hospital policy dictated vital signs should be assessed every 15 mins
for one hour after giving morphine. Ashley's failure to properly monitor Jeffrey is
an example of what:
Assault
Intentional
Tort
Negligence
Incapacity
3.
Documentation is used to communicate to all members of the health care
team and to monitor client status and progress. All of the following are
examples how nurses demonstrate this standard except?
Ensuring timely, complete and accurate record of care
provided Documenting both objective and subjective
data accurately Using abbreviations appropriately
Ensuring documentation is made in a temporary format or record
4.
Riley, a 12-year-old boy with leukemia, has been undergoing treatment for the
last two years. When asked about his disease, Riley is able to articulate the
details of his illness and treatment. For the last six months, Riley's condition has
,deteriorated, and he has been admitted to the hospital several times. Riley has
expressed desire to discontinue his treatment and says "I know if I don't have
my treatment, I won't live anymore". According to the Health Care Consent Act:
, Riley is a minor and cannot consent to withdrawing treatment
Riley is only 12-years-old and is not capable of making an
voluntary informed and
decision
Riley appreciates his illness and its consequences and is
considered
capable of making the decision to withdraw treatment.
Riley can withdraw treatment if his parents agree with the
decision
5.
Monique an RPN has worked in a labour and delivery unit for 20 years. When
resolving ethical situations, Monique does not think she needs to consult with
her colleagues because they do not have as much experience as she does.
Monique insists and is adamant on demonstrating bathing of an infant to the
baby's father, because she feels it is beneficial for fathers to be actively
involved. This has been raised as an ethical issue on the unit by newer staff.
What should the team do in this situation?
Regardless of experience or expertise, consulting about ethical
situations helps support decision-making
Monique's experience is enough, and she is able to
resolve ethical conflicts independently
Monique is correct. Parents often experience anxiety over a
new baby Monique should be removed from being a client's
primary nurse
whenever their values do not match
6.
A Nurse witnesses a nursing colleague hitting a client. The nurse intervenes and
stops the abuse. The nurse identified that she was tired and frustrated, and that
it will never happen again. She asked the witness not to tell the manager. What
is the witness's responsibility in this situation?
You are responsible for supporting your colleague who is
suffering from nurse fatigue. You are responsible for protecting the client and
must report the incident to the manager
You are responsible for helping your colleague manage
challenging patients who cause all nurses to be frustrated
You can be silent because this is the first incident and the nurse
said she will deal with her fatigue
You are responsible for supporting your client only
7.
The nurse is aware that an ethics committee in a health care facility
serves to: Interview all persons involved in an
ethical dilemma Illustrate circumstances that
demonstrate malpractice Serve as a resource for
specific situations as they occur
, Examine previous similar cases for comparison of outcome
decisions
8.
Your client who has dementia refuses his 0800 medications. His daughter is
his substitute decision-maker. What should the nurse do?
Crush the medications, put them in apple sauce and then
feed it to him Contact his daughter to discuss the change in
behavior
Latest Spring 2022
1.
Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse
informs Jalpa the day nurse that Jeffrey received one dose of morphine 2 hours
ago and has been sleeping since then with no pain. Jalpa assesses Jeffrey and
finds he has no vital signs, a Code Blue is called and Jeffrey is declared
deceased. On chart review Ashley did not assess Jeffrey at any time after giving
morphine, hospital policy dictated vital signs should be assessed every 15 mins
for one hour after giving morphine. Ashley's failure to properly monitor Jeffrey is
an example of what:
Assault
Intentional
Tort
Negligence
Incapacity
2.
Jeffrey is a 60 year old who had knee surgery 1 day ago. Ashley the night nurse
informs Jalpa the day nurse that Jeffrey received one dose of morphine 2 hours
ago and has been sleeping since then with no pain. Jalpa assesses Jeffrey and
finds he has no vital signs, a Code Blue is called and Jeffrey is declared
deceased. On chart review Ashley did not assess Jeffrey at any time after giving
morphine, hospital policy dictated vital signs should be assessed every 15 mins
for one hour after giving morphine. Ashley's failure to properly monitor Jeffrey is
an example of what:
Assault
Intentional
Tort
Negligence
Incapacity
3.
Documentation is used to communicate to all members of the health care
team and to monitor client status and progress. All of the following are
examples how nurses demonstrate this standard except?
Ensuring timely, complete and accurate record of care
provided Documenting both objective and subjective
data accurately Using abbreviations appropriately
Ensuring documentation is made in a temporary format or record
4.
Riley, a 12-year-old boy with leukemia, has been undergoing treatment for the
last two years. When asked about his disease, Riley is able to articulate the
details of his illness and treatment. For the last six months, Riley's condition has
,deteriorated, and he has been admitted to the hospital several times. Riley has
expressed desire to discontinue his treatment and says "I know if I don't have
my treatment, I won't live anymore". According to the Health Care Consent Act:
, Riley is a minor and cannot consent to withdrawing treatment
Riley is only 12-years-old and is not capable of making an
voluntary informed and
decision
Riley appreciates his illness and its consequences and is
considered
capable of making the decision to withdraw treatment.
Riley can withdraw treatment if his parents agree with the
decision
5.
Monique an RPN has worked in a labour and delivery unit for 20 years. When
resolving ethical situations, Monique does not think she needs to consult with
her colleagues because they do not have as much experience as she does.
Monique insists and is adamant on demonstrating bathing of an infant to the
baby's father, because she feels it is beneficial for fathers to be actively
involved. This has been raised as an ethical issue on the unit by newer staff.
What should the team do in this situation?
Regardless of experience or expertise, consulting about ethical
situations helps support decision-making
Monique's experience is enough, and she is able to
resolve ethical conflicts independently
Monique is correct. Parents often experience anxiety over a
new baby Monique should be removed from being a client's
primary nurse
whenever their values do not match
6.
A Nurse witnesses a nursing colleague hitting a client. The nurse intervenes and
stops the abuse. The nurse identified that she was tired and frustrated, and that
it will never happen again. She asked the witness not to tell the manager. What
is the witness's responsibility in this situation?
You are responsible for supporting your colleague who is
suffering from nurse fatigue. You are responsible for protecting the client and
must report the incident to the manager
You are responsible for helping your colleague manage
challenging patients who cause all nurses to be frustrated
You can be silent because this is the first incident and the nurse
said she will deal with her fatigue
You are responsible for supporting your client only
7.
The nurse is aware that an ethics committee in a health care facility
serves to: Interview all persons involved in an
ethical dilemma Illustrate circumstances that
demonstrate malpractice Serve as a resource for
specific situations as they occur
, Examine previous similar cases for comparison of outcome
decisions
8.
Your client who has dementia refuses his 0800 medications. His daughter is
his substitute decision-maker. What should the nurse do?
Crush the medications, put them in apple sauce and then
feed it to him Contact his daughter to discuss the change in
behavior
