NR 226 Exam 1 Questions And Correct Verified Answers

NR 226 Exam 1 Questions And Correct Verified Answers A practitioner asks the nurse to witness an informed consent. Which patient does the nurse identify is unable to give an informed consent for surgery? 1) 16 year old boy who is married 2) 35 year old woman who is depressed 3) 50 year old woman who does not speak English 4) 65 year old man who has received a narcotic for pain. - ANS Correct Answer: 4 (Narcotics depress the CNS, including decision-making abilities. 1 - Because legally anyone under 18 who is married can make the decision. 2 - wrong because a depressed person can make these decisions until proven mentally incompetent. 3 - Wrong because this person can provide informed consent after translations. When the nurse is administering a medication to a confused patient, the patient says, "this pill looks different from the one I had before." What should the nurse do? 1) Ask what the other pill looked like. 2) Explain the purpose of the medication. 3) Check the original medication prescription. 4) Encourage the patient to take the medication. - ANS Correct answer: 3 (This is the safest intervention because it goes to the original source of the prescription.) 1 - Wrong because This action by itself is unsafe because the patient is confused and the information obtained may be innacurate. 2 - This intervention ignores the patient's concern. 4 - This action ignores the patient's statement and is unsafe without obtaining additional information. The nurse administers an incorrect dose of a medication to a patient. What is the primary purpose of documenting this event in an Incident Report? 1) Record the event for future litigation. 2) Provide a basis for designing new policies. 3) Prevent similar situations from happening again. 4) Ensure accountability for the cause of the accident. - ANS Correct answer: 3 (Risk-management committees use stats about accidents & incidents to identify patterns of risk and prevent future accidents/incidents.) 1 - Wrong because although documentation of an incident may be used in a court of law, it is not the primary reason for an incident report. 2- This is not the primary reason. New policies may or may not have to be written and implemented. 4 - Although nurses are always accountable for their actions, accountability for the cause of an incidence is the role of the courts. A practitioner writes a prescription for a medication that is larger than the standard dose. What should the nurse do? 1) Inform the supervisor 2) Give the drug as prescribed. 3) Give the average dose of the medication. 4) Discuss the prescription with the practitioner. - ANS Correct Answer: 4 (Nurses have a prof. resonsibility to know/investigate the standard dose for medications being administered. In addition, nurses are responsible for their own actions regardless of whether there is a written prescription) 1 - It is unnecessary to call the supervisor. 2 - This is unsafe for the patient and may result in malpractice. 3 - Changing a medication prescription is not within the scope of nursing practice. When the nurse attempts to administer a medication to a patient, the patient refuses to take the medication because it causes diarrhea. The nurse provides teaching about the medication, but the patient continues to adamantly refuse the medication. What should the nurse do first? 1) Document the patient's refusal to take the medication. 2) Notify the practitioner of the patient's refusal to take the medication. 3) Discuss with a family member the need for the patient to take the medication. 4) Explain again to the patient the consequences of refusing to take the medication. - ANS Correct Answer: 1 (The patient has the right to refuse)