Answers
A nurse caring for an older adult client following a total abdominal hysterectomy documents
administration of morphine 4 mg intravenously for pain of 8 on a 1-10 scale, bed in the lowest
position, bed alarm on, side rails up times two, and call light in reach. After the nurse leaves the
room, the client gets out of bed and falls. In which order should the nurse proceed? - Correct Answer
Assess the client for injury
Assist the client back into bed
Notify the physician
Document the incident
Complete an incident report
Which elements are necessary to prove malpractice? Select all that apply. - Correct Answer Causation
Breach of duty
Duty
Damages
A client admitted to the mental health unit has exhibited physical behaviors that put him and others
at risk. The nurse applies four-point restraints without obtaining a physician's order or the client's
consent. The nurse is at risk of being accused of: - Correct Answer Battery
The nurse administered acetaminophen 15mg/kg to a 2-year old child with a sore throat. After
charting the medication, the nurse realizes that the client has documented allergy to the medication.
The client breaks out in a rash 15 minutes later, the throat swells, and the client must be intubated.
Which best describes the nurse's actions? - Correct Answer The nurse is guilty of malpractice
A nurse is caring for a hospitalized client. Which nursing actions demonstrate a caring and
compassionate attitude? Select all that apply. - Correct Answer Notify the client before leaving for
lunch
Offering snacks and beverages to visiting family
Explaining all procedures clearly
Listening to the client tell stories about past experiences
A client is received in a postoperative nursing unit after undergoing abdominal surgery. During this
time the nurse failed to recognize the significance of abdominal swelling, which significantly
, increased during the next 6 hours. Later, the client had to undergo emergency surgery. The lack of
action on the nurse's part is liable for action. Which legal term describes the case? - Correct Answer
Tort
A nurse working in a coronary case resuscitates a client who had expressed wishes not to be
resuscitated. Which tort has the nurse committed? - Correct Answer Battery
While teaching about advanced care planning, which fact is important for the nurse to share with a
client who has been diagnosed with a terminal illness? - Correct Answer A durable power of attorney
for health care appoints an agent the person trusts to make decisions.
Socialization into the nursing profession may have the most significant effect on: - Correct Answer
Values
What type of law regulates the practice of nursing? - Correct Answer Civil Law
The nurse finds that there have been several opportunities to share personal prescriptions with
family members when they were in need of pain medication or antibiotics. Which area of rules
should govern the nurse's moral decision? - Correct Answer Ethics
While walking down the hallway, a nurse manager overhears a staff member telling a client, "If you
don't stay in this chair and stop wandering, I'm going to tie you to it." The nurse manager pulls the
staff member aside and discusses what was said. The nurse manager intervenes because the staff
member's statement is which type of tort? - Correct Answer Assault
While at a coworker's house, a nurse discusses with the coworker a client whom the nurse suspects
of physically abusing the client's child. The next day, the client is moved to another nursing unit after
a surgical procedure and comes under the care of the coworker, who is also a nurse. The coworker
confronts the client about the alleged physical abuse. The client is shocked and angered by the
accusation and denies it categorically. What would be the charge if the client were to file a suit? -
Correct Answer The first nurse could be charged with slander
Which ethical principal refers to the obligation to do good? - Correct Answer Beneficence
The client being admitted to the oncology unit conveys wishes regarding resuscitation in the event of
cardiopulmonary arrest. The nurse advises the client that is would be in the client's best interest to
obtain which document? - Correct Answer A living will