A student nurse administers a medication to the wrong client while the instructor is with another
student. Which statement by the instructor is most appropriate in this situation?
A) "You have placed the nursing student program in danger."
B) "You may be sued by the hospital for the extra care cost to the client."
C) "You are expected to practice like a licensed nurse."
D) "You have set a bad example for the other students." - (correct Answer) - C) "You are expected to
practice like a licensed nurse."
The nurse is concerned about being sued for negligence when providing care. Which nursing actions
may be grounds for negligence? Select all that apply.
A) Client fell getting out of bed because the call light was not used.
B) Client name band was checked prior to providing all medications.
C) Client's morning medications were administered in the early afternoon.
D) Client states not understanding activity restrictions and wound eviscerated.
E) Client documentation did not include appearance of infiltrated IV site. - (correct Answer) - A) Client
fell getting out of bed because the call light was not used.
C) Client's morning medications were administered in the early afternoon.
D) Client states not understanding activity restrictions and wound eviscerated.
E) Client documentation did not include appearance of infiltrated IV site.
A nurse working on a medical-surgical unit wants to ensure care is provided within the standard of
nursing care. Which actions by the nurse are appropriate? Select all that apply.
A) Analyze the position description.
B) Review and become familiar with the policy and procedure manual.
C) Question the value of collaborating with other disciplines.
, D) Review applicable state nurse practice act and administrative rules.
E) Adhere to national standards of practice and care. - (correct Answer) - A) Analyze the position
description.
B) Review and become familiar with the policy and procedure manual.
D) Review applicable state nurse practice act and administrative rules.
E) Adhere to national standards of practice and care.
The nurse observes a healthcare provider discussing an operative procedure with a client and
determines that informed consent was achieved. Which information was included in the informed
consent process? Select all that apply.
A) The provider's disapproval if the surgery is not performed
B) The health problem that requires surgery
C) The purpose of the surgery
D) The expectations of the surgery
E) Outcome if surgery is not performed - (correct Answer) - B) The health problem that requires surgery
C) The purpose of the surgery
D) The expectations of the surgery
E) Outcome if surgery is not performed
A client is receiving care in the hospital for life-threatening injuries sustained in a motor vehicle crash
and is taken immediately to surgery. There is no family available to provide consent; however, the
client's medical record is available and reviewed by the nurse. Which treatments are inappropriate in
this situation? Select all that apply.
A) Emergency surgery
B) Treatment that was previously refused
C) Treatment that violates religious beliefs
D) Medications to treat the injury