Answers A+ Graded (2025)
After .a .car/pedestrian .accident, .the .pedestrian .is .brought .to .the .ER. .The .client
.is .alert .& .oriented .but .complains .of .dyspnea. .O2 .sat .levels .vary .from .88-90%.
.O2 .is .applied .at .2 .L .per .nc .with .no .improvement .in .SpO2. .Radiograph .films
.reveal .no .obvious .injury .or .fractures. .Suddenly .the .pt .loses .consciousness .has
.a .respiratory .arrest .& .subsequently .dies. .During .the .respiratory .arrest
.resuscitation .it .is .determined .that .a .nurse .failed .to .open .the .valve .to .the .O2
.tank .& .the .client .had .not .been .receiving .O2. .What .is .the .key .ethical .principal
.involved .in .this .situation?
1. .Nonmaleficence
2. .Fidelity
3. .Beneficence
4. .Justice .- .CORRECT .ANSWER-Correct .answer .# .1 .- .nonmaleficenceis .the
.requirement .that .health .care .providers .do .no .harm .to .their .clients .either
.intentionally .or .unintentionally. .Think .of .remember .nonmaleficenceis .not .harm
2 .- .incorrect .- .fidelity .is .the .obligation .of .an .individual .to .be .faithful
3 .- .incorrect .- .beneficence .is .doing .food .for .the .clients
4 .- .incorrect .- .justice .is .the .obligation .to .be .fair .to .all .people.
Which .factor .is .unique .to .malpractice .when .comparing .negligence .and
.malpractice?
1. .The .action .did .not .meet .standards .of .care.
2. .The .inappropriate .care .is .an .act .of .commission.
3. .There .is .harm .to .the .patient .as .a .result .of .the .care
4. .There .is .a .contractual .relationship .between .the .nurse .and .patient. .-
.CORRECT .ANSWER-Correct .answer .- .4 .- .only .malpractice .is .misconduct
.performed .in .professional .practice, .where .there .is .a .contractual .relationship
.between .the .patient .and .nurse, .which .results .in .harm .to .the .patient.
1 .- .incorrect .- .there .is .a .violation .of .standards .of .care .with .both .negligence .and
.malpractice
2 .- .incorrect .- .negligence .and .malpractice .both .involve .acts .of .either
.commission .(did .do .something) .or .omission .(did .not .do .something).
3 .- .incorrect .- .the .patient .must .have .sustained .injury, .damage, .or .harm .with
.both .negligence .and .malpractice.
,An .anxious .patient .repeatedly .uses .the .call .bell .to .get .the .nurse .to .come .to .the
.room. .Finally .the .nurse .says .to .the .patient, ."If .you .keep .ringing, .there .will
.come .a .time .I .won't .answer .your .bell."this .is .an .example .of:
1. .Slander
2. .Assault
3. .Battery
4. .Libel .- .CORRECT .ANSWER-Correct .answer .2 .- .this .is .an .example .of .assault.
.Assault .is .a .verbal .attack .or .unlawful .threat .causing .a .fear .of .harm. .No .actual
.contact .is .necessary .for .a .threat .to .be .an .assault.
1 .- .incorrect .- .slander .is .a .false .spoken .statement .resulting .in .damage .to .a
.person's .character .or .reputation.
3 .- .incorrect .- .battery .is .the .unlawful .touching .of .a .person's .body .without
.consent.
4 .- .incorrect .- .libel .is .a .false .printed .statement .resulting .in .damage .to .a
.person's .character .or .reputation.
A .patient .asks .the .nurse, ."what .is .a .Living .Will?"the .nurse .should .respond .that
.it .is .a .document .that:
1. .Instructs .a .physician .to .withhold/withdraw .life .sustaining .procedures .if .death
.is .near.
2. .Enables .a .person .to .request .medication .to .end .life .in .a .humane .and .dignified
.manner.
3. .Gives .consent .to .perform .life .sustaining .medical .interventions .during .an
.emergency
4. .Wills .ones .organs .to .help .others .who .needs .a .transplant .to .sustain .life. .-
.CORRECT .ANSWER-Correct .answer .- .1 .- .a .living .will .provides .specific
.instructions .about .the .care .the .person .does .or .does .not .want .to .receive,
.including .withholding .or .withdrawing .life .sustaining .procedures.
2 .- .incorrect .- .euthanasia .is .the .act .of .painlessly .putting .to .death .a .person .who
.is .suffering .and .is .against .the .law .in .most .states.
3 .- .incorrect .- .when .an .individual .can .not .provide .written .or .oral .consent
.(express .consent) .during .an .emergency, .care .is .provided .under .the .concept .of
.implied .consent.
4 .- .incorrect .- .under .the .Uniform .Anatomical .Gift .Act .and .the .National .Organ
.Transplant .Act .in .the .US, .individuals .18 .years .or .odlermay .donate .all .or .part .of
.their .bodies .for .education, .research, .advancement .of .science, .therapy, .or
.transplantation. .Consent .for .organ .donation .usually .is .made .via .a .signed .organ
.donation .card.
A .patient .falls .while .getting .out .of .bed .unassisted. .When .completing .an
.Incident .Report, .the .nurse .understands .that .its .main .purpose .is .to:
1. .Ensure .that .all .parties .have .an .opportunity .to .document .what .happened.
2. .Help .establish .who .is .responsible .for .the .incident
3. .Make .data .available .for .quality .control .analysis
, 4. .Document .the .incident .on .the .patient's .chart .- .CORRECT .ANSWER-
Corrrectanswer .- .3 .- .incident .reports .help .identify .patterns .of .risk .so .that
.corrective .action .plans .can .take .place.
1 .- .incorrect .- .the .nurse .who .identifies .or .creates .the .potential .or .actual .harm
.completes .the .Incident .Report. .The .report .identifies .the .people .involved .in .the
.incident, .describes .the .incident, .and .records .the .date, .time, .location, .actions
.taken, .and .other .relevant .information.
2 .- .incorrect .- .documentation .should .be .as .factual .as .possible .and .avoid
.accusations. .Questions .of .liability .are .the .responsibility .of .the .courts.
4 .- .incorrect .- .the .report .is .not .part .of .the .patient's .medical .record, .and
.reference .to .the .report .should .not .be .made .in .the .patient's .medical .record.
The .physician .asks .the .nurse .to .witness .an .informed .consent. .The .nurse
.understands .that .a .patient .who .is .unable .to .give .informed .consent .for .surgery
.is .a:
1. .16 .y.oboy .who .is .married
2. .35 .y.owoman .who .is .depressed
3. .50 .y.owoman .who .does .not .speak .english
4. .65 .y.oman .who .has .received .a .narcotic .for .pain. .- .CORRECT .ANSWER-
Correct .answer .- .4 .- .narcotics .depress .the .central .nervous .system .including
.decision .making .abilities. .This .person .is .considered .functionally .incompetent.
1 .- .incorrect .- .legally .individuals .younger .than .18 .y.ocan .provide .informed
.consent .if .they .are .married, .pregnant, .parents, .members .of .the .military .or
.emancipated.
2 .- .incorrect .- .a .depressed .person .is .capable .of .making .health .care .decisions
.until .proven .to .be .mentally .incompetent
3 .- .incorrect .- .this .person .can .provide .informed .consent .after .interventions
.ensure .that .the .person .understands .the .facts .and .risks .concerning .the
.treatment.
Licensure .of .Registered .Professional .Nurses .is .required .primarily .to .protect:
1. .Nurses
2. .Patients
3. .Common .law
4. .Healthcare .agencies .- .CORRECT .ANSWER-Correct .answer .is .# .2 .- .licensure
.indicates .that .a .person .has .met .minimal .standards .of .competency, .thus
.protecting .the .public's .safety.
1 .- .incorrect .- .licensure .does .not .protect .the .nurse. .Licensure .grants .an
.individual .the .legal .rights .to .practice .as .a .RN.
3 .- .incorrect .- .licensure .does .not .protect .common .law. .Common .law .comprises
.standards .and .rules .based .on .the .principles .established .in .prior .judicial
.decisions
4 .- .incorrect .- .it .is .the .Joint .Commission .on .Accreditation .of .Healthcare
.Organizations .(JCAHO) .that .determines .if .agencies .meet .minimal .standards .of
.healthcare .delivery, .thus .protecting .the .public.