EXAM 150 QUESTIONS WITH CORRECT DETAILED AND
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VERIFIED ANSWERS WITH RATIONALES/ ATI btbt btbt btbt btbt btbt
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Which is a recommended guideline for safe computerized charting? -
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Passwords to thecomputer system should only be changed if lost.
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2.
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Computer terminals may be left unattended during client-care activities. btbt btbt btbt btbt btbt btbt btbt btbt
3.
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Accidental deletions from the computerized file need to be reported to the btbt btbt btbt btbt btbt btbt btbt btbt btbt btbt btbt
nursing manager orsupervisor. (correct)
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4.
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Copies of printouts from computerized files should be kept on a clipboard
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at the CAREGIVERs'station for other CAREGIVERs to access.
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Rationale: After any inadvertent deletions of permanent computerized records, btbt btbt btbt btbt btbt btbt btbt btbt
the CAREGIVER should type an explanation into the computer file with the
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date, time, and his or her initials. The CAREGIVER should also contact the
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nursing manager or supervisor with a written explanation ofthe situation.
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Options 1, 2, and 4 represent unsafe charting actions. Only option 3 follows the
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guidelines for safe computer charting.
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The licensed practical CAREGIVER (LPN) enters a client's room and finds
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the client sitting on the floor. The LPN calls the registered CAREGIVER,
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who checks the client thoroughly and then assists the client back into bed.
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The LPN completes an incident report, and the nursing supervisor and health
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care provider (HCP) are notified of the incident. Which is the next nursing
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actionregarding the incident? - Place the incident report in the client's chart.
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2.
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Make a copy of the incident report for the HCP.
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3.
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Document a complete entry in the client's record concerning the incident. btbt btbt btbt btbt btbt btbt btbt btbt btbt btbt
(correct)
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4.
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Document in the client's record that an incident report has been completed btbt btbt btbt btbt btbt btbt btbt btbt btbt btbt btbt
,RATIONALE: The incident report is confidential and privileged information, btbt btbt btbt btbt btbt btbt btbt btbt
and it should not be copied, placed in the chart, or have any reference made to
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it in the client's record. Theincident report is not a substitute for a complete
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entry in the client's record concerning the incident.
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An unconscious client, bleeding profusely, is brought to the emergency
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department after aserious accident. Surgery is required immediately to save
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the client's life. With regard to informed consent for the surgical procedure,
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which is the best action? - Call the nursing supervisor to initiate a court
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order for the surgical procedure.
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2.
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Try calling the client's spouse to obtain telephone consent before the surgical
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procedure.
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3.
Ask the friend who accompanied the client to the emergency department to
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sign the consentform.
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4.
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Transport the client to the operating department immediately, as btbt btbt btbt btbt btbt btbt btbt btbt
required by the health careprovider, without obtaining an informed
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consent. (CORRECT)
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RATIONALE: Generally there are only two instances in which the informed btbt btbt btbt btbt btbt btbt btbt btbt btbt btbt
consent of an adult client is not needed. One instance is when an emergency is
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present and delaying treatment for the purpose of obtaining informed consent
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would result in injury or death to theclient. The second instance is when the
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client waives the right to give informed consent.
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Options 1, 2, and 3 are inappropriate btbt btbt btbt btbt btbt btbt
The CAREGIVER arrives at work and is told to report (float) to the pediatric
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unit for the day becausethe unit is understaffed and needs additional
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CAREGIVERs to care for the clients. The CAREGIVER has never worked in
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the pediatric unit. Which is the appropriate nursing action? - .
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Call the hospital lawyer.
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2.
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Call the nursing supervisor.
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3.
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Refuse to float to the pediatric unit. btbt btbt btbt btbt btbt btbt
4.
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Report to the pediatric unit and identify tasks that can be safely performed
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(correct)
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,RATIONALE: Floating is an acceptable legal practice used by hospitals to btbt btbt btbt btbt btbt btbt btbt btbt btbt btbt
solve their understaffing problems. Legally the CAREGIVER cannot refuse
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to float unless a union contract guarantees that the CAREGIVER can only
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work in a specified area or the CAREGIVER can prove a lack of knowledge
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for the performance of assigned tasks. When faced with this situation, the
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CAREGIVERshould identify potential areas of harm to the client
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The CAREGIVER enters a client's room and notes that the client's lawyer is
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present and that the clientis preparing a living will. The living will requires that
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the client's signature be witnessed, andthe client asks the CAREGIVER to
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witness the signature. Which is the appropriate nursing action? –
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btbt Decline to sign the will. (CORRECT) btbt btbt btbt btbt btbt
2.
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Sign the will as a witness to the signature only.
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3.
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Call the hospital lawyer before signing the will.
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4.
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Sign the will, clearly identifying credentials and employment agency.
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client. The client'ssignature either must be witnessed by specified individuals
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or notarized. Many states prohibitany employee from being a witness,
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including the CAREGIVER in a facility in which the client is receiving care.
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The CAREGIVER finds the client lying on the floor. The CAREGIVER calls
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the registered CAREGIVER, who checks the client and then calls the nursing
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supervisor and the health care provider to inform them of the occurrence. The
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CAREGIVER completes the incident report for which purpose? –
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A method of promoting quality care and risk management (correct)
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3.
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4.
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The appropriate method of reporting to local, state, and federal agencies
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, RATIONALE: Proper documentation of unusual occurrences, incidents, btbt btbt btbt btbt btbt btbt
accidents, and thenursing actions taken as a result of the occurrence are
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internal to the institution or agency. Documentation on the incident report
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allows the CAREGIVER and administration to review the quality of care
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and determine any potential risks present. Options 1, 3, and 4 are incorrect.
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The CAREGIVER observes that a client received pain medication 1 hour ago
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from another CAREGIVER, butthe client still has severe pain. The
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CAREGIVER has previously observed this same occurrence.
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Based on the CAREGIVER practice act, the observing CAREGIVER
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should plan to take which action? -Report the information to the police.
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2.
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Call the impaired CAREGIVER organization.
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3.
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Talk with the CAREGIVER who gave the medication.
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4.
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Report the information to a nursing supervisor. (CORRECT)
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RATIONALE: CAREGIVER practice acts require reporting the suspicion of btbt btbt btbt btbt btbt btbt btbt btbt
impaired CAREGIVERs. The state board of nursing has jurisdiction over the
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practice of nursing and may develop plans fortreatment and supervision. This
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suspicion needs to be reported to the nursing supervisor, whowill then report to
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the board of nursing. Options 1 and 2 are inappropriate. Option 3 may cause a
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conflict.
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A CAREGIVER lawyer provides an education session to the nursing staff
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regarding client rights. TheCAREGIVER asks the lawyer to describe an
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example that may relate to invasion of client privacy.
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Which nursing action indicates a violation of client privacy? - Threatening to
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place a client inrestraints
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2.
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Performing a surgical procedure without consent btbt btbt btbt btbt btbt
3.
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Taking photographs of the client without consent (CORRECT)
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4.
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Telling the client that he or she cannot leave the hospital
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