NURS 171 Exam 1 NCLEX ||Verified Exam!!|| Most
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A woman has severe life-threatening injuries, is
unresponsive, and is hemorrhaging following a car
accident. The health care provider orders 2 units of
packed red blood cells to treat the woman's anemia. The
woman's husband refuses to allow the nurse to give his
wife the blood for religious reasons. What is the nurses
responsibility.
A. Obtain a court order to give the blood
B. Convince the husband to allow her to give the blood
C. Call security and have the husband removed from the
hospital
D. Gather more information about the wife's preferences
and determine whether the husband has her power of
attorney for healthcare. - Answer-D. Gather more
information about the wife's preferences and determine
whether the husband has her power of attorney for
healthcare.
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Rationale: "An advanced directive is a document
developed by patients that instructs others to do tasks
before, during, and after their death....[it also includes] the
designated person [that] can make decisions when the
patient becomes incapacitated" (Potter pg. 331).
Therefore, it would be best to see if the patient has a
POLST or other living will set in place, to honor her wishes
A nurse sends a text message to the oncoming nurse that
states, "Mr. Kodro in room 3348-1 refused to take his
sertraline hydrochloride as ordered his morning because
he said he was feeling better". What should the oncoming
nurse do? (SELECT ALL THAT APPLY)
A. Add this information to the board hanging at the
patient's bedside
B. Tell the nurse who sent the text that the text is a HIPAA
violation
C. Inform the nursing supervisor
D. Forward the text to the charge nurse
E. Thank the nurse for sending the information - Answer-B.
Tell the nurse who sent the text that the text is a HIPAA
violation
C. Inform the nursing supervisor
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Rationale: "...nurses must be especially vigilant to ensure
that patients are afforded the privacy they are entitled to
and that is mandated in law" (Potter pg. 329). The ethical
thing to do in this scenario is to report the worker to the
nursing supervisor (as this is a legal violation), and to tell
the coworker that it is a HIPAA violation.
Which of the following actions, if performed by an RN,
could result in both criminal and administrative law
sanctions against the nurse? (SELECT ALL THAT APPLY)
A. Reviewing the EHR of a family member who is a patient
in the same hospital on a different unit
B. Refusing to provide health care information to an older
adult's child
C. Reporting suspected abuse and neglect of children
D. Applying physical restrains without a written order.
E. Completing an occurrence report on the unit - Answer-
A. Reviewing the EHR of a family member who is a patient
in the same hospital on a different unit
D. Applying physical restrains without a written order.
Rationale: Option A, is a violation of HIPAA. Option D
would be committing false imprisonment.
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Which principle refers to the professional obligation of the
nurse to assume responsibility for actions?
A. Accountability
B. Individuality
C. Responsibility
D. Bioethics - Answer-A. Accountability
Rationale: "Accountability refers to individuals being
answerable for their actions... It means that as a nurse you
take responsibility to provide excellent patient care by
following standards of practice and agency policies and
procedures. You assume responsibility for the outcomes of
the actions, clinical judgments, and omissions in providing
patient care" (Potter pg. 307)
Which legal complication might the nurse face for using a
restraint without a legal warrant on a client?
A. Libel
B. Negligence
C. Malpractice
D. False imprisonment - Answer-D. False imprisonment