1 Inquire through: | Professional | Confidential Support
Nursing Fundamentals Practice Final Exam
EXTRA STUDY Questions and Answers (100%
Correct Answers)
A nurse is caring for a patient who recently had coronary bypass surgery. Which are
legal sources of standards of care the nurse uses to deliver safe healthcare? (Select
all that apply). [23]
1. Information provided by the head nurse
2. Policies and procedures of the employing hospital
3. State Nurse Practice Act
4. Regulations identified in the Joint Commission's manual.
5. The American Nurses Association standards of practice.
Ans: 2, 3, 4, 5
A nurse is sued for failure to monitor a patient appropriately after a procedure,.
Which of the following statements are correct about this lawsuit? (Select all that
apply) [23]
1. The nurse represents the plaintiff.
2. The defendant must prove injury, damage, or loss.
3. The person filing the lawsuit has the burden of proof.
4. The plaintiff must prove that a breach in the prevailing standard of care caused an
injury.
Ans: 3, 4
A nurse stops to help in an emergency at at the scene of an accident. The injured
party files a suit and the nurse's employing institution insurance does not cover the
nurse. What would probably cover the nurse in this situation? [23]
1. The nurse's auto insurance
2. The nurse's homeowner's insurance
3. The Good Samaritan laws, which grant immunity from suit if there is no gross
negligence.
,2 Inquire through: | Professional | Confidential Support
4. The Patient Care Partnership, which may grant immunity from suit if the injured
party contends.
Ans: 3
A nurse is planning care for a patient going to surgery. Who is responsible for
informing the patient about the surgery along with the possible risks, complications,
and benefits? [23]
1. Family member
2. Surgeon
3. Nurse
4. Nurse Manager
Ans: 2
A woman who is a Jehovah's Witness has severe, life-threatening injuries and is
hemorrhaging following a car accident. The healthcare provider ordered 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. What is the nurse's responsibility? [23]
1. Obtain a court order to give the blood
2. Coerce the husband into giving the blood
3. Call security and have the husband removed from the hospital
4. Abide by the husband's wishes and inform the healthcare provider
Ans: 4
The nurse notes that an advance directive is on a patient's medical record. Which
statement represents the best description of an advance directive guideline the nurse
will follow? [23]
1. A living will allows an appointed person to make health care decisions when the
patient is in an incapacitated state.
2. A living will is invoked only when the patient has a terminal condition or is in a
persistent vegetative state.
3. The patient can not make changes in the advance directive once admitted to the
hospital.
4. A durable power of attorney for health care is invoked only when the patient has a
terminal condition or is in a persistent vegetative state.
Ans: 2
,3 Inquire through: | Professional | Confidential Support
A nurse notes that the health care unit keeps a listing of the patient names at the
front desk in easy view for health care providers to more efficiently locate the
patient. The nurse talks with the nursing manager because this action is a violoation
of which act? [23]
1. Mental Health Parity Act
2. Patient Self-Determination Act (PSDA)
3. Health Insurance Portability and Accountability Act (HIPPA)
4. Emergency Medical Treatment and Active Labor Act
Ans: 3
Which of the following actions, if performed by a registered nurse, would result in
both criminal and administrative law sanctions against the nurse? (Select all that
apply.) [23]
1. Taking and selling controlled substances
2. Refusing to provide health care information to a patient's child
3. Reporting suspected abuse and neglect of children
4. Applying physical restraints without a written physician's order.
Ans: 1, 4
The nurse received a hand-off report at the change of shift in the conference room
from the night shift nurse. The nursing student assigned to the nurse asks to review
the medical records of the patients assigned to them. The nurse begins assessing the
assigned patients and lists the nursing care information for each patient on each
individual patient's message board in the patient rooms. The nurse also lists the
patient's medical diagnoses on the message board. Later in the day, the nurse
discusses the plan of care for a patient who is dying with the patient's family. Which
of these actions describes a violation of the Health Insurance Portability and
Accountability Act (HIPPA)? [23]
1. Discussing the patient conditions in the nursing report room at the change of shift
2. Allowing nursing students to review patient charts before caring for patients to
whom they are assigned
3. Posting medical information about the patient on a message board in the patient's
room
, 4 Inquire through: | Professional | Confidential Support
4. Releasing patient information regarding terminal illness to family when the patient
has given permission for information to be shared
Ans: 3
The patient has a fractured femur that is placed in skeletal traction with a fresh
plaster cast applied. The patient experiences decreased sensation and a cold feeling
in the toes of the affected leg. The nurse observes that the patient's toes have
become pale and cold but forgets to document this because one of the nurse's other
patient's experienced cardiac arrest at the same time. Two days later the patient in
skeletal traction has an elevated temperature, and he is prepared for surgery to
amputate the leg below the knee. Which of the following statements regarding a
breach of duty apply to this situation? (Select all that apply). [23]
1. Failure to document a change in assessment data
2. Failure to provide discharge instructions
3. Failure to follow the six rights of medication administration
4. Failure to use proper medical equipment ordered for patient monitoring
5. Failure to notify a health care provider about a change in the patient's condition
Ans: 1, 5
A homeless man enters the emergency department seeking health care. The health
care provider indicates that the patient needs to be transferred to the City Hospital
for care. This action is most likely a violation of which of the following laws? [23]
1. Health Insurance Portability and Accountability Act (HIPPA)
2. Americans with Disabilities Act (ADA)
3. Patient Self-Determination Act (PSDA)
4. Emergency Medical Treatment and Active Labor Act (EMTALA)
Ans: 4
You are the night shift nurse and are caring for a newly admitted patient who
appears confused. The family asks to see the patient's medical record. What is the
first nursing action to take? [23]
1. Give the family the record
2. Give the patient the record
3. Discuss the issues that concern the family with them
Nursing Fundamentals Practice Final Exam
EXTRA STUDY Questions and Answers (100%
Correct Answers)
A nurse is caring for a patient who recently had coronary bypass surgery. Which are
legal sources of standards of care the nurse uses to deliver safe healthcare? (Select
all that apply). [23]
1. Information provided by the head nurse
2. Policies and procedures of the employing hospital
3. State Nurse Practice Act
4. Regulations identified in the Joint Commission's manual.
5. The American Nurses Association standards of practice.
Ans: 2, 3, 4, 5
A nurse is sued for failure to monitor a patient appropriately after a procedure,.
Which of the following statements are correct about this lawsuit? (Select all that
apply) [23]
1. The nurse represents the plaintiff.
2. The defendant must prove injury, damage, or loss.
3. The person filing the lawsuit has the burden of proof.
4. The plaintiff must prove that a breach in the prevailing standard of care caused an
injury.
Ans: 3, 4
A nurse stops to help in an emergency at at the scene of an accident. The injured
party files a suit and the nurse's employing institution insurance does not cover the
nurse. What would probably cover the nurse in this situation? [23]
1. The nurse's auto insurance
2. The nurse's homeowner's insurance
3. The Good Samaritan laws, which grant immunity from suit if there is no gross
negligence.
,2 Inquire through: | Professional | Confidential Support
4. The Patient Care Partnership, which may grant immunity from suit if the injured
party contends.
Ans: 3
A nurse is planning care for a patient going to surgery. Who is responsible for
informing the patient about the surgery along with the possible risks, complications,
and benefits? [23]
1. Family member
2. Surgeon
3. Nurse
4. Nurse Manager
Ans: 2
A woman who is a Jehovah's Witness has severe, life-threatening injuries and is
hemorrhaging following a car accident. The healthcare provider ordered 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. What is the nurse's responsibility? [23]
1. Obtain a court order to give the blood
2. Coerce the husband into giving the blood
3. Call security and have the husband removed from the hospital
4. Abide by the husband's wishes and inform the healthcare provider
Ans: 4
The nurse notes that an advance directive is on a patient's medical record. Which
statement represents the best description of an advance directive guideline the nurse
will follow? [23]
1. A living will allows an appointed person to make health care decisions when the
patient is in an incapacitated state.
2. A living will is invoked only when the patient has a terminal condition or is in a
persistent vegetative state.
3. The patient can not make changes in the advance directive once admitted to the
hospital.
4. A durable power of attorney for health care is invoked only when the patient has a
terminal condition or is in a persistent vegetative state.
Ans: 2
,3 Inquire through: | Professional | Confidential Support
A nurse notes that the health care unit keeps a listing of the patient names at the
front desk in easy view for health care providers to more efficiently locate the
patient. The nurse talks with the nursing manager because this action is a violoation
of which act? [23]
1. Mental Health Parity Act
2. Patient Self-Determination Act (PSDA)
3. Health Insurance Portability and Accountability Act (HIPPA)
4. Emergency Medical Treatment and Active Labor Act
Ans: 3
Which of the following actions, if performed by a registered nurse, would result in
both criminal and administrative law sanctions against the nurse? (Select all that
apply.) [23]
1. Taking and selling controlled substances
2. Refusing to provide health care information to a patient's child
3. Reporting suspected abuse and neglect of children
4. Applying physical restraints without a written physician's order.
Ans: 1, 4
The nurse received a hand-off report at the change of shift in the conference room
from the night shift nurse. The nursing student assigned to the nurse asks to review
the medical records of the patients assigned to them. The nurse begins assessing the
assigned patients and lists the nursing care information for each patient on each
individual patient's message board in the patient rooms. The nurse also lists the
patient's medical diagnoses on the message board. Later in the day, the nurse
discusses the plan of care for a patient who is dying with the patient's family. Which
of these actions describes a violation of the Health Insurance Portability and
Accountability Act (HIPPA)? [23]
1. Discussing the patient conditions in the nursing report room at the change of shift
2. Allowing nursing students to review patient charts before caring for patients to
whom they are assigned
3. Posting medical information about the patient on a message board in the patient's
room
, 4 Inquire through: | Professional | Confidential Support
4. Releasing patient information regarding terminal illness to family when the patient
has given permission for information to be shared
Ans: 3
The patient has a fractured femur that is placed in skeletal traction with a fresh
plaster cast applied. The patient experiences decreased sensation and a cold feeling
in the toes of the affected leg. The nurse observes that the patient's toes have
become pale and cold but forgets to document this because one of the nurse's other
patient's experienced cardiac arrest at the same time. Two days later the patient in
skeletal traction has an elevated temperature, and he is prepared for surgery to
amputate the leg below the knee. Which of the following statements regarding a
breach of duty apply to this situation? (Select all that apply). [23]
1. Failure to document a change in assessment data
2. Failure to provide discharge instructions
3. Failure to follow the six rights of medication administration
4. Failure to use proper medical equipment ordered for patient monitoring
5. Failure to notify a health care provider about a change in the patient's condition
Ans: 1, 5
A homeless man enters the emergency department seeking health care. The health
care provider indicates that the patient needs to be transferred to the City Hospital
for care. This action is most likely a violation of which of the following laws? [23]
1. Health Insurance Portability and Accountability Act (HIPPA)
2. Americans with Disabilities Act (ADA)
3. Patient Self-Determination Act (PSDA)
4. Emergency Medical Treatment and Active Labor Act (EMTALA)
Ans: 4
You are the night shift nurse and are caring for a newly admitted patient who
appears confused. The family asks to see the patient's medical record. What is the
first nursing action to take? [23]
1. Give the family the record
2. Give the patient the record
3. Discuss the issues that concern the family with them
