Exam 3

Question 1

A pt was displaying symptoms of a stroke. It took 3 hrs to get a CT scan to confirm a stoke. What type of error is this?

Answer 1

Diagnostic

Question 2

A pt had not received his BP med and had a BP off 208/103. instead of giving the med, the RN went to lunch.

Answer 2

Treatment

Question 3

The RN failed to admin an anticoagulant and the pt developed Pulmonary embolism. What type of error is this?

Answer 3

Preventative
Omission

Question 4

Reporting errors without punishment, balancing learning from mistakes & need to discipline

Answer 4

Just culture

Question 5

Universal precautions include:

Answer 5

hand hygiene
proper disposal of sharps & needles
Blood products
Use of PPE

Question 6

The nurse does not turn a client as ordered, and the client develops a pressure injury.
Which legal concept applies?

Answer 6

Breach of duty

Question 7

The RN is teaching a class regarding standards of care in nursing. Which statement indicates an understanding?

Answer 7

“Nurse practice acts and administrative rules form the standard of care”
“The ANA’s standards of practice are the prevailing national standard”
“The RN’s job description will aid in defining the standard of care.”

Question 8

What requires the nurse to protect the privacy and confidentiality of a client’s protected health information?

Answer 8

Health insurance and portability and accountability act. (HIPAA)

Question 9

Under HIPAA, which is an acceptable reason to disclose protected health information?

Answer 9

Payment
Treatment
Operations

Question 10

As an advocate for the client, the nurse must make sure that “safe, effective care” is given in conformity with the:

Answer 10

Nurse Practice Act (NPA)

Question 11

A child’s shots may cause discomfort during admin, but the benefit outweigh discomfort. Which principle is involved?

Answer 11

Beneficence

Question 12

Which ethical principle underlies nursing actions respecting each patient’s values and beliefs?

Answer 12

Autonomy

Question 13

which ethical term? A nurse questions the meds being too extreme for patient

Answer 13

Nonmaleficence

Question 14

The distribution of nurses to areas of “most need” in the time of a nursing shortage is an example of:

Answer 14

Justice

Question 15

A pt asks about an ordered and the nurse replies, “I’m unsure but I will find out.” & later returns with an explanation.

Answer 15

Fidelity

Question 16

A RN overhears two employees talking about a pt’s poor hygiene in a derogatory way.
Which actions should the nurse take?

Answer 16

Indicate to the employees that it is not appropriate to discuss

Question 17

The nurse is obligated to follow a physicians order unless:

Answer 17

The order is an error, violates hospital policy, or would be detrimental

Question 18

What law creates the NM Board of Nursing & nursing scope of practice.

Answer 18

Nurse Practice Act

Question 19

Laws that are created by legislation at state or federal level are know as what?

Answer 19

Statutory laws

Question 20

Rules written by agencies to supplement laws created by legislature.

Answer 20

Regulatory laws

Question 21

Laws created as a result of a lawsuit or court ruling.

Answer 21

Common/case laws

Question 22

Record of pt stay at the hospital a year ago, is found where?

Answer 22

EHR

Question 23

Health information of patient’s current stay at the hospital.

Answer 23

EMR

Question 24

documentation needs to meet which guidelines?

Answer 24

Accurate
Factual
Current

Question 25

The primary purpose of a patient’s medical record is to:

Answer 25

communicate accurate, timely info about the pt.