Question 1

An adolescent client is injured during a football game.What should the nurse do before providing this client with treatment?

Accepted Answer

In most cases, a custodial parent's signature is required on the informed consent form for minors, as they have the legal authority to make medical decisions for the child.

Question 2

The nurse is caring for an adolescent client who is married, in the military, and has a new baby.Which should the nurse consider when providing care to this client?

Accepted Answer

Being married, in the military, and having a new baby grants the adolescent client the status of an emancipated minor, allowing them to consent to their own medical treatments, including blood transfusions.

Question 3

A client requests a copy of the medical record for a family member.Which response should the nurse make?

Accepted Answer

The correct response is that the chart belongs to the hospital, but with written permission, a copy can be made. This respects the legal and ethical guidelines surrounding patient confidentiality and the release of medical records, as governed by laws like HIPAA in the United States.

Question 4

The LPN/LVN is told to provide an intravenous push medication through a client's central line.Which action should the nurse take?

Accepted Answer

DLPNs/LVNs typically do not administer medications via an intravenous push through a central line, as this is usually within the scope of practice of an RN. Reviewing the procedure in the policy manual (D) is also important to ensure compliance with hospital policies and nursing standards.

Question 5

The legal department for a health-care organization is collecting information about standards of care.For which reason will these standards be used?

Accepted Answer

Standards of care are often used in legal settings to determine if the care provided by healthcare professionals, such as nurses, met the accepted level of care in the industry. They serve as benchmarks in court cases to assess whether the care given was appropriate and within the expected professional standards.

Question 6

A multi-organization health-care system learns that the billing department computer software was hacked and confidential information about 10,000 current and former clients was obtained.Which should be reviewed to handle this situation?

Accepted Answer

The answer of A multi-organization health-care system learns that the...

Question 7

The nurse witnesses a coworker taking a narcotic medication prescribed for a client.Which action should the nurse take first?

Accepted Answer

Reporting the incident to the nurse supervisor is the most appropriate first action to ensure patient safety and address the coworker's behavior within the framework of hospital policy and legal requirements.

Question 8

The nurse manager is concerned about sexual harassment occurring on the care area.Which statement should be investigated further? Select all that apply.

Accepted Answer

B) implies a quid pro quo situation, suggesting that a favor or service must be returned for performing a work-related task, which can be considered a form of sexual harassment. E) makes a generalizing and derogatory statement about male nurses, which could contribute to a hostile work environment based on gender, also a form of sexual harassment.

Question 9

A client telephones the home care agency to find out why the nurse did not arrive as scheduled to change a foot wound dressing.For which situation should the agency manager investigate?

Accepted Answer

Abandonment is the failure to provide care to a patient who is in need of care. In this case, the nurse did not arrive as scheduled to change a foot wound dressing, which could have resulted in the patient's wound becoming infected.

Question 10

The legal department of a hospital is preparing a seminar to review the different types of laws that must be followed while providing client care.Which could be used as an example of a criminal law?

Accepted Answer

Criminal law involves actions that are offenses against the state or public, and in this context, a nurse providing excessive intravenous fluid to hasten a client's death is an example of a criminal act, potentially considered as attempted murder or manslaughter.

Question 11

After providing morning care, the nurse forgot to put the bed in the lowest position and left one of the bed rails down causing the client to fall.For which reason could the nurse be reported to the board of nursing?

Accepted Answer

The nurse could be reported for negligence because failing to ensure the bed is in the lowest position and leaving a bed rail down, which directly led to the client's fall, is a failure to meet the standard of care expected of a nurse.

Question 12

The nurse is planning to move to another state.Which action should be done to ensure that the nurse can legally practice nursing in the new state?

Accepted Answer

Nurses must be licensed in the state where they practice. If moving to a new state, they need to contact the state board of nursing in that state to understand the requirements for licensure, which may include endorsement, additional paperwork, or fees. The NCLEX exam does not need to be retaken if the nurse is already licensed in one state.

Question 13

During a home visit, the nurse is asked to deposit cash in the client's bank account at the end of the visit.Which should the nurse say in response?

Accepted Answer

The nurse should decline the request to handle personal financial transactions for a client, as it is outside the scope of nursing responsibilities and could lead to ethical and legal issues. Suggesting a family member handle it is appropriate.

Question 14

The nurse reviews information collected during the assessment of clients in the community clinic.Which information needs to be reported to the authorities? Select all that apply.

Accepted Answer

The answer of The nurse reviews information collected during the...

Question 15

During evening rounds the nurse finds a client lying on the floor next to the bed.What should the nurse do when documenting this situation?

Accepted Answer

The answer of During evening rounds the nurse finds a...

Question 16

During lunch in the cafeteria, the nurse overhears two colleagues discuss the care issues of a client.Which action should the nurse take?

Accepted Answer

Discussing patient information in a public area violates patient confidentiality and privacy laws. The nurse should remind the colleagues to maintain confidentiality and discuss patient care in appropriate settings.

Question 17

The LPN/LVN is assisting an RN who is caring for a mentally competent client with a terminal illness.The client refuses to take prescribed medications.Which action should the nurse take?

Accepted Answer

The nurse should respect the client's autonomy and right to refuse treatment, while ensuring the refusal is communicated to the healthcare team for appropriate follow-up and continuing to provide compassionate care.

Question 18

The charge nurse is concerned that client information was inappropriately shared with family.Which would the nurse observe to come to this conclusion?

Accepted Answer

Leaving a computer screen with laboratory data in view at the bedside where family members can see it is a breach of patient confidentiality and privacy. This could lead to inappropriate sharing of client information with family members who may not have the authorization to view such data.

Question 19

The nurse feels that a client needs to be placed in a protective-restraint device to be protected from injury.Which action should the nurse take to use the restraints?

Accepted Answer

The nurse must document that other methods have been attempted and failed before using restraints, as restraints should be a last resort for protecting the client.

Question 20

The nurse has been reported to the board of nursing for performing skills that are outside the legal scope of practice.What should the nurse expect to occur next?

Accepted Answer

A hearing by the board of nursing is typically the next step to determine the validity of the charges against a nurse reported for performing skills outside their legal scope of practice. This process ensures fairness and thorough investigation before any disciplinary action is taken.

Quiz 3: Ethics, Law, and Delegation in Nursing