WorksheetsNCLEX - LEGAL ETHICAL Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The nurse in the emergency department is caring for a client who is unconscious and requires an emergency craniotomy. The client has no identification. The nurse should recognize that it would be a priority to
a)
document medical necessity of the surgical procedure in the client's medical record
b)
transport the client to the operating room under the premise of implied consent
c)
contact the local police to help identify the client and locate family members
d)
obtain court permission for the client's surgical procedure
2.
A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen. How should the nurse respond?
a)
Ask about liver disease and give acetaminophen from the nurse's personal supply
b)
Assess the employee's blood pressure
c)
Check for allergies to drugs before giving acetaminophen from hospital stock
d)
Refer employee to the employee health provider
3.
The nurse finds a client on the floor in the client's room. Based on the documentation shown in the exhibit, the nurse made an incorrect entry in the client's medical record at what time?
a)
1700
b)
1710
c)
1740
d)
1810
4.
The nurse in the outpatient care facility is caring for a client with metastatic lung cancer who received chemotherapy 3 days ago. The client states, "I have decided that I do not want to continue treatment." Which of the following responses would be appropriate for the nurse to make?
a)
That is not an easy choice to make. I will notify your health care provider of your decision.
b)
Have you considered how this decision might affect your spouse and children?
c)
I do not think it is wise to stop chemotherapy. You will become too sick to enjoy your life.
d)
Have you discussed this decision with someone else that you trust?
5.
A newly reassigned nurse enters a hospital room at the beginning of the shift and finds the client unconscious and unresponsive. Resuscitation is initiated and then continued by the rapid response team. The nurse realizes that there is a do not resuscitate (DNR) prescription posted in the client's chart. Which action is correct?
a)
Stop all resuscitation activity immediately
b)
Continue resuscitation until DNR status is verified with health care provider
c)
If client shows any signs of life, follow advanced cardiovascular support protocol until stable
d)
Once resuscitation has begun, complete it regardless of client code status
6.
The nurse is caring for a client who has no pulse and is experiencing the cardiac rhythm in the ECG strip shown below. The client has a do not attempt resuscitation directive. The health care provider orders initiation of resuscitative measures. Which of the following actions should the nurse take?
a)
Initiate chest compressions.
b)
Clarify the order with the HCP.
c)
Prepare the client for defibrillation.
d)
Verify the client's wishes with the family.
7.
The nurse is providing end-of-life care to a client who has a do not attempt resuscitation directive. The client's respirations are 6/min. Which of the following actions should the nurse take?
a)
Administer oxygen at 2 L/min via nasal cannula.
b)
Obtain the spouse's consent for endotracheal intubation.
c)
Determine if the client has a power of attorney for health care.
d)
Ask the client if any changes have been made to the DNAR directive.
8.
Which client in the emergency department would be allowed to leave against medical advice after the risks are discussed with the primary health care provider?
a)
5-year-old client with meningitis whose parent refuses antibiotics
b)
Client who attempted suicide by taking a handful of acetaminophen an hour ago
c)
Client with a urinary tract infection who is disoriented to time and place
d)
Client with coffee-ground emesis from chronic use of high-dose aspirin
9.
The acute care clinic nurse administers a prescribed narcotic for a client with renal colic and then discharges the client without ensuring that the client has a designated driver. The client is subsequently involved in a motor vehicle accident causing injury to self and others. Which ethical principle did the nurse violate?
a)
Autonomy
b)
Nonmaleficence
c)
Paternalism
d)
Veracity
10.
A client receiving end-of-life care is no longer able to make decisions. The client's appointed medical power of attorney is considering placement of a feeding tube. The MPOA asks the nurse, "What would you do if this was your family member?" How should the nurse respond?
a)
I'm not sure what I would do, but I feel confident that you will make the right decision.
b)
I will call the chaplain to help you sort through the options and discuss the issue.
c)
What do you think are the advantages and disadvantages of a feeding tube?
d)
You should meet with the family to discuss what the patient would have wanted.
11.
A visiting family member of a hospitalized client reports sudden onset of a headache and numbness in half of the body. The visitor asks the nurse to take a blood pressure reading. What is the most appropriate response by the nurse?
a)
Encourage the visitor to lie down to see if symptoms change
b)
Initiate protocol to assist the visitor to the emergency department
c)
Proceed to take the visitor's blood pressure
d)
Suggest that the visitor call the health care provider
12.
The nurse has attended a staff education program about ethical practices in nursing. Which of the following statements by the nurse would indicate a correct understanding of the program?
a)
Accountability is notifying the health care provider after making a medication error.
b)
Autonomy is informing the client of the care decisions the family has made for the client.
c)
Confidentiality is respecting a client's request to keep suicidal ideation a secret from other members of the health care team.
d)
Fidelity is returning to the client's room with pain medication at the time that was promised to the client.
e)
Nonmaleficence is reporting suspected elder abuse of a client with Alzheimer disease.
13.
The nurse is talking with the spouse and sibling of a client with a terminal illness who is unresponsive and experiencing respiratory distress. The sibling is the agent holding the client's power of attorney for health care. Which of the following actions should the nurse take?
a)
Ask the client's sibling if the client has a living will.
b)
Ask the spouse about the client's preferences for medical care.
c)
Inform the client's spouse that the client requires emergency intubation.
d)
Obtain guidance from the client's sibling regarding medical care decisions.
14.
The nurse is participating in staff training about protecting clients' privacy and confidentiality. Which of the following incidents does the nurse recognize as a violation of client confidentiality?
a)
A visitor talking in the waiting room states that the client has alcoholism
b)
The licensed practical nurse has the client's report sheet in a pocket when going home
c)
The nursing assistant tells a client that the hospital roommate went for a gallbladder test
d)
The registered nurse tells a visitor to wear a mask because the client is on isolation precautions
e)
Two LPNs are discussing a possible cure for AIDS on a crowded elevator
15.
A nurse is documenting notes in the client's electronic record after making rounds on assigned clients. Which entry is an appropriate documentation?
a)
Client appears to be sleeping. Eyes closed.
b)
Client reports, "I'm in pain." Medication provided.
c)
Inspiratory wheezes heard in bilateral lower lung fields
d)
Voided x 1
100 %
