WorksheetsNCLEX - LEGAL ETHICAL Day1 (Part 2)
Total questions: 10
Worksheet time: 10mins
Name
Class
Date
1.
Which emergency department clients cannot be allowed to sign out against medical advice?
a)
Client in sickle cell crisis receiving oxygen via face mask
b)
Client who drank a 1 L bottle of vodka 2 hours ago
c)
Client who hears voice commands to kill a coworker
d)
Client with mania who has not eaten in 5 days
e)
Client with ST elevation on ECG monitoring
2.
The hospital nurse coming on duty notifies the unit of a delay due to a motor vehicle accident. The off-going nurse has an important appointment and must leave on time. How should the off-going nurse handle the situation?
a)
Ask another nurse to watch the current assigned clients until the incoming nurse arrives
b)
Tape-record a report and leave a cell phone number to call if there are any questions
c)
Tell the charge nurse of the impending need to leave and that client coverage is required
d)
Write out a report about the clients for the incoming nurse prior to leaving
3.
Which of the following are violations of protected client health information?
a)
Client overhears the nurse give report on the client's roommate through the room curtain
b)
Nurse calls a client by the first and last names in the public waiting room
c)
Nurse gives a pregnancy result to the client's partner without the client's permission
d)
Nurse tells the transporting tech that the client has breast cancer
e)
Unlicensed assistive personnel tells a discharged client, "You take care now!"
4.
The nurse is caring for a hospitalized client. Which are the best examples of narrative documentation to provide legal malpractice protection for the nurse after an adverse event?
a)
Client found on floor this morning at 6:50 AM. No verbalized symptoms. I think client tripped over a cord. Client instructed on safety during ambulation
b)
Client reports that IV pole hit head at 7:30 AM. Denies pain. IV pole removed for client safety. Will continue to monitor. Health care provider (HCP) notified
c)
Heparin infusion running at 15 units/kg/hr at 7:15 AM; infusion rate adjusted to prescription of 12 units/kg/hr. Labs drawn at 7:20 AM, aPTT 65 sec. HCP notified; will draw labs again at 1:20 PM
d)
IV site in right hand is red and swollen at 9:30 AM. IV removed, bleeding controlled, and warm compress administered at 9:40 AM. Will reassess for swelling and pain every hour
e)
Package of green leaves found in client drawer at 1:00 PM. Client acting suspicious at 2:00 PM. HCP notified. Will call security. Client has multiple tattoos and piercings
5.
The nurse prepares to teach an in-service on legal issues related to nursing. Which legal terms are followed by an appropriate example?
a)
Assault: Threatening to administer a benzodiazepine if the client does not comply
b)
Battery: Misinforming a client that a painful injection will not create discomfort
c)
False imprisonment: Storing a competent client's clothes to prevent the client from leaving prior to a prescribed treatment
d)
Informed consent: Calling the parent of an emancipated minor for approval prior to providing care
e)
Invasion of privacy: Posting a medical update on the social media page of a client who is a friend
6.
The medical-surgical nurse cares for a group of clients. Which client situations would prompt the nurse to notify the health care provider during the middle of the night?
a)
Client develops right-sided upper and lower extremity drift
b)
Client found lying unconscious on the floor
c)
Client has order for heparin with surgery planned for the morning
d)
Client has serum sodium of 124 mEq/L (124 mmol/L)
e)
Client refuses a prescribed, routine pain medication
7.
During shift change, the night nurse notices that the graduate nurse administered IV dopamine instead of the prescribed norepinephrine for a client with sepsis. What should the night nurse do first?
a)
Administer the correct medication and obtain current vital signs
b)
Alert the graduate nurse and complete an incident report
c)
Assess the client and notify the health care provider
d)
Discontinue the dopamine and inform the nursing supervisor
8.
A nurse discontinues patient-controlled analgesia per the health care provider's prescription, and notes that there is 10 mL of morphine sulfate left in the cartridge. All other nurses on the unit appear busy. What is the most appropriate action by the nurse?
a)
Ask unlicensed assistive personnel to witness the wasting of the medication
b)
Document that another nurse was not available to waste the medication
c)
Wait until another nurse is available and then witness the waste together
d)
Waste the morphine alone and then show the empty cartridge to the charge nurse
9.
The nurse is caring for a client on life support who has been declared brain dead. The client is a registered organ donor. Which of the following actions should the nurse take?
a)
Contact the local organ procurement organization
b)
Discontinue nursing care and provide postmortem care
c)
Remove life support as requested by the spouse and the family
d)
Ask the family members about their plans for the funeral service
10.
The nurse is caring for a client who is attempting to leave the hospital against medical advice. The client is competent to make decisions. Which of the following actions would be essential for the nurse to take?
a)
Provide the client with a copy of the client's medical record
b)
Tell the client that discharge forms must be signed before leaving
c)
Inform the client that the client cannot return for medical care after leaving
d)
Ensure the health care provider explains the risks of leaving the hospital to the client
100 %
