Exam 1: NR226/ NR 226 Fundamentals
Patient Care Exam| 100% Correct Questions
and Verified Answers (2023/ 2024 Update)-
Chamberlain
Q: The nurse initiates a visit from a member of the clergy for a patient. How is the nurse
functioning when initiating this visit?
- Interdependently
- Independently
- Dependently
- Collegially
Answer:
2 (The nurse is initiating the referral to the member of the clergy and is therefore working
independently. Nurses are legally permitted to diagnose and treat human responses to actual or
potential health problems.) - The nurse does not need a practitioner’s order to make a referral to a member of the clergy. An
interdependent intervention requires a practitioner’s order associated with a parameter. - This action is within the scope of nursing practice. The nurse does not need a practitioner’s
order to make a referral to a member of the clergy. - The nurse can make a referral to a mem- ber of the clergy without collaborating with another
professional health-care team member.
Q: A patient is asked to participate in a medical research study. The nurse describes to the
patient and family members how the patient is protected by the: - Code of Ethics
- Informed Consent
- Nurse Practice Act
- Constitution of the United States
Answer:
2 (Informed consent is an agreement by a client to accept a course of treatment or a procedure
after receiving complete information necessary to make a knowledgeable decision.) - A code of ethics is the official statement of a group’s ideals and values. It includes broad
statements that provide a basis for professional actions. - Nurse Practice Acts define the scope of nursing practice; they are unrelated to informed
consent. - The Constitution of the United States addresses broad individual rights and responsibilities.
The rights related to nursing practice and patients include therights of privacy, freedom of
speech, and due process.
Q: The nurse is implementing an ordered bowel preparation for a patient who is scheduled for a
colonoscopy. Which is the most serious consequence that is prevented by an effective bowel
preparation? - Discomfort
- Misdiagnosis
- Wasted expense
- Psychological stress
Answer:
2 (Fecal material in the intestines can interfere with the visualization, collection, and analysis of
data obtained through a colonoscopy, resulting in diagnostic errors.) - Although this may occur, it is not the most serious outcome of an inappropriate preparation for
a colonoscopy. - A test may have to be cancelled or per- formed a second time if the patient has an ineffective
bowel preparation. Although this is a serious consequence, it is not life threatening. - Although this is a serious consequence, it is not life threatening.
Q: The practitioner orders OOB for a patient. How is the nurse functioning when moving this
patient out of bed to a chair? - Dependently
- Independently
- Collaboratively
- Interdependently
Answer:
1 (Determining the extent of activity desirable for a patient is within the practitioner’s, not a
nurse’s, scope of practice. Following activity orders is a dependent function of the nurse.) - The responsibility to determine a patient’s activity level is not within the legal scope of nursing
practice. - A practitioner works independently when determining a patient’s desired activity level.
- The nurse is following the practitioner’s order to get the patient OOB. There are no restrictions
or parameters in relation to the order. However, the nurse must use judgment before, during, and
after a transfer if a patient’s condition changes.
Q: A Registered Nurse witnesses an accident and assists the victim who has a life-threatening
injury. What should the nurse do to meet the most important standard when acting as a Good
Samaritan at the scene of an accident? - Seek consent from the injured party before rendering assistance
- Implement every critical-care intervention necessary to sustain life
- Stay at the scene until another qualified person takes over responsibility
- Insist on helping because a nurse is the best-qualified person to provide care
Answer: - When a nurse renders emergency care, the nurse has an ethical responsibility not to abandon
the injured person. The nurse should not leave the scene until the injured person leaves or
another qualified person assumes responsibility. - Depending on the injured person’s physi- cal and emotional status, the person may or may not
be able to consent to care. - When a nurse helps in an emergency, the nurse is required to render care that is consistent
with care that any reasonably prudent nurse would provide under simi- lar circumstances. The
nurse should not attempt interventions that are beyond the scope of nursing practice. - A nurse should offer assistance, not insist on assisting, at the scene of an emergency.
Q: A faculty member of a nursing program is conducting an informational session for potential
nursing students. The faculty member includes the information that at the completion of the
program licensure to practice is: - A responsibility of the American Nurses Association
- Granted on graduation from a nursing program
- Approved by the National League for Nursing
- Required by state law
Answer: - The Nurse Practice Act in a state stipulates the requirements for licensure within the state.