Exam 1: NR226/ NR 226 (Latest 2023/ 2024 Update) Fundamentals Patient Care Exam| 100% Correct Questions and Verified Answers - Chamberlain
QUESTION
The... [Show More] nurse changes a patient's dry sterile dressing. How is the nurse functioning when performing this task?
1. Interdependently
2. Collaboratively
3. Independently
4. Dependently
Answer:
4. A nurse is not permitted legally to prescribe wound care. The nurse needs a practitioner's order to provide wound care.
1. The changing of a dry sterile dressing is an interdependent action by the nurse when the practitioner's order for wound care states: Dry Sterile Dressing PRN.
2. In this situation, the nurse is not working with other health-care professionals to implement a practitioner's order.
3. This intervention is not within the scope of nursing practice without a practitioner's order.
QUESTION
The nurse must administer a medication. What should the nurse do first?
1. Check the patient's identification armband
2. Ensure the medication is in the medication cart
3. Verify the practitioner's prescription for accuracy
4. Determine the appropriateness of the prescribed medication
Answer:
3. The administration of medications is a dependent function of the nurse. The practitioner's prescription should be verified for accuracy. The prescription must include the name of the patient, the name of the drug, the size of the dose, the route of administration, the number of times per day to be administered, and any related parameters.
1. Although this action is essential for the safe administration of a medication to a patient, it is not the first step of this procedure.
2. Although this may be done as a time- management practice, it is not the first step when preparing to administer a medication to a patient.
4. A nurse is legally responsible for the safe administration of medications; therefore, the nurse should assess if a medication prescription is reasonable. However, this is not the first step when preparing to administer a medication to a patient.
QUESTION
When choosing a nursing school in the United States that awards an associate degree, a future student nurse should consider schools that have met the standards of nursing education established by which organization?
1. National League for Nursing Accrediting Commission
2. North American Nursing Diagnosis Association
3. American Nurses Association
4. Sigma Theta Tau
Answer:
1. The National League for Nursing Accrediting Commission (NLNAC) is an organization that appraises and grants accreditation status to nursing programs that meet predetermined structure, process, and outcome criteria.
2. The North American Nursing Diagnosis Association (NANDA) developed a constantly evolving taxonomy of nursing diagnoses to provide a standardized language that focuses on the patient and related nursing care.
3. The American Nurses Association (ANA) is the national professional organization for nursing in the United States. It does not accredit schools of nursing.
4. Sigma Theta Tau, the international honor society of nursing, recognizes academic achievement. It does not accredit schools of nursing.
QUESTION
The patient's diet order is "clear liquids to regular as tolerated." How is the nurse functioning when progressing the patient's diet to full liquid?
1. Dependently
2. Independently
3. Collaboratively
4. Interdependently
Answer:
4. The practitioner's order implies a progression in the diet as tolerated. The nurse uses judgment to determine the time of this progression, which is an interdependent action.
1. This dietary order has parameters that exceed a simple dependent function of the nurse.
2. Prescribing a dietary order for a patient is outside the scope of nursing practice.
3. Collaborative or collegial interventions are actions the nurse carries out in conjunction with other health-care team members.
QUESTION
Licensure of Registered Professional Nurses is required primarily to protect:
1. Nurses
2. Patients
3. Common law
4. Health-care agencies
Answer:
2. Licensure indicates that a person has met minimal standards of competency, thus protecting the public's safety.
1. Licensure does not protect the nurse. Licensure grants an individual the legal right to practice as a Registered Nurse.
3. Licensure does not protect common law. Common law comprises standards and rules based on the principles established in prior judicial decisions.
4. Licensure does not protect health-care agencies. The Joint Commission deter- mines if agencies meet minimal standards of health-care delivery, thus protecting the public.
QUESTION
Which factor is unique to malpractice when comparing negligence and malpractice?
1. The action did not meet standards of care
2. The inappropriate care is an act of commission
3. There is harm to the patient as a result of the care
4. There is a contractual relationship between the nurse and patient
Answer:
4. Only malpractice is misconduct performed in professional practice, where there is a contractual relationship between the patient and nurse, which results in harm to the patient.
1. There is a violation of standards of care with both negligence and malpractice.
2. Negligence and malpractice both involve acts of either commission or omission.
3. The patient must have sustained injury, damage, or harm with both negligence and malpractice.
QUESTION
The nurse completes an Incident Report after a patient falls while getting out of bed unassisted. What is the main purpose of this report?
1. Ensure that all parties have an opportunity to document what happened
2. Help establish who is responsible for the incident
3. Make data available for quality-control analysis
4. Document the incident on the patient's chart
Answer:
3. Incident Reports help to identify patterns of risk so that corrective action plans can take place.
1. The nurse who identified or created the potential or actual harm completes the Incident Report. The report identifies the people involved in the incident, describes the incident, and records the date, time, location, actions taken, and other relevant information.
2. Documentation should be as factual as possible and avoid accusations. Questions of liability are the responsibility of the courts.
4. The report is not part of the patient's medical record, and reference to the report should not be made in the patient's medical record.
QUESTION
How is the nurse functioning when administering a drug that has PRN as part of the prescription?
1. Collegially
2. Dependently
3. Independently
4. Interdependently
Answer:
4. An interdependent intervention requires a practitioner's order associated with a set parameter. The parameter, whenever necessary, requires that the nurse use judgment in implementing the order. [Show Less]