Fundamentals Nursing Test Bank
a) contact the nursing supervisor
b) administer the dose prescribed
c) hold the medication until the physician can be contacted
d) administer the recommended dose until the physician can be located
17. A nursing graduate is employed as a staff nurse in a local hospital. During orientation, the new graduate asks the nurse educator about the need to obtain professional liability insurance. The appropriate response by the nurse educator is:
a) it is very expensive and not necessary
b) the hospital's liability insurance will cover your actions
c) the majority of suits are filled against physicians and the hospital
d) nurses are encouraged to have their own professional insurance
18. The registered nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which action first?
a) call the hospital lawyer
b) refuse to float to the ICU
c) call the nursing supervisor
d) report to the ICU and identify tasks that can be performed safely
19. The nurse gives an inaccurate dose of medication to a client. Following assessment of the client, the nurse completes an incident report. The nurse notifies the nursing supervisor of the medication error and calls the physician to report the occurrence. The nurse who administered the inaccurate medication dose understands that:
a) the error will result in suspension
b) the incident will be reported to the board of nursing
c) the incident will be documented in the personnel file
d) an incident report needs to be completed and is a method of promoting quality care and risk management
20. A nurse works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. The appropriate initial action by the nurse is which of the following?
a) call security
b) call the police
c) call the nursing supervisor
d) lock the co-worker in the medication room until help is obtained
Fundamentals Nursing Test Bank:
ANSWERS AND RATIONALE
16) A
- If the physician writes an order that requires clarification, the nurse’s responsibility is to contact the physician for clarification. If there is no resolution regarding the order because the physician cannot be located or because the order remains as it was written after talking with the physician, the nurse then should contact the nurse manager or nursing supervisor for further clarification as to what the next step should be. Under no circumstances should the nurse proceed to carry out the order until obtaining clarification.17) D
- Nurses need their own professional liability insurance for protection against malpractice law suits. Nurses erroneously assume that they are protected by an agency’s professional liability policies. Usually, when a nurse is sued, the employer also is sued for the nurse’s actions or inactions. Even though this is the norm, nurses are encouraged to have their own professional liability insurance.18) D
- Floating is an acceptable legal practice used by hospitals to solve their understaffing problems. Legally, a nurse cannot refuse to float unless a union contract guarantees that nurses can work only in a specified area or the nurse can prove the lack of knowledge for the performance of assigned tasks. When encountering this situation, the nurse should set priorities and identify potential areas of harm to the client. The nursing supervisor is called if the nurse is expected to perform tasks that he or she cannot safely perform. Calling the hospital lawyer is a premature action.19) D
- Documentation of unusual occurrences, incidents, and accidents and of the nursing actions taken as a result of the occurrence is internal to the institution or agency and allows the nurse and administration to review the quality of care and determine any potential risks present. Based on the information provided in the question, the nurse’s error will not result in suspension, nor will it be documented in the personnel file. The error and the situation presented in the question are not a reason for notifying the board of nursing.20) C
- Nurse practice acts require reporting impaired nurses. The board of nursing has jurisdiction over the practice of nursing and may develop plans for treatment and supervision of the impaired nurse. This incident needs to be reported to the nursing supervisor, who will then report to the board of nursing and other authorities, such as the police, as required. The nurse may call security if a disturbance occurs, but no information in the question supports this need, and therefore this is not the initial action. Option D is an inappropriate and unsafe action.Go to the next page ---> Fundamentals Nursing Test Bank (21-25)
Or go back to Fundamentals Nursing Test Bank (1-5)
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