CHN 6

Question 1

Situation - In today’s nursing practice, roles have been expanded to include legal responsibilities and accountability in workplace.

While the nurse is preparing the articles needed for the procedure, she overheard the medical technologist telling the patient in a derogatory manner that the nurse “doesn’t know anything about the procedure”. What can medtech be sued for?
A. Slander
B. Battery
C. Assault
D. Libel

Question 2

A 10 year old boy refuses to take his medication. Maria Theresa threatened the boy that he will be restrained. Which of the following will Maria Theresa be accused of committing?
A. Assault
B. Battery
C. Malpractice
D. Negligence

Answer 2

A. Assault

Question 3

Rene is a staff nurse who was assigned in the medical ward. The physician ordered 20 units of insulin injection Nurse Rena administered 20 cc of insulin instead. After 30 minutes the client developed hypoglycemia and died. Nurse is liable for _________
A. Tort
B. Battery
C. Professional Negligence
D. Negligence

Answer 3

C. Professional Negligence

Question 4

The patient sued the nurse for negligence. The patients lawyer must prove the following elements of a professional negligence are satisfied. Which of the following elements must the lawyer prove for professional negligence.?
A. Duty, breach of duty, and damages
B.. Duty, breach of duty, damage, causation
C. Breach of duty, damage and causation
D. duty, breach of duty, damages, causation

Answer 4

B.. Duty, breach of duty, damage, causation

Question 5

The nurse does not report a client’s complaint of acute abdominal pain The nurses’ action is :
A. Negligence
B. Malpractice
C. Assault
D. Battery

Answer 5

A. Negligence

Question 6

6. Administered insufficient heparin leading to death by pulmonary embolism. The nurse is liable of:
   A. Negligence
   B. Malpractice
   C. Assault
   D. Battery

Answer 6

B. Malpractice

Question 7

Failed to send antibiotics home with meningitis leading to cerebral palsy. The nurse is guilty/liable of:
A. Negligence
B. Professional negligence
C. Assault
D. Battery

Answer 7

B. Professional negligence

Question 8

The nurse fails to take bp, pulse and dressing of a client who has just had abdominal surgery. This is:
A. Negligence
B. Malpractice
C. Assault
D. Battery

Answer 8

A. Negligence

Question 9

The nurse gives two pills instead of the ordered one pill. The physician is notified. The client is carefully monitored and no untoward effects happened. Can the client sue the nurse for negligence?
A. No, the client was not harmed.
B. No, the nurse notified the physician.
C. Yes, a breach of duty exists.
D. Yes, foresee ability is present

Answer 9

A. No, the client was not harmed.

Question 10

Situation- Mr. Andy, 76 years old , a former chairman of the Board of trustees of an academic institution had a severe chest pain and was rushed to the medical center by the members of the family. He was seen at the ER and was advised by the physician to be admitted

After a comprehensive assessment and diagnostic tests, he was fund out to have BLOCKAGE OF 2 CORONARY ARTERIES. The wife and his 2 children, a nurse and a doctor was trying to convince their father to undergo open heart surgery to relieve his discomforts. In this ethical decision who should be followed?
A.wife
B. Children
C. Patient
D. Doctor

Answer 10

C. Patient

Question 11

When Mr. Andy decides not to go for surgery and respected by the physician, which ethical principle is being observed?
A. Justice
B. Beneficence
C. Autonomy
D. Non maleficience

Answer 11

C. Autonomy

Question 12

While in the hospital, Mr. Andy keeps on asking for pain medications. When the Nurse of Mr. Andy offers his pain medication when needed, she is applying the ethical principle of ______________
A. Justice
B. Beneficence
C. Autonomy
D. Advocacy

Answer 12

B. Beneficence

Question 13

The nurse observed that the dose of the PRN pain medication ordered by the physician to Mr. Andy is quite high for his age, so she suggested for a lower dose. What ethical behavior is being manifested by the nurse with this action?
A. Non maleficence
B. Beneficence
C. Autonomy
D. Advocacy

Answer 13

D. Advocacy

Question 14

Mr Andy is on bed rest. When he uses the call bell for the nurse to assist him to be transferred to the commode and answered him to wait for 5 minutes and came on time is an example of what ETHICAL PRINCIPLE?
A. Justice
B. Beneficence
C. Autonomy
D. Fidelity

Answer 14

D. Fidelity

Question 15

Nurse JMC performs a nursing techniques or procedures without proper preparation, skills and training. This is:
A. Gross incompetence
B. Imprudence
C. Negligence

Answer 15

A. Gross incompetence

Question 16

Nurse Lina is on duty at the ER and has been very busy that morning resulting to the administration of penicillin injection resulting to anaphylatic shock. With this error, the nurse can be charged of ______.
A. malpractice
B. assault
C. Battery
D. negligence

Answer 16

A. malpractice

Question 17

Transcription of doctor’s order is a nurse’s responsibility to put the order into action. Which of the following principles of medication safety is NOT considered to belong to transcription error?
A. Illegible handwriting of the physician.
B. Misinterpretation of the directions ordered.
C. Wrong route of medication administration.
D. Use of unapproved abbreviation in the chart

Answer 17

D. Use of unapproved abbreviation in the chart

Question 18

In order for nurses to encounter legal problems in drug administration which of the following 7 Rights of drug administration, should be implemented under the category of “Right Drug”? Read the label of the drug ________.
A. 3 times
b. 6 times
C. once
D. twice

Answer 18

A. 3 times

Question 19

Nurse Edna admits a patient from the ER to the medical unit. The patient is very restless with IV lines and a urinary catheter. She was put to bed and the nurse applied a body restraint without the doctor’s order. Nurse Edna’s action can be liable for ______.
A. invasion of privacy
B. Non- maleficence
C. Neglect
D. Battery

Answer 19

D. Battery

Question 20

Ms. Cruz is a supervisor of the hospital on night shift. Several nurses did not report due to jeepney strike. When the supervisor is executing proper allocation of nurses to the priority wards to address this concern, she is observing what type of principle?
A. Beneficence
B. non- maleficence
C. fidelity
D. Justice

Answer 20

D. Justice

Question 21

Situation-omission and commission may be committed by the nurse the course of her duty. She must therefore be extra careful.

The patient for breast biopsy is very anxious and seemed not to understand her ordered surgery, radical mastectomy. What is the APPROPRIATE action by the nurse?
A. Call the supervisor to explain the procedure.
B. Have the available resident explain the surgery further.
C. Supply the information missed to be explained by the doctor
D. Request the doctor to give the patient more information

Answer 21

D. Request the doctor to give the patient more information

Question 22

The patient refused his intramascular injection but the nurse proceeded to administer it anyway. What can the nurse be accused of?
A. Moral distress
B. Trespass to person
C. Battery

Answer 22

C. Battery

Question 23

The staff nurse was doing prescribed modified steam inhalation to a pediatric patient which resulted to burns. What is NOT a RELEVANT statement to establish negligence?
A. There is a duty to care.
B. It was a verbal order of the MD
C. There is a breach in the standard.
D. The breach caused the harm.

Answer 23

B. It was a verbal order of the MD

Question 24

Staff nurse A told her co-workers that staff B is suffering from gonorrhea. What can staff A sued for?
A. Defamation
B. Discrimination
C. Slander
D. Libel

Answer 24

C. Slander

Question 25

The surgical patient, a Jehovah’s witness, reiterated non-acceptance to a blood transfusion. The nurse defied it and the patient was transfused intraoperatively. What case can be filed by the patient? A. Moral distress B. Trespass to person C. Battery D. Assault

Answer 25

C. Battery

Question 26

In emergency situation when patient is unable to give consent for life saving treatment, what type of consent allows to assume APPROPRIATE medical treatment? A. Informed consent B. Express consent- C. Involuntary consent D. Implied Consent

Answer 26

D. Implied Consent

Question 27

Which of the following are essential components of informed consent? A. explanation of procedure and alternatives to the procedure B. discussion of potential risks and benefits of the procedure C. confirmation that the patient understands the risks, benefits, and any alterations D. compensation of the surgeon and team

Answer 27

C. confirmation that the patient understands the risks, benefits, and any alterations

Question 28

Treatment of a patient without consent can constitute _______, which is defined as intentional and unwanting touching. A. slander B. negligence C. tort D. Battery

Answer 28

D. Battery

Question 29

Whose responsibility is it to obtain informed consent? A. Nurse manager B. Anesthesiologist C. Midwife D. Physician

Answer 29

D. Physician

Question 30

Dura lex sed lex means A. we need to bend the law B. The law may be harshed but still the law C. the people is above the law D. Erwin tulfo the last air bender of law

Answer 30

B. The law may be harshed but still the law

Question 31

Rosie, a new staff nurse, was assigned in the Psychiatric Unit A depressed patient assigned to her fell from her bed. Her head nurse asked her to submit an Incident Report (IR). The purpose why the head nurse asked Nurse Rosie to submit an IR is to initially _____. A. note patterns of incidence in the same unit B. place it in Nurse Rosie’s 201 file C. document immediately the incident

Answer 31

C. document immediately the incident

Question 32

The purpose why the head nurse asked Nurse Rosie to submit an IR is to ______. A. note patterns of incidences in the same unit B. place it in Nurse Rosie's 201 file C. document immediately the incident D. evaluate Nurse Rosie's performance

Answer 32

A. note patterns of incidences in the same unit

Question 33

Which of the following is not part of an INCIDENT REPORT? a. What actually happened b. Who witnessed the incident c. Medications given to the patient d. Who was/were involved only in the incident

Answer 33

d. Who was/were involved only in the incident

Question 34

Which of the following is NOT part of an incident report? a. What happened b. Who was or were involved c. What daily medications are given to the patients d. Who witnessed the incident

Answer 34

c. What daily medications are given to the patients

Question 35

What guideline is IMPORTANT in relation to incident report (IR)? It is _____. A. placed in the nurse’s 201 file B. filed in the nurses station C. filed in the Records Section of the hospital D. not made part of the patient’s chart

Answer 35

D. not made part of the patient’s chart

Question 36

Which of the following would prove that the nurse action carried out met the standards of care on falls? A. Utilizing the nursing process in providing safe, quality nursing care B. Carrying out the doctor’s order C. Performing physical assessment D. Documenting the procedures done

Answer 36

D. Documenting the procedures done

Question 37

Should the investigation of the fall go further, which of the following is the best source of factual information? A. nurse’s notes in the chart B. anecdotal record C. process recording D. Incident report

Answer 37

D. Incident report

Question 38

At present the public knows their rights in health care. The community health Nurse should be confident and safe in the practice of her profession Nurse has a complaint from a parent for administering wrong dose of vaccine to the child leading to death.. This is A. Battery B. Assault C. Negligence D. Malpractice

Answer 38

D. Malpractice

Question 39

When Nurse Ace submitted a report to the physician that she committed an error in medication. This is an example of _____. A. Responsibility B. Accountability

Answer 39

B. Accountability

Question 40

Who among the following is the BEST to sign an informed consent during a surgical procedure of a child at the health center? A. A 26 year old brother who is a drug addict. B. A father who is 40 years old and illiterate. C. A sister, 21 years old but undergoing dialysis. D. A mother, 35 years old with on and off seizure

Answer 40

D. A mother, 35 years old with on and off seizure

Question 41

nurse administer an extra dose of vaccine to a child and the patient developed adverse reaction and died. She can be sued for ____. A. Negligence B. Tort C. Malpractice D. Battery

Answer 41

C. Malpractice

Question 42

A patient was for transfer to a tertiary hospital because of severe asthma but the nurse did not prepare the patient right away and the patient dies. Which of the following the nurse is liable? A. Assault B. Malpractice C. Battery

Answer 42

B. Malpractice

Question 43

Xian a Christian 29- year old pregnant woman was admitted to the hospital with a complaint of moderate hypogastric pain. She intends to visit the clinic for her first prenatal check-up and informs Nurse Parker that she did not realize she’s pregnant until a week ago. As a result, she has been on a diet, weightlifting at the health gym. Patient Xian was seen by the physician and was ordered for a medication that is larger than the standard dose. What should the nurse do? A. Give the drug as prescribed. B. Inform the supervisor C. Give the average dose of the medication D. Discuss the prescription of the physician

Answer 43

D. Discuss the prescription of the physician

Question 44

The patient refuses to take the medication because it causes diarrhea. Nurse Parker explain the action of the drug but the patient vehemently refuses the medication. What should the INITIAL action of the nurse? A. Discuss with a family member the need for the patient to take the medication. B. Notify the physician of the patient’s refusal to take the medication. C. Document the patient’s refusal to take the medication and have the patient sign txt refusal form

Answer 44

C. Document the patient’s refusal to take the medication and have the patient sign txt refusal form

Question 45

As a strong believer of her faith and the need for spiritual guidance, patient Ximena requests that she wants that clergy will visit her. How did nurse Parker function when she initiate the visit? A. Dependently B. Independently C. Interdependently

Answer 45

B. Independently

Question 46

Patient Ximena sought referral to an abortion clinic from the nurse. She reasons out that her pregnancy is a burden to her work and daily routines. What should be the BEST RESPONSE of the nurse? A. It will cause discrimination from friends and relatives B. It will cause infection C. Inform her that abortion is morally and legally wrong by virtue of the law

Answer 46

C. Inform her that abortion is morally and legally wrong by virtue of the law

Question 47

The incoming nurse on duty reported, the nurse is administering a medication, the patient says, “This pill looks different from the one I had taken before.” What is the APPROPRIATE action of the nurse? A. Explain the purpose of the medication B. Encourage the patient to take the medication C. Ask what the other pill looked like D. Check the original medication prescription

Answer 47

D. Check the original medication prescription

Question 48

Ms. Nilda is a new graduate with a Bachelor of Science degree which she acquired from a university. She is determined to pass the National Licensure Examination (NLE) to be administered by the Board of Nursing. The licensure examination which is administered by the Professional Regulation Commission, Board of Nursing is and upon passing, license is given to____. A. Apply the theory learned from class room to practice settings B. Protect the public from incompetent practitioners C. Apply the scope of nursing practice

Answer 48

B. Protect the public from incompetent practitioners

Question 49

The PRC-Board of Nursing (PR-BON) has the power to regulate Nursing Practice in the Philippines. The regulatory functions include the following EXCEPT? A. Enforce and monitor quality standards of nursing practice in the country B. Issue, suspend, revoke or reissue certification of registered nurses C. Ensure proper conduct of nurse licensure in the country D. Issue permit for the opening of nursing programs in the country

Answer 49

D. Issue permit for the opening of nursing programs in the country

Question 50

Ms. Sanchez is a new nursing graduate and in dire need for the hospitalization of her ailing mother. She is being offered to endorse a detergent product on TV Commercial wearing a mini skirt and a plunging neckline shirt. In doing this performance Ms. Sanchez is violating the____? A. Oath of professional for new nurses B. Nursing practice act 7164 C. Core competency standards D. Code of ethics

Answer 50

D. Code of ethics

Question 51

Nurse Rey with the members of the team from a tertiary hospital is going for their annual outreach program “Operation TULI”. There were 300 patients who came in the morning with only 4 doctors, 3 nurses, and 1 pharmacist. Due to the volume of patients, Nurse Rey, was asked to participate in performing circumcision with the rest of the doctors. Nurse Rey can be liable of committing? A. Assault B. Invasion of privacy C. Tort D. Malpractice

Answer 51

D. Malpractice

Question 52

A 10-year-old boy is refusing to take his medication. Maria Theresa threatened the boy that he will be restrained. Which of the following will Maria Theresa be accused of committing? A. Assault B. Batter

Answer 52

A. Assault

Question 53

A child fell off the bed and injures. Which of the following can the nurse be sued for? A. Battery B. Assault C. Negligence

Answer 53

C. Negligence

Question 54

Maria Theresa recalled that the criteria for negligence are the following, EXCEPT _______. A. There exists a duty B. Breach of duty C. Injury or damage results D. Exceeding THE SCOPE

Answer 54

D. Exceeding THE SCOPE

Question 55

The patient sued the nurse for negligence. The patient's lawyer must prove the following elements for professional negligence are satisfied. Which of the following elements must the lawyer prove for professional negligence? A. Duty, breach of duty, damage and causation B. Breach of Duty, damage and causation C. Duty, damages and causation D. duty, breach of duty, damages, causation

Answer 55

A. Duty, breach of duty, damage and causation

Question 56

While the nurse is preparing the articles needed for the procedure, she overheard the medical technologist telling the patient in a derogatory manner that the nurse “doesn’t know anything about the procedure”. What can medtech be sued for? A. Slander B. Battery C. Assault D. Libel

Answer 56

A. Slander

Question 57

Mark, 18 years old, is admitted due to Human Immunodeficiency Virus (HIV) manifesting signs and symptoms of fever, headache, malaise, enlarged lymph nodes and loss of appetite. Mark and family are so worried due to fear of being discriminated, receiving judgmental attitudes from the hospital staff and disclosure of his admitting diagnosis. A part of Nurse Isabel’s orientation upon admission is presenting the Patient’s Bill of Rights. When Nurse Isabel requests the parents to sign the admission form, which of the following Patient’s Bill of rights is referred to? A. Right to be informed of his rights and responsibilities as a patient. B. Right to privacy and confidentiality.

Answer 57

A. Right to be informed of his rights and responsibilities as a patient.

Question 58

To validate that Mark and family have understood HIV and the discharge plan made by Nurse Isabel, to include the doctor’s order of medications to be taken at home, which of the following statements is INCORRECT? A. “HIV during adolescence are infected through sex.” B. “Medication adherence can be especially difficult for adolescents because they may skip HIV medicine to hide their HIV-positive status from others. C. HIV may also be contracted by mosquito bites, saliva, tears or sweat.”

Answer 58

C. HIV may also be contracted by mosquito bites, saliva, tears or sweat.”

Question 59

Nurse Isabel knows that Mark will not be subjected to any procedure without his family’s written informed consent, EXCEPT, ______. A. When disclosure of material information to patient will jeopardize the success of treatment, in which case, third party disclosure and consent shall be in order B. When Mark’s family does not waive its right in writing C. When the patient is either a minor, or legally incompetent, in which case, a third party consent is required D. In emergency cases, when the patient is at imminent risk of physical injury

Answer 59

B. When Mark’s family does not waive its right in writing

Question 60

The MOST APPROPRIATE nursing diagnosis for Mark’s case who is an adolescent is, which of the following nursing diagnoses? A. Anxiety related to the stigma of his admitting diagnosis. B. Compromised family coping C.Risk for compromised human dignity

Answer 60

A. Anxiety related to the stigma of his admitting diagnosis.

Question 61

Nurse Gina is on 7-3 shift in the ER. The unit is crowded with patients and relative. She is attending to two patients, Roy having chest pains and Rey with severe abdominal pains. The doctor ordered Nitroglycerine 0.5mg sublingually for Rex but the nurse mistakenly administered the drug to Rey. The Nurse’s action is considered as _________. A. Negligence B. maleficence C. Non-maleficence

Answer 61

A. Negligence

Question 62

Helen, a newly hired nurse was pulled out from the Pediatric Unit by the Supervisor and assigned to surgical ward temporarily for the shift at four o'clock in the afternoon. She has to feed a post-operative patient who had a tracheostomy and nasogastric tube (NGT) as well. The feeding was mistakenly infused to the tracheostomy instead of infusing it to the NGT leading to death. Helen can be liable for _________________. A. Assault B. Malpractice C. Tort D. Negligence

Answer 62

B. Malpractice

Question 63

Rene is a staff Nurse who was assigned in the medical ward. The physician ordered 20 units of insulin injection to a client with diabetes. Nurse Rena administered 20cc of insulin instead. After 30 minutes the client developed hypoglycemia and died. Nurse is liable for _______________. A. Negligence B. Tort C. Assault D. Malpractice

Answer 63

D. Malpractice

Question 64

A staff nurse was caught by her supervisor administering high doses of morphine to a patient with leukemia for fee of 25,000 thousand pesos given by the mother. This circumstance is ______________. A. Justifying B. Aggravating C. Mitigating D. Exempting

Answer 64

B. Aggravating