(Test Bank) Foundations And Adult Health Nursing

Cooper, 8

Nursing

Test Bank

8th Edition

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Author(s): Cooper

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NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal U S N T O TEST BANK FOR FOUNDATIONS AND ADULT HEALTH NURSING 8TH EDITION BY COOP ER Chapter 01: Introduction to Anatomy and Physiology Cooper: Adult Health Nursing, 8th Edition MULTIPLE CHOICE 1. The anatomic term means toward the midline. a. anterior b. posterior c. medial d. cranial ANS: C The term medial indicates an anatomic direction toward the midline. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 2 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 2. What are the smallest living components in our body? a. Cells b. Organs c. Electrons d. Osmosis ANS: A Cells are considered to be the smallest living units of structure and function in our body. N R I G B.C M DIF: Cognitive Level: Knowledge REF: 4 OBJ: 6 TOP: Structural levels of organization KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 3. What is the largest organelle, responsible for cell reproduction and control of other organelles? a. Nucleus b. Ribosome c. Mitochondrion d. Golgi apparatus ANS: A The nucleus is the largest organelle within the cell. DIF: Cognitive Level: Knowledge REF: 5 OBJ: 8 TOP: Parts of the cell KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal 4. When the patient complains of pain in the bladder, the patient will indicate discomfort in which body cavity? a. Pelvic b. Mediastinum c. Dorsal d. Abdominal NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal Foundat iSSottnuuvvsiaa.cnodm A- Tdhue lMMt aHrkeetapllathceNttoouBruusyyinangd 8SStehll yEoudriSStittouuddny CMMaaotteeorrpiiaael r Test Bank ANS: A A subdivision called the pelvic cavity contains the lower portion of the large intestine (lower sigmoid colon, rectum), urinary bladder, and internal structures of the reproductive system. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Body cavity KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 5. The four phases of cell division all occur in: a. diffusion. b. mitosis. c. osmosis. d. filtration. ANS: B During mitosis, the cell goes through four phases: prophase, metaphase, anaphase, and telophase. DIF: Cognitive Level: Knowledge REF: 7 OBJ: 9 TOP: Cell division KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 6. Telophase is which phase of cell reproduction during mitosis? a. First phase b. Latent phase c. Final phase d. Spindle phase ANS: C NURSINGTB.COM During this final phase of cell division, the two nuclei appear and the chromosomes disperse. DIF: Cognitive Level: Knowledge REF: 7 OBJ: 9 TOP: Cell division KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 7. The nurse is aware that which muscle group is both striated and involuntary? a. Skeletal b. Glial c. Cardiac d. Visceral ANS: C The cardiac muscle is both striated and involuntary. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 11 TOP: Tissues KEY: Nursing Process Step: Planning MSC: NCLEX: Physiological Integrity 8. What is a group of several different kinds of tissues arranged so that together they can perform a more complex function than any tissue alone? a. Organ b. System Foundat iSSotnuvsiaa.cnodm A- Tdhue lMMt aHrkeetapllathceNtouBBruusyyinaanngd 8Steehll yEoudriSStitto uuddny CMMaaotteeorrpiiaael r Test Bank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal c. Cell d. Endoplasmic reticulum ANS: A When several kinds of tissues are united to perform a more complex function than any tissue alone, they are called organs. DIF: Cognitive Level: Knowledge REF: 11 OBJ: 7 TOP: Organs KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 9. What traits describe visceral muscles? a. Smooth and voluntary b. Smooth and involuntary c. Striated and voluntary d. Striated and involuntary ANS: B Visceral (smooth) muscles will not function at will; thus, they act involuntarily. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 10. How are the thoracic and abdominal cavities separated? a. By the pleura b. By the diaphragm c. By the sagittal plane d. By the peritoneum ANS: B NURSINGTB.COM The diaphragm (a muscle directly beneath the lungs) separates the ventral cavity into the thoracic (chest) and abdominal cavities. DIF: Cognitive Level: Knowledge REF: 2 OBJ: 3 TOP: Ventral cavity KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 11. What is the broad section of biology dealing with the description of human structure? a. Hematology b. Anatomy c. Kinesiology d. Physiology ANS: B Anatomy is the study, classification, and description of the structure and organs of the body. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 1 TOP: Terminology KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 12. explains the processes and functions of many structures of the body and how they interact with one another. Foundat iSSotnuvsiaa.cnodm A- Tdhue lMMt aHrkeetapllathceNtouBBruusyyinaanngd 8Steehll yEoudriSStitto uuddny CMMaaotteeorrpiiaael r Test Bank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal a. Anatomy b. Mitosis c. Filtration d. Physiology ANS: D Physiology explains the processes and functions of the various structures and how they interrelate with one another. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 1 TOP: Terminology KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity 13. The anatomic structure that is not in the thoracic cavity is/are the . a. heart b. lungs c. blood vessels d. transverse colon ANS: D The transverse colon is located in the abdominal cavity. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Thoracic cavity KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 14. When several organs and parts are grouped together for certain functions, they form: a. tissues. b. systems. c. cells. d. membranes. ANS: B NURSINGTB.COM A system is an organization of varying numbers and kinds of organs arranged so that together they can perform complex functions for the body. DIF: Cognitive Level: Knowledge REF: 4 OBJ: 7 TOP: Systems KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 15. What are the distinct surface proteins of the plasma membrane essential in determining? a. Tissue typing b. Blood count c. Effectiveness of a drug d. Sexual maturity ANS: A The plasma membrane has distinct surface proteins as coming from one individual. This is the basis for the procedure of tissue typing to determine compatibility before an organ transplant. DIF: Cognitive Level: Comprehension REF: 5 OBJ: 12 TOP: Cells KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity Foundat iSSottnuuvvsiaa.cnodm A- Tdhue lMMt aHrkeetapllathceNttoouBruusyyinangd 8 SStehll yEoudriSStitto uuddny CMMaaotteeorrpiiaael r Test Bank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal 16. In anatomic terminology, posterior means toward the: a. tail. b. head. c. back. d. trunk. ANS: C The posterior is toward the back. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 2 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 17. What does the transverse body plane divide? a. The front and back (coronal) of the body b. The body lengthwise (two equal halves) c. The superior and inferior portions of the body d. The body into axial and appendicular ANS: C The transverse plane cuts the body horizontally into the sagittal and the frontal planes, dividing the body into caudal and cranial portions. DIF: Cognitive Level: Knowledge REF: 2 OBJ: 3 TOP: Body planes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 18. Caudal is defined as toward tNheURSI. NGTB.COM a. head b. feet c. tail d. chest ANS: C Caudal is a directional word that indicates toward the “tail,” the distal portion of the spine. DIF: Cognitive Level: Knowledge REF: 1 OBJ: 3 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 19. What is the term for movement of water from an area of lower solute concentration to an area of higher solute concentration? a. Absorption b. Filtration c. Diffusion d. Osmosis ANS: D Osmosis is the passage of water from less concentrated solution to more concentrated solution. DIF: Cognitive Level: Knowledge REF: 8 OBJ: 10 Foundat iSSottnuuvvsiaa.cnodm A- Tdhue lMMt aHrkeetapllathceNttoouBruusyyinangd 8 SStehll yEoudriSStitto uuddny CMMaaotteeorrpiiaael r Test Bank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal TOP: Transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 20. What is the type of tissue composed of cells that contract in response to a message from the brain or spinal cord? a. Epithelial b. Connective c. Membrane d. Muscle ANS: D Muscle tissue is composed of cells that contract in response to a messa ge from the brain or spinal cord. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 21. What is the type of tissue associated with the storage of fat? a. Areolar tissue b. Adipose tissue c. Osseous tissue d. Muscle tissue ANS: B Adipose tissue is associated with the important function of storing fat. DIF: Cognitive Level: KnowlNedgeR I GREBF:.C10 M OBJ: 11 TOP: Tissues KEY: NurUsingSProNcessTStep: AOssessment MSC: NCLEX: Physiological Integrity 22. What are the thin sheets of tissue that lubricate and line the body surfaces that open to the outside environment? a. Mucous membranes b. Serous membranes c. Cytoplasm d. Involuntary visceral muscles ANS: A Mucous membranes secrete mucus. They line the body surfaces t hat open to the outside environment. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 23. What is the process by which a cell digests a foreign material by surrounding it? a. Pinocytosis b. Phagocytosis c. Absorption d. Diffusion ANS: B Foundat iSSottnuuvvsiaa.cnodm A- Tdhue lMMt aHrkeetapllathceNttoouBruusyyinangd 8 SStehll yEoudriSStitto uuddny CMMaaotteeorrpiiaael r Test Bank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal Phagocytosis is the process that permits a cell to engulf or surround any foreign material and digest it. DIF: Cognitive Level: Knowledge REF: 7 OBJ: 10 TOP: Active transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 24. Active transport in the movement of ions and other water -soluble particles across cell membranes requires that the body uses its: a. rapid filtration. b. charged diffusion. c. a chemical pump. d. osmosis. ANS: C Active transport of ions and other water -soluble particl es of the cell membrane require a chemical pump, such as insulin, to move glucose into the cell. DIF: Cognitive Level: Comprehension REF: 7 OBJ: 10 TOP: Active transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 25. What is the term for the passage of water containing dissolved materials through a membrane as the result of a greater mechanical force on one side? a. Metabolism b. Mitosis c. Filtration d. Osmosis ANS: C NURSINGTB.COM Filtration is the movement of water and particles through a membrane by a force from either pressure or gravity. DIF: Cognitive Level: Knowledge REF: 8 OBJ: 10 TOP: Passive transport processes KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 26. The nurse is aware that when a patient complains of pain in the epigastric region, the source of the pain is most likely to be a disorder involving the: a. gallbladder. b. transverse colon. c. stomach. d. appendix. ANS: C The epigastric region of the abdomen is comprised of parts of the right and left lobes of the liver and a large portion of the stomach. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Epigastric region KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity Foundat iSSottnuuvvsiaa.cnodm A- Tdhue lMMt aHrkeetapllathceNttoouBruusyyinangd 8 SStehll yEoudriSStitto uuddny CMMaaotteeorrpiiaael r Test Bank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal 27. What are tissues that cover the outside of the body and some internal structures? a. Connective b. Epithelial c. Nerve d. Muscle ANS: B Epithelial tissue covers the outside of the body and some of the internal structures. DIF: Cognitive Level: Knowledge REF: 8 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 28. When the nurse assesses an arm in proximal to distal order, the assessment is performed from: a. the shoulder to the fingers. b. front to back. c. fingers to the center of the body. d. center of the body to the fingers. ANS: A Proximal is nearest the origin of the structure. Distal is farthest from the origin of the structure. DIF: Cognitive Level: Comprehension REF: 2 OBJ: 3 TOP: Anatomic terminology KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 29. What is the function of epithNelialRmeImbrGaneBs?.C M a. Secretes mucus, lines endsUof bSoneNs, aTnd lin esObursae. b. Lines ends of bones, secretes synovial fluid, and lines internal surfaces of organs. c. Covers the wall of lower digestive tract, secretes mucus, and lines lungs, peritoneum, and pericardium. d. Lines lungs, peritoneum, and pericardium, and secretes synovial fluid. ANS: C The epithelial membrane secretes mucus, lines the lungs, peritoneum, and p ericardium, and covers the wall of the lower digestive tract. The synovial membrane secretes synovial fluid to prevent friction between joints and the ends of bones, and lines the bursae found between moving body parts. DIF: Cognitive Level: Knowledge REF: 9 OBJ: 7 TOP: Tissues KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 30. The nurse explains that pinocytosis is a process by which cells: a. divide. b. take in extracellular fluid. c. use a chemical pump. d. convert mitochondria. ANS: B Foundat iSSottnuuvvsiaa.cnodm A- Tdhue lMMt aHrkeetapllathceNttoouBruusyyinangd 8 SStehll yEoudriSStitto uuddny CMMaaotteeorrpiiaael r Test Bank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal Pinocytosis is a process by which the cell wall makes an indentation allowing extracellular fluid to fill in, then encloses it into the cell. DIF: Cognitive Level: Comprehension REF: 7 OBJ: 10 TOP: Pinocytosis KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 31. What is the most complex structural level of organization of the body? a. Body as a whole b. Cellular c. Organs d. Chemical ANS: A The structural levels of organization progress from the least complex (chemical) through cells, tissues, organs, systems to the most complex (the body as a whole). DIF: Cognitive Level: Comprehension REF: 3 OBJ: 6 TOP: Structural levels of organization KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 32. Using a poster, the nurse demonstrates the protection of the nucleus. Which layer is the most superficial? a. Endoplasmic reticulum b. Nuclear membrane c. Plasma membrane d. Cytoplasm ANS: C NURSINGTB.COM The most superficial covering of the nucleus is the plasma membrane, under which is the cytoplasm containing the endoplasmic reticulum, nuclear membrane, and nucleus. DIF: Cognitive Level: Application REF: 5 OBJ: 8 TOP: Protective covering of nucleus KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity MULTIPLE RESPONSE 1. Which are among the 11 body systems? (Select all that apply.) a. Lymphatic b. Cellular c. Digestive d. Reproductive e. Accessory f. Spinal cord ANS: A, C, D There are 11 body systems: integumentary, respiratory, skeletal, digestive, muscular, nervous, endocrine, urinary, reproductive, cardiovascular, and lymphatic. DIF: Cognitive Level: Knowledge REF: 12 OBJ: 7 TOP: Body systems KEY: Nursing Process Step: Assessment Foundat iSSottnuuvvsiaa.cnodm A- Tdhue lMMt aHrkeetapllathceNttoouBruusyyinangd 8 SStehll yEoudriSStitto uuddny CMMaaotteeorrpiiaael r Test Bank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal MSC: NCLEX: Physiological Integrity 2. Which of the following are characteristics of visceral muscles? (Select all that apply.) a. Involuntary b. Smooth c. Striated d. Independent from the spinal cord e. Voluntary f. Present in the blood vessels ANS: A, B, F Smooth muscles are smooth, involuntary, and respond to messages from the spinal cord. DIF: Cognitive Level: Application REF: 9 OBJ: 7 TOP: Voluntary muscle KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 3. Which of the following are passive transport mechanisms that move material across the cell membranes? (Select all that apply.) a. Diffusion b. Evaporation c. Filtration d. Osmosis e. Mitosis f. Anaphase ANS: A, C, D The passive transport systemNs UarRe dSiIffuNsGioTn,Bfi.ltrCaOtioMn, and osm osis. DIF: Cognitive Level: Comprehension REF: 8 OBJ: 10 TOP: Passive transport system KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity 4. The nurse clarifies that the dorsal cavity is composed of the: (Select all that apply.) a. Descending colon b. Kidneys c. Gallbladder d. Brain e. Pancreas f. Spinal cavities ANS: D, F The dorsal cavity is composed of the brain and the spinal cavities. The spinal cavities hold the cord and the meninges. DIF: Cognitive Level: Comprehension REF: 3 OBJ: 5 TOP: Dorsal cavity KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiologi cal Integrity COMPLETION Foundat iSSottnuuvvsiaa.cnodm A- Tdhue lMMt aHrkeetapllathceNttoouBruusyyinangd 8 SStehll yEoudriSStitto uuddny CMMaaotteeorrpiiaael r Test Bank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal 1. The nurse clarifies that the three functions of epithelial tissue are protection, , and secretion. ANS: absorption The function of epithelial tissue is protection by covering the body and preventing invasion; absorption by absorbing material; and secretion by secreting mucus to line and moisten the body surfaces. DIF: Cognitive Level: Comprehension REF: 11 OBJ: 7 TOP: Epithelial tissue function KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 2. The nurse explains that are small saclike structures inside the cell that digest compounds that have invaded the cell. ANS: lysosomes Lysosomes are small saclike structures inside the cell that digest compounds that have invaded the cell. DIF: Cognitive Level: Knowledge REF: 6 OBJ: 8 TOP: Lysosomes KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological Integrity 3. The body plane that div ides tNheUbRoSdyIiNntGoTthBe .veCnOtraMl and do rsal section is the plane. ANS: coronal The coronal plane divides the body into ventral and dorsal (front and back) sections. DIF: Cognitive Level: Comprehension REF: 2 OBJ: 3 TOP: Coronal plane KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity FSSottuuuvvniiaad..ccaootmmio--nTTsheofMaNrkuertpsliancegto8tBBhuyEaad nnditSSioenll yCouor oSSttpuueddyyr MTaetesrtiaBl ank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal Chapter 02: Legal and Ethical Aspects of Nursing Cooper: Foundations of Nursing, 8th Edition MULTIPLE CHOICE 1. When a nurse becomes involved in a legal action, the first step to occur is that a document is filed in an appropriate court. What is this document called? a. Deposition b. Appeal c. Complaint d. Summons ANS: C A document called a complaint is filed in an appropriate court as the first step in litigation. A deposition is when witnesses are required to undergo questioning by the attorneys. An appeal is a request for a review of a decision by a higher court. A summons is a court order that notifies the defendant of the legal action. DIF: Cognitive Level: Knowledge REF: 24 OBJ: 1 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 2. The nurse caring for a patient in the acute care setting assumes responsibility for a patient’s care. What is this legally binding situation? a. Nurse -patient relationship b. Accountability c. Advocacy d. Standard of care ANS: A NURSINGTB.COM When the nurse assumes responsibility for a patient’s care, the nurse -patient relationship is formed. This is a legally binding “contract” for which the nurse must take responsibility. Accountability is being responsible for one’s own actions. An advocate is one who defends or pleads a cause or issue on behalf of another. Standards of care define acts whose performance is required, permitted, or prohibited. DIF: Cognitive Level: Compreh ension REF: 24 OBJ: 3 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 3. What are the universal guidelines that define appropriate measures for all nursing interventions? a. Scope of practice b. Advocacy c. Standard of care d. Prudent practice ANS: C FSSottuuuvvniiaad..ccaootmmio--nTTsheofMaNrkuertpsliancegto8tBBhuyEaad nnditSSioenll yCouor oSSttpuueddyyr MTaetesrtiaBl ank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal Standards of care define actions that are permitted or prohibited in most nursing interventions. These standards are accepted as legal guidelines for appropriateness of performance. The laws that formally define and limit the scope of nursing practice are called nurse practice acts. An advocate is one who defends or pleads a cause or is sue on behalf of another. Prudent is a term that refers to careful and/or wise practice. DIF: Cognitive Level: Knowledge REF: 22 OBJ: 4 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 4. An LPN/LVN is asked by the RN to administer an IV chemothera peutic agent to a patient in the acute care setting. What law should this nurse refer to before initiating this intervention? a. Standards of care b. Regulation of practice c. American Nurses’ Association Code d. Nurse practice act ANS: D It is the nurse’s responsibility to know the nurse practice act in his or her state. Standards of care, regulation of practice, and the American Nurses’ code are not laws that the nurse should refer to before initiating this treatment. DIF: Cognitive Leve l: Application REF: 26 OBJ: 5 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 5. A nurse fails to irrigate a feeding tube as ordered, resulting in harm to the patient. This nurse could be found guilty of: a. malpractice. b. harm to the patient. c. negligence. NURSINGTB.COM d. failure to follow the nurse practice act. ANS: A The nurse can be held liable for malpractice for acts of omission. Failure to meet a legal duty, thus causing harm to another, is malpractice. The nurse practice act has general guidelines that can support the charge of malpracti ce. DIF: Cognitive Level: Application REF: 24 OBJ: 2 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 6. Patients have expectations regarding the health care services they receive. To protect these expectations, which of the following has become law? a. American Hospital Association’s Patient’s Bill of Rights b. Self-Determination Act c. American Hospital Association’s Standards of Care d. The Joint Commission’s rights and responsibilities of patients ANS: A FSSottuuuvvniiaad..ccaootmmio--nTTsheofMaNrkuertpsliancegto8tBBhuyEaad nnditSSioenll yCouor oSSttpuueddyyr MTaetesrtiaBl ank NURSINGTB.COM Downl oD a o dwendlobayd: eGdrabdye: Apa|tcolcinuttoienw| paamtoaclwutaiew@angjamlaa@il.c g ommail.com Distribution of this document is illegal Patients have expectations regarding the health care services they receive. In 1972, the American Hospital Association (AHA) developed the Patient’s Bill of Rights. The Self-Determination Act, American Hospital Association’s Standards of Care, and The Joint Commission’s rights and responsibilities do not address patients’ expectations regarding health care. DIF: Cognitive Level: Comprehension REF: 27 OBJ: 3 | 4 TOP: Lega l KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 7. The nurse is preparing the patient for a thoracentesis. What must be completed before the procedure may be performed? a. Physical assessment b. Interview c. Informed consent d. Surgical checklist ANS: C The doctrine of informed consent refers to full disclosure of the facts the patient needs to make an intelligent (informed) decision before any invasive treatment or procedure is performed. A physical assessment, interview, and surgical checklist are not r equired before this procedure. DIF: Cognitive Level: Application REF: 27 OBJ: 8 TOP: Legal KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 8. When a nurse protects the information in a patient’s record, what ethical responsibility is the nurse fulfilling? a. Privacy b. Disclosure c. Confidentiality d. Absolute secrecy ANS: C NURSINGTB.COM The nurse has an ethical and legal duty to protect information about a patient and preserve confidentiality. Some disclosures are legal and anticipated, and may not be subject to the rules of confidentiality. None of the information in a chart is considere d secret. DIF: Cognitive Level: Comprehension REF: 29-30 OBJ: 9 TOP: Confidentiality KEY: Nursing Process Step: N/A MSC: NCLEX: N/A 9. An older adult is admitted to the hospital with numerous bodily bruises, and the nurse suspects elder abuse. What is the b est nursing action? a. Cover the bruises with bandages. b. Take photographs of the bruises. c. Ask the patient if anyone has hit her. d. Report the bruises to the charge nurse. ANS: D