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1. A client experiences an air emboli, resulting in a stroke, during an IV start. This can be classified as which type of risk?
- A. Patient dissatisfaction
- B. Medical-legal incident
- C. Medication error
- D. Diagnostic procedure
Correct answer: D
Rationale: The correct answer is D, 'Diagnostic procedure.' When a client experiences an air emboli leading to a stroke during an IV start, it falls under the category of a diagnostic procedure risk. This incident occurred during a procedure intended for diagnosis or evaluation. Choices A, B, and C are incorrect. Patient dissatisfaction refers to a client's discontent with care, service, or outcomes; a medical-legal incident involves legal issues related to healthcare practices; and a medication error pertains to mistakes in medication administration.
2. Which of the following statements is true regarding nursing ethics?
- A. Nursing ethics focus on the organizational level at the workplace.
- B. Nursing ethics focus on the duties and rules of behavior for professional nurses.
- C. Nursing ethics focus on the moral character of nurses.
- D. Nursing ethics focus on the experiences and needs of nurses.
Correct answer: D
Rationale: Nursing ethics not only focus on the experiences and needs of nurses, but also on the nurses� perceptions of these experiences.
3. Which of the following is true of malpractice?
- A. Malpractice occurs when a professional shares information about a patient that could damage that patient�s reputation.
- B. Malpractice is a serious criminal offense.
- C. Malpractice is a minor criminal offense.
- D. Malpractice is a negligent act by an individual whose duties require specialized education.
Correct answer: D
Rationale: Malpractice is a negligent act by an individual whose duties require specialized education.
4. In which order will the nurse take these steps to prepare NPH 20 units and regular insulin 2 units using the same syringe? (Put a comma and a space between each answer choice [A, B, C, D, E]).
- A. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
- B. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw regular insulin, Inject 2 units of air into regular insulin vial, Withdraw 20 units of NPH.
- C. Rotate NPH vial, Inject 20 units of air into NPH vial, Inject 2 units of air into regular insulin vial, Withdraw regular insulin, Withdraw 20 units of NPH.
- D. Rotate NPH vial, Inject 20 units of air into NPH vial, Withdraw 20 units of NPH, Inject 2 units of air into regular insulin vial, Withdraw regular insulin.
Correct answer: C
Rationale: The correct order to prepare NPH 20 units and regular insulin 2 units using the same syringe is to start by rotating the NPH vial, then injecting 20 units of air into the NPH vial. Next, inject 2 units of air into the regular insulin vial, followed by withdrawing the regular insulin. Finally, withdraw 20 units of NPH. This sequence ensures proper mixing and preparation of the insulin doses. Choices A, B, and D have incorrect sequences that may lead to incorrect dosages or inadequate mixing of the insulins.
5. Which of the following is an example of a conflict of interest in nursing?
- A. A nurse accepting gifts from a patient
- B. A nurse working for two competing healthcare organizations
- C. A nurse disclosing patient information without consent
- D. A nurse delegating tasks improperly
Correct answer: B
Rationale: The correct answer is B. A nurse working for two competing healthcare organizations represents a conflict of interest as it may affect impartiality. Choice A is incorrect as accepting gifts from a patient may be a violation of ethical standards, but it is not a conflict of interest. Choice C is incorrect as disclosing patient information without consent is a breach of confidentiality, not a conflict of interest. Choice D is incorrect as delegating tasks improperly relates to professional competence, not a conflict of interest.
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