A nurse is reviewing information about the Health Insurance Portability and Accountability Act

(HIPAA) with a newly licensed nurse. Which of the following statements by the newly licensed
nurse indicates a need for further teaching?
"Information about a client can be disclosed to family members at any time."
"A client's address would be an example of personally identifiable information."
"HIPAA is a federal law, not a state law."
"HIPAA established regulations of individually identifiable health information in verbal,
electronic, or written form."

A nurse manager is reviewing the Good Samaritan laws with a group of newly licensed nurses.
Which of the following statements by the nurse manager is appropriate?
"If you render aid in an accident, do not leave the scene until another competent person can take
over."
"A nurse who volunteers at a summer camp for children is covered by Good Samaritan laws."
"Federal laws require a licensed nurse to render aid in an emergency."
"Good Samaritan laws prohibit the victim from filing a lawsuit against the nurse."

A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a
hospitalized client while in the cafeteria. Which of the following is the priority nursing action?
Quietly tell the APs that this is not appropriate.
Document the occurrence in a personal log.
Ask the nurse manager to provide an inservice program about confidentiality to the staff on the
unit.
Complete an incident report.

A male nurse is assigned to care for a female client who was admitted to the hospital for
treatment of injuries following a domestic abuse incident. The client tells the nurse manager she
does not want a male nurse as her caregiver. Which of the following nursing responses should
the nurse manager make?
"Your doctor is a man, so it seems like this should not be a problem."
"I can arrange for a female assistive personnel to do your personal hygiene care."
"The nurse assigned to care for you is very capable and cares for other women in this situation."
"I can review the assignments and arrange for a female nurse to care for you."

A nurse is caring for a client who is preoperative. The nurse signs as a witness on the client's
consent form. The nurse’s signature on the consent form indicates which of the following?
Asserts the nurse has explained the risks and benefits of the procedure
Records that the client’s spouse agrees the procedure is necessary
Determines the client does not have a mental illness
Confirms the client appears competent to provide consent

A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy
change regarding client care. When discussing the issue with the nurse, which of the following
statements by the nurse manager is appropriate?
"You should support this policy change because it was based on evidence-based practice.”
“Why didn’t you voice your concerns before the new policy was implemented?”
“Let’s talk about your concerns about the new policy.”
“Being open to change is an expectation of the nurses who work on this unit.”

A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies
the client’s provider, and completes an incident report, which of the following actions should the
nurse take?
Group of answer choices
Document in the chart that an incidence report has been filed.
Place the incident report in the client's chart.
Submit the incident report to the risk manager
Make a copy of the incident report for the provider.

A nurse is caring for a client who is dying. The nurse should incorporate the principle of
nonmaleficence into practice by taking which of the following actions?
Withholding a dose of narcotic pain medication when the client has respiratory depression
Providing comfort care measures to the client
Discussing advance directives with the client and the client's family
Allowing the client's family unlimited visitation at the time of death

A nurse is caring for a client who refuses treatment and asks to be discharged from the hospital
against medical advice. The nurse notifies the client's provider, who tells the nurse to restrain the
client, if necessary, to keep her from leaving the hospital. The nurse understands that restraining
this client would be considered which type of civil action by the nurse?
Group of answer choices
Assault
False imprisonment
Invasion of privacy
Battery

A nurse is caring for several clients. For which of the following situations should the nurse
complete an incident report?
Group of answer choices
A client discovers that his dentures are missing.
The nurse has a disagreement with the nursing supervisor about inadequate staffing.
The nurse identifies a broken piece of equipment.
A staff member does not show up to work her assigned shift.

A nurse is caring for a client who is participating in a research study for an experimental
chemotherapy medication. After three treatments, the experimental medication is discontinued
due to evidence of rapidly advancing kidney failure. The nurse should understand discontinuing
this medication demonstrates which of the following ethical principles?
Group of answer choices
Fidelity
Nonmaleficence
Autonomy
Veracity

A nurse accidentally administers the wrong medication to a client, which results in a severe
allergic reaction and prolongs the client’s hospitalization. The client could rightfully sue the
nurse for which of the following?
Group of answer choices
Battery
Assault
Malpractice
Abuse

A nurse is caring for an older adult client who has a terminal illness and is ventilator-dependent.
The client is alert and oriented and he wants to discontinue use of the ventilator. The nurse
should be aware that continued treatment against the client's wishes is a violation of which of the
following ethical principles?
Fidelity
Justice
Autonomy
Veracity

A client who fell and broke his hip while being assisted to the bathroom by a nurse states he
plans to sue the nurse. The nurse should know that, in a legal proceeding, the standard that will
be used to determine if the nurse was negligent is which of the following?
Group of answer choices
The client's attorney states that injury to the client could have been prevented
An expert nurse provides testimony that the nurse should have handled the situation differently.
Another staff nurse provides testimony about how a reasonable, prudent nurse would have
handled the situation
The client's provider testifies the nurse was at fault for the injury.
A nurse in the emergency department is caring for a client who has a compression fracture of a
spinal vertebra. During transport to the facility, the client was medicated with intravenous
morphine. On arrival, the neurosurgeon determined urgent surgical intervention is indicated for
the fracture. Staff members have been unable to reach the client’s family. Which of the following
actions should the nurse anticipate the neurosurgeon taking?
Group of answer choices
Asking the client to sign the surgical consent form
Prescribing naloxone to reverse the effects of the morphine
Invoking implied consent
Delaying the surgery until a member of the client’s family is reached

A nurse is caring for an adolescent who has a history of violent behavior and has asked the nurse
to keep confidential information about the desire to kill several classmates and a school teacher.
Which of the following responses by the nurse is appropriate to give?
Group of answer choices
"I will not violate our nurse-client relationship. The information we discuss will remain
confidential between us."
"I can see that you trust me, but you should share those feelings with your psychiatrist, not me."
"I cannot promise that. I must share this information with other members of the team who are
responsible for planning your care."
"Because you are a minor, I have to share any information that I feel is important with your
parents."

A nurse is caring for a client who has fallen while getting out of bed and states, "I'm okay! I
guess I should have called for help to the bathroom." After assessing the client, the nurse notifies
the provider. Which of the following documentation should the nurse include in the client’s
medical record?
Group of answer choices
"An incident report was completed."
"An incident report was forwarded to risk management."
"The provider was notified."
"There were no injuries sustained."

A nurse is caring for a client who is scheduled for an elective surgical procedure. Which of the
following actions should the nurse take regarding informed consent?
Group of answer choices
Explain the risks and benefits of the procedure.
Obtain the client’s consent.
Witness the client’s signature.
Explain the procedure to the client if they do not understand.
A nurse has completed an informed consent form with a client. The client then states, “I have
changed my mind and do not want to have the procedure done.” Which of the following actions
should the nurse take?
Group of answer choices
Notify the surgeon that the client wishes to withdraw informed consent for the procedure.
Proceed with preparation of the patient for the surgical procedure.
Inform the surgical team to cancel the client’s surgery.
Remind the client that a signed informed consent form is a legally binding document.

A nurse is documenting information in a computerized health record. Which of the following

A nurse is preparing an educational program for a group of newly licensed nurses about client
confidentiality. The nurse should explain that nurses may share a client’s protected health
information with which of the following groups?
Group of answer choices
Clergy affiliated with the facility
The client’s immediate family members
Health care team members caring for the client
The facility’s administrators

A nurse is discussing legal exceptions to client confidentiality with nursing staff. Which of the
following statements by a staff member indicates an understanding of the teaching?
Group of answer choices
“Health care workers are not required to answer a court’s requests for information about a
client’s disclosure.”
“Providers are required to warn individuals if the client threatens harm.”
“The legal requirement for client confidentiality ceases if the client is deceased.”
“Staff members are required to divulge information to attorneys if they call for information.”

A nurse is teaching a newly licensed nurse about reporting suspected child abuse. Which of the
following statements indicates an understanding by the newly licensed nurse?
Group of answer choices
"Evidence must exist prior to reporting."
"I don’t want to defame someone if the report is false."
"If suspicion of abuse exists then reporting is mandatory.”
"If the potential abuser commits to stopping the abuse, health care workers are not required to
report it.”

A client receives a wrong medication. The nurse who made the medication error should take
which of the following actions first?
Group of answer choices
Assess the client.
Notify the nurse manager.
Call the client’s provider.
Complete an incident report.

A nurse is teaching a class on torts. The nurse should instruct the class that administering an
antibiotic medication to a competent client after the client has refused it is an example of which
of the following torts?
Group of answer choices
Battery
Assault
False imprisonment
Negligence

A nurse is teaching a class on torts. The nurse should include which of the following situations as
an example of negligence?
Group of answer choices
A client who is alert and oriented makes an informed decision to leave the hospital against
medical advice. The nurse applies restraints to the client to prevent him from leaving.
A client who is competent refuses an antidepressant medication. The nurse dissolves the
medication in food and administers it to her without her knowledge.
A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning
and reports it to the provider in the early afternoon.
A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells the
client that she will apply wrist restraints if he does not stop eating the potato chips.

A nurse is preparing to witness informed consent for a client who is preoperative. The client asks
the nurse, "Are there other options besides surgery?" Which of the following responses should
the nurse make?
Group of answer choices
"It is time to sign the consent so your treatment can begin."
"I can inform the surgeon you do not want the surgery."
"Have you discussed other treatments with your provider?"
"I would not have this type of surgery if I were you."
A nurse is preparing to administer a prescribed medication to a client. Which of the following
actions should the nurse plan to take to demonstrate client advocacy?
Group of answer choices
Insist the client take prescribed medications.
Tell the client that refusal of the medication is considered noncompliance.
Inform the client that the medication is the same as taken at home.
Encourage the client to verbalize questions.

A nurse manager is reviewing the admission history of four adults who were admitted to the
medical-surgical unit during the shift. Which of the following situations is the nurse required to
disclose information to an outside agency about the client or the client's circumstances?
Group of answer choices
A young adult client admitted for asthma and has track marks that may indicate IV drug abuse
An emancipated minor who has acute appendicitis and wants to leave the facility without
treatment
A young adult client admitted for acute glomerulonephritis following a viral infection
A dependent adult admitted for the treatment of a spiral fracture

A nurse is caring for a client who is confused and uncooperative. The client hit the nurse when
she attempted to give him his medication. The nurse asks the charge nurse if she can restrain the
client. The charge nurse should tell the nurse this action is a violation of the client’s rights and is
an example of which of the following?
Group of answer choices
Defamation of character
Invasion of privacy
False imprisonment
Slander