CURRENTLY TESTING SOLUTIONS DOS II MIDTERM EXAM QUESTIONS WITH ACTUAL CORRECT DETAILED AN, Exams of Nursing

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CURRENTLY TESTING SOLUTIONS DOS II MIDTERM EXAM

QUESTIONS WITH ACTUAL CORRECT DETAILED ANSWERS

Controlled acts for nursing include all except a) Dispensing a drug b) Putting a hand or finger beyond external ear canal c) Performing a procedure below the dermis d) Applying defibrillation - ANSWER-D As an RPN I may delegate to an UCP all except a) Initiation of a dressing change b) Administration of puffers c) Family member changing a dressing at home d) Feeding of a patient - ANSWER-A The three factor framework considers; a) Model of care of a particular hospital b) Standardized policies of the community c) The relevance of the assignment d) Predictability of client - ANSWER-D When considering assignments in nursing the following should be considered; a) Stability, predictability, acuity b) Complexity, predictability, negative outcomes c) Stability, needs, negative outcomes d) Predictability, complexity, stability - ANSWER-B

Nurses participate in the QA program; a) Annually b) Upon graduation c) Every 3 years d) When called upon by the college - ANSWER-A An RPN orders an RPN colleague to insert a urethral catheter into a newly admitted client. a) Confirm the order with MD before proceeding b) Consult with an RN before proceeding with the intervention c) Accept the order and proceed with the intervention d) Decline to accept the order - ANSWER-D With respect to medications all are correct except; a) Nurses may prescribe certain medications b) May be found negligent if following an unclear order c) Must know purpose of the medications administered d) Responsibility to question unclear orders - ANSWER-A What are the types of authorizing mechanisms? a) Medical directives, MD orders, NP orders b) Physician orders, MD orders, directives c) Standing order, medical directive, delegation d) Orders, delegation, directives - ANSWER-D What is not an example of a medical directive? a) Order for acetaminophen when temp 38. b) Order for changing a dressing TID c) Orders for managing hypoglycemia

d) Orders for starting an IV in emerge - ANSWER-B What is considered not to be a delegated controlled act to nursing? a) Administering puffers b) Dispensing a drug c) Applying energy d) Packing a wound - ANSWER-C The QA program includes all except; a) Practice reflection b) Exam c) Learning plan d) Learning goals - ANSWER-B A person utters a verbal threat. This would be considered; a) Assault b) Battery c) Unintentional tort d) Negligence - ANSWER-A Fitness to practice concerns; a) Reported misconduct b) Misappropriating funds c) Mental and physical capacity d) Ability to practice - ANSWER-C If there is a complaint to the college it could go to one of these except; a) Employer recommendation b) Alternative disputes committee

c) Investigation d) Hearing - ANSWER-A The Registered Health Professions Act applies to all of the following except: a) Nurses b) Physiotherapists c) Paramedics d) Physicians - ANSWER-C What are Controlled Acts? a) Activities that have been established by the Nursing Act b) Activities that are considered to be potentially harmful if they are performed by unauthorized persons c) Activities assigned to nurses that include prescribing, dispensing, selling or compounding a drug d) Activities that only apply to RNs and RPNs - ANSWER-B When initiating a controlled act an RN or RPN must Assess, consider options, weigh the risks, decide on action and anticipate or accept a) treatment and outcomes b) outcomes and accountability c) observe and accountability d) observe and treatment - ANSWER-B an oncology nurse attends a conference on new pain management techniques during the end of life. upon returning to the unit, he works with the educator to share the new knowledge he attained at the conference. By sharing these new techniques with his colleagues, he is upholding which professional standard? a) Ethics b) Accountability c) Continuing Competence

d) Knowledge Translation - ANSWER-C Which of the following is NOT considered one of the roles of the CNO in supporting Nursing Self Regulation? a) Establishing requirements for entry to practice b) Administering the QA program c) Developing and Reviewing Nursing Curriculum d) Articulating, Promoting, and Enforcing Standards of practice - ANSWER-C Which of the following are NOT entry to Practice requirements? a) Successful completion of the nursing education requirements b) Proof of citizenship, permanent residency or authorization under the immigration protection act c) Obtain a minimum average of 70% on your academic record d) Successful of the jurisprudence exam - ANSWER-C Mandatory reporting requirements for the college of nurses apply to all regulated health care providers, employers and facility operators. a) True b) False - ANSWER-B The purpose of entry to practice competencies are the following except: a) Inform the public about what they can expect from the nurses b) Expectations for nurses to provide cost effective and efficient care c) Demonstrate how nursing practice is influenced by the current competencies d) Describe the expected performance behaviors that reflect safe, competent and ethical care. - ANSWER-B what must an individual achieve in order to use the title "nurse" in Ontario a) Complete an accredited nursing program b) Membership with the College of Nurses of Ontario

c) Completion of the CPNRE d) Completion of the Jurisprudence Exam - ANSWER-B Which of the following does NOT apply to the nursing act? a) The nursing act identifies each of the controlled acts and what professionals can perform them b) The nursing act authorizes nurses to perform their controlled acts c) The nursing act provides title protection for nurses d) The nursing act defines professional misconduct - ANSWER-A Shannon is an RN in an urban hospital and a preceptor for Mei, a nursing student on a clinical placement. Sharon has a client who requires urinary catheterization. Sharon introduces Mei to the client and asks for consent to allow Mei to perform the procedure. After the client agrees, Sharon supervises Mei as she inserts the catheter. It was appropriate for Sharon to allow to perform this controlled act. a)True b) False - ANSWER-A When initiating a controlled act, an RN or RPN must : (put the following into the correct order as per the CNO document Authorizing Mechanisms)

1. Assess the client and identify the problem
2. Anticipate the management of potential outcomes
3. Decide on a course of action
4. Accept accountability for deciding the particular procedure is required and for ensuring that any potential outcomes are managed appropriately
5. Weight the risks and benefits of each option, considering the clients condition
6. Consider all of the available options to address the problem - ANSWER-All The nurse provides her patient with 500 mg of Tylenol to treat the patients headache - ANSWER-Order An RPN orders an RPN colleague to insert a urinary catheter for a newly admitted patient. a) Confirm RPN order with MD before proceeding

b) Accept the order and proceed with the intervention c) Consult with an RN before proceeding d) Decline to accept the order - ANSWER-D The nurse goes through a formal process to allow a family member provide wound care to the client - ANSWER-Delegation Which Controlled Acts are authorized to nurses?

1. Performing allergy testing
2. Dispensing a drug
3. Treating by means of psychotherapy technique
4. Putting a hand, instrument or finger beyond a natural or artificial opening of the body
5. Managing labour, or conducting a delivery
6. Performing a prescribed procedure below the dermis or mucous membrane
7. Administering a substance by inhalation or injection - ANSWER-2,3,4,6, The nurse in the community independently decides it is the patients best interest to have an I/O catheter to address the patients urinary retention - ANSWER-Initiation The nurse provides immunizations to a primary school class of 40 patients - ANSWER-Medical Directive What are the three types of authorizing mechanisms? a) Medical directives, MD orders, NP orders b) Standing orders, medical directives, delegation c) MD orders, NP orders, directives d) Order, initiation, delegation - ANSWER-D A professional standard is an authoritative statement that sets out the legal and professional basis of nursing practice. All nurses are held to the same standard throughout their careers a) True

b) False - ANSWER-A A patient needs to have emergent surgery. The patient will need intravenous access for the surgery. The RPN starts the patient's IV. What will she need to be able to do this? a) Nothing, she is able to initiate this procedure b) An order c) A medical directive d) Permission from the CNO - ANSWER-B Lucy is a RPN working on a medical unit. She is the Charge Nurse today and is formulating the assignments for the evening shift. Lucy knows she must consider the 3 factor framework when deciding Nursing assessment. Which of the following should she recognize?a) Environment is the most important factor in the 3 factor framework b) RPNs are expected to meet a wide range of nursing care needs for complex and unpredictable patients c) When consulting with a RN impacts the RPNs ability to provide efficient and appropriate care, then care should be transferred to the RN d) RPNs may autonomously care for clients for whom signs and symptoms of complications may be subtle - ANSWER-C How many learning goals are nurses in the General Class (RNs & RPNs) required to develop and achieve each year? a) 2 b) 3 c) 5 d) 1 - ANSWER-A The three factor framework considers: a) Model of care of a particular hospital b) The relevance of the assignment c) Standardized policies of the community d) Predictability of the Client - ANSWER-D

Environmental factors that influence decision-making regarding RPN assignments include: a) Charge Nurse Qualifications b) Practice Supports c) Predictability of the Environment d) Experience of the Nurse e) Acuity of the Client - ANSWER-B,C The College of Nurses of Ontario assess the knowledge, skill and judgement of members by asking them to complete the CNO's Quality Assurance Program. The purpose of the QA program includes which of the following (select all that apply). a) Support nurses in practicing according to CNO's standards of practice b) Increase the public's confidence in the nursing profession c) Help nurses develop the practice areas in which they have identified learning need d) Ensure that nurses pay their registration each year to maintain their membership - ANSWER-A,B,C Nurses participate in the QA program a) Annually b) Every 3 years c) Upon graduation d) When called upon by the College - ANSWER-A The Quality Assurance Program includes all except: a) Practice Reflection b) Learning Goals c) Exam d) Learning Plan - ANSWER-C A family member has filed a complaint with the CNO regarding unprofessional conduct of a nurse caring for their mother in a long term care facility. The CNO has conducted an investigation into the nurses

conduct and determined that the Alternative Dispute resolution process is not an option case. Which of the following is an outcome that could result from the investigation into the nurses conduct? a) Meet with the offended party to resolve the conflict b) A letter of concern is issued with the intent to caution the nurse of her behavior c) A summons issued to appear before the disciplinary committee d) Revoke the nurses ability to practice nursing - ANSWER-B If a nurse is found guilty of professional misconduct by the disciplinary committee there can be several consequences to the nurse. Which of the following is not included in the list of consequences the Disciplinary committee can assign? a) Suspension for an assigned period of time b) Revoking a nurses license to practice c) Pay a fine to the CNO d) Appear before the Disciplinary Committee for a reprimand - ANSWER-C Mandatory reporting requirements for the college of nurses apply to all regulated health care providers, employers and facility operators. a) True b) False - ANSWER-B In the CBC article about Spencer Sullivan, his nurse Rose McKenzie was alleged to have committed all of the following acts, except: a) Over-medicating the patient by administering drugs ordered by 2 separate doctors without question b) Failing to monitor and document appropriately, leaving hours between checks c) Not recognizing that her IV fluids were mismanaged and putting Spencer into fluid volume excess d) Failing to respond quickly enough when Spencer stopped breathing - ANSWER-C A nurse has been charge with negligence and a family is suing the nurse and hospital for damages. What must a lawyer prove for the nurse to be found guilty of negligence? a) Assault, battery, false imprisonment, or invasion of privacy b) Assault, battery, false imprisonment and invasion of privacy

c) Carelessness, thoughtlessness and inattention d) Duty, Breech, Harm and Causation - ANSWER-D Which of the following would be considered an intentional tort? a) Talking about your patients condition in the cafeteria line up, but referring to him by his room # instead of his name b) Calculation errors when administering a medication to a patient that result in injury to the patient c) Errors in sponge, instrument, or needle counts in surgical cases d) Burns caused by equipment, bathing, or spills of hot liquids and foods - ANSWER-A What category of law does the Nursing Act fall under? a) Statue Law b) Common Law c) Public Law d) Criminal Law - ANSWER-A The nurse restrains a patient without the patient's permission and without a physician's order. the nurse may be found guilty of what type of tort? a) Assault b) False imprisonment c) Invasion of privacy d) Neglect - ANSWER-B What is a nurse required to self report to the CNO? a) If they are diagnosed with a brain tumor b) If they have been charged with a crime in their jurisdiction or another jurisdiction c) If they make a med error d) If they are off work due to illness for more than two weeks - ANSWER-B

Complaints regarding nursing practice are often made to the College of Nurses. Which of the following complaints must the College of Nurses address? (Select all that apply) a) Repeatedly not following the 8 rights of medication administration b) The facility where the nurse works is always short staffed c) A person observes a nurse sexually assaulting a patient d) The complaint is anonymous e) The nurse takes money from a sleeping patients personal belongings f) A witness saw a nurse cut someone off in traffic - ANSWER-A,C,E Mandatory reporting requirements for the CNO apply to all regulated health care providers, employers and facility operators. a) True b) False - ANSWER-B An employer is required to do mandatory reporting to the CNO about a nurse's professional negligence in another jurisdiction. a) True b) False - ANSWER-B Complaints regarding nursing practice are often made to the CNO. Which of the following complaints must the CNO address? (Select all that apply) a) A person observes a nurse sexually assaulting a patient b) The facility where the nurse works is always short staffed c) The nurse takes money from a sleep patients personal belongings d) A witness saw a nurse cut someone off in traffic e) Repeatedly not following the 8 rights of medication administration f) The complaint is anonymous - ANSWER-A,C,E A family member has filed a complaint with the CNO regarding unprofessional conduct of a nurse caring for their mother in a long term care facility. The CNO has conducted an investigation into the nurses

conduct and determined that the Alternative Dispute resolution process is not an option in this case. Which of the following is an outcome that could result from the investigation into the nurses conduct? a) Meet with the offended party to resolve conflict b) A letter of concern is issued with the intent to caution the nurse of her behaviour c) A summons issued to appear before the disciplinary committee d) Revoke the nurse's ability to practice nursing - ANSWER-B When a complaint is resolved through the Alternate Dispute Resolution all communication between parties and investigator must remain confidential and it is not made known to the public. a) True b) False - ANSWER-A If a nurse is found guilty of professional misconduct by the Disciplinary Committee, there can be several consequences to the nurse. Which of the following is NOT included in the list of the consequences the Disciplinary Committee can assign? a) Revoking a nurses license to practice b) Suspension for an assigned period of time c) Pay a fine to the CNO d) Appear before the Disciplinary Committee for a reprimand - ANSWER-C When addressing complaints investigators are used in the investigation process. When will an investigator be appointed? a) When the ICRC reviews a resolved complaint through the ADR and decides it needs an investigator b) Investigator will be appointed if the complaint is not appropriate for ADR c) The nurse and college reach a resolution agreement d) Investigators are appointed for all professional misconducts - ANSWER-B What is a nurse required to self report to the CNO? a) If (s)he makes a medication error b) If (s)he is diagnosed with a brain tumor

c) If (s)he is off work due to illness for more than two weeks d) If (s)he has been charged with a crime in their jurisdiction or another jurisdiction - ANSWER-D When faced with an ethical dilemma, nurses are encouraged to use an ethical decision making model to work through the issues. Ethical decision making models allow the nurse to use a rational and systematic process to work through challenging situation and not base their decisions on emotions, intuition or fixed rules a) True b) False - ANSWER-A What should a nurse do when faced with an ethical dilemma in the workplace? a) Vent to her colleagues & family b) Seek professional help from a therapist c) Discuss the issue with the nurse manager d) Propose that the team consults with a member of the biomedical committee - ANSWER-C Which of the following health care professionals can administer a substance with the intent of causing medical assistance in death? a) Physicians, Physician Assistants & Nurse Practitioners b) Physicians & Nurses c) Physicians & Nurse Practitioners d) Nurses & Pharmacists - ANSWER-C According to the CNA Code of Ethics, which of the following definitions describes moral distress? a) A case where a nurse feels indecision or a lack of clarity about a certain problem b) A situation where there is conflict between two or more persons regarding the right course of action to take c) A situation where there are equally compelling reasons for or against a possible course of action d) A nurse knows what the right thing to do is, but cannot take the right action - ANSWER-D

Our values systems stay fairly stable throughout life, however, if our value systems do change they do so as a result of education and exposure to clinical practice. a) True b) False - ANSWER-B A new RPN is studying for the jurisprudence exam. When reviewing her knowledge of the nursing code of ethics, which of the following statements would indicate that she needed to review the definition of a code of ethics? A code of ethics is... a) A personalized belief system that guides a persons behaviour b) A set of ethical principles that are accepted by all members of a profession c) A formalized statement of a groups beliefs that guides ethical practice - ANSWER-A Conscientious objection is a clause in the law that allows health care providers who ethically/morally disagree with MAID to not participate in the provision of care for a patient receiving MAID. In order for a nurse to conscientiously object, he/she must do all of the following except: a) Inform the patient that they are unable to care for them due to an ethical conflict b) Consider a change of employment c) Communicate their objection their manager d) Provide care for the patient until a replacement nurse can be found - ANSWER-A Please match the ethical values with the correct definition.

1. Client well-being
2. Client choice
3. Veracity
4. Fairness
5. Respect for life a) Facilitating clients health and welfare, and preventing or removing harm b) Human life is precious and needs to be respected, protected and treated with consideration c) Allocating resources on the basis of objective health related factors

d) Speaking or acting without the intent to deceive e) Self-determination to consent or refuse care - ANSWER-1.A 2.E 3.D 4.C 5.B Once a patient has made the request for medical assistance in death, there is a mandatory waiting period between when they sign their request and when they can receive MAID. As per Bill C-14 (MAID Legislation) what is the waiting period that is required by law? a) 24 hours b) 5 days c) 10 days d) 2 weeks - ANSWER-C The nurse is caring for a patient who has requested to receive medical assistance in death. The patient must put their request in writing obtain two signatures of witnesses to their request. The nurse may act as a witness for this patient's request. a) True b) False - ANSWER-B Nurses participate in the QA program; a) Annually b) Upon graduation c) Every 3 years d) When called upon by the college - ANSWER-A If there is a complaint to the college it could go to one of these except; a) Employer recommendation b) Alternative disputes committee

c) Investigation d) Hearing - ANSWER-A The three factor framework considers; a) Model of care of a particular hospital b) Standardized policies of the community c) The relevance of the assignment d) Predictability of client - ANSWER-D What are the types of authorizing mechanisms? a) Medical directives, MD orders, NP orders b) Physician orders, MD orders, directives c) Standing order, medical directive, delegation d) Orders, delegation, directives - ANSWER-D Controlled acts for nursing include all except a) Dispensing a drug b) Putting a hand or finger beyond external ear canal c) Performing a procedure below the dermis d) Applying defibrillation - ANSWER-D Fitness to practice concerns; a) Reported misconduct b) Misappropriating funds c) Mental and physical capacity d) Ability to practice - ANSWER-C What is not an example of a medical directive? a) Order for acetaminophen when temp 38.

b) Order for changing a dressing TID c) Orders for managing hypoglycemia d) Orders for starting an IV in emerge - ANSWER-B With respect to medications all are correct except; a) Nurses may prescribe certain medications b) May be found negligent if following an unclear order c) Must know purpose of the medications administered d) Responsibility to question unclear orders - ANSWER-A What is considered not to be a delegated controlled act to nursing? a) Administering puffers b) Dispensing a drug c) Applying energy d) Packing a wound - ANSWER-C As an RPN I may delegate to an UCP all except a) Initiation of a dressing change b) Administration of puffers c) Family member changing a dressing at home d) Feeding of a patient - ANSWER-A A person utters a verbal threat. This would be considered; a) Assault b) Battery c) Unintentional tort d) Negligence - ANSWER-A An RPN orders an RPN colleague to insert a urethral catheter into a newly admitted client.

a) Confirm the order with MD before proceeding b) Consult with an RN before proceeding with the intervention c) Accept the order and proceed with the intervention d) Decline to accept the order - ANSWER-D The QA program includes all except; a) Practice reflection b) Exam c) Learning plan d) Learning goals - ANSWER-B When considering assignments in nursing the following should be considered; a) Stability, predictability, acuity b) Complexity, predictability, negative outcomes c) Stability, needs, negative outcomes d) Predictability, complexity, stability - ANSWER-B