DOS II FINAL EXAM LATEST ACTUAL EXAM 2024- 2025 QUESTIONS AND DETAILED CORRECT ANSWERS, Exams of Nursing

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DOS II FINAL EXAM LATEST ACTUAL

EXAM 2024- 2025 QUESTIONS AND

DETAILED CORRECT ANSWERS

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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 Correct Answer B Mandatory reporting requirements for the college of nurses apply to all regulated health care providers, employers and facility operators. a) True b) False Correct 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 Correct 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 Correct 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 Correct Answer B 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 Correct Answer A,B,C 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 Correct Answer B,C Nurses participate in the QA program a) Annually b) Every 3 years c) Upon graduation d) When called upon by the College Correct 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 Correct Answer D The Quality Assurance Program includes all except: a) Practice Reflection b) Learning Goals c) Exam d) Learning Plan Correct Answer C 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 Correct 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 Correct Answer A 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 Correct Answer A,C,E 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 Correct Answer B Mandatory reporting requirements for the college of nurses apply to all regulated health care providers, employers and facility operators. a) True b) False Correct 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 Correct 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 Correct Answer D What category of law does the Nursing Act fall under? a) Statue Law b) Common Law c) Public Law d) Criminal Law Correct Answer A 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 Correct 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 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 Correct 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 Correct 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 Correct Answer B 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 Correct 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 Correct Answer D 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 Correct Answer A,C,E 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 Correct Answer C Mandatory reporting requirements for the CNO apply to all regulated health care providers, employers and facility operators. a) True b) False Correct 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 Correct 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 Correct Answer A 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 Correct Answer B 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 Correct 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 Correct Answer B 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 Correct Answer 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 Correct Answer C 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 Correct Answer 1. A

2. E
3. D
4. C
5. B 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 Correct Answer D 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 Correct Answer D

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 Correct Answer 1,6,5,3,2, The nurse provides immunizations to a primary school class of 40 patients Correct Answer Medical directive The nurse provides her patient with 500 mg of Tylenol to treat the patients headache Correct Answer Order The nurse goes through a formal process to allow a family member provide wound care to the client Correct Answer Delegation 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 Correct Answer Initiation

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 Correct Answer B 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 Correct Answer 2,3,4,6, 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 Correct Answer D 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. True or False? Correct Answer True 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 Correct Answer A 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 Correct 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 Correct Answer C

The Registered Health Professions Act applies to all of the following except: a) Nurses b) Physiotherapists c) Paramedics d) Physicians Correct Answer C 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. Correct 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 Correct 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 Correct Answer C 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 Correct 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 Correct Answer A 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 Correct Answer A 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 Correct 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 Correct 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 Correct 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 Correct Answer B

Nurses participate in the QA program; a) Annually b) Upon graduation c) Every 3 years d) When called upon by the college Correct 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 Correct 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 Correct 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 Correct 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 Correct 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 Correct Answer C The QA program includes all except; a) Practice reflection b) Exam c) Learning plan d) Learning goals Correct Answer B A person utters a verbal threat. This would be considered; a) Assault b) Battery c) Unintentional tort d) Negligence Correct Answer A Fitness to practice concerns; a) Reported misconduct b) Misappropriating funds c) Mental and physical capacity d) Ability to practice Correct 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 Correct Answer A Jane, an RPN student, is telling her friend about the role of the PSW. What statement identifies that Jane understands the PSW's role when working alongside an RPN. a) The PSW role is to assist clients to accomplish the tasks of everyday living and administer oral and/or subcutaneous medications that are a part of their ADLs so that they can enhance their lives b) PSWs assist clients with personal care, home management, family responsibilities, social/recreational activities and tasks of everyday living to enhance their lives c) PSWs improve the client's quality of life by administering medications as delegated by a PSW/RPN/RN d) The role of PSWs are to provide care in a kind, sensitive and understanding manner, honor the client's right to confidentiality, delegates as needed for controlled acts II and III and displays empathy Correct Answer B The Canadian Interprofessional Health Collaborative (CIHC) has developed an Interprofessional Collaborative Competency framework that has a goal to create an Interprofessional collaboration between the IP Team and the client. What statement addresses the Team Functioning competency? a) Team functioning accesses others' skills and knowledge appropriately through consultation

b) Learners and practitioners are able to develop a set of principles for working together that respects the ethical values of members c) Team functioning supports the participation of patients/clients, their families, and/or community representatives as integral partners alongside with healthcare personnel d) Learners and practitioners are able to actively listen to other team members including patients/clients/families Correct Answer B There are great benefits to having the Interprofessional Models of Care. What statement is NOT a benefit to the Interprofessional Model? a) The healthcare delivery will be cost effective with an IP model in place b) The resources for healthcare delivery are used more effectively resulting in better health outcomes c) The IP model provides better health outcomes by improving the patient experience and access for people with chronic disease d) The IP model improves use of resources, accountability for patients and the patient experience for those with chronic disease Correct Answer D Teaching and delegation are part of the nursing responsibility when working with UCPs. Although teaching and delegation have similarities there are also differences, which of the following statements identify the difference between teaching and delegation.

a) Delegation includes making the decision to transfer the authority while teaching involves performing a controlled act procedure to an unauthorized person b) Teaching involves providing instruction while delegation determines that a UCP is competent to perform a controlled act c) The major difference between teaching and delegation is the extent of accountability d) Teaching is an essential part of delegating. The processes for delegating and teaching are similar but NOT equivalent Correct Answer C The CNA has 7 collaboration principles that they believe will help facilitate collaboration among the professions and professionals that will help improve access to client centred health care in Canada. What are the 7 collaboration principles? a) Client-Centred Care; Evidence-Informed Practice; Access; Epidemiology; Social Justice and Decision- Making; Ethics; Communication b) Client-Centred Care; Evidence-Informed Decision- Making; Access; Epidemiology; Social Justice and Equity; Ethics; Communication c) Epidemiology; Client-Centred Care; Evidence-Informed Decision-Making; Accountability; Social Justice and Equity; Competence; Communication d) Social Justice and Equity; Client-Centred Care; Evidence-Informed Practice; Epidemiology; Ethics; Quality Care; Access Correct Answer B

When caring for a client living with diabetes, a PSW may be permitted to administer insulin by injection if it meets which of the following conditions? a) The outcomes are predictable b) The PSW has been taught how to perform the procedure for that specific patient c) The outcomes are not yet established d) It is considered a routine activity of daily living e) The clients condition is stable Correct Answer A,B,D,E A new RPN is working in your unit and is asking if it would be ok for her to delegate a bed bath to one of the PSW's. You tell her it is not necessary to delegate this task because an RPN only needs to delegate tasks that involve one of the controlled acts. a) True b) False Correct Answer A Interprofessional Collaborative Practice is defined as "multiple health workers from different professional backgrounds provide comprehensive services by working with patients, their families, carers, and communities to deliver the highest quality of care across settings." According to the CNA, what are implications of interprofessional collaborative practice? a) Reduced wait times b) Healthy workplaces c) Improved patient safety d) Lack of access to remote regions e) Community engagement f) Chronic disease management Correct Answer A,B,C,F

Once taught how to perform a controlled act, an unregulated care provider can perform that act on any patient under their care, where the act is considered an activity of daily living. a) True b) False Correct Answer B When delegating to person support workers an RPN must remember all of the following except: a) The fact that each delegated task is client or resident specific should always be kept in mind b) Personal support workers (UCP) cannot perform a controlled act unless the authority is delegated to the support worker by a regulated health professional c) Once delegated, specific guidelines and outlines must be met and followed in order for the task to be continually performed d) If the personal support worker has the knowledge, skill and judgement they can perform the controlled act independently Correct Answer D What are the sources of conflict in healthcare? Check all that apply. a) Client or Family b) Technology c) High levels of resources d) Visitors e) Healthcare team or colleagues f) Management Expectations/Values Correct Answer A,D,E,F