PNVN 1811 EXAM 1 STUDY GUIDE, Exams of Nursing

PNVN 1811 EXAM 1 STUDY GUIDE 2026

Typology: Exams

2025/2026

Available from 05/29/2026

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PNVN 1811 EXAM 1 STUDY GUIDE
State Nurse Practice Act: - Answers - defines the scope and limitations of professional
nursing practice
Unlicensed Assistive Personnel (UAP) - Answers - individual who is trained to function
in an assistive role to the licensed registered nurse in the provision of patient activities
as delegated by and under the supervision of the registered professional nurse
Nursing Licensure - Answers - The legal ability to practice as a nurse as defined in a
region's nurse practice act.
Common Law - Answers - a system of law based on precedent and customs
Statutory Law - Answers - Law passed by the U.S. Congress or state legislatures
intentional tort - Answers - A wrongful act knowingly committed.
unintentional tort - Answers - Nurse did not intend to injure patient. Negligence and
malpractice are examples.
Negligence - Answers - failure to take proper care in doing something
Malpractice - Answers - Failure by a health professional to meet accepted standards
4 elements to prove negligence - Answers - 1. duty
2. breach of duty
3. causation
4. damages
Kinds of liability - Answers - personal vicarious and institutional
Causes of nursing liability - Answers - - lack of safety
- knowledge
-skill
Practicing beyond scope of practice - Answers - Speak up if you are asked to preform
duties beyond your scope of practice
HIPAA - Answers - Health Insurance Portability and Accountability Act
Legal Patient Competency - Answers - 18 or older, pregnant or married women, or self
supporting minor
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PNVN 1811 EXAM 1 STUDY GUIDE

State Nurse Practice Act: - Answers - defines the scope and limitations of professional nursing practice Unlicensed Assistive Personnel (UAP) - Answers - individual who is trained to function in an assistive role to the licensed registered nurse in the provision of patient activities as delegated by and under the supervision of the registered professional nurse Nursing Licensure - Answers - The legal ability to practice as a nurse as defined in a region's nurse practice act. Common Law - Answers - a system of law based on precedent and customs Statutory Law - Answers - Law passed by the U.S. Congress or state legislatures intentional tort - Answers - A wrongful act knowingly committed. unintentional tort - Answers - Nurse did not intend to injure patient. Negligence and malpractice are examples. Negligence - Answers - failure to take proper care in doing something Malpractice - Answers - Failure by a health professional to meet accepted standards 4 elements to prove negligence - Answers - 1. duty

  1. breach of duty
  2. causation
  3. damages Kinds of liability - Answers - personal vicarious and institutional Causes of nursing liability - Answers - - lack of safety
  • knowledge
  • skill Practicing beyond scope of practice - Answers - Speak up if you are asked to preform duties beyond your scope of practice HIPAA - Answers - Health Insurance Portability and Accountability Act Legal Patient Competency - Answers - 18 or older, pregnant or married women, or self supporting minor

Clinical Patient Competency - Answers - Able to identify reason for being seen, understand risk and options, able to make a decision advanced directive (living will) - Answers - document specifying the type of care wanted by the maker in the event of an incapacitating or terminal illness Do Not Resuscitate (DNR) - Answers - a type of advance directive that instructs medical professionals not to perform CPR if a person's heartbeat or breathing stops. Good Samaritan Act - Answers - A person who renders emergency care in good faith at the scene of an accident is immune from civil liability for his or her action while providing the care patient centered care - Answers - providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions 6 phases of nursing process - Answers - 1. Assessment

  1. Diagnosis
  2. Outcome Identification
  3. Planning
  4. Implementation
  5. Evaluation subjective data - Answers - Data that you gather either from the patient or their friends and family objective data - Answers - information that is gathererd from other medical professional Role of LPN - Answers - cares for patients within the scope of practice while upholding clinical standards. provides care in basic and complex patient situations under the supervision of an RN, doctor, podiatrist, or dentist. primary responsibility is the care of vulnerable populations with chronic, stable conditions. provides safe patient care, serves as an advocate for patient, and teaches patients and communicates effectively while functioning as a collaborative team member. employers expect LPNs to think critically and solve problems in patient care situations. managed care - Answers - A health care system whose goals are to provide cost effective quality care.

intravascular fluid - Answers - Plasma within the vessels Makes up 7% of fluid volume Fluid intake and output - Answers - - The normal daily loss of fluid must be equaled by the amount of fluid intake, approximately 2500 ml

  • Fluid leaves through the kidneys, lungs, skin and GI tract
  • Output includes: pee, diarrhea, vomit, nasogastric suction, and chest tube drainage Kidneys - Answers - - Must excrete a minimum of 30 mL of urine an hour to eliminate waste from the body
  • The more fluid in the body, the more diluted the urine will be
  • The best way to determine water balance is to weigh the patient passive transport - Answers - Requires NO energy, Movement of molecules from high to low concentration, Moves with the concentration gradient active transport - Answers - Cellular energy is required to move substances from low concentration to high Diffusion - Answers - Movement of molecules from an area of higher concentration to an area of lower concentration. Osmosis - Answers - diffusion of water across a selectively permeable membrane from low to high concentration hypertonic solution - Answers - More solute particles outside the cell than inside it isotonic solution - Answers - Having the same amount of solutes inside as outside hypotonic solution - Answers - When there is more solute particles inside the cell than outside Filtration - Answers - Transfer of water and dissolved substances from high pressure to low pressure hydrostatic pressure - Answers - the force behind filtration Electrolytes are - Answers - Electrolytes develop tiny electrical charges when they dissolve in water or break up into particles known as ions Sodium - Answers - _ Cation Normal levels: 134-142 mEq/L _ Most abundant electrolyte in the body

_ Regulates water balance, controls extracellular fluid volume, increases cell membrane permeability, stimulates conduction of nerve impulses and helps maintain neuromuscular irritability, controls contractility of muscles Hyponatremia - Answers - - Below normal amount of sodium in the blood

  • Occurs when there is a sodium loss, or water excess
  • Likely to also have potassium imbalance due to fluid being moved into cells and potassium shifting out of cells hyperantremia - Answers - - Above normal amount of sodium in the blood
  • Occurs when there is sodium excess or water loss
  • Causes the fluid to shift from cells to the interstitial space, resulting in cellular dehydration Potassium - Answers - - Intracellular cation
  • Normal levels- 3.5-5mEq/L
  • Kidneys control excretion of potassium
  • Main function is to regulate water and electrolyte content within the cell
  • Can affect skeletal muscle and cardiac function Hypokalemia - Answers - - Below normal amount of potassium
  • Main cause of loss is renal excretion
  • Potassium can be lost due to vomiting, gastric suctioning, and use of diuretics Hyperkalemia - Answers - - Above normal levels of potassium
  • Main cause is renal disease; severe tissue damage causes potassium to be released from the cell
  • Can cause cardiac arrest Chloride - Answers - - Extracellular anion
  • Normal level is 96-105 mEq/L
  • Main route of excretion is the kidneys Hypochloremia - Answers - - Below normal amount of chloride in the blood
  • Usually occurs when sodium is lost, because the two are frequently paired
  • Most common causes are vomiting and prolonged nasogastric or fistula drainage Hyperchoremia - Answers - - Above normal amount of chloride in the blood
  • Very rare, but may be seen when bicarbonate levels fa calcium - Answers - - Positive ion
  • Normal level is 4.5 mEq/L
  • 99% of calcium is in the bones and teeth Hypocalcemia - Answers - - Below normal calcium levels
  • Signs and symptoms are neuromuscular irritation and increased excitability and tetany