NURSING MISC JURISPRUDENCE EXAM REVIEW Questions and Questions,100% CORRECT

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NURSING MISC JURISPRUDENCE EXAM REVIEW Questions and Questions 1. A client requires chemotherapy and radiation. The client agrees to the treatment on the condition that he receives constant nursing s... upport due to his anxiety. What should the nurse do? a. Work within the normal staffing parameters. b. Suggest the client consider hiring a private nurse. c. Provide the extra care requested by the client. d. Advocate for effective care for the client. * 2. According to the CNO Practice Standard: Professional Standards Revised 2002, which one of the following descriptions best reflects the Standard Statement related to ‘Accountability’? a. All nurses are accountable to their clients, their employer and themselves. b. Each nurse is accountable for providing, facilitating and promoting the best possible care to the public. c. Each nurse is accountable to the public and responsible for meeting legislative requirements and the standards of the profession. * d. All nurses are accountable for possessing, through continuing learning, knowledge relevant to practice. 3. What must be included for consent to be considered informed? a. Information the physician determines the client should know. b. The composition of the health care team. c. The exact length of time to recover from treatment. d. Alternative courses of action instead of the proposed treatment. * 4. According to the CNO Practice Standard: Professional Standards, Revised 2002, what is included in the Standard Statement related to ‘Relationships’? a. Caring and compassionate. b. Collegial and knowledgeable. c. Supportive and comprehensive. d. Therapeutic and professional. * 5. What is one part of the definition of ‘professional misconduct’ as defined by the Health Professions Procedural Code? a. Guilty of an offence relevant to the member’s suitability to practice. * b. Has a physical condition limiting practice. c. Guilty of a criminal offence under Ontario Law. d. Has a mental illness that limits the member’s suitability to practice safely. 6. Which one of the following statements describes the Ethical Value related to ‘Privacy and Confidentiality’, as outlined in the CNO Practice Standard: Ethics? a. Maintaining client well-being. b. Using a framework to determine ethical uncertainty. c. Supporting informed decision-making for clients. d. Collecting only information necessary for providing health care. * 7. The physician asks a nurse to perform a wound dressing change for a 15-year-old under the nurse’s care. Is consent needed? a. No, because routine treatment does not require consent. b. Yes, because of the age of the client. c. No, because the treatment was ordered by the physician. d. Yes, because consent is required for any treatment. * 8. According to the CNO Practice Standard: Ethics, which of the following statements best describes the Ethical Value related to ‘Privacy and confidentiality’? a. Ethical problems are identified and solved by nurses using sensitivity, intellectual curiosity and commitment. b. Nurses must understand the organization’s perspective of privacy and confidentiality prior to sharing information. c. Clients need to be informed that their relevant health information will be shared with the health care team. * d. Important aspects of privacy and confidentiality need to be identified by clients’ families. 9. Which of the following examples reflects one of the three controlled acts that all nurses are authorized to perform according to the Nursing Act, 1991? a. Communicating to an individual a diagnosis based on laboratory results. b. Managing labour or conducting the delivery of a baby. c. Putting an instrument, hand or finger into an artificial opening in the body. * d. Moving the joints of the spine beyond the client’s usual range of motion. 10. A client situation arises that may present an ethical issue. What is the first thing the nurse must do? a. Review the employer’s policies and procedures. b. Discuss the issue with the health care team. c. Determine the client’s wishes. * d. Consult the supervisor. 11. Which one of the following health care providers is appropriately using the authorizing mechanism of ‘initiation’? a. An RN who establishes peripheral venous access in an emergency situation. * b. An RPN who cleanses, soaks, probes and packs a wound below the dermis. c. A PSW who discontinues an intravenous site. d. An RN who performs an elective cardioversion. 12. A nurse is advocating for a group of clients to obtain government subsidies for adequate nutrition. According to the CNO Practice Standard: Professional Standards, Revised 2002, which one of the following Standard Statements best describes the nurse’s actions? a. Relationships. b. Accountability. * c. Knowledge. d. Leadership. 13. A physician gives a nurse a telephone directive to catheterize the physician’s admitted clients. Why should the nurse refuse to follow this directive? a. Direct orders must be always written for any procedure and treatment. b. Nurses can initiate catheterization on in-patients without a directive. c. Directives must always be written and signed by the physician or NP. * d. Nurses must always have the act of catheterization delegated. 14. What is the purpose of ‘mandatory reporting’ to CNO? a. To update CNO regarding address changes. b. To protect nursing colleagues. c. To notify CNO of unsafe nursing practice. * d. To enforce limitations on nurses’ practices. 15. A client expresses a wish to die at home. The nurses’ discusses the client’s expectations and negotiates a plan of care involving all relevant parties. According to the CNO Practice Standard: Therapeutic Nurse-client relationship, Revised 2006, which Standard Statement does this demonstrate? a. Therapeutic Communication. b. Maintaining boundaries. c. Client-centered care. * d. Maintaining a Quality Practice setting. 16. Which of the following nursing practices demonstrates client choice? a. Providing the client with the necessary information for informed decision-making. * b. Exploring the wishes of the health care team regarding client care. c. Encouraging the client to choose a specific treatment option. d. Having a substitute decision-maker appointed for incapable clients. 17. A nurse disagrees with the client’s decision to terminate a pregnancy for genetic reasons and wishes to discontinue nursing care. What should the nurse do first? a. Discuss changing the client’s plan of care with the health care team. b. Attempt to convince the client’s family that there are other options. c. Consult with a nursing colleague to clarify the nurse’s own values. * d. Report the plan of care to the Ethics Review Committee. 18. Which one pf the following options is an example of an ‘authorizing mechanism’? a. Standing order. b. Delegation. * c. Practice guideline. d. Advance directive. 19. Which one of the following conditions must be met prior to a nurse ‘initiating’ a controlled act authorized to nurses? a. There is a directive for the nurse to perform the procedure. b. The nurse has determined the client’s condition warrants performance of the procedure. * c. A mechanism exists to support delegation of the procedure. d. There is a physician’s order for the procedure. 20. Which one of the following statements is true? a. The Regulated Health Professions Act, 1991 is applicable to all health care providers. b. The Nursing Act, 1991 regulates nursing practice; however, the Regulated health Professions Act, 1991 does not. c. The Regulated Health Professions Act, 1991 does not have provisions that are relevant to nursing students. d. The Regulated Health Professions Act, 1991 and the Nursing Act, 1991 both regulate the nursing profession. * 21. Which one of the following actions by a nurse demonstrates unequal power in the nurse-client relationship? a. Administering an antibiotic as ordered. b. Assisting the client with personal care. c. Informing a client of a toileting schedule. * d. Expressing empathy for a client. 22. The nurse has a client who does not speak or understand English or French. Family members, acting as interpreters, have stated that the client would not want to know his prognosis. What is the nurse’s responsibility in this situation? a. Respect the wishes of family and do not disclose this information. b. Encourage the family members to reconsider their situation. c. Involve a non family member as an interpreter to confirm the client’s wishes. * d. Consult with the client’s physician. 23. What is one of the reasons why nurses document? a. To allow clients to monitor their progress. b. To prevent ethical dilemmas. c. To promote continuity of care. * d. To meet the need of organizational policies. 24. What should a nurse do first when observing another nurse abusing a client? a. Stop the colleague’s behavior. * b. Speak to the colleague’s supervisor. c. Report the matter to CNO. d. Document the observed behavior. 25. A 7-year old boy is admitted to the emergency department with a compound fracture of the arm. His parents are not reachable. Is consent required to initiate treatment? a. No, because this is an emergency situation. * b. No, because the nurse must act as a client advocate. c. Yes, because the parents must provide consent. d. Yes, because the child is a minor. 26. A client returns from the operating room with a chest tube. The client’s nurse has recently been assigned to the unit from another department and does not feel competent to manage this client’s care needs. The nurse seeks assistance from another nurse immediately. Which one of the following statements from the CNO Practice Standard: Professional Standard, Revised 2002, has the nurse demonstrated? a. Continuing competence. b. Leadership. c. Ethics. d. Accountability. * 27. What is an example of abusive behaviour in the context of therapeutic nurse-client relationship? a. A male nurse has been assigned to a client who is uncomfortable with him. b. A client has accused a nurse of stealing some of her personal belongings. c. A confused client uses racial slurs when addressing the nurse. d. A nurse addresses a client in a demeaning manner. * 28. In which of the following situations can a nurse accept and perform a delegated task? a. When any emergency situation occurs. b. When an authorizing mechanism is in place. c. When the activity is not a controlled act. d. When the nurse has the necessary certification. * 29. According to the CNO Practice Standard: Documentation, Revised 2008, which one of the following statements best demonstrates appropriate documentation? a. “Client admitted via stretcher”. b. “Client states that his roommate had his ‘girlfriend in overnight’.” c. “Client states his pain is a ‘1 out of 10’.” * d. “Client is non-adherent to treatment.” 30. Which of the following examples represents sexual abuse as defined by the Health Professions Procedural Code? a. A 12-year old client with suspected vaginal trauma. b. Consensual sexual relations between a nurse and a client. * c. A female client who discloses unwanted sexual relations with a partner. d. Unwanted sexual relations between a nurse and a colleague. 31. What is included in the mandatory requirements for nurses who are randomly selected to participate in CNO’s Quality Assurance Program? a. Peer assessment. * b. Client assessment. c. Health assessment. d. Workplace assessment. 32. The Consent and capacity Board has found Mr. Silva incapable of making decisions. His nephew, who is his substitute decision-maker, has given consent to start the application for placement in long-term care. Mr. Silva wishes to stay in his home. According to the Health Care Consent Act, 1996, which one of the following statements is true? a. Mr. Silva’s nephew has the authority to make the placement decision. * b. Mr. Silva’s consent overrides that of his nephew because they are in disagreement. c. Mr. Silva can refuse to leave his home and arrange his own support system through the Community Care Access Centre. d. Mr. Silva’s physician has the ability to override the finding of incapacity. 33. What statement best articulates the overall responsibility for all nurses to practice in accordance with CNO’s standards of practice? a. Nurses must participate in CNO’s Quality Assurance Program including creating an annual Learning Plan and obtaining peer input. b. Nurses must remit their annual registration fee in a timely manner to maintain their registration. c. Nurses are responsible for reporting colleagues who are practicing nursing in a manner inconsistent with professional standards. d. Nurses will practice in accordance with the standards of the Profession and will keep current and competent throughout their nursing careers. * 34. Which one of the following statements is a key element of informed consent according to the CNO Practice Guideline: Consent? a. Age of consent. b. Power of attorney of personal care. c. The common law. d. Alternative courses of action. * 35. According to the CNO Practice Standard: Documentation, Revised 2008, what is one of the CNO Standard Statements that describes a nurse’s accountability when documenting? a. Assessment. b. Professional Practice. c. Goal orientation. d. Communication. * 36. How does professional misconduct relate to CNO’s practice standards? a. Failure to meet any of the practice standards may be considered professional misconduct. * b. Professional misconduct is only addressed in the CNO Practice standard: Professional standards, Revised 2002. c. Professional misconduct is only addressed in the CNO Practice standard: Therapeutic Nurse-Client Relationship, Revised 2006. d. Failure to comply with CNO Practice standards is illegal and therefore is considered professional misconduct. 37. Which one of the following individuals can delegate a controlled act to a nurse? a. Paramedic. b. Dentist. * c. Physician’s assistant. d. Diagnostic Sonographer. 38. Which one of the following situations would represent a concern about exceeding the boundaries of the therapeutic nurse-client relationship? a. A nurse introduces herself or himself to the client by name and professional designation. b. A nurse reveals to the health care team a secret shared by the client that is relevant to the plan of care. c. A client asks the nurse to address him by his middle name because that is what all his friends call him. * d. A client is willing to speak only with his primary nurse and refuses to speak with other nurses. 39. A nurse is asked to perform debridement on a chronic wound. What is the first thing the nurse should do? a. Assess her or his related knowledge and skill. * b. Review the employer’s policy and the relevant legislation. c. Proceed with the debridement as requested and document. d. Decline to perform the procedure and inform the manager. 40. Sue, a nurse, has arrived home at the end of a long shift and realizes that she forgot to sign for a medication. Sue calls the unit and asks a colleague to “sign my name on the record”. The colleague refuses. What is the rationale for his refusal to sign? a. A colleague may be terminated if he complies and his actions are discovered. b. It is Sue’s responsibility to return to work immediately and sign the record. c. Failure to sign for a medication is an error that must be reported to the manager. d. Falsifying a record is an example of professional misconduct. * 41. According to the CNO Practice Standard: Therapeutic Nurse-Client relationship, Revised 2006, which one of the following standard Statements best describes the nurse’s accountability? a. Competence. * b. Maintaining boundaries. c. Security. d. Self Disclosure. 42. Are nurse administrators accountable to practice in accordance with all CNO standards of practice? a. Yes, because all nurses are accountable to the standards of practice regardless of role. * b. No, because the nurse is an administrator, therefore, only the CNO Practice Standard: Professional Standards, Revised 2002 applies. c. No, because the standards of practice only apply to nurses working in direct client care. d. Yes, because only nurse administrators are accountable to the CNO Practice Standard: Professional Standards, Revised 2002 in addition to the other Standards. 43. A nurse is asked by a client’s employer for information on the client’s prognosis. What information, if any, can the nurse disclose? a. The client’s diagnosis, but not the prognosis. b. All the information if the diagnosis is employer-related. c. No information without consent from the client. * d. The client’s prognosis, but not the diagnosis. 44. Who may determine capacity for the purpose of the Substitute Decisions Act, 1992? a. A trained capacity assessor. * b. Any physician or social worker. c. The client’s substitute decision-maker. d. The office of the Public Guardian and Trustee. 45. A nurse is providing care for a client in the client’s home. After the nurse provides treatment, the client invites the nurse out for a coffee. How should the nurse respond? a. Decline the offer and clarify the nurse’s role in the nurse-client relationship. * b. Accept the offer as it would be beneficial to further develop the nurse-client relationship. c. Decline the offer and promptly leave the client’s home. d. Agree to meet the client for coffee, but only to discuss the therapeutic care plan. 46. A nurse is overheard saying “Your breasts looks great in that shirt” to a client. The client smiles and walk away. Is this sexual abuse? a. No, because sexual contact is not made. b. No, because the client did not object. c. Yes, because the comment was of a sexual nature. * d. Yes, because any unwelcome remark is a form of sexual abuse. 47. Consistent with the Health care Consent Act, 1996, when is a nurse required to obtain consent for treatment? a. Providing nursing services to an ill 8-year-old in a community health centre. * b. Administering blood products to a hemorrhaging client in the operating room. c. Performing CPR on an individual who has been found unconscious on the street. d. Treating an unconscious client with a head injury in the emergency room. 48. What is the legislation related to the CNO Practice Standards; Restraints? a. Health care Consent Act, 1996. b. Patient Restraints Minimization Act, 2001. * c. Occupational Health and safety Act, 1990. d. Health Protection and Promotion Act, 1990. 49. Which one of the following circumstances is mandatory for nurses to self-report to CNO? a. Pardoned criminal offences. * b. Communicable diseases. c. Work-related discipline. d. Frequent medication errors. 50. What is one purpose of Nursing Documentation? a. To limit involvement to legal proceedings. b. To record every care event experienced by the client. c. To communicate interventions in care to the health care team. * d. To protect the practice of colleagues. 51. A nurse has recently relocated and changed employers. What is the nurse’s responsibility to CNO? a. Report address changes to CNO when renewing the nurse’s annual membership.* b. Advise the nurse’s new employer to fax all changes to CNO. c. Immediately update any changes to the nurse’s employer or home address with CNO. d. Re-register and submit the new information to CNO. 52. A 79-year-old mentally competent client is at high risk for falls. The nurse recommends the use of a cane or a walker, but the client refuses. What should the nurse do first? a. Explore other options with the client that may be acceptable. * b. Request that the physician speak to the client. c. Call the client’s substitute decision-maker to discuss the matter. d. Refer the client to a physiotherapist for assessment. 53. What is CNO’s mandate? a. To develop practice standards. b. To protect the public interest. * c. To provide a disciplinary body available to the public. d. To create entry-to-practice requirements in Ontario. 54. Which one of the following statements represents a component of therapeutic communication used by nurses? a. Using terms of endearment when addressing client. b. Speaking slowly and loudly to all clients to assure they hear and understand. c. Modifying their communication style for each client. * d. Sharing personal information with clients in order to establish trust and a feeling of intimacy. 55. What is the key piece of legislation that protects the client’s confidentiality? a. Personal Health Information Protection Act, 2004. * b. Quality of Care Information Protection Act. c. Regulated Health Professions Act, 1991. d. Health Care Consent Act, 1996. 56. Which one of the following statements is considered to be a ‘directive’? a. A written physician’s order that may be used for a number of clients. * b. A client-specific order that is either written or oral. c. A procedure that is authorized to be performed by a nurse with the appropriate education. d. A procedure that is initiated by the nurse in the absence of a direct order. 57. What are three components to the scope of practice statement of the Nursing Act, 1991? a. Promotion, assessment, and treatment. * b. Provision, rehabilitation, and care. c. Initiation, delegation, and self reflection. d. Legislation, regulation, and ethics. 58. A nurse wishes to control a client’s violent bahaviour. What should the nurse do? a. Consider the use of restraints only as a last resort. * b. Administer a chemical restraint. c. Apply a jacket restraint to protect the client. d. Lock the client in a room for everyone’s safety. 59. According to the CNO Practice Standard: Confidentiality and Privacy – Personal Health Information, what is the ‘lockbox provision’? a. A client instructs that a part of his or her personal health information is not shared with other providers. * b. Personal health information is physically secured in a locked area. c. A client is not permitted to access a portion of his or her personal health information. d. A nurse is responsible for ensuring that she or he uses client information only for the purposes for which it was collected. 60. An RN notes a change in a client’s wound and seeks advice from the only other nurse working during the shift, an RPN. The RN is later told by another nursing colleague that this was inappropriate. Should the RN have sought advice from the RPN. a. Yes, because there were no other nurses available. b. Yes, because all nurses are expected to collaborate. * c. No, because RPNs cannot provide care below the dermis. d. No, because RPNs should not provide advice to RNs. 61. Which one of the following situations requires a nurse to make a mandatory report to CNO? a. Accidentally sticking herself or himself with a used needle. b. Observing a nursing colleague kissing a client. * c. Learning that a nursing colleague is under investigation for theft. d. Observing a nursing colleague is supposedly on sick leave. 62. Under which one of the following situations should a nurse collaborate and consult with other health professionals? a. When the nurse has the expertise to manage the situation. b. When the situation demands expertise that is beyond her or his competence. * c. When it has been determined that the nurse is the appropriate care provider. d. When the client’s needs and outcomes are stable and predictable. 63. According to the CNO Practice Standard: Ethics, what is the component of the definition of the Ethical Value of ‘Truthfulness’? a. Speaking or acting without intending to deceive. * b. Providing empathic and knowledgeable care. c. Omitting information at the request of the client’s family. d. Communicating the nurse’s own values to the client. 64. Barb and John are nurses. Barb tells John that CNO is investigating a complaint against her regarding a medication error and she is concerned about the outcome. How should John respond? a. Advise Barb to seek a lawyer because she may have to pay a disciplinary fine. b. Inform Barb that she should not worry because the nursing union will protect her from discipline. c. Remind Barb that CNO investigates all complaints in order to protect the public.* d. Reassure Barb that CNO never takes action against nurses for medication errors. 65. According to the CNO Practice Standard: Professional Standards, Revised 2002, what is the purpose of the seven Standard Statements? a. They define the scope of practice for RNs, RPNs, and NPs. b. They list the specific knowledge, skills, judgment, and attitudes that nurses must demonstrate at all times. c. They outline the nurse’s responsibility within the Public Hospital Act. d. They describe, in broad terms, the professional expectations of nurses. * 66. What is the definition of ‘self-regulation’ as it applies to CNO? a. Every member is responsible for practicing safely in accordance with the Regulated Health Professions Act, 1991. b. CNO is responsible to confirm with employers that nurses are completing their self- regulation requirements. c. CNO is responsible for ensuring that nurses are working within their scope of practice and in collaboration with other health care professionals. d. Every member is responsible for practicing in accordance with the standards of the profession and keeping current and competent throughout their career. * 67. Which one of the following examples always reflects establishing and maintaining appropriate boundaries in the therapeutic nurse-client relationship? a. Providing care to the nurse’s relatives or friends. b. Disclosing the nurse’s personal information to clients. c. Engaging in financial transactions with the client or the client’s family. d. Documenting consultation with a colleague about a questionable client interaction. * 68. A nurse has relocated to Ontario from Florida, USA. Which one of the following facts is the nurse obligated to report to CNO? a. Contact information for the nurse’s most recent employer in Florida. b. The nurse’s score on the Florida state board licensing examination. c. The nurse has been disciplined by the Florida state nursing regulatory body. * d. The termination of the nurse’s employment by a previous Florida employer. 69. An RPN assesses that a client in the home requires routine urinary catheterization. We must be considered prior to initiation? a. Determining whether the family physician would approve the order. b. Identifying the risks and benefits of the procedure. * c. Reviewing the health record to determine the effectiveness of the previous treatment. d. Consulting with a colleague about the procedure. 70. A nurse is caring for a client on life support. The client’s estranged spouse, who is the client’s power of attorney for personal care, visits on a regular basis. The nurse has become attracted to the client’s spouse and has been invited to the spouse’s home for dinner. What demonstrates protecting the client from abuse? a. Requesting permission from the nurse’s manager before accepting the invitation. b. Declining the invitation to the spouse’s home. * c. Requesting to be reassigned to a different client before accepting the invitation. d. Agreeing to meet the spouse in public locations only. 71. A nurse may disclose personal health information without consent in which one of the following situations? a. The police request information about a client’s progress. b. An interpreter is being used to interview the client. c. An adult client has been sexually assaulted. d. The client poses a serious risk of injuring others. * 72. What controlled act is a nurse authorized to perform, when ordered, as found in the Nursing Act, 1991? a. Putting an instrument beyond the external ear canal. * b. Managing labour. c. Conducting an allergy challenge test. d. Supervising the dispensing of a drug in a pharmacy. 73. According to the CNO Standard Practice: Professional Standards, Revised 2002, what is one element of ‘Accountability’? a. Nurses are accountable for the decisions or actions of unregulated care providers. b. Nurses are accountable for explaining all treatments proposed by the health care team. c. Nurses are accountable for their actions and their consequences. * d. Nurses are accountable for reporting all errors to CNO. 74. After receiving the necessary information, a client makes an informed choice to stop all treatments. The client, his family and nurse understand that the client will not live without treatment. The client’s family wants the client to continue with his treatment and the nurse agrees. With respect to ‘Client Choice’, how should the nurse proceed? a. Respect the family’s wishes and continue treatment for the client. b. Arrange for another caregiver and then withdraw from the situation. c. Inform the client that the treatment will continue and in a few days he will have a capacity assessment. * d. Recognize that the client does not have the right to refuse treatment that has positive health outcomes. 75. When sharing health information, in which one of the following scenarios is a nurse best demonstrating confidentiality? a. Discussion with the client’s family in private, without informing the client. b. Discussion with the client’s employer, with the client’s permission. * c. Discussion with any health care provider, without informing the client. d. Discussion with the client in the public area, with the client’s permission. 76. A nurse witnesses another nurse taking a client’s personal items from the client’s room. What is the first action the nurse should take? a. Report it to CNO immediately. b. Discuss the matter with the health care team. c. Speak to the nurse regarding the matter. * d. Inform the client of what was observed. 77. A nurse witnesses another regulated health professional making a sexual comment to a client. To whom does the nurse have a ‘legal responsibility’ to report this individual? a. The holder of the client’s power of attorney for personal care. b. The other members of the health care team. c. The manager of the health care team member. * d. The regulatory college of the health care team member. 78. What is one activity that all nurses should engage in to provide quality care to clients in regard to the use of restraints? a. Advocating for medication therapy. b. Adjusting staffing levels. c. Isolating agitated clients in a private space. d. Collaborating with the health care team. * 79. What must nurses reflect upon when determining whether they are competent to provide safe nursing care to clients? a. Legislation, policies, and procedures. b. Environment, staffing levels, and equipment. c. Knowledge, skill, and judgment. * d. Education, experience, and specialization. 80. Which one of the following statements best describes the ‘client’ in the context of the therapeutic nurse-client relationship? a. An individual, family, group or community. * b. An individual who receives direct care. c. An individual requiring therapeutic nursing interventions. d. An individual or group, other than health care providers, who receive treatment. 81. What organization regulates nurses in Ontario? a. College of Nurses of Ontario. * b. Registered Nurses Association of Ontario. c. Ontario Nurse Association. d. Canadian Nurses Association. 82. Every time the nurse begins work on the afternoon shift, she finds that most of the clients’ incontinence briefs are saturated. After providing care for the clients, what should the nurse do? a. Advocate for superior incontinence products. b. Communicate her concerns to the day staff. * c. Ask the nursing educator to each the day staff how to meet clients’ basic needs. d. Intervene by reporting the incidents to the manager. 83. What are the components of the therapeutic nurse-client relationship? a. Respect, trust, professional intimacy, empathy, and power. * b. Communication, cultural sensitivity, understanding, advocacy, and professionalism. c. Empowerment, compassion, tolerance, autonomy, and cooperation. d. Fairness, acceptance, sympathy, accountability, and collaboration. 84. What is one nursing responsibility when deciding whether to use restraints? a. Following the physician’s order. b. Using the restraint that is least restrictive to the client. * c. Following the family’s instructions. d. Using the restraint last applied to the client. 85. What is one of the four key regulatory functions of CNO? a. Promote the profession of nursing. b. Establish requirements for entry to practice. * c. Advocate for changes in institutional policies. d. Develop nursing educational programs. 86. Which one of the following statutes is relevant to the practice of nursing in Ontario? a. Pharmacy Act, 1991. b. Public Hospitals Act. c. Medicine Act. * d. Midwifery Act. 87. A nurse is caring for an 87-year-old male resident of a long-term care facility. The client has a history of Parkinson’s disease, requiring assistance with all activities of daily living. He has now developed aspiration pneumonia. Transfer to acute care has been ordered; however, the client does not wish to go. How should consent for treatment be obtained? a. From one of the client’s family members. b. From the substitute decision-maker. c. From the client. * d. From the Consent and Capacity Board. 88. A 14-year-old girl presents at the birth control center requesting the oral contraceptive pill. She has a boyfriend, but has not yet had sex. How can the RN provide client-centered care? a. Discuss continued abstinence as the best method of birth control. b. Explore sexuality and birth control methods with the client. * c. Refer the client to her primary care provider for a prescription. d. Ask the client to bring her boyfriend to her next appointment. 89. Gladys has decided to resume nursing practice after resigning from the profession to raise a family. After an interview, she was successful in obtaining a position at a local long-term facility. Can Gladys begin working as a nurse? a. Yes, because Gladys was previously registered with CNO. b. No, because Gladys must first complete a geriatric education program. c. Yes, because the long-term care facility assessed her competence. d. No, because Gladys requires current registration with CNO. * 90. What information from each member is required to be made public on the CNO register? a. Full name, business address, and business telephone number. b. Last name and all current and previous employers. c. Full name and school from which she or he graduated. d. Last name and initial, home address, and home telephone number. * 91. According to the CNO Practice Standard: Professional Standards, Revised 2002, what are the differences in knowledge between RNs and RPNs? a. RNs can perform more controlled acts than RPNs. b. RNs and RPNs study from the same body of knowledge, but with different depths and breadths. * c. RPNs do not have to engage in continuing learning as frequently as RNs. d. RNs have a knowledge base in resource management and health care delivery systems which RPNs do not possess. 92. What is the purpose of mandatory reporting? a. To protect the employer from nurses who might be practicing unsafely. b. To ensure that an incapacitated nurse with a disorder receives appropriate treatment to allow safe return to nursing practice. c. To impose appropriate disciplinary measures upon a nurse who has committed professional misconduct or sexual abuse. d. To allow CNO to take action to protect the public and use innovative approaches to help rehabilitate the nurse. * 93. According to the CNO Practice Standard: Therapeutic nurse-client relationship, Revised 2006, what is the definition of ‘Client’? a. A client must be viewed as a whole person. b. A client may be an individual, family, group or community. * c. A client must be an autonomous, active participant in care. d. A client may be a spouse, partner, child, sibling or friend. 94. David is a nurse who works for a nursing agency. He is assigned to work with a client who requires regular suctioning. David is not competent in this skill and does not communicate this fact to his supervisor. He completes all other care the client requires but does not suction the client. Later in the day, the client goes into respiratory distress and requires transfer to acute care. This may be a behaviour that could be considered professional misconduct based on which of the following documents? a. Nursing Act, 1991, Ontario Regulation 799/93. * b. The CNO Practice Standard: Documentation, Revised 2008. c. The CNO Practice Guideline: Guiding Decisions About End of Life Care, 2009. d. Regulated Health Professions Act, 1991. 95. In which one of the following situations can a nurse perform a controlled act? a. A pharmacist writes an order for a new injectable medication. b. A nurse performs wound packing below the mucous membrane for a client’s family member. c. A nurse disimpacts a client, knowing that the physician will write the order during daily rounds. d. A dentist writes an order for the nurse to start a pre-procedural IV. * 96. A nurse is obtaining consent from a client for treatment. The nurse describes the information about the treatment required to make a decision. What else must the nurse do to provide informed consent? a. Ensure that the client is of the minimum age to give consent. b. Provide the client with written information. c. Respond to the client’s questions regarding the treatment. * d. Obtain a signature from the client. 97. A RN case manager visits a client in the community whose needs are becoming more complex. According to the CNO Practice Guideline: RN and RPN Practice: The Client, the Nurse and the Environment, what is one factor that the case manager must consider when determining the appropriate category of care provider? a. Leadership. * b. Equipment. c. Cost. d. Environment. 98. A nurse document all the care provided during the workday at the end of the shift. Which documentation standard has the nurse breached? a. Care must be documented immediately after it occurs. * b. Documentation must be relevant to client care. c. Documentation must be comprehensive. d. Care must be documented in a timely manner. 99. Which of the following Standard Statements is from the CNO Practice Standard: Therapeutic Nurse-Client Relationship, Revised 2006? a. Maintaining Commitments to Clients. b. Potential for Harm. c. Client Well-Being. d. Client-Centered Care. * 100. According to the CNO Practice Standard: Ethics, which one of the following terms representsan Ethical Value related to client choice? a. Self-esteem. b. Self-worth. c. Self-respect. d. Self-determination. * 101. Why are nurses expected to collaborate or consult with each other? a. To benefit the client. * b. To ensure accountability. c. To increase the nurses’ autonomy. d. To increase collegiality. 102. What is the key element of informed consent? a. It is required before providing emergency care. b. A substitute decision-maker must provide consent if the client is under 16 years of age. c. It can only be obtained by the health care professional providing the care. d. The client receives responses to requests for additional information about treatment. * 103. A client complaint has been made in regard to a personal support worker (PSW). The employer contacts CNO to report the complaint. Was contacting CNO appropriate? a. Yes, because PSWs work under the supervision of nurses. b. Yes, because CNO regulates practice of health care providers. c. No, because the employer should have conducted an investigation first. d. No, because CNO is not responsible for regulating PSWs. * 104. A nurse working in a cancer care center encounters many competent clients who refuse further treatment. The nurse disagrees with the clients’ decision and believes she cannot continue to provide care. What should the nurse consider? a. Arranging for capacity assessments of the clients before discontinuing treatment. * b. Continuing to provide treatment until consulting with the clients’ families. c. Resigning from her place of employment to adhere to her personal values. d. Encouraging the clients to continue with their current treatment plans. 105. What is a condition associated with the appropriate delegation of controlled acts to unregulated care providers (UCPs)? a. Competence has been determined. * b. It is part of their scope of practice. c. It is an expectation of the employer. d. Client teaching is a part of the care. 106. According to the CNO Practice Standard: Professional Standards, Revised 2002, which actions by a nurse best describe the Standard Statement ‘Knowledge Application’? a. Receiving a report from another nurse and proceeding to prepare medications. b. Taking vital signs and recording the findings in the client’s chart. c. Recognizing that a client is exhibiting the symptoms of a stroke and taking appropriate action. * d. Providing a client’s grieving family member with information for support groups and documenting the actions taken. 107. What is one part of the Self-Assessment component of CNO’s Quality Assurance Program? a. Practice Evaluation. b. Practice Reflection. * c. Practice Assessment. d. Practice Consultation. 108. A nurse, who works with street youth, intentionally reveals her breast tattoo to a group of clients. Another nursing colleague witnesses this action. Is the colleague required to report this behaviour to CNO? a. No, only professional misconduct must be reported. b. Yes, sexual abuse must be reported. * c. No, this is only considered a frivolous complaint. d. Yes, but only the client must report the event. 109. A client has been deemed incapable of making her own decisions and has no family. Whom should the nurse contact for decision-making and consent for treatment? a. The most responsible physician. b. The client’s social worker. c. The Office of the Public Guardian and Trustee. * d. The client’s closest friend. 110. Erica, an RN, is working in the role of an unregulated care provider (UCP) at a long-term care home. Is Erica accountable to practice in accordance with the CNO Standards? a. No, because Erica is not being paid as an RN. b. Yes, because Erica must comply with the Long Term Care Home Act, 2007. c. No, because Erica is working in a UCP role. d. Yes, because Erica is registered as an RN. * 111. A disoriented client is threatening staff with physical violence. A colleague asks why a potentially violent client cannot be immediately physically restrained. How should the nurse respond? a. Legislations sets limitations for restraints use. * b. Restraints can never be used with violent clients. c. Consent is required for restraint under all circumstances. d. The client’s family must first be notified. 112. According to the CNO Practice Standard: Ethics, how is ‘Fairness’ defined? a. Ensuring clients have enough information to make an informed decision. b. Allocating health care resources on the basis of objective-related factors. * c. Facilitating clients’ wishes for their treatment plan. d. Following through with implicit or explicit commitments toward clients. 113. Which one of the following statements about the Practice Assessment component of CNO’s Quality Assurance (QA) Program is true? a. Four practice documents are selected for the examinations. b. All nurses must participate in the QA Program every 3 years. c. Selected nurses are required to submit their Annual Learning Plan to CNO. * d. Nurses must have annual performance appraisals completed by their employers. 114. What is every member’s responsibility in a self-regulated profession? a. Establishing requirements for entry to practice. b. Disciplining other members for professional misconduct. c. Practicing in accordance with the standards of the profession. * d. Consulting with their College on practice-related issues. 115. A nurse has been asked to perform tracheal suctioning on the client. According to the CNO Practice Standard: Decisions about Procedures and Authority, Revised 2006, what is one of the standard statements that must be considered when determining if the nurse can perform this procedure? a. Assessment. b. Managing Outcomes. * c. Implementation. d. Client Stability. 116. An RPN and a NP practice collaboratively. The NP has written an order for acetaminophen (Tylenol) for pain. What is the RPN’s responsibility? a. Ask an RN to administer the medication. b. Administer the medication as ordered. * c. Collaborate with a physician prior to proceeding. d. Inform the NP that the RPN is unable to comply. 117. How does CNO provide support to nurses in their practice? a. Web-based learning center. * b. Malpractice insurance. c. Legal services to members. d. Funding for continuing education. 118. Under the Regulated Health Professions Act, 1991, which one of the following activities is prohibited is performed by an unauthorized person? a. Male circumcision performed outside of a religious tradition or ceremony. b. Tattooing at a public health inspected facility. c. Acupuncture performed in an alternative therapy clinic. * d. Body piercing to accommodate jewellery. 119. An RPN employed as an unregulated care provider (UCP) administers a medication and an error is identified. To what level of accountability will CNO hold this staff member? a. As a UCP. * b. As decided by the nurse’s employer. c. As decided by the physician. d. As an RPN. 120. Why is using the title RPN, RN or NP is considered misinterpretation if an individual is not registered with CNO? a. The titles are protected by provincial nursing labour associations. b. The titles are earned after passing a national nursing examination. c. The titles are earned upon graduation from an approved nursing program. d. The titles are protected under legislation. * 121. What is a difference between ‘initiating’ and ‘performing’ a controlled act? a. A nurse requires a physician’s order for initiating, but not for performing, a controlled act. b. When initiating, the nurse accepts accountability for determining that the client’s condition warrants performance of the controlled act. * c. When initiating, a nurse performs the controlled act and then obtains a physician’s order for the procedure. d. A nurse can only initiate a controlled act in an emergency situation. 122. Consistent with the Nursing Act, 1991, which one of the following examples involves a nurse correctly exercising the right to refuse assignments or discontinue nursing services? a. A nurse is called at home and asked to work an extra shift over the weekend. The nurse is very fatigued and refuses. b. A nurse from homecare plans to do a dressing change in a client’s home, but a delay causes the nurse to decide to change the dressing the next day. c. A homecare nurse is assigned a new client. Upon arrival at the home, the nurse discovers that the client smokes. The nurse refuses to visit the client because of the risks associated with second hand smoke. * d. A nurse working on a labour and delivery unit refuses to cross a picket line due to the belief that the administration is not bargaining in good faith. 123. When can a nurse discontinue nursing services for a cognitively impaired client without resulting in professional misconduct? a. If replacement services have been arranged. * b. When the substitute decision-maker has been informed. c. If the nurse is respecting the client’s wishes. d. When alternate care has been discussed with the physician. 124. While off duty, the nurse is charged with impaired driving. Ultimately, she is found guilty of this offence. Following this finding, does the nurse have any obligations to CNO? a. Yes, because the nurse must self-report a finding of guilt for an offence. * b. No, because the nurse was not working at the time of the offence. c. Yes, because the nurse must incorporate the finding of guilt into reflective practice. d. No, because the nurse is only obligated to report sexual abuse. 125. A client is transferred to palliative care. The client asks for the nurse’s personal cell phone number in case he has questions regarding pain management. Based on the content of the CNO Practice Standard: Therapeutic Nurse-Client Relationship, Revised 2006, what should the nurse do? a. Inform the client that the palliative care team will assume his care. b. Provide the telephone number to facilitate client trust. c. Discuss the client’s concern with the palliative care team. d. Explore the client’s concerns regarding pain management. * 126. Why is continuing competence a professional requirement? a. It contributes to quality nursing practice. * b. It fulfills a requirement for employer’s annual performance appraisals. c. It contributes to change in the health care environment. d. It enhances interprofessional collaboration. 127. The nurse encounters a confused, combative client. Which one of the following actions would represent abuse? a. Calling the client’s name loudly to get his attention. b. Ignoring the client until he becomes calm. * c. Administering a sedative under a client-specific order. d. Assuming a defensive stance in response to the client trying to hit the nurse. 128. According to the CNO Practice Standard: Decisions about Procedures and Authority, Revised 2006, what is one of the four standards a nurse must consider before performing any procedure? a. Agency directives. b. The existence of a direct order. c. The potential for delegation. d. Appropriate care provider. * 129. What is warning sign that a nurse may not be effectively maintaining the boundaries of the therapeutic nurse-client relationship? a. Accepting a gift of food that was not solicited by the nurse. b. Counselling a client in a mental health setting while having coffee in the facility’s cafeteria. c. Frequently thinking about a client when away from work. * d. Engaging in a sexual relationship with a client after termination of the therapeutic nurse- client relationship. 130. According to the CNO Standard: Ethics, what is one of the ‘Ethical Values’? a. Competence. b. Health Promotion. c. Maintaining Commitments. * d. Substitute decision-making. 131. Which one of the following actions is an example of a controlled acts that all nurses are authorized to perform as per the Nursing Act, 1991? a. Performing a client’s digital rectal examination. * b. Communicating a diagnosis of diabetes to a client. c. Managing a client’s labour and delivery. d. Setting a client’s dislocated shoulder. 132. What federal legislation relates to narcotics? a. Controlled Drugs and Substances Act. * b. Regulated Health Professions Act, 1991. c. Drug and Pharmacies Regulation Act. d. Canada Health Act. 133. A visiting nurse is providing foot care to an 85-year-old client. Which one of the following behaviours may be considered abusive in the context of the therapeutic nurse- client relationship? a. Agreeing to have financial trusteeship with respect to the client. * b. Accepting a gift of flowers from the client upon discharge. c. Engaging in a romantic relationship with the client’s son following discharge. d. Providing the client with the nurse’s pager number. 134. What differentiate RPNs from RNs? a. RPNs do not study from the same body of nursing knowledge. b. RPNs achieve a greater breadth of knowledge in clinical practice. c. RPNs achieve a greater depth of knowledge in resource management. d. RPNs achieve a more focused or basic foundation of knowledge. * 135. Which one of the following actions can a nurse take involving personal health information? a. Sharing information from chart audits with the health care team for quality assurance purposes. * b. Discussing details about an assault victim with a police officer at the emergency department. c. Collecting health care data for a research project that has approved by CNO. d. Confirming that a client resides within a facility and the client’s diagnosis. 136. Chris, an RN is working on the same shift as a friend who is under investigation by CNO. Chris is concerned that she may be asked to participate as a witness in the investigation. What will Chris need to consider? a. Failure to cooperate in a College investigation may be considered to be an act of professional misconduct. b. Loyalty among colleagues is essential in maintaining a healthy work environment. c. The College does not allow personal friends to participate in investigations due to the potential for a conflict of interest. * d. Nurses are under no obligation to participate in investigations as witnesses. 137. An NP has written an order for an influenza immunization at a local clinic. What should the RPN do? a. Implement the order. * b. Request that the RN administer the medication. c. Refuse to administer the medication. d. Call the physician to confirm the order. 138. According to the CNO Practice Standard: Professional Standard, Revised 2002, which one of the following options best reflects the standard statement of ‘Knowledge Application’? a. Identifies ethical issues and communicates them effectively. b. Incorporates evidenced-informed practice into clinical performance. * c. Seeks appropriate assistance in a timely manner. d. Behaves professionally to meet the therapeutic needs of the client. 139. As part of his end of life care, a client decides he wants only palliative measures to maintain his quality of life. The nurse does not support the client’s decision and does not feel he can provide care to the client. How should the nurse proceed? a. Withdraw from the situation immediately. b. Advocate to the client’s family for full treatment. c. Inform the client that the nurse has a duty to preserve life. d. Arrange for another health care provider. * 140. A client has frequent visitors in his room. A regular practice on the unit is to do a bedside reports. Based on the content of the CNO Practice Standard: Confidentiality and Privacy – Personal Health Information, what does the nurse do prior to the report? a. Ask the visitors if they would mind if their visit was interrupted by the report. b. Provide a clear, succinct report to the health care team members at the bedside. c. Ask the client’s visitors to leave the room during the report unless the client requests that they stay. * d. Decline to give the report on days when the client has visitors. 141. When is a nurse obligated to make a report to the Children’s Aid Society under the Child and Family Services Act, 1990? a. Only with evidence of child abuse. b. After the child confirms abuse. c. With any suspected child abuse. * d. Only after consultation with the health care team. 142. Mrs. Johnson, a frail elderly client with multiple co-morbidities, has recently developed pneumonia requiring admission to an acute care facility. Suzanne, a RPN, is assigned to care for Mrs. Johnson in collaboration with a RN. The family approaches the RN and demands that only RNs care for their mother. How should the RN respond? a. Respects the family’s request and ask the charge nurse to adjust the nursing assignment. b. Inform the RPN that a change in assignment is necessary due to the acute pneumonia. c. Refer the family to the family’s client representative for support to have the assignment changed. d. Explain to the family that the RPN is capable of caring for their mother with RN support. * 143. What must a nurse consider when determining whether to continue nursing services? a. If the decision is supported by the union’s collective agreement. b. Whether there are conflicting obligations. * c. If it will be necessary to consult with the nurse’s professional association. d. Whether the decision must be reported to the CNO. 144. What CNO Statutory Committee would act upon a finding of ‘Professional Misconduct’? a. Registration. b. Quality Assurance. c. Fitness to Practice. d. Discipline. * 145. A nurse is assigned a client with complications following a therapeutic abortion, which is in direct conflict with the nurse’s values and religious beliefs. What action should the nurse take in this situation? a. Reconsider his or her beliefs. b. Find another nurse to care for the client. * c. Inform the client about her or his personal beliefs. d. Refuse the assignment and discontinue services for the client. 146. Under which of the following conditions may nurses perform a controlled act? a. If ordered by a physician, a chiropractor, dentist, or nurse practitioner. b. If ordered by a physician, dentist, chiropodist, or nurse practitioner. * c. If ordered by a physician, physiotherapist, or dietitian. d. If ordered by a physician, directives, or speech language pathologist. 147. An occupational health nurse reveals to a manager that one of their probationary employees is pregnant. What, if anything, is wrong with this action? a. The manager may choose to terminate this employee. b. The nurse has breech confidentiality. c. The employee may not carry the baby to term. d. Nothing, the nurse has acted in good faith to protect the employee. * 148. Which one of the following examples demonstrates a nurse effectively maintaining the boundaries of the therapeutic nurse-client relationship? a. Disclosing details of the nurse’s personal experiences. b. Lending money to a client. c. Ensuring the nurse does not interfere with the client’s personal relationship. * d. Speaking for the client in meetings with family members. 149. A teacher asks a school nurse to see a 9-year-old boy, who regularly comes to school “unkempt, dirty, and hungry”. Today, the child represents with several bruises on his arms at different stages of healing, and tells the nurse he ‘fell down’. What action must the nurse take? a. Call the parent(s) to determine what happened to the boy. b. Reassess the boy in 1 week to determine any action needed. c. Make a report to the local Children’s Aid Society. * d. Schedule a conference with the parent(s) and teacher. QUIZ #1 • Question 1 1 out of 1 points Tabitha has successfully completed her RN program, wrote her NCLEX examination and passed. She is now registering with the CNO for the first time and is consider a(n) by the CNO: Selected Answer: Entry level nurse Answers: New graduate • Question 2 Entry level nurse RPN RN and temporary license 1 out of 1 points At Durham hospital they encourage their nurses to perform self reflection, provide client centered care and the hospital provides resources such as appropriate staffing and educational material to all their staff to ensure that they are maintaining: Selected Answer: A quality practice setting Answers: Family focused care Trust with their staff and clients • Question 3 A quality practice setting Professional boundaries 1 out of 1 points When Juan arrives to work, he is always wearing a clean uniform, appropriate shoes, his name badge and is well kept. What competency is this displaying? Selected Answer: Answers: Demonstrates a professional presence and models professional behaviour • Question 4 Demonstrates a professional presence and models professional behaviour Demonstrates professional behaviour with learners Identifies ones limitations in nursing practice Manages physical resources to provide safe and ethical care 0 out of 1 points While working with a new RN on the floor David notes that she has a hard time maintaining her sterile technique during catheter insertion. David provides her with constructive feedback about this issue, and also provides her with some tips to ensure that she is maintaining asepsis. This is an example of which CNO standards? Selected Answer: Relationships and accountability Answers: Accountability and ethics Leadership and ethics Relationships and accountability • Question 5 Continuing competence and knowledge application 1 out of 1 points Juan is a RPN starting his first job on a medical surgical unit. He is working his first day shift, and when he goes in to interact with his clients’ he introduces himself, states his role, and asks the client how they have been doing and if there is anything that they need. Juan is ensuring that he is: Selected Answer: Devloping a therapeutic relationship Answers: Using theory based approaches Formulating clinical judgements • Question 6 Devloping a therapeutic relationship Demonstrating knowledge in nursing 1 out of 1 points Imrana just renewed her registration with the CNO. How can she ensure that she is actively participating in the Quality Assurance program? Selected Answer: Develop a learning plan after seeking peer input Answers: Enroll in a course • Question 7 Develop a learning plan after seeking peer input Create a care plan that displays actions for client safety Develop an ethical framework for her unit 1 out of 1 points Ivan is working on medical floor, and he just admitted a patient with a diagnosis pneumonia. When he is preparing medication for the client, he notes that the client has been prescribed a medication that he has never administered, nor heard of. What would be the appropriate action to display the CNO standard knowledge? Selected Answer: Use the resources available on the unit to research the medication administration, uses and side effects Answers: Give the medication without researching information Give the medication and research about it after administration Use the resources available on the unit to research the medication administration, uses and side effects Refuse to give the medication until you have time to sit down and research it • Question 8 1 out of 1 points Roger works in a rural emergency department, and on night shift him and another RN are the only nurses within the department. One night his best friend was brought in with a minor trauma. Unfortunately, his partner for the night was busy with another client, and Roger did not know what to do as he recognized that nursing his best friend could be a conflict of interest. How should Roger handle this situation? Selected Answer: Stabilize the client, and transfer care to the other RN when able to Answers: Refuse to care for the client Stabilize the client, and transfer care to the other RN when able to There is no conflict of interest, so Roger can be the primary nurse for this client Assume care of the client, but he refuses to transfer care to the other RN when they are available • Question 9 1 out of 1 points Martha is a RN working in the emergency department, and she is currently assisting the physician with a physical examination on a female 16-year-old, with complaints of abdominal pain. As the physician is leaving the room, the client asks Martha to stay in the room because she needs to talk to her. The client proceeds to tell Martha that she had unprotected sex two weeks ago and asks her to not tell her mother. What component of the nurse client relationship is being displayed? Selected Answer: Trust Answers: Empath y Respect Trust Power Bill is providing discharge teaching to his client, when she asks him for his telephone number so that they can keep in touch. Bill explains that he can not provide his telephone number to clients, as it is not professional to do so. By saying this Bill is exhibiting: Selected Answer: Answers: Professional boundaries Professional boundaries • Question 1 Trust Client Centered Care Empathy 1 out of 1 points While completing written documentation Jack makes an error. To correct the error, he must: Selected Answer: Correct the error while ensuring that the original information remains visible Answers: Document the correct information at the next available entry space Use whit out to get rid of the error, and document the correct information over top of it Re copy the information onto a new documentation sheet omitting the error, and shredding the original copy Correct the error while ensuring that the original information remains visible • Question 2 1 out of 1 points Jack is currently working with a temporary registered nurse license, what is the appropriate professional designation that he should use during documentation? Selected Answer: RN (temp) Answers: RN RN (student) RPN • Question 3 RN (temp) 1 out of 1 points Gurpreet is a RN on the surgical floor and accompanies a surgeon into a client’s room to obtain consent for a surgical procedure. The surgeon explains the procedure to the client and obtains both verbal and written consent. This is an example of: Selected Answer: Expressed Consent Answers: Implied consent • Question 4 Expressed Consent Substitute Decision Maker Act Disclosure 0 out of 1 points Gurpreet is preparing to provide 0900 medication to one of his client’s when he notes that the 0600 antibiotic dose was not signed off on the MAR. He contacts the night RN who tells him that she forgot to give the medication. Who is responsible for documenting this error? Selected Answer: The night RN Answers: The night RN • Question 5 The RN that found the error Both the night and day RN No one, the day RN can give the missed dose 0 out of 1 points One of Gurpreet’s clients has had a change in their behaviour. They are awake and answering questions, but they are not aware of person, place or time. Gurpreet is trying to gain consent from the client to insert a catheter but is struggling to obtain it. What should Gurpreet do in this situation? Selected Answer: Give the patient a break and re-approach later in his shift Answers: Give the patient a break and re-approach later in his shift Continue pressuring the client to agree to the procedure Contact the physician and substitute decision maker to gain consent Document that the client is refusing the procedure and move on to your next task • Question 6 0 out of 1 points Manpreet is a RN taking care of a client with a decreased level of consciousness. The client’s husband, children and grandchildren are at her bedside. According to the Substitute Decision Makers Act who is this client’s substitute decision maker? Selected Answer: Husband Answers: Husband • Question 7 Whoever she has appointed as her Power of Attorney (POA) Daughter Son 1 out of 1 points Gurpreet is having a discussion with one of his surgical clients, when he notes that the client is divorced. Out of curiosity he starts to ask the client about her divorce. Which indicator is Gurpreet not meeting? Selected Answer: Collecting only information that is needed to provide care Answers: Not discussing client information with colleagues Accessing information for his clients only • Question 8 Collecting only information that is needed to provide care Denying people who are not part of the health care team to access information 1 out of 1 points Jack has noted that he frequently has to wait to document because there are not enough computers available to staff during the day. According to the CNO employers are responsible for: Selected Answer: Answers: Providing access to appropriate documentation equipment Providing access to appropriate documentation equipment Ensuring that staff orientation includes documentation systems Having an appropriate documentation schedule to ensure that everyone has access to computers when needed Having computers that are designated for physicians so that they are not utilizing them when nurses need to document • Question 9 1 out of 1 points Just before administering the potassium, Betty ensures that her clients’ telemetry is working correctly so that she can monitor his heart rhythm during the infusion. Betty knows that dysrhythmias can occur, and is displaying which indicator? Selected Answer: Identifying the potential risks and outcomes for performing a procedure Answers: Determining whether managing adverse outcomes is within her scope of practice Advocating for and accessing resources Identifying the potential risks and outcomes for performing a procedure Managing outcomes independently Sarah is a RN in the post anesthesia care unit. While taking care of another client she notes that one of her other clients has taken their chart and is reading it. The client catches Sarah’s attention and states that the information in her chart is incorrect and she wants it changed. How should Sarah handle this situation? Selected Answer: Advise the client that she has to provide written notice in order for the information to be changed Answers: Change the information in the chart Advise the client that she should not be reading her chart Advise the client that this is a legal document and it can not be changed Advise the client that she has to provide written notice in order for the information to be changed • Question 1 1 out of 1 points Whenever George meets a client for the first time, he always introduces himself and describes his nursing role. This is an example of: Selected Answer: Therapeutic Communication Answers: Trust Empathy Client Centered Care • Question 2 Therapeutic Communication 1 out of 1 points Juan is taking care of a client in a four-bed wardroom. After giving his client their heparin injection, he notes that there is only one sharps container and it is on the other side of the room. Juan recognizes that this is a safety concern and emails his health and safety rep informing them of the situation and suggesting that the room have two sharps containers one on either side of the room. Jaun’s initiative is displaying which competency? Selected Answer: Recognizes and reports situations with the practice environment that are potentially unsafe Answers: Monitors trends in nursing research and the health care environment Identifying the unique roles and competencies of each member Engages in relational practice through a variety of approaches Recognizes and reports situations with the practice environment that are potentially unsafe • Question 3 1 out of 1 points Mary works for the College of Nurses of Ontario. She received a complaint about a nurse that refused an assignment. Mary has to initiate an investigation, which committee provided Mary with the information for her investigation? Selected Answer: Inquiries, complaints and reports committee Answers: Discipline committee • Question 4 Inquiries, complaints and reports committee Fitness to practice committee Quality Assurance Committee 0 out of 1 points Melanie is a RN and is taking the bus home post day shift. While on the bus she starts talking about her day and describes some of her clients to her friend. During the conversation she does not reveal the names of her clients, their diagnosis or their family members names. If she has violated PHIPA, what information did she share that she shouldn’t? Selected Answer: She has not provided any inappropriate information, but she shouldn't be having this discussion on a bus Answers: She did not disclose any personal information about her clients, therefor has not violated PHIPA She described the care that she provided, which is a violation of PHIPA She should never discuss work, therefor she has violated PHIPA She has not provided any inappropriate information, but she shouldn't be having this discussion on a bus • Question 5 1 out of 1 points What is the discipline committee responsible for Selected Answer: Holds hearings in cases in which a member has been referred by the Inquiries, Complaints and Reports Committee Answers: Ensuring the QA program is being adhered to by CNO members Screens complaints from the public Determines whether a nurse is fit for practice Holds hearings in cases in which a member has been referred by the Inquiries, Complaints and Reports Committee • Question 6 1 out of 1 points Manpreet works on a busy medical surgical unit. During day shift the was very short staffed and her daily assignment increased from 5 clients to 7. During medication administration she accidentally gave the wrong antibiotic to one of her clients. What are the appropriate actions that Manpreet needs to take to display accountability for her actions? Selected Answer: Inform the physician of the error, fill out an incident report and disclose the error to the client Answers: Nothing the patient did not experience and adverse reactions Inform the physician of the error Inform the physician of the error and fill out an incident report Inform the physician of the error, fill out an incident report and disclose the error to the client • Question 7 1 out of 1 points After assessing a client admitted with hyperglycemia, Tabitha notes that upon auscultation of the chest the client has fine crackles to the right lower lung lobe. After her assessment she looks up the clients am blood work and notes that his WBC count is elevated, she then contacts the physician advising that based on her assessment she is worried that the client may have pneumonia. This is an example of which competency? Selected Answer: Analyzes and interprets data obtained in client assessments to draw conclusions about client health status Answers: Contributes to a culture that supports involvement in nursing Analyzes and interprets data obtained in client assessments to draw conclusions about client health status Coordinates collaboration with clients and other health care team members Documents assessment data in accordance with evidence informed practice • Question 8 1 out of 1 points Tabitha has successfully completed her RN program, wrote her NCLEX examination and passed. She is now registering with the CNO for the first time and is consider a(n) by the CNO: Selected Answer: Entry level nurse Answers: New graduate • Question 9 Entry level nurse RPN RN and temporary license 1 out of 1 points Gurpreet is having a discussion with one of his surgical clients, when he notes that the client is divorced. Out of curiosity he starts to ask the client about her divorce. Which indicator is Gurpreet not meeting? Selected Answer: Collecting only information that is needed to provide care Answers: Not discussing client information with colleagues Accessing information for his clients only Collecting only information that is needed to provide care Denying people who are not part of the health care team to access information • Question 10 0 out of 1 points Eugenia is a nurse working in a long term care facility, and she often feels unsupported as the majority of shifts she works they are short staffed. She feels client safety and quality of care is being compromised. Eugenia displays an understanding of the decision making process by: Selected Answer: Collaborating and developing strategies to resolve the safety issues Answers: Communicating her concerns to the appropriate person Gathering all data, facts, and evidence of how the issue is affecting the clients Collaborating and developing strategies to resolve the safety issues Modifying resources so that appropriate care can be provided • Question 11 1 out of 1 points Mary is a RN that works in a telemedicine program providing COPD edcation and care to client's that can not easily acess the hospital. When Mary is discussing treatment and care plas with her client's she uses questions such as; how does that make you feel. This is an example of: Selected Answer: An open-ended question Answers: Using questions that flow in a logical sequence An open-ended question Effective communication techniques A close-ended question • Question 12 1 out of 1 points One of Gurpreet’s clients has had a change in their behaviour. They are awake and answering questions, but they are not aware of person, place or time. Gurpreet is trying to gain consent from the client to insert a catheter but is struggling to obtain it. What should Gurpreet do in this situation? Selected Answer: Contact the physician and substitute decision maker to gain consent Answers: Give the patient a break and re-approach later in his shift Continue pressuring the client to agree to the procedure Contact the physician and substitute decision maker to gain consent Document that the client is refusing the procedure and move on to your next task • Question 13 1 out of 1 points Marta recognizes that passive-aggressive with staff is not conducive to a positive working environment and does nothing to empower staff. Marta demonstrates this by saying which of the following: Selected Answer: Answers: "I see you are having trouble getting bloodwork and starting IVs, how can I help?" "I see you are having trouble getting bloodwork and starting IVs, how can I help?" "Can you believe that, she missed the vein that is just popping out" "I see you didn't start the IV and get blood work on the first shot, look at me and I'll show how it's done" "You missed again, what is your issue" • Question 14 0 out of 1 points Manpreet is a RN taking care of a client with a decreased level of consciousness. The client’s husband, children and grandchildren are at her bedside. According to the Substitute Decision Makers Act who is this client’s substitute decision maker? Selected Answer: Husband Answers: Husband Whoever she has appointed as her Power of Attorney (POA) Daughter Son • Question 15 1 out of 1 points Jack is currently working with a temporary registered nurse license, what is the appropriate professional designation that he should use during documentation? Selected Answer: RN (temp) Answers: RN RN (student) RPN RN (temp) • Question 16 1 out of 1 points When Ryan works with his clients’ he always ensures that they are partners in their care by including them in care plan discussions. This is an example of: Selected Answer: Client Centered Care Answers: Trust Client Centered Care Boundaries Empathy • Question 17 1 out of 1 points While performing an assessment on a post surgical client, the client reveals to Sarah that she is an alcoholic and has several hard liquor drinks a day. The client begs Sarah to not tell anyone, including the surgeon about this. What should Sarah do with this information? Selected Answer: Have a discussion with the client outlining why it is important for this information to be shared, and encourage them to talk to the surgeon Answers: Nothing, the client was adamant that the information not be shared with anyone Ignore the client's wishes and tell the surgeon Have a discussion with the client outlining why it is important for this information to be shared, and encourage them to talk to the surgeon Talk to the client's family and encourage them to share the information with the surgeon • Question 18 1 out of 1 points Paul is skyping one of his CHF clients to access how they are doing after being discharged from the hospital. The client advises that their family phsyician changed their medication and started them on a drug that Paul has never heard of before. the client has several questions about the medications' safety, and if it is an appropriate medication for CHF. How should Paul proceed? Selected Answer: Advise the client that he needs to address this medication with the cardiologist Answers: Quickly look the medication up on his computer and provide advise Transfer client care to another RN Advise the client that he doesn't know and recommend that they contact the cardiologist Advise the client that he needs to address this medication with the cardiologist • Question 19 1 out of 1 points Mary is a community health nurse and she has been assisting Beth for several years with the management of a chronic wound. Before Christmas Beth tried to give Mary a gift of $200 to express her gratitude for the care that she has been receiving. How should Mary manage this situation? Selected Answer: Thank Beth for her kind gesture and explain that she enjoys the relationship that she has built with her over the years, but it is wrong for her to accept this gift. Answers: Thank Beth and accept the gift Advise Beth that she can not accept the gift, but if she makes the card out to her husband it is ok Thank Beth for her kind gesture and explain that she enjoys the relationship that she has built with her over the years, but it is wrong for her to accept this gift. Yell at Beth saying that she has put her in a bad situation, and she can not accept the gift • Question 20 1 out of 1 points Gurpreet is assisting a Telehealth client and is asking several questions. The client hears Gurpreet typing in the background and questions why she is asking all of these questios and why the answers are being recorded What did Gurpreet forget to do? Selected Answer: Obtain consent and explain the Telehealth process Answers: Nothing, Gurpreet is conducting herself appropriately as a Telehealth nurse Obtain consent and explain the Telehealth process Obtain the client's health history Ask if the client has ever utilized Telehealth before • Question 21 1 out of 1 points Anna a new RN working in an acute care setting displays that she has knowledge and understanding of different legislation that applies to nursing by demonstrating which of the following? Selected Answer: Answers: Develops a learning plan to gain knowledge of the various legislations such as the Employment Standards Act Develops a learning plan to gain knowledge of the various legislations such as the Employment Standards Act Develops a learning plan to gain knowledge about the CNO Professional Standards only Develops a learning plan to gain knowledge on professional accountability as this is the most important and only legislation she needs to know about Develops a learning plan to gain knowledge on therapeutic nurse client relationships • Question 22 1 out of 1 points Dr. Moon provides a client with information surrounding their surgery to obtain consent. Within the conversation he discusses the surgery, risks, benefits, and recovery period. Dr. Moon provides this information to ensure that he is obtaining? Selected Answer: Informed consent Answers: Expressed consent Informed consent Implied consent Written consent • Question 23 1 out of 1 points Jack is completing his documentation and writes a client progress note after documenting their vital signs on the appropriate flow sheet. Jack should not include the vital sign information in the note because: Selected Answer: He should try to minimize duplication of information Answers: It is not pertinent information He should try to minimize duplication of information It will make the note too long and not concise He should include the vital signs in his progress note • Question 24 0 out of 1 points Margaret is a RPN that works on a medical floor, her manager approached her asking her to float to the Emergency Department to assist due to them being short staffed. Margaret does not feel comfortable working in the Emergency Department because she is a new nurse and has never worked there before. Margaret tells her manager that she is not comfortable assisting in the Emergency Department because she doesn’t feel that she has appropriate knowledge or experience. By telling her manager her concerns what CNO standard is she displaying? Selected Answer: Answers: Relationship s Accountabili ty Ethics Leadership Relationship s • Question 25 1 out of 1 points Jordan is the charge nurse on night shift, and is faced with an issue where two nurses are fighting about their client assignment. Both nurses feel that the assignment is not appropriate and that it should be changed. Jordan demonstrated decision making skills by: Selected Answer: Collaborating and communicating with the nurses in a respectful manner to resolve the issue Answers: Becoming familiar with the collective agreement to deal with the conflict Identifying that the conflict is not his problem, and advise the nurses to work it out Collaborating and communicating with the nurses in a respectful manner to resolve the issue Wait for the conflict to resolve, both of the nurses are professionals and should be able to come to an agreement • Question 26 1 out of 1 points Melanie is a RN working the Emergency Department of a busy urban hospital. She just admitted an 88 year old female with decreased level of consciousness and no family present. Melanie provides care as advised by the physician despite the fact that the client is not able to consent to care. This is an example of: Selected Answer: Answers: Implied consent Implied consent expressed consent Substitute Decision Maker Act Disclosure • Question 27 1 out of 1 points Liz is a RN in the ICU. Recently her educator approached her asking if she would be a preceptor for a new graduating RN that will be starting in the unit. Liz declined to take the student stating that “she hates having to babysit new nurses”. What CNO standard is Liz not complying with? Selected Answer: Leadership Answers: Accountability Leadership Ethics Continuing Competence • Question 28 1 out of 1 points Manpreet is taking care of a client who can not receive blood products for religious reasons. The client has experienced a massive GI bleed and needs blood. Manpreet is struggling with the families’ decision to not provide blood products and doesn’t know what to do. How should Manpreet proceed? Selected Answer: Recognize that his beliefs/values are conflicting, and he should ask for an assignment change Answers: Tell the family that they are being selfish, and could save their loved one with blood products Recognize that his beliefs/values are conflicting, and he should ask for an assignment change Continue taking care of the client, but refuse to speak with the family Flat out refuse to take care of the client • Question 29 1 out of 1 points While completing written documentation Jack makes an error. To correct the error, he must: Selected Answer: Correct the error while ensuring that the original information remains visible Answers: Document the correct information at the next available entry space Use whit out to get rid of the error, and document the correct information over top of it Re copy the information onto a new documentation sheet omitting the error, and shredding the original copy Correct the error while ensuring that the original information remains visible • Question 30 1 out of 1 points Gurpreet runs into a colleague on his way back from lunch, and they have a conversation about clients on their unit in the hallway. Where is the most appropriate place to have this conversation? Selected Answer: Nursing station Answers: Cafeteria Gift shop Outside of the client's room Nursing station • Question 31 0 out of 1 points Manpreet is a RN on the surgical unit and receives a phone call from an individual claiming to be one of her client’s sisters asking for information about the client. What actions should Manpreet take in this situation? Selected Answer: Advise the individual on the phone that you can not provide them with any information Answers: Have a friendly conversation with the individual on the phone and answer her questions Ask the individual to hold, and gain consent to share information from the client Advise the individual on the phone that you can not provide them with any information Pretend that you don't have that client on your unit and end the conversation • Question 32 1 out of 1 points Gurpreet is a RN on the surgical floor and accompanies a surgeon into a client’s room to obtain consent for a surgical procedure. The surgeon explains the procedure to the client and obtains both verbal and written consent. This is an example of: Selected Answer: Expressed Consent Answers: Implied consent Expressed Consent Substitute Decision Maker Act Disclosure • Question 33 1 out of 1 points Jack has completed his assessments and asks to go on his break early because he forgot to eat his breakfast. Ideally Jack should document his assessments: Selected Answer: In a timely manner, as soon as possible after the event Answers: Within two hours By the end of the shift In a timely manner, as soon as possible after the event Within four hours of the event • Question 34 1 out of 1 points Susan a nurse working in the community is assigned a new client. When she meets the client for the first time she realizes that they require medication administration via their g tube and she has never done this before. Susan calls her supervisor and expresses concerns about taking care of this client, and recommends that another nurse take over their services. The supervisor tells Susan that there is no-one else to replace her, and she has to provide the appropriate care to the client. Susan is faced with which type of practice standard concern? Selected Answer: Answers: Ethics and accountability Ethics and accountability Ethics and nurse client relationships Accountability and nurse client relationships Nurse client relationships and legislation • Question 35 1 out of 1 points Beverly is the charge nurse on a surgical unit. She is struggling with a passive- aggressive float nurse as she is refusing to assist her peers. Beverly is aware that this behaviour can lead to conflict between co-workers and build resentment. Beverly demonstrates effective leadership by saying which of the following: Selected Answer: " Are you having issues today, because you don't seem to be pulling your weight" Answers: "Sara, it would be great if you could help out" "Sara can't you tell how busy we are? Why aren't you helping?" " Are you having issues today, because you don't seem to be pulling your weight" "What is your problem?" • Question 36 0 out of 1 points Manpreet is a RPN working in a telepractice. She has been working with a specific client for several months, but the client's condition has become more acute. The client now requires a more in-depth assessment, how should Manpreet preceed with this client? Selected Answer: Refer the client back to the physician Answers: Continue working with the client, but schedule longer appointments Refer the client back to the physician Transfer client care to a RN Continue working with the client • Question 37 1 out of 1 points John is providing care to a 15 year old female, who just found out that she is pregnant. The client tells John that she considering getting an abortion and asks for his opinion. Which response supports the CNO ethics standard? Selected Answer: "I'm sorry this is not a question that I can answer for you, would you like me to refer you to someone that can provide you with counselling regarding your options?" Answers: "You can't get an abortion you will be killing your child" "I personally do not believe in abortion, but the decision is up to you." "I'm sorry this is not a question that I can answer for you, would you like me to refer you to someone that can provide you with counselling regarding your options?" "I'm sorry I can not answer that question for you, but I can tell you that my sister had an abortion when she was 17 and deeply regrets it." • Question 38 0 out of 1 points Jack's 12 hour day shift is almost finished, unfortunately his replacement has called in sick. The charge nurse advises that he has to stay until a replacement is found. Jack is exhausted, it was a busy shift and he did not get his breaks. He feels that he has been put into an unsafe situation. How does Jack display accountability with this scenario? Selected Answer: Jack identifies the issues and conflicting obligations, but makes the decision that he will not be staying and informs the charge nurse that they have to come up with an alternate plan. Answers: Jack feels obligated to stay and care for the clients. He decides that he will stay for as long as they need him. Jack identifies the issues and conflicting obligations, but makes the decision that he will not be staying and informs the charge nurse that they have to come up with an alternate plan. Jack recognizes his limitations, and stays for as long as needed. He makes the decision to contact the on call director so that a solution or replacement staff can be found as soon as possible. Jack refuses to continue with the assignment. He worked his 12 hours, and this is not his problem anymore. The night charge nurse is going to have to come up with a solution. • Question 39 1 out of 1 points Margaret is a pediatric RN working with a client whose parents are refusing treatment for their daughter. Margaret knows that her client will become quite ill without the treatment and recognizes that this is a potential ethical issue. How should Margaret handle this situation? Selected Answer: Seek assistance when ethical issues arise Answers: Try and convince the parents that their decision is wrong Tell the parents that they are awful, and that their decision is going to harm their daughter Seek assistance when ethical issues arise Do nothing After introducing himself Juan performs a thorough head to toe assessment. He notes his findings and asks the client how he is feeling, and if anything is different today. Juan is displaying which competency? Selected Answer: Analyzes and interprets initial assessment findings and collaborates with the client in developing approaches to nursing care Answers: Identifying potential health problems or issues and their consequences for clients Analyzes and interprets initial assessment findings and collaborates with the client in developing approaches to nursing care Selects communication techniques that are appropriate for the client circumstances Selects leadership style and skill that is appropriate for this situation ABI Question 1 1 out of 1 points Melanie is a RN working the Emergency Department of a busy urban hospital. She just admitted an 88 year old female with decreased level of consciousness and no family present. Melanie provides care as advised by the physician despite the fact that the client is not able to consent to care. This is an example of: Selected Answer: Implied consent Answers: • Question 2 Implied consent expressed consent Substitute Decision Maker Act Disclosure 1 out of 1 points Mary is 15 years old and has been in remission from leukemia for 5 years, but she just found out that she is no longer in remission. Mary states that she will do one round of chemotherapy, but if it is not working, she does not want to do another round. Is Mary able to make this decision? Selected Answer: Yes, if it is determined that she has the capacity to make this decision Answers: No, her parents or guardian have to make the decision • Question 3 Yes, if it is determined that she has the capacity to make this decision No, she is too young to make such an important decision Yes, the age of consent is 10 1 out of 1 points Suzanne is a RN on the surgical unit, and she is preparing to send a client to the OR for an ORIF procedure. As Suzanne is preparing the chart, the client states “I do not understand this surgery. The surgeon spoke so quickly that I didn’t grasp all of the information”. What should Suzanne do? Selected Answer: Page the surgeon and ask them to speak with the client Answers: Answer Suzanne's questions, and send her to the OR for the scheduled time Tell Suzanne that they will answer her questions once she is in the OR Page the surgeon and ask them to speak with the client Nothing, consent has been signed and the client is ready for the OR • Question 4 1 out of 1 points Gurpreet is having a discussion with one of his surgical clients, when he notes that the client is divorced. Out of curiosity he starts to ask the client about her divorce. Which indicator is Gurpreet not meeting? Selected Answer: Collecting only information that is needed to provide care Answers: Not discussing client information with colleagues Accessing information for his clients only Collecting only information that is needed to provide care Denying people who are not part of the health care team to • Question 5 access information 0 out of 1 points Jack is a RN within the emergency department. He just admitted a new client with complaints of abdominal pain. During assessment Jack asks the client to note the type, severity, quality, timing and if there is any pain radiation. He also auscultates, surveys and palpates the abdomen. After his assessment he documents his findings as per his facilities policy. Which component of the nursing process for documentation is Jack displaying? Selected Answer: Knowledge and knowledge application Answers: Ethics and trust Knowledge and knowledge application • Question 6 Communication, accountability and legislative requirements Communication and therapeutic nurse client relationship 0 out of 1 points Sanj is preparing 0900 medication for his client. When he obtained vital signs in the morning the clients BP was 90/55. The client requires an anti-hypertensive medication which has parameters to not provide the medication if the systolic is less then or equal to 90. Sanj administers the medication, what did he fail to do? Selected Answer: Know the limits of his knowledge, skill and judgement with the medication Answers: Collaborate with the client about medication practices Assess the appropriateness of the medication by considering the client, medication and environment Know the limits of his knowledge, skill and judgement with the medication Ensure the medication practice is evidence based • Question 7 1 out of 1 points Suzanne receives an order from Dr. Moon for antibiotics. She is unsure whether the ordered dosage is 200 or 500 mg. She contacts the physician to verify the order because: Selected Answer: The order must be clear, complete and appropriate Answers: The pharmacist is not available to help decipher the order Suzanne feels that the physician ordered the wrong medication • Question 8 The order must be clear, complete and appropriate The physician forgot to sign the order 1 out of 1 points Gurpreet runs into a colleague on his way back from lunch, and they have a conversation about clients on their unit in the hallway. Where is the most appropriate place to have this conversation? Selected Answer: Nursing station Answers: Cafeteria Gift shop Outside of the client's room • Question 9 Nursing station 0 out of 1 points Manpreet is a RN on the surgical unit and receives a phone call from an individual claiming to be one of her client’s sisters asking for information about the client. What actions should Manpreet take in this situation? Selected Answer: Advise the individual on the phone that you can not provide them with any information Answers: Have a friendly conversation with the individual on the phone and answer her questions Ask the individual to hold, and gain consent to share information from the client Advise the individual on the phone that you can not provide them with any information Pretend that you don't have that client on your unit and end the conversation • Question 10 1 out of 1 points While performing an assessment on a post surgical client, the client reveals to Sarah that she is an alcoholic and has several hard liquor drinks a day. The client begs Sarah to not tell anyone, including the surgeon about this. What should Sarah do with this information? Selected Answer: Have a discussion with the client outlining why it is important for this information to be shared, and encourage them to talk to the surgeon Answers: Nothing, the client was adamant that the information not be shared with anyone Ignore the client's wishes and tell the surgeon Have a discussion with the client outlining why it is important for this information to be shared, and encourage them to talk to the surgeon Talk to the client's family and encourage them to share the information with the surgeon • Question 1 1 out of 1 points Manpreet works on a busy medical surgical unit. During day shift the was very short staffed and her daily assignment increased from 5 clients to 7. During medication administration she accidentally gave the wrong antibiotic to one of her clients. What are the appropriate actions that Manpreet needs to take to display accountability for her actions? Selected Answer: Inform the physician of the error, fill out an incident report and disclose the error to the client Answers: Nothing the patient did not experience and adverse reactions Inform the physician of the error Inform the physician of the error and fill out an incident report Inform the physician of the error, fill out an incident report and disclose the error to the client • Question 2 1 out of 1 points While working with a new RN on the floor David notes that she has a hard time maintaining her sterile technique during catheter insertion. David provides her with constructive feedback about this issue, and also provides her with some tips to ensure that she is maintaining asepsis. This is an example of which CNO standards? Selected Answer: Continuing competence and knowledge application Answers: Accountability and ethics Leadership and ethics Relationships and accountability • Question 3 Continuing competence and knowledge application 1 out of 1 points Juan is taking care of a client in a four-bed wardroom. After giving his client their heparin injection, he notes that there is only one sharps container and it is on the other side of the room. Juan recognizes that this is a safety concern and emails his health and safety rep informing them of the situation and suggesting that the room have two sharps containers one on either side of the room. Jaun’s initiative is displaying which competency? Selected Answer: Recognizes and reports situations with the practice environment that are potentially unsafe Answers: Monitors trends in nursing research and the health care environment Identifying the unique roles and competencies of each member Engages in relational practice through a variety of approaches Recognizes and reports situations with the practice environment that are potentially unsafe • Question 4 1 out of 1 points Bob has noticed that Sally has gotten close to one of the clients on their unit. She has started to spend more time with this client then necessary and he thinks that they may be texting and talking to each other outside of the hospital. Why is Bob concerned about this behaviour? Selected Answer: Sally is crossing the boundaries of the nurse client relationship Answers: Sally is crossing the boundaries of the nurse client relationship Sally must be stealing from the client Sally is his good friend and he is jealous of the relationship between her and the client There is nothing for Bob to be concerned about, he is over-reacting • Question 5 1 out of 1 points John is providing care to a 15 year old female, who just found out that she is pregnant. The client tells John that she considering getting an abortion and asks for his opinion. Which response supports the CNO ethics standard? Selected Answer: "I'm sorry this is not a question that I can answer for you, would you like me to refer you to someone that can provide you with counselling regarding your options?" Answers: "You can't get an abortion you will be killing your child" "I personally do not believe in abortion, but the decision is up to you." "I'm sorry this is not a question that I can answer for you, would you like me to refer you to someone that can provide you with counselling regarding your options?" "I'm sorry I can not answer that question for you, but I can tell you that my sister had an abortion when she was 17 and deeply regrets it." • Question 6 1 out of 1 points Imrana just renewed her registration with the CNO. How can she ensure that she is actively participating in the Quality Assurance program? Selected Answer: Develop a learning plan after seeking peer input Answers: Enroll in a course • Question 7 Develop a learning plan after seeking peer input Create a care plan that displays actions for client safety Develop an ethical framework for her unit 1 out of 1 points What is the discipline committee responsible for Selected Answer: Holds hearings in cases in which a member has been referred by the Inquiries, Complaints and Reports Committee Answers: Ensuring the QA program is being adhered to by CNO members Screens complaints from the public Determines whether a nurse is fit for practice Holds hearings in cases in which a member has been referred by the Inquiries, Complaints and Reports Committee • Question 8 1 out of 1 points Tabitha has been asked to create a care plan for a post hip replacement client. As she is working through the care plan she notes that she needs to talk to the client, and involve them in the process. She immediately goes to the client and asks for their input, noting that this will help the client be an active member in their care. Which competency is she displaying? Selected Answer: Facilitates the involvement of clients in identifying their preferred health outcomes Answers: • Question 9 Facilitates the involvement of clients in identifying their preferred health outcomes Uses appropriate assessment tools and techniques Collaborates with other health care team members to develop health care plans Anticipates potential health problems or issues for clients 1 out of 1 points Martha is a RN working in the emergency department, and she is currently assisting the physician with a physical examination on a female 16-year-old, with complaints of abdominal pain. As the physician is leaving the room, the client asks Martha to stay in the room because she needs to talk to her. The client proceeds to tell Martha that she had unprotected sex two weeks ago and asks her to not tell her mother. What component of the nurse client relationship is being displayed? Selected Answer: Trust Answers: Empath y Respect Trust Power Juan is a RPN starting his first job on a medical surgical unit. He is working his first day shift, and when he goes in to interact with his clients’ he introduces himself, states his role, and asks the client how they have been doing and if there is anything that they need. Juan is ensuring that he is: Selected Answer: Devloping a therapeutic relationship Answers: Using theory based approaches Formulating clinical judgements Devloping a therapeutic relationship Demonstrating knowledge in nursing • Question 1 1 out of 1 points While completing written documentation Jack makes an error. To correct the error, he must: Selected Answer: Correct the error while ensuring that the original information remains visible Answers: Document the correct information at the next available entry space Use whit out to get rid of the error, and document the correct information over top of it Re copy the information onto a new documentation sheet omitting the error, and shredding the original copy Correct the error while ensuring that the original information remains visible • Question 2 1 out of 1 points Jack is currently working with a temporary registered nurse license, what is the appropriate professional designation that he should use during documentation? Selected Answer: RN (temp) Answers: RN RN (student) RPN • Question 3 RN (temp) 1 out of 1 points Manpreet works on a busy medical surgical unit. During day shift the was very short staffed and her daily assignment increased from 5 clients to 7. During medication administration she accidentally gave the wrong antibiotic to one of her clients. What are the appropriate actions that Manpreet needs to take to display accountability for her actions? Selected Answer: Inform the physician of the error, fill out an incident report and disclose the error to the client Answers: Nothing the patient did not experience and adverse reactions Inform the physician of the error Inform the physician of the error and fill out an incident report Inform the physician of the error, fill out an incident report and disclose the error to the client • Question 4 1 out of 1 points Jack has noted that he frequently has to wait to document because there are not enough computers available to staff during the day. According to the CNO employers are responsible for: Selected Answer: Providing access to appropriate documentation equipment Answers: Providing access to appropriate documentation equipment Ensuring that staff orientation includes documentation systems Having an appropriate documentation schedule to ensure that everyone has access to computers when needed Having computers that are designated for physicians so that they are not utilizing them when nurses need to document • Question 5 0 out of 1 points Vicky is a nurse who has worked for the last 6 years on a surgical unit. She has been informed that she is to float to the emergency department, as they are short staffed. Vicky goes to the emergency department as told without questioning her supervisor. This may be considered professional midsconduct because: Selected Answer: She failed to ask her supervisor what her responsibilities would be while she is in the emergency department Answers: She failed to inform her supervisor that she has no training or experience in the emergency department. She failed to ask her supervisor what her responsibilities would be while she is in the emergency department She goes down to the emergency department and advises that she will only be doing patient vital signs She goes down to the emergency department and works along side the nurses helping as needed. • Question 6 1 out of 1 points Manpreet is taking care of a client who can not receive blood products for religious reasons. The client has experienced a massive GI bleed and needs blood. Manpreet is struggling with the families’ decision to not provide blood products and doesn’t know what to do. How should Manpreet proceed? Selected Answer: Recognize that his beliefs/values are conflicting, and he should ask for an assignment change Answers: Tell the family that they are being selfish, and could save their loved one with blood products Recognize that his beliefs/values are conflicting, and he should ask for an assignment change Continue taking care of the client, but refuse to speak with the family Flat out refuse to take care of the client • Question 7 0 out of 1 points Allison is a RN working on a medical unit for the last two months. She has identified a concern with the documentation policy as it does not align with the CNO documentation standard. She approaches her manager and expresses her concerns. Alison's actions exhibit: Selected Answer: Knowledge Aplication Answers: Knowledge Aplication Continuing competence and knowledge application Leadership • Question 8 Accountability 1 out of 1 points While performing an assessment on a post surgical client, the client reveals to Sarah that she is an alcoholic and has several hard liquor drinks a day. The client begs Sarah to not tell anyone, including the surgeon about this. What should Sarah do with this information? Selected Answer: Have a discussion with the client outlining why it is important for this information to be shared, and encourage them to talk to the surgeon Answers: Nothing, the client was adamant that the information not be shared with anyone Ignore the client's wishes and tell the surgeon Have a discussion with the client outlining why it is important for this information to be shared, and encourage them to talk to the surgeon Talk to the client's family and encourage them to share the information with the surgeon • Question 9 1 out of 1 points Samuel is a RN new to Ontario. Samuel has a client with a do not resuscitate order (DNR). The client was admitted with urosepsis and was being treated recieving multiple antibiotics. Comments were made by other members of the team that they didn't understand why the client was being treated when there was an order for DNR. Samuel demonstrates maintaining commitments to his client by responding with: Selected Answer: "A DNR means we do not resuscitate if the client has a cardiac arrest but we still treat the client with the required interventions" Answers: "A DNR means do not resuscitate and do not treat" "A DNR means we do not resuscitate if the client has a cardiac arrest but we still treat the client with the required interventions" "A DNR means comfort measures only" "A DNR means that we do minimal interventions in the event of a cardiac arrest" • Question 10 1 out of 1 points Paul is skyping one of his CHF clients to access how they are doing after being discharged from the hospital. The client advises that their family phsyician changed their medication and started them on a drug that Paul has never heard of before. the client has several questions about the medications' safety, and if it is an appropriate medication for CHF. How should Paul proceed? Selected Answer: Advise the client that he needs to address this medication with the cardiologist Answers: Quickly look the medication up on his computer and provide advise Transfer client care to another RN Advise the client that he doesn't know and recommend that they contact the cardiologist Advise the client that he needs to address this medication with the cardiologist • Question 11 1 out of 1 points While working with a new RN on the floor David notes that she has a hard time maintaining her sterile technique during catheter insertion. David provides her with constructive feedback about this issue, and also provides her with some tips to ensure that she is maintaining asepsis. This is an example of which CNO standards? Selected Answer: Continuing competence and knowledge application Answers: Accountability and ethics Leadership and ethics Relationships and accountability Continuing competence and knowledge application • Question 12 1 out of 1 points Whenever George meets a client for the first time, he always introduces himself and describes his nursing role. This is an example of: Selected Answer: Therapeutic Communication Answers: Trust Empathy Client Centered Care Therapeutic Communication • Question 13 1 out of 1 points Adam demonstrates that he understands the delegation of a controlled act by meeting which requirement? Selected Answer: Adam must be confident that he has provided the appropriate education to the UCP to ensure that they have the knowledge, skill and judgement to perform the procedure. Answers: Adam felt that the procedure was appropriate to delegate as it is a simple procedure Adam knows the the UCP that he delegated to is not comfortable performing the procedure but he insists that they have to do it because he is busy Adam must be confident that he has provided the appropriate education to the UCP to ensure that they have the knowledge, skill and judgement to perform the procedure. Adam feels that after the initial education has been provided to the UCP he doesn't have to worry about following up or assessing their skill • Question 14 1 out of 1 points Susan a nurse working in the community is assigned a new client. When she meets the client for the first time she realizes that they require medication administration via their g tube and she has never done this before. Susan calls her supervisor and expresses concerns about taking care of this client, and recommends that another nurse take over their services. The supervisor tells Susan that there is no-one else to replace her, and she has to provide the appropriate care to the client. Susan is faced with which type of practice standard concern? Selected Answer: Ethics and accountability Answers: Ethics and accountability Ethics and nurse client relationships Accountability and nurse client relationships Nurse client relationships and legislation • Question 15 1 out of 1 points Melanie is a RN working the Emergency Department of a busy urban hospital. She just admitted an 88 year old female with decreased level of consciousness and no family present. Melanie provides care as advised by the physician despite the fact that the client is not able to consent to care. This is an example of: Selected Answer: Implied consent Answers: Implied consent expressed consent Substitute Decision Maker Act Disclosure • Question 16 1 out of 1 points John has his own indendent nursing practice, where he provides footcare to clients in the community. John's good friend asks him to provide footcare services to his mother and questions John about his fee for service. Given that this is his good friend, what fee for service should he ask for? Selected Answer: Charge him the standard fee Answers: Give his friend a 10% discount Charge him the standard fee Charge the standard fee, but advise that the fifth visit is free Advise his friend that he can pay him whatever he feels is reasonable • Question 17 1 out of 1 points Bob has noticed that Sally has gotten close to one of the clients on their unit. She has started to spend more time with this client then necessary and he thinks that they may be texting and talking to each other outside of the hospital. Why is Bob concerned about this behaviour? Selected Answer: Sally is crossing the boundaries of the nurse client relationship Answers: Sally is crossing the boundaries of the nurse client relationship Sally must be stealing from the client Sally is his good friend and he is jealous of the relationship between her and the client There is nothing for Bob to be concerned about, he is over-reacting • Question 18 0 out of 1 points Melanie is a RN and is taking the bus home post day shift. While on the bus she starts talking about her day and describes some of her clients to her friend. During the conversation she does not reveal the names of her clients, their diagnosis or their family members names. If she has violated PHIPA, what information did she share that she shouldn’t? Selected Answer: She has not provided any inappropriate information, but she shouldn't be having this discussion on a bus Answers: She did not disclose any personal information about her clients, therefor has not violated PHIPA She described the care that she provided, which is a violation of PHIPA She should never discuss work, therefor she has violated PHIPA She has not provided any inappropriate information, but she shouldn't be having this discussion on a bus • Question 19 1 out of 1 points Sanj is a RN working in a pediatric telemedicine program. He has just started working with a new client, and even though he has never met them in person he suspects the child is being abused. How should Sanj proceed with his suspicion? Selected Answer: Report the issue according to CNO and agency guidelines Answers: Call the police right away Nothing, he has never met the client in person, so has no real findings to report Continue working with the client and observing for issues Report the issue according to CNO and agency guidelines • Question 20 0 out of 1 points Jack is a RN within the emergency department. He just admitted a new client with complaints of abdominal pain. During assessment Jack asks the client to note the type, severity, quality, timing and if there is any pain radiation. He also auscultates, surveys and palpates the abdomen. After his assessment he documents his findings as per his facilities policy. Which component of the nursing process for documentation is Jack displaying? Selected Answer: Knowledge and knowledge application Answers: Ethics and trust Knowledge and knowledge application Communication, accountability and legislative requirements Communication and therapeutic nurse client relationship • Question 21 1 out of 1 points Sarah is a RN in the post anesthesia care unit. While taking care of another client she notes that one of her other clients has taken their chart and is reading it. The client catches Sarah’s attention and states that the information in her chart is incorrect and she wants it changed. How should Sarah handle this situation? Selected Answer: Advise the client that she has to provide written notice in order for the information to be changed Answers: Change the information in the chart Advise the client that she should not be reading her chart Advise the client that this is a legal document and it can not be changed Advise the client that she has to provide written notice in order for the information to be changed • Question 22 1 out of 1 points When Jason comes on shift, he is advised that one of the clients had a bad fall during the night. Jason recently became a best practice champion for falls prevention. He asks the reporting nurse how the fall happened and what precautions were in place to prevent it. Based on the information provided he educates his colleague on the best practice guideline and provides tools to help prevent a fall from happening in the future. This is an example of which CNO standard? Selected Answer: Knowledge Application Answers: Ethics Knowledge Application Relationships Accountability • Question 23 1 out of 1 points Mary is a RN that works in a telemedicine program providing COPD edcation and care to client's that can not easily acess the hospital. When Mary is discussing treatment and care plas with her client's she uses questions such as; how does that make you feel. This is an example of: Selected Answer: An open-ended question Answers: Using questions that flow in a logical sequence An open-ended question Effective communication techniques A close-ended question • Question 24 1 out of 1 points One of Gurpreet’s clients has had a change in their behaviour. They are awake and answering questions, but they are not aware of person, place or time. Gurpreet is trying to gain consent from the client to insert a catheter but is struggling to obtain it. What should Gurpreet do in this situation? Selected Answer: Contact the physician and substitute decision maker to gain consent Answers: Give the patient a break and re-approach later in his shift Continue pressuring the client to agree to the procedure Contact the physician and substitute decision maker to gain consent Document that the client is refusing the procedure and move on to your next task • Question 25 1 out of 1 points After introducing himself Juan performs a thorough head to toe assessment. He notes his findings and asks the client how he is feeling, and if anything is different today. Juan is displaying which competency? Selected Answer: Analyzes and interprets initial assessment findings and collaborates with the client in developing approaches to nursing care Answers: Identifying potential health problems or issues and their consequences for clients Analyzes and interprets initial assessment findings and collaborates with the client in developing approaches to nursing care Selects communication techniques that are appropriate for the client circumstances Selects leadership style and skill that is appropriate for this situation • Question 26 0 out of 1 points Manpreet is a RPN working in a telepractice. She has been working with a specific client for several months, but the client's condition has become more acute. The client now requires a more in-depth assessment, how should Manpreet preceed with this client? Selected Answer: Refer the client back to the physician Answers: Continue working with the client, but schedule longer appointments Refer the client back to the physician Transfer client care to a RN Continue working with the client • Question 27 1 out of 1 points Ivan is working on medical floor, and he just admitted a patient with a diagnosis pneumonia. When he is preparing medication for the client, he notes that the client has been prescribed a medication that he has never administered, nor heard of. What would be the appropriate action to display the CNO standard knowledge? Selected Answer: Use the resources available on the unit to research the medication administration, uses and side effects Answers: Give the medication without researching information Give the medication and research about it after administration Use the resources available on the unit to research the medication administration, uses and side effects Refuse to give the medication until you have time to sit down and research it • Question 28 1 out of 1 points After assessing a client admitted with hyperglycemia, Tabitha notes that upon auscultation of the chest the client has fine crackles to the right lower lung lobe. After her assessment she looks up the clients am blood work and notes that his WBC count is elevated, she then contacts the physician advising that based on her assessment she is worried that the client may have pneumonia. This is an example of which competency? Selected Answer: Analyzes and interprets data obtained in client assessments to draw conclusions about client health status Answers: Contributes to a culture that supports involvement in nursing Analyzes and interprets data obtained in client assessments to draw conclusions about client health status Coordinates collaboration with clients and other health care team members Documents assessment data in accordance with evidence informed practice • Question 29 0 out of 1 points Beverly is the charge nurse on a surgical unit. She is struggling with a passive- aggressive float nurse as she is refusing to assist her peers. Beverly is aware that this behaviour can lead to conflict between co-workers and build resentment. Beverly demonstrates effective leadership by saying which of the following: Selected Answer: "Sara, it would be great if you could help out" Answers: "Sara, it would be great if you could help out" "Sara can't you tell how busy we are? Why aren't you helping?" " Are you having issues today, because you don't seem to be pulling your weight" "What is your problem?" • Question 30 0 out of 1 points Betty is a RN assisting a young client (16 years old) who has just found out she is pregnant. The client expresses that she would like to get an abortion. Betty promptly advises that abortion is wrong and starts trying to tell the client what she should do. Betty’s actions fail to: Selected Answer: Listen, understand and respect clients Answers: Minimize risks and maximize benefits Respecting the informed, voluntary decisions of client's Listen, understand and respect clients Use her knowledge and skill to promote client's best interests • Question 31 0 out of 1 points Manpreet is a RN on the surgical unit and receives a phone call from an individual claiming to be one of her client’s sisters asking for information about the client. What actions should Manpreet take in this situation? Selected Answer: Advise the individual on the phone that you can not provide them with any information Answers: Have a friendly conversation with the individual on the phone and answer her questions Ask the individual to hold, and gain consent to share information from the client Advise the individual on the phone that you can not provide them with any information Pretend that you don't have that client on your unit and end the conversation • Question 32 1 out of 1 points Manpreet is having a discussion with the client's family when they ask her to please tell them the results of their mom's cat scan. How should Manpreet proceed? Selected Answer: Advise the family to wait for the physician as you can not provide the information they are seeking Answers: Tell the client's family the results. Tell the family that there is some concerning results and they should wait for the physician to discuss the diagnosis Provide the family with detailed information surrounding the results as well as the diagnosis Advise the family to wait for the physician as you can not provide the information they are seeking • Question 33 1 out of 1 points Nurse Phillip is aware that prevention of a conflict situation promotes safe and effective care and builds on the therapeutic nurse-client relationship. Nurse Phillip demonstrates this by saying: Selected Answer: " You seem upset, would you like to talk to me about what is bothering you" Answers: " You seem upset, would you like to talk to me about what is bothering you" "You seem upset, what do you want me to do to fix it" "You seem upset, can you calm down and tell me what is your problem" "You seem upset so you need to go to your room and calm down before I talk to you" • Question 34 1 out of 1 points Juan notes that his patient has not been getting up out of bed during his shift and talks to the client about the importance of movement to prevent pressure ulcers, pneumonia etc. Juan is exhibiting which competency? Selected Answer: Implements appropriate health teaching strategies into client's learning Answers: Considers the determinants of health during all aspects of care Applies most appropriate leadership style and skills Implements appropriate health teaching strategies into client's learning Applies conflict resolution skills to all situations • Question 35 1 out of 1 points Tabitha is taking care of a post surgical patient and remembers that she needs to promote deep breathing and coughing as well as use of the spirometer to prevent pneumonia. She then provides the patient with appropriate education. Which competency is she displaying? Selected Answer: Demonstrates knowledge of the way in which registered nursing practice can facilitate positive health outcomes Answers: Demonstrates knowledge of the way in which registered nursing practice can facilitate positive health outcomes Participates in the analysis, development implementation and evaluation of practice and policy Questions and takes action on unclear orders reports unsafe practice or professional misconduct of a health care provider to appropriate authorities • Question 36 0 out of 1 points Suzanne is 42 years old and just got diagnosed with a hemorrhagic inoperable stroke. She has a 16 year old daughter, and a partner that she has been seeing for four months. According to the Substitute Decision Makers Act who will be appointed as her substitute decision maker? Selected Answer: She will receive a public guardian trustee Answers: Her partner Her daughter She will receive a public guardian trustee Her brother • Question 37 1 out of 1 points Jordan is the charge nurse on night shift, and is faced with an issue where two nurses are fighting about their client assignment. Both nurses feel that the assignment is not appropriate and that it should be changed. Jordan demonstrated decision making skills by: Selected Answer: Collaborating and communicating with the nurses in a respectful manner to resolve the issue Answers: Becoming familiar with the collective agreement to deal with the conflict Identifying that the conflict is not his problem, and advise the nurses to work it out Collaborating and communicating with the nurses in a respectful manner to resolve the issue Wait for the conflict to resolve, both of the nurses are professionals and should be able to come to an agreement • Question 38 1 out of 1 points Betty has been reviewing the CNO nursing standards and feels that she would like to do more to ensure that she is meeting the leadership standard. What action could she take to ensure that she is meeting the standard? Selected Answer: Be the unit representative on the Health and Safety Committee Answers: Be the unit representative on the Health and Safety Committee Enroll in ACLS Recognize that she has a knowledge gap surrounding chemotherapeutic agents Ensure that she is forming therapeutic nurse client relationships with all her clients • Question 39 1 out of 1 points Mary works for the College of Nurses of Ontario. She received a complaint about a nurse that refused an assignment. Mary has to initiate an investigation, which committee provided Mary with the information for her investigation? Selected Answer: Inquiries, complaints and reports committee Answers: Discipline committee Inquiries, complaints and reports committee Fitness to practice committee Quality Assurance Committee Margaret is a pediatric RN working with a client whose parents are refusing treatment for their daughter. Margaret knows that her client will become quite ill without the treatment and recognizes that this is a potential ethical issue. How should Margaret handle this situation? Selected Answer: Seek assistance when ethical issues arise Answers: Try and convince the parents that their decision is wrong Tell the parents that they are awful, and that their decision is going to harm their daughter Seek assistance when ethical issues arise Do nothing MARY ROSE • Question 1 1 out of 1 points Susan a nurse working in the community is assigned a new client. When she meets the client for the first time she realizes that they require medication administration via their g tube and she has never done this before. Susan calls her supervisor and expresses concerns about taking care of this client, and recommends that another nurse take over their services. The supervisor tells Susan that there is no-one else to replace her, and she has to provide the appropriate care to the client. Susan is faced with which type of practice standard concern? Selected Answer: Ethics and accountability Answers: Ethics and accountability Ethics and nurse client relationships • Question 2 Accountability and nurse client relationships Nurse client relationships and legislation 0 out of 1 points Jack's 12 hour day shift is almost finished, unfortunately his replacement has called in sick. The charge nurse advises that he has to stay until a replacement is found. Jack is exhausted, it was a busy shift and he did not get his breaks. He feels that he has been put into an unsafe situation. How does Jack display accountability with this scenario? Selected Answer: Jack identifies the issues and conflicting obligations, but makes the decision that he will not be staying and informs the charge nurse that they have to come up with an alternate plan. Answers: Jack feels obligated to stay and care for the clients. He decides that he will stay for as long as they need him. Jack identifies the issues and conflicting obligations, but makes the decision that he will not be staying and informs the charge nurse that they have to come up with an alternate plan. Jack recognizes his limitations, and stays for as long as needed. He makes the decision to contact the on call director so that a solution or replacement staff can be found as soon as possible. Jack refuses to continue with the assignment. He worked his 12 hours, and this is not his problem anymore. The night charge nurse is going to have to come up with a solution. • Question 3 1 out of 1 points While performing an assessment on a post surgical client, the client reveals to Sarah that she is an alcoholic and has several hard liquor drinks a day. The client begs Sarah to not tell anyone, including the surgeon about this. What should Sarah do with this information? Selected Answer: Have a discussion with the client outlining why it is important for this information to be shared, and encourage them to talk to the surgeon Answers: Nothing, the client was adamant that the information not be shared with anyone Ignore the client's wishes and tell the surgeon Have a discussion with the client outlining why it is important for this information to be shared, and encourage them to talk to the surgeon Talk to the client's family and encourage them to share the information with the surgeon • Question 4 1 out of 1 points Jack is currently working with a temporary registered nurse license, what is the appropriate professional designation that he should use during documentation? Selected Answer: RN (temp) Answers: RN RN (student) RPN • Question 5 RN (temp) 1 out of 1 points Ivan is working on medical floor, and he just admitted a patient with a diagnosis pneumonia. When he is preparing medication for the client, he notes that the client has been prescribed a medication that he has never administered, nor heard of. What would be the appropriate action to display the CNO standard knowledge? Selected Answer: Use the resources available on the unit to research the medication administration, uses and side effects Answers: Give the medication without researching information Give the medication and research about it after administration Use the resources available on the unit to research the medication administration, uses and side effects Refuse to give the medication until you have time to sit down and research it • Question 6 1 out of 1 points Gurpreet runs into a colleague on his way back from lunch, and they have a conversation about clients on their unit in the hallway. Where is the most appropriate place to have this conversation? Selected Answer: Nursing station Answers: Cafeteria Gift shop Outside of the client's room • Question 7 Nursing station 1 out of 1 points Margaret is a RPN that works on a medical floor, her manager approached her asking her to float to the Emergency Department to assist due to them being short staffed. Margaret does not feel comfortable working in the Emergency Department because she is a new nurse and has never worked there before. Margaret tells her manager that she is not comfortable assisting in the Emergency Department because she doesn’t feel that she has appropriate knowledge or experience. By telling her manager her concerns what CNO standard is she displaying? Selected Answer: Accountabili ty Answers: • Question 8 Accountabili ty Ethics Leadership Relationship s 0 out of 1 points Jack is a RN within the emergency department. He just admitted a new client with complaints of abdominal pain. During assessment Jack asks the client to note the type, severity, quality, timing and if there is any pain radiation. He also auscultates, surveys and palpates the abdomen. After his assessment he documents his findings as per his facilities policy. Which component of the nursing process for documentation is Jack displaying? Selected Answer: Knowledge and knowledge application Answers: Ethics and trust Knowledge and knowledge application Communication, accountability and legislative requirements • Question 9 Communication and therapeutic nurse client relationship 1 out of 1 points Mary is 15 years old and has been in remission from leukemia for 5 years, but she just found out that she is no longer in remission. Mary states that she will do one round of chemotherapy, but if it is not working, she does not want to do another round. Is Mary able to make this decision? Selected Answer: Yes, if it is determined that she has the capacity to make this decision Answers: No, her parents or guardian have to make the decision Yes, if it is determined that she has the capacity to make this decision No, she is too young to make such an important decision Yes, the age of consent is 10 • Question 10 0 out of 1 points Allison is a RN working on a medical unit for the last two months. She has identified a concern with the documentation policy as it does not align with the CNO documentation standard. She approaches her manager and expresses her concerns. Alison's actions exhibit: Selected Answer: Continuing competence and knowledge application Answers: Knowledge Aplication Continuing competence and knowledge application Leadership Accountability • Question 11 1 out of 1 points Samuel is a RN new to Ontario. Samuel has a client with a do not resuscitate order (DNR). The client was admitted with urosepsis and was being treated recieving multiple antibiotics. Comments were made by other members of the team that they didn't understand why the client was being treated when there was an order for DNR. Samuel demonstrates maintaining commitments to his client by responding with: Selected Answer: "A DNR means we do not resuscitate if the client has a cardiac arrest but we still treat the client with the required interventions" Answers: "A DNR means do not resuscitate and do not treat" "A DNR means we do not resuscitate if the client has a cardiac arrest but we still treat the client with the required interventions" "A DNR means comfort measures only" "A DNR means that we do minimal interventions in the event of a cardiac arrest" • Question 12 1 out of 1 points Betty has been reviewing the CNO nursing standards and feels that she would like to do more to ensure that she is meeting the leadership standard. What action could she take to ensure that she is meeting the standard? Selected Answer: Be the unit representative on the Health and Safety Committee Answers: Be the unit representative on the Health and Safety Committee Enroll in ACLS Recognize that she has a knowledge gap surrounding chemotherapeutic agents Ensure that she is forming therapeutic nurse client relationships with all her clients • Question 13 0 out of 1 points Mark is a RPN working in a rehabilitation centre. He has a new client that requires wound care for a stage II coccyx ulcer. Mark demonstrates that he has the appropriate knowledge, skill and judgement to perform this controlled act by: Selected Answer: Being aware of his scope of practice Answers: Completing an assessment to identify the problem, consider all treatment options while taking into consideration the risks ad benifits of each option for the client Being aware of his scope of practice By recognizing that only the RN can assess a client and anticipate potential outcomes Deciding to not perform wound care, instead he is going to wait for the wound care nurse to assess the wound • Question 14 1 out of 1 points Gurpreet is having a discussion with one of his surgical clients, when he notes that the client is divorced. Out of curiosity he starts to ask the client about her divorce. Which indicator is Gurpreet not meeting? Selected Answer: Collecting only information that is needed to provide care Answers: Not discussing client information with colleagues Accessing information for his clients only Collecting only information that is needed to provide care Denying people who are not part of the health care team to access information • Question 15 1 out of 1 points Melanie is a RN working the Emergency Department of a busy urban hospital. She just admitted an 88 year old female with decreased level of consciousness and no family present. Melanie provides care as advised by the physician despite the fact that the client is not able to consent to care. This is an example of: Selected Answer: Implied consent Answers: Implied consent expressed consent Substitute Decision Maker Act Disclosure • Question 16 1 out of 1 points Gurpreet is taking care of a client when they express that they are an IV drug user, and they need to leave so that they can go use. Gurpreet knows that his is the client’s decision, but what would be an appropriate response? Selected Answer: "You have a right to make your own decisions, but drugs are harmful to your health and they are illegal in Ontario" Answers: “Ok you will have to sign AMA papers first” “What is wrong with you? Don’t you know that drugs will kill you?” “I don’t know how you can do that stuff” "You have a right to make your own decisions, but drugs are harmful to your health and they are illegal in Ontario" • Question 17 1 out of 1 points Mary is a RN that works in a telemedicine program providing COPD edcation and care to client's that can not easily acess the hospital. When Mary is discussing treatment and care plas with her client's she uses questions such as; how does that make you feel. This is an example of: Selected Answer: An open-ended question Answers: Using questions that flow in a logical sequence An open-ended question Effective communication techniques A close-ended question • Question 18 1 out of 1 points Bob has noticed that Sally has gotten close to one of the clients on their unit. She has started to spend more time with this client then necessary and he thinks that they may be texting and talking to each other outside of the hospital. Why is Bob concerned about this behaviour? Selected Answer: Sally is crossing the boundaries of the nurse client relationship Answers: Sally is crossing the boundaries of the nurse client relationship Sally must be stealing from the client Sally is his good friend and he is jealous of the relationship between her and the client There is nothing for Bob to be concerned about, he is over-reacting • Question 19 1 out of 1 points Jack has noted that he frequently has to wait to document because there are not enough computers available to staff during the day. According to the CNO employers are responsible for: Selected Answer: Providing access to appropriate documentation equipment Answers: Providing access to appropriate documentation equipment Ensuring that staff orientation includes documentation systems Having an appropriate documentation schedule to ensure that everyone has access to computers when needed Having computers that are designated for physicians so that they are not utilizing them when nurses need to document • Question 20 0 out of 1 points After completing morning assessments on his clients Jack takes the time to document all of his findings including assessment data, vital signs, interventions and evaluations. Jack is displaying which documentation indicator? Selected Answer: Ensuring that the plan of care is clear, current and relevant Answers: Ensuring that the plan of care is clear, current and relevant Documenting advice, care and services Ensuring that documentation is a complete record of nursing care provided Ensuring that handwritten documentation is legible • Question 21 1 out of 1 points Tabitha has been asked to create a care plan for a post hip replacement client. As she is working through the care plan she notes that she needs to talk to the client, and involve them in the process. She immediately goes to the client and asks for their input, noting that this will help the client be an active member in their care. Which competency is she displaying? Selected Answer: Facilitates the involvement of clients in identifying their preferred health outcomes Answers: Facilitates the involvement of clients in identifying their preferred health outcomes Uses appropriate assessment tools and techniques Collaborates with other health care team members to develop health care plans Anticipates potential health problems or issues for clients • Question 22 1 out of 1 points Manpreet works on a busy medical surgical unit. During day shift the was very short staffed and her daily assignment increased from 5 clients to 7. During medication administration she accidentally gave the wrong antibiotic to one of her clients. What are the appropriate actions that Manpreet needs to take to display accountability for her actions? Selected Answer: Inform the physician of the error, fill out an incident report and disclose the error to the client Answers: Nothing the patient did not experience and adverse reactions Inform the physician of the error Inform the physician of the error and fill out an incident report Inform the physician of the error, fill out an incident report and disclose the error to the client • Question 23 1 out of 1 points Sahar is a new graduate RN in the community. She is visiting a new client for wound care, and notes that the wound now has some tunneling. Sahar makes the decision to pack the wound, despite the fact she has never done this before and is unsure of how to maintain asepsis. Was Sahar’s decision appropriate? Selected Answer: No, she does not have the appropriate knowledge, skill and judgement to perform this procedure Answers: Yes, as a RN she can initiate wound packing Yes, as a RN she can perform procedures below the dermis No, she does not have the appropriate knowledge, skill and judgement to perform this procedure No, as a RN she can not initiate wound packing • Question 24 1 out of 1 points Sanj is a RN working in a pediatric telemedicine program. He has just started working with a new client, and even though he has never met them in person he suspects the child is being abused. How should Sanj proceed with his suspicion? Selected Answer: Report the issue according to CNO and agency guidelines Answers: Call the police right away Nothing, he has never met the client in person, so has no real findings to report Continue working with the client and observing for issues Report the issue according to CNO and agency guidelines • Question 25 1 out of 1 points While working with a new RN on the floor David notes that she has a hard time maintaining her sterile technique during catheter insertion. David provides her with constructive feedback about this issue, and also provides her with some tips to ensure that she is maintaining asepsis. This is an example of which CNO standards? Selected Answer: Continuing competence and knowledge application Answers: Accountability and ethics Leadership and ethics Relationships and accountability Continuing competence and knowledge application • Question 26 1 out of 1 points Mary is a community health nurse and she has been assisting Beth for several years with the management of a chronic wound. Before Christmas Beth tried to give Mary a gift of $200 to express her gratitude for the care that she has been receiving. How should Mary manage this situation? Selected Answer: Thank Beth for her kind gesture and explain that she enjoys the relationship that she has built with her over the years, but it is wrong for her to accept this gift. Answers: Thank Beth and accept the gift Advise Beth that she can not accept the gift, but if she makes the card out to her husband it is ok Thank Beth for her kind gesture and explain that she enjoys the relationship that she has built with her over the years, but it is wrong for her to accept this gift. Yell at Beth saying that she has put her in a bad situation, and she can not accept the gift • Question 27 Fitness to practice is an example of Selected Answer: Statutory Committee Answers: The College's Role Ethics CNO standard Statutory Committee • Question 28 1 out of 1 points 1 out of 1 points Eugenia is a nurse working in a long term care facility, and she often feels unsupported as the majority of shifts she works they are short staffed. She feels client safety and quality of care is being compromised. Eugenia displays an understanding of the decision making process by: Selected Answer: Gathering all data, facts, and evidence of how the issue is affecting the clients Answers: Communicating her concerns to the appropriate person Gathering all data, facts, and evidence of how the issue is affecting the clients Collaborating and developing strategies to resolve the safety issues Modifying resources so that appropriate care can be provided • Question 29 0 out of 1 points Anna a new RN working in an acute care setting displays that she has knowledge and understanding of different legislation that applies to nursing by demonstrating which of the following? Selected Answer: Develops a learning plan to gain knowledge on professional accountability as this is the most important and only legislation she Answers: needs to know about Develops a learning plan to gain knowledge of the various legislations such as the Employment Standards Act Develops a learning plan to gain knowledge about the CNO Professional Standards only Develops a learning plan to gain knowledge on professional accountability as this is the most important and only legislation she needs to know about Develops a learning plan to gain knowledge on therapeutic nurse client relationships • Question 30 1 out of 1 points Tabitha has successfully completed her RN program, wrote her NCLEX examination and passed. She is now registering with the CNO for the first time and is consider a(n) by the CNO: Selected Answer: Entry level nurse Answers: New graduate Entry level nurse RPN RN and temporary license • Question 31 1 out of 1 points After three days Jack’s patient is transferred to a different unit. While at work Jack is curious about how the client is doing and decides that he is going to take a look at the patient’s online chart. By doing this Jack is not adhering to which CNO indicator? Selected Answer: Accessing information for which the nurse has a professional need to provide appropriate care Answers: Maintaining the confidentiality of clients Ensuring the secure and confidential destruction of documents Accessing information for which the nurse has a professional need to provide appropriate care Facilitating the rights of the client and substitute decision maker to access health records • Question 32 1 out of 1 points Beverly is the charge nurse on a surgical unit. She is struggling with a passive- aggressive float nurse as she is refusing to assist her peers. Beverly is aware that this behaviour can lead to conflict between co-workers and build resentment. Beverly demonstrates effective leadership by saying which of the following: Selected Answer: " Are you having issues today, because you don't seem to be pulling your weight" Answers: "Sara, it would be great if you could help out" "Sara can't you tell how busy we are? Why aren't you helping?" " Are you having issues today, because you don't seem to be pulling your weight" "What is your problem?" • Question 33 1 out of 1 points Jack has completed his assessments and asks to go on his break early because he forgot to eat his breakfast. Ideally Jack should document his assessments: Selected Answer: In a timely manner, as soon as possible after the event Answers: Within two hours By the end of the shift In a timely manner, as soon as possible after the event Within four hours of the event • Question 34 0 out of 1 points Manpreet is a RN on the surgical unit and receives a phone call from an individual claiming to be one of her client’s sisters asking for information about the client. What actions should Manpreet take in this situation? Selected Answer: Advise the individual on the phone that you can not provide them with any information Answers: Have a friendly conversation with the individual on the phone and answer her questions Ask the individual to hold, and gain consent to share information from the client Advise the individual on the phone that you can not provide them with any information Pretend that you don't have that client on your unit and end the conversation • Question 35 1 out of 1 points Mr. Bean has no immediate family and does not have any friends that he feels comfortable appointing as his power of attorney. According to the Substitute Decision Makers Act, who will make Mr. Bean’s medical decisions when he is unable to? Selected Answer: A public Guardian and Trustee will be appointed through the court system Answers: He has to appoint a friend as his Power of Attorney He can develop a living will to be followed when he is unable to make decisions for himself Unfortunately, he will not have anyone to represent his wishes A public Guardian and Trustee will be appointed through the court system • Question 36 1 out of 1 points Jakob's hospital has just started providing telepractice and has asked him if he would be interested in assisting with the program. Jakob is dissapointed when he sees that the telepractice equiment is located at a busy nursing station. Which environment would be more appropriate to ensure that privacy and confidentiality is maintained? Selected Answer: A private closed office that is dedicated to telepractice Answers: The nursing station is fine. Jakob can use headphones to ensure that information is not overheard In the medication room that is closed off to the public A private closed office that is dedicated to telepractice The hospital boardroom, it is private, but meetings periodically take place throughout the day • Question 37 1 out of 1 points Margaret is a pediatric RN working with a client whose parents are refusing treatment for their daughter. Margaret knows that her client will become quite ill without the treatment and recognizes that this is a potential ethical issue. How should Margaret handle this situation? Selected Answer: Seek assistance when ethical issues arise Answers: Try and convince the parents that their decision is wrong Tell the parents that they are awful, and that their decision is going to harm their daughter Seek assistance when ethical issues arise Do nothing • Question 38 0 out of 1 points Mary just accepted a new client into her telemedicine program and is having their first teleconference today. During the appointment she noted that the client had a very difficult time understanding her questions, and that she had a hard time understanding the answers due to a language barrier. How should Mary handle the situation? Selected Answer: Send a detailed email to the client so that they have the information in writing Answers: Send a detailed email to the client so that they have the information in writing Continue moving forward with the client with hipes that the client is understanding the information For their next meeting organize to have an interpreter present Advise that this client is not appropriate for the telemedicine program due to the language barrier • Question 39 1 out of 1 points Shelly has recieved an order for catheter insertion for a client that is experiencing urinary retention. Shelly attempts the catheterization, but is not able to advance the catheter past the client's prostate. Even though the client is expressing discomfort she attempts the catheterization for a fourth time. Shelly is failing to recognize that: Selected Answer: That even though she has the authority to perform the procedure, give the circumstances she should not continue to attempt the catheterization Answers: She should use a smaller catheter to bypass the prostate That even though she has the authority to perform the procedure, give the circumstances she should not continue to attempt the catheterization A silastic catheter would be a better option for this client This client needs to go for cystoscopy as soon as possible Manpreet is having a discussion with the client's family when they ask her to please tell them the results of their mom's cat scan. How should Manpreet proceed? Selected Answer: Advise the family to wait for the physician as you can not provide the information they are seeking Answers: Tell the client's family the results. Tell the family that there is some concerning results and they should wait for the physician to discuss the diagnosis Provide the family with detailed information surrounding the results as well as the diagnosis Advise the family to wait for the physician as you can not provide the information they are seeking • uestion 1 1 out of 1 points On a routine visit to one of her client’s Lori noted that the PSW was being extremely rough with the client and yelling at her when she was unable to assist with ADLs, unfortunately the PSW left as soon as Lori arrived. How should Lori handle this situation? Selected Answer: Have a discussion with the client to confirm the behaviour, document the conversation and the observed behaviour, then contact the PSWs agency to report the incident Answers: Nothing the PSW works for a different agency Storm after the PSW and confront her at her vehicle Document the behaviour in the client's chart Have a discussion with the client to confirm the behaviour, document the conversation and the observed behaviour, then contact the PSWs agency to report the incident • Question 2 0 out of 1 points Liz is a RN in the ICU. Recently her educator approached her asking if she would be a preceptor for a new graduating RN that will be starting in the unit. Liz declined to take the student stating that “she hates having to babysit new nurses”. What CNO standard is Liz not complying with? Selected Answer: Accountability Answers: Accountability • Question 3 Leadership Ethics Continuing Competence 1 out of 1 points After assessing a client admitted with hyperglycemia, Tabitha notes that upon auscultation of the chest the client has fine crackles to the right lower lung lobe. After her assessment she looks up the clients am blood work and notes that his WBC count is elevated, she then contacts the physician advising that based on her assessment she is worried that the client may have pneumonia. This is an example of which competency? Selected Answer: Analyzes and interprets data obtained in client assessments to draw conclusions about client health status Answers: Contributes to a culture that supports involvement in nursing Analyzes and interprets data obtained in client assessments to draw conclusions about client health status Coordinates collaboration with clients and other health care team members Documents assessment data in accordance with evidence informed practice • Question 4 1 out of 1 points Ivan is working on medical floor, and he just admitted a patient with a diagnosis pneumonia. When he is preparing medication for the client, he notes that the client has been prescribed a medication that he has never administered, nor heard of. What would be the appropriate action to display the CNO standard knowledge? Selected Answer: Use the resources available on the unit to research the medication administration, uses and side effects Answers: Give the medication without researching information Give the medication and research about it after administration Use the resources available on the unit to research the medication administration, uses and side effects Refuse to give the medication until you have time to sit down and research it • Question 5 1 out of 1 points Roger works in a rural emergency department, and on night shift him and another RN are the only nurses within the department. One night his best friend was brought in with a minor trauma. Unfortunately, his partner for the night was busy with another client, and Roger did not know what to do as he recognized that nursing his best friend could be a conflict of interest. How should Roger handle this situation? Selected Answer: Stabilize the client, and transfer care to the other RN when able to Answers: Refuse to care for the client Stabilize the client, and transfer care to the other RN when able to There is no conflict of interest, so Roger can be the primary nurse for this client Assume care of the client, but he refuses to transfer care to the other RN when they are available • Question 6 1 out of 1 points After introducing himself Juan performs a thorough head to toe assessment. He notes his findings and asks the client how he is feeling, and if anything is different today. Juan is displaying which competency? Selected Answer: Analyzes and interprets initial assessment findings and collaborates with the client in developing approaches to nursing care Answers: Identifying potential health problems or issues and their consequences for clients Analyzes and interprets initial assessment findings and collaborates with the client in developing approaches to nursing care Selects communication techniques that are appropriate for the client circumstances Selects leadership style and skill that is appropriate for this situation • Question 7 1 out of 1 points Tabitha has been asked to create a care plan for a post hip replacement client. As she is working through the care plan she notes that she needs to talk to the client, and involve them in the process. She immediately goes to the client and asks for their input, noting that this will help the client be an active member in their care. Which competency is she displaying? Selected Answer: Facilitates the involvement of clients in identifying their preferred health outcomes Answers: • Question 8 Facilitates the involvement of clients in identifying their preferred health outcomes Uses appropriate assessment tools and techniques Collaborates with other health care team members to develop health care plans Anticipates potential health problems or issues for clients 1 out of 1 points What is the discipline committee responsible for Selected Answer: Holds hearings in cases in which a member has been referred by the Inquiries, Complaints and Reports Committee Answers: Ensuring the QA program is being adhered to by CNO members Screens complaints from the public Determines whether a nurse is fit for practice Holds hearings in cases in which a member has been referred by the Inquiries, Complaints and Reports Committee • Question 9 1 out of 1 points When Jason comes on shift, he is advised that one of the clients had a bad fall during the night. Jason recently became a best practice champion for falls prevention. He asks the reporting nurse how the fall happened and what precautions were in place to prevent it. Based on the information provided he educates his colleague on the best practice guideline and provides tools to help prevent a fall from happening in the future. This is an example of which CNO standard? Selected Answer: Knowledge Application Answers: Ethics Knowledge Application Relationships Accountability A formal complaint is made about a member of the CNO, the complaint goes to which committee? Selected Answer: Inquiries, complaints and reports Answers: Discipline Fitness to practice • Question 1 Inquiries, complaints and reports Quality Assurance 1 out of 1 points While performing an assessment on a post surgical client, the client reveals to Sarah that she is an alcoholic and has several hard liquor drinks a day. The client begs Sarah to not tell anyone, including the surgeon about this. What should Sarah do with this information? Selected Answer: Have a discussion with the client outlining why it is important for this information to be shared, and encourage them to talk to the surgeon Answers: Nothing, the client was adamant that the information not be shared with anyone Ignore the client's wishes and tell the surgeon Have a discussion with the client outlining why it is important for this information to be shared, and encourage them to talk to the surgeon Talk to the client's family and encourage them to share the information with the surgeon • Question 2 1 out of 1 points After three days Jack’s patient is transferred to a different unit. While at work Jack is curious about how the client is doing and decides that he is going to take a look at the patient’s online chart. By doing this Jack is not adhering to which CNO indicator? Selected Answer: Accessing information for which the nurse has a professional need to provide appropriate care Answers: Maintaining the confidentiality of clients Ensuring the secure and confidential destruction of documents Accessing information for which the nurse has a professional need to provide appropriate care Facilitating the rights of the client and substitute decision maker to access health records • Question 3 1 out of 1 points Suzanne is 42 years old and just got diagnosed with a hemorrhagic inoperable stroke. She has a 16 year old daughter, and a partner that she has been seeing for four months. According to the Substitute Decision Makers Act who will be appointed as her substitute decision maker? Selected Answer: Her daughter Answers: Her partner • Question 4 Her daughter She will receive a public guardian trustee Her brother 0 out of 1 points Sarah is a RN in the post anesthesia care unit. While taking care of another client she notes that one of her other clients has taken their chart and is reading it. The client catches Sarah’s attention and states that the information in her chart is incorrect and she wants it changed. How should Sarah handle this situation? Selected Answer: Change the information in the chart Answers: Change the information in the chart Advise the client that she should not be reading her chart Advise the client that this is a legal document and it can not be changed Advise the client that she has to provide written notice in order for the information to be changed • Question 5 0 out of 1 points Igor recognized that his client’s white blood cell count was elevated, and that he had a fever. He contacted the physician and received a verbal order for antibiotics. This is an example of: Selected Answer: Initiation Answers: Initiation Medical directive • Question 6 Direct order Delegation 1 out of 1 points Jack is completing his documentation and writes a client progress note after documenting their vital signs on the appropriate flow sheet. Jack should not include the vital sign information in the note because: Selected Answer: He should try to minimize duplication of information Answers: It is not pertinent information He should try to minimize duplication of information It will make the note too long and not • Question 7 concise He should include the vital signs in his progress note 0 out of 1 points Melanie is a RN and is taking the bus home post day shift. While on the bus she starts talking about her day and describes some of her clients to her friend. During the conversation she does not reveal the names of her clients, their diagnosis or their family members names. If she has violated PHIPA, what information did she share that she shouldn’t? Selected Answer: She has not provided any inappropriate information, but she shouldn't be having this discussion on a bus Answers: She did not disclose any personal information about her clients, therefor has not violated PHIPA She described the care that she provided, which is a violation of PHIPA She should never discuss work, therefor she has violated PHIPA She has not provided any inappropriate information, but she shouldn't be having this discussion on a bus • Question 8 1 out of 1 points Melanie is a RN working the Emergency Department of a busy urban hospital. She just admitted an 88 year old female with decreased level of consciousness and no family present. Melanie provides care as advised by the physician despite the fact that the client is not able to consent to care. This is an example of: Selected Answer: Implied consent Answers: • Question 9 Implied consent expressed consent Substitute Decision Maker Act Disclosure 1 out of 1 points Betty knows that a low potassium can have cardiac effects on her patient. When she gets the blood work back she notes that the phosphorous is also low, but she only has one access point to infuse the medications. Knowing how important potassium is, and that phosphorous takes longer to infuse she chooses to administer the potassium first, then the phosphate. Betty is displaying: Selected Answer: Cognitive and technical competence to perform the procedure Answers: Cognitive and technical competence to perform the procedure Determining the appropriateness for a procedure given the current client and status That she is ensuring client records reflect the procedures that were performed Documentation of authorizing mechanisms are maintained Allison is a RN working on a medical unit for the last two months. She has identified a concern with the documentation policy as it does not align with the CNO documentation standard. She approaches her manager and expresses her concerns. Alison's actions exhibit: Selecte d Answer: Answers : Leadership Knowledge Aplication Continuing competence and knowledge application Leadership Accountability [Show More]

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