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1. A nurse calls a physician regarding a new medication order because the dosage prescribed is above the
recommended dosage. The nurse is not able to locate the physician, and the medication is due to be administered.
Which of the following action would the nurse take?
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2. A client arrives in the emergency room and is assessed by a nurse. The client is walking unsteadily, confused, and
verbally abusive. The client complains of a headache from drinking alcohol and is asking for medication. The nurse
explains to the client that the physician will need to perform an assessment prior to the administration of medication.
When the client becomes verbally offensive, the nurse obtains leather restraints and threatens to place the client in the
restraints. With which of the following can the client legally charge the nurse as a result of the nursing action?
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3. A registered nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the
ICU is does not have adequate staff to care for the needs of the clients. The nurse has never worked in the ICU. Which
of the following is the most appropriate nursing action?
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4. A nurse gives an inaccurate dose of a medication to a client. After assessment of the client, the nurse completes an
incident report. The nurse notifies the nursing supervisor of the medication error and calls the physician to report the
occurrence. The nurse who administered the inaccurate medication dose understands that the
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5. A hospitalized client tells a nurse that a living will is being prepared and that the lawyer will be bringing the will to the
hospital for witness signatures at the end of the day. The client asks the nurse for help in obtaining a witness to the will.
The most appropriate response to the client is which of the following?
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6. A nurse has made an error in recording an assessment finding on a client and obtains the client’s record to correct
the error. The nurse corrects the error by:
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7. The nursing staff is sitting in the lounge taking their morning break. A nursing assistant tells the group that she heard
that the unit secretary had acquired immunodeficiency syndrome (AIDS). The nursing assistant continues to tell the
nursing staff that the secretary obtained the disease from her husband, who is supposedly a drug addict. Which legal
tort has the nursing assistant violated?
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8. A nurse hears a client calling out for help. The nurse hurries down the hallway to the client’s room and finds the client
lying on the floor. The nurse performs a thorough evaluation and assists the client back to bed. The nurse notifies the
physician of the incident and completes an incident report. Which of the following would the nurse document on the
incident report?
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9. A client is brought to the emergency room by emergency medical services after being hit by a car. The name of the
client is unknown. The client has sustained a severe head injury, numerous fractures, and is unconscious. An
emergency craniotomy is required. In regard to informed consent for the surgical procedure, which of the following is the
best initial action?
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10. An 87-year-old female is brought to the emergency room for treatment of a fractured arm. On physical assessment,
a nurse notes old and new ecchymotic areas on the client’s chest and legs. The nurse asks the client how the bruises
were obtained. The client, although reluctant, tells the nurse in confidence that her son frequently hits her if supper is no
prepared on time when he arrives home from work. Which of the following is the most appropriate nursing response?
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