Nursing Fundamentals Quiz #1 Study Guide Units 1 & 2 1. Explain the difference between the nurse practice act and scope of practice. Why is each important? What is their purpose? 2. Where are some settings where a nurse can work? How might requirements differ for each setting? 3. Who are members of the health care team and what is their role? 4. Compare and contrast the different nursing education programs. What are the roles and responsibilities of each degree? What is an advanced practice nurse? 5. Explain the functions of nursing organizations (ANA, NLN, etc.). who is eligible for membership? 6. Compare and contrast different health care reimbursement systems (e.g., HMO, DRG, Medicare, Medicaid, etc.). 7. What is JCAHO and what does it do? 8. What are the roles of a nurse and what is an example of how the nurse might fulfill each role in practice? 9. Describe the criteria for a profession as it relates to nursing. What is autonomy? 10. What are internal and external factors which impact contemporary nursing? 11. What are nursing responsibilities with informed consent? 12. What are the different types of consent? 13. Who can legally give consent? 14. What are the elements of informed consent? 15. Define ethics and give an example of an ethical situation where nursing might be involved. 16. What is ethical decision-making and when should it be used? Explain some situations which might be an ethical dilemmas and why? How should nurses make ethical decisions? 17. What legal protections do nurses have? 18. What are the legal standards to which student nurses are held? 19. Define and describe examples of intentional and unintentional torts (e.g, assault, battery, etc.) 20. Define the elements of malpractice? 21. Describe important items the nurse should consider when completing an incident report. Who is responsible for completing the incident report? 22. What is included in an incident report? Why are incident reports used? 23. What is the nurse’s role in regard to abuse and neglect? 24. Describe what the nurse needs to consider when delegating to assistive personnel. How does delegation relate to the Nurse Practice Act? What are nursing responsibilities as it relates to delegation? 25. What is an impaired nurse? What is your responsibility if you suspect another nurse of being impaired? 26. What are factors that place a client at increased risk for infection? Why? 27. What activities decrease the likelihood of infection and how can the nurse play a role? 28. Describe the types of isolation precautions (e.g., standard, airborne, etc.). What are the indications for their use? What types of PPE and protocols are used with each? For which conditions/diagnoses would they be used? 29. Explain the difference between medical and surgical asepsis. What determines when a nurse uses medical or surgical asepsis? What are some examples? 30. Your client has the following infections. What would you include in your nursing assessment? a. Pneumonia b. Incisional infection c. Urinary tract infection d. Systemic 31. Explain and provide examples of specific and non-specific body defenses. Explain the types of immunity? 32. Explain the chain of infection and nursing interventions which can break the chain of transmission at the various points. 33. Your client has the following diagnosis. How is the disease transmitted? What precautions would you take to reduce the risk of transmission? Why? a. MRSA b. Influenza c. TB d. Chickenpox e. Salmonella f. VRE 34. What are the principles the nurse considers to maintain a sterile field. What is the nurse’s role if sterility is breached? 35. Define and give an example of the types of nosocomial infections. 36. What lab data would the nurse consider when caring for a client with an infection? 37. What is included in the nursing assessment for the client with an infection? Explain the various types of exudates. 38. What are some nursing interventions for the client in isolation? Consider psychosocial and physiological needs. 39. Explain the inflammatory response. What are the cardinal signs of infection? In addition to the questions listed, you might want to review the study guides on my web page for more ideas. 8/2010