Deck 1: Accountability

Question 1

The perioperative nurse is documenting a patient's pain assessment while in the PACU. They note that they have given the patient morphine sulfate to control postoperative pain. Which of the following is not necessary to document for this intervention?

A)Where the patient's pain is located.
B)The time the morphine arrived to the unit from pharmacy.
C)The fact the patient rated his pain at a '7' on the 0-10 pain scale.
D)The effects of the morphine on the patient's pain.

Answer 1

The time the morphine arrived to the unit from pharmacy.

Question 2

Which of the following describes appropriate documentation of patient care during the perioperative setting?

A)It should describe the patient's nursing diagnoses and outcomes.
B)It should be on a preprinted form that is easy to fill in.
C)It should be read between the nurses during report at the change of shift.
D)Both A and B

Answer 2

It should describe the patient's nursing diagnoses and outcomes.

Question 3

What is the purpose of quality improvement programs within the perioperative setting?

A)Quality improvement programs show nurses what types of mistakes they have made in documentation.
B)Quality improvement programs address nursing behaviors that need to be changed for better patient care.
C)Quality improvement programs review policies to ensure nursing staff are meeting standards.
D)Quality improvement programs assess equipment for damage and send items for repair.

Answer 3

Quality improvement programs review policies to ensure nursing staff are meeting standards.

Question 4

Which of the following is a true statement regarding clinical pathways in the perioperative setting?

A)Clinical pathways are step-by-step processes that tell the nurse how to perform certain procedures.
B)Clinical pathways are another name for hospital policies.
C)Clinical pathways are practice guidelines based on research and outcomes.
D)Clinical pathways are standards that outline the roles of each professional level of nursing.

Question 5

Which of the following statements is true regarding hospital policies and procedures?

A)Hospital policies describe a succession of activities required for patient care.
B)Policies and procedures are based on standards set at local and national levels for care.
C)Procedures serve as guides for nursing responsibilities in certain situations.
D)Both A and C

Question 6

Which of the following is a role of the surgery clinical nurse specialist?

A)Writing the surgical schedule for patients, nurses and surgeons.
B)Acting as a resource for nurses who are filing grievance procedures.
C)Obtaining insurance information for patients admitted to the surgical unit.
D)Researching current nursing standards and educating staff about best practices.

Question 7

Which of the following types of information is not covered under the Health Insurance Portability and Accountability Act (HIPAA)?

A)A patient's medical diagnosis
B)A patient's insurance information
C)A patient's surgical outcome
D)A patient's financial information

Question 8

Once a patient has received induction of anesthesia for extensive cancer surgery, the surgical technician turns to the nurse and asks, "Do you think this guy is going to make it?" What is the nurse's most appropriate response?

A)"I'm not sure, but we'll soon find out."
B)"I don't think we should be talking about this right now."
C)"I saw his information and his situation is terrible."
D)"Why don't you ask the surgeon about that?"

Question 9

Which of the following situations would be reported as a sentinel event, according to the Joint Commission?

A)A patient who received surgery on the wrong part of the body
B)A patient developing a stage II pressure wound during surgery
C)A patient who received an extra dose of antibiotic before surgery
D)A patient who developed a wound infection postoperatively

Question 10

Which of the following must be done by the nurse before blood products are administered?

A)Ensuring that the blood has not been out of storage for more than one hour.
B)Verifying that the number on the patient's armband is the same as that of the donor registration information.
C)Checking the bag to ensure that it does not have leaks or cracks.
D)Ensuring there are adequate amounts of lactated Ringer's solution to administer with the blood.

Question 11

When a nurse fails to perform a standard of care that another reasonable and prudent nurse would perform, this is referred to as:

A)Malpractice
B)Negligence
C)Liability
D)Breach of duty

Question 12

In order for a patient to give correct and appropriate informed consent, which of the following must occur?

A)The informed consent must contain the technical descriptions of the surgical process.
B)The informed consent must disclose the potential risks of the procedure to the patient.
C)The informed consent must be presented in a method that the patient can understand.
D)Both B and C

Question 13

What is the most important action a nurse can do to protect themself if they become the target of legal action from a patient?

A)Document all patient assessments, nursing diagnoses and interventions for the patient.
B)Keep a separate notebook for the nurse's own reference of any situations that were questionable.
C)Have adequate professional insurance and access to a good attorney.
D)Both A and B

Question 14

Which of the following should the nurse consider when documenting their care in order to avoid errors that could be used for litigation?

A)Document only subjective data.
B)Completely cover errors to avoid confusion.
C)Document what information is available at the time and return later to complete the record.
D)Use definitive statements when describing a situation.

Question 15

Which of the following statements best describes nursing informatics?

A)Nursing informatics is a specialty that works to obtain information that may be used for legal action against nurses or the healthcare center.
B)Nursing informatics works with robotic equipment and engineering to develop the latest designs used in surgical technology.
C)Nursing informatics is a specialty that uses computer science to manage data and educate nurses.
D)Nursing informatics is another name for nursing instructors.

Question 16

Which of the following is an example of a HIPAA violation?

A)A patient overhears two nurses discussing another patient's plan of care.
B)A physician brings cookies to the nursing staff because they took excellent care of his wife.
C)A nurse looks up their neighbor's medical diagnosis in the computer when they learn they have been admitted to the hospital.
D)A pharmaceutical company finds out who has recently had a baby in the hospital to send them free formula samples.

Question 17

Which step of the nursing process is the most important part of patient education?

A)Assessment
B)Planning
C)Diagnosis
D)Intervention

Question 18

Which of the following is the most important aspect of assessing a patient's readiness for education?

A)The amount of time before the procedure
B)What procedure the patient is going to have
C)The patient's health status
D)The time of day in which the surgery is scheduled

Question 19

What should the nurse include as part of documentation that patient teaching was completed?

A)Who performed the teaching, where it was done, and why the patient needed the teaching
B)Teaching topics, family members present, and the patient demonstrating proficiency
C)The date and time that teaching was done and the patient's ability to repeat the information.
D)Patient teaching does not have to be documented

Question 20

When the perioperative nurse acts in a manner that is reliable and trustworthy to others around them, what professional concept are they demonstrating?

A)Accountability
B)Responsibility
C)Autonomy
D)Sovereignty

Question 21

Which of the following best describes the concept of shared governance?

A)A care model that allows patients to collaborate with nurses about achieving the best outcomes.
B)A ranking system that puts nursing responsibility just second to that of physicians.
C)A clinical structure where nurses partake in decisions regarding practice standards.
D)A model for cost-effectiveness that is practiced between nursing staff and central processing.