FREE CNO Safe and Effective Care Environment Questions and Answers

Question 1

A nurse gives a double dose of acetaminophen (Tylenol) to a client who only requires a single dose. What, if anything, must the nurse do?

Accepted Answer

Report the error as soon as possible

Answer

Ask a colleague to help assess the client

Answer

Withhold the client’s next dose of Tylenol

Answer

Nothing, because this is an over-the-counter medication

Question 2

An RPN orders an RPN colleague to insert a urethral catheter into a newly admitted client. What should the RPN colleague do?

Accepted Answer

Decline to accept the order

Answer

Confirm the order with a physician before proceeding with the intervention

Answer

Accept the order and proceed with the intervention

Answer

Consult with an RN before proceeding with the intervention

Question 3

A client writes to the College of Nurses of Ontario (CNO) stating that a nurse assaulted him during care. What action may CNO take in this situation?

Accepted Answer

Investigate the allegation

Answer

Report the nurse to the employer

Answer

Request that the nurse's employment be terminated

Answer

Refer the complaint to local law enforcement

Question 4

A nurse gives a double dose of acetaminophen (Tylenol) to a client who only requires a single dose. What, if anything, must the nurse do?

Accepted Answer

Report the error as soon as possible

Answer

Ask a colleague to help assess the client

Answer

Withhold the client’s next dose of Tylenol

Answer

Nothing, because this is an over-the-counter medication

Question 5

At every stage of life, health is determined by complex interactions among social and economic factors, the physical environment, and individual behaviour. They do not exist in isolation from each other. These determinants, in combination, influence health status.

Accepted Answer

Determinants of health

Answer

Competence

Answer

Population

Answer

Evidence-informed practice

Question 6

Your client has reviewed his health record. You answered his questions to ensure he understood the record, but he wants corrections made to a consulting physician's note. What do you do?

Accepted Answer

No, you cannot change another person's notes, you may add a note of the patient’s design or yours.

Answer

No, you can't change any health record

Answer

Yes, if this is true you can change the health record if you are in the team of care.

Answer

Yes, the physicians' notes are commonly changed.

Question 7

James, a pre-grad practical nursing student who is working on a busy surgical unit, has decided to use a portable bladder ultrasound to assess for urinary retention in a post-operative client. Can James perform this procedure?

Accepted Answer

Yes. James can perform this procedure because it is not included in the controlled acts.

Answer

Yes. James can perform this but needs a direct order.

Answer

No. As a student, he is not authorized to perform this procedure.

Answer

No. James must undergo formal training before performing this procedure

Question 8

Mary Elizabeth, an RPN, is at her son’s bluegrass concert and someone asks for medical assistance for a man who has collapsed. She assesses that the man’s vital signs are absent and CPR is initiated. What should she consider when applying an automated external defibrillator (AED)?

Accepted Answer

All of the above.

Answer

She must determine if this is an emergency.

Answer

She must determine if she has the knowledge, skill, and judgment to apply the AED.

Answer

She must determine if the client’s condition warrants the performance of the procedure.

Answer

She must consider that defibrillation is only one component in the continuum of care required during a cardiac arrest.

Question 9

I’m an RPN working in a long-term care home. At my workplace, off-site physicians sometimes prescribe antihypertensive medications via telephone. Can I use a physician’s signature stamp on orders received by telephone?

Accepted Answer

No. It is not appropriate to use the stamp.

Answer

Yes. This is appropriate to use the stamp.

Answer

Yes. You can use the stamp but you are responsible for getting a follow-up signature.

Answer

No. You are responsible for ensuring the off-site physician comes to sign in person.

Question 10

The RN in our family health clinic forgot to sign for a narcotic wastage prior to leaving for the day. The oncoming RPN discovered the partially used ampule during the evening shift. Can the evening shift nurse sign for the RN’s wastage?

Accepted Answer

No. The RPN cannot sign for the other nurse’s wastage.

Answer

Yes. The RPN can sign for the RN’s wastage as a fellow team member.

Answer

Yes. The RPN can sign as long as another registered staff is a witness.

Answer

No. The RPN can lock up the wastage until the RN is available to sign.