NACE Ethical and Legal Principles 2

Question 1

A patient with terminal cancer has a Do-Not-Resuscitate (DNR) order. The patient goes into cardiac arrest. What is the nurse's appropriate action?

Accepted Answer

Provide comfort measures only

Answer

A valid DNR order means resuscitative efforts should not be initiated. The nurse should provide comfort measures and ensure the patient's dignity.

Question 2

Which situation represents a breach of patient confidentiality under HIPAA?

Accepted Answer

Discussing a patient's diagnosis in the hospital elevator with a colleague

Answer

Discussing patient information in a public area like an elevator where unauthorized individuals may overhear is a HIPAA violation.

Question 3

A nurse makes a medication error that does not harm the patient. What is the nurse's legal and ethical obligation?

Accepted Answer

Report the error through the facility's incident reporting system

Answer

All medication errors, regardless of whether harm occurred, must be reported through the facility's incident reporting system to improve safety and prevent future errors.

Question 4

A nurse suspects that a coworker is diverting controlled substances. What is the most appropriate first action?

Accepted Answer

Report the concern to the nurse manager or supervisor

Answer

Suspected drug diversion should be reported to the nurse manager or supervisor who can initiate a proper investigation while protecting patient safety.

Question 5

Which action by a nurse constitutes abandonment of a patient?

Accepted Answer

Accepting a patient assignment and then leaving without transferring care to another nurse

Answer

Patient abandonment occurs when a nurse accepts responsibility for a patient and then leaves without ensuring continuity of care through proper transfer to another qualified nurse.

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

Nursing Acceleration Challenge Exam (NACE) I PN-RN Practice Test

NACE Ethical and Legal Principles 2