Practice and Application Flashcards
7 cards from real RELIAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Practice and Application flashcards as text
A patient on a medical-surgical unit has a pain rating of 8/10 despite receiving scheduled analgesics. The nurse should first:
Answer: Reassess pain characteristics and administer any ordered PRN analgesic
Unrelieved pain requires reassessment of pain characteristics and use of PRN medications, followed by notification of the provider if pain remains uncontrolled.
Which of the following scenarios represents a violation of HIPAA's minimum necessary standard?
Answer: A billing clerk accessing a patient's complete psychiatric history to process a lab claim
The minimum necessary standard requires limiting access to only the PHI required to perform a specific job function; accessing full psychiatric records for billing purposes violates this principle.
A nurse working in an ICU notes that a patient's urine output has dropped to 15 mL/hour over the last two hours. The priority intervention is to:
Answer: Notify the provider immediately, as this may indicate renal compromise
Urine output below 30 mL/hour in an adult may signal acute kidney injury or hemodynamic compromise and requires immediate provider notification.
When a staff member identifies a near-miss event (a close call that did not result in patient harm), the recommended action is to:
Answer: Report it through the facility's incident reporting system for quality improvement
Near-miss events should always be reported through formal safety reporting systems because they reveal vulnerabilities in care processes that could lead to future harm.
A client in a residential behavioral health facility discloses a specific plan to harm another person upon discharge. The clinician's ethical and legal obligation is to:
Answer: Warn the intended victim and notify appropriate authorities (Duty to Warn)
Under the Duty to Warn (Tarasoff doctrine), clinicians must take reasonable steps to protect identifiable third parties from serious threats made by their patients.
Which infection control measure is specifically required when caring for a patient diagnosed with tuberculosis (TB)?
Answer: Airborne precautions with a fitted N95 respirator and negative pressure room
TB is transmitted by airborne particles and requires airborne precautions including an N95 respirator and placement in a negative pressure isolation room.
A patient recovering from hip replacement surgery reports sudden onset of chest pain and shortness of breath on post-operative day 2. The nurse's priority action is to:
Answer: Apply oxygen, stay with the patient, and call for immediate emergency assistance
Sudden chest pain and dyspnea post-orthopedic surgery are classic signs of pulmonary embolism, a life-threatening emergency requiring immediate intervention.