Relias Practice and Application 4

Question 1

A patient on a medical-surgical unit has a pain rating of 8/10 despite receiving scheduled analgesics. The nurse should first:

Accepted Answer

Reassess pain characteristics and administer any ordered PRN analgesic

Answer

Unrelieved pain requires reassessment of pain characteristics and use of PRN medications, followed by notification of the provider if pain remains uncontrolled.

Question 2

Which of the following scenarios represents a violation of HIPAA's minimum necessary standard?

Accepted Answer

A billing clerk accessing a patient's complete psychiatric history to process a lab claim

Answer

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.

Question 3

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:

Accepted Answer

Notify the provider immediately, as this may indicate renal compromise

Answer

Urine output below 30 mL/hour in an adult may signal acute kidney injury or hemodynamic compromise and requires immediate provider notification.

Question 4

When a staff member identifies a near-miss event (a close call that did not result in patient harm), the recommended action is to:

Accepted Answer

Report it through the facility's incident reporting system for quality improvement

Answer

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.

Question 5

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:

Accepted Answer

Warn the intended victim and notify appropriate authorities (Duty to Warn)

Answer

Under the Duty to Warn (Tarasoff doctrine), clinicians must take reasonable steps to protect identifiable third parties from serious threats made by their patients.

(Relias) Relias Certification Practice Test

(Relias) Relias Certification Practice Test

Relias Practice and Application 4