DOS II FINAL EXAM QUESTIONS AND ANSWERS What are the three types of authorizing mechanisms? a) Medical directives, MD orders, NP orders b) Standing orders, medical directives, delegation c) MD orders, NP orders, directives d) Order, initiation, delegation Correct answer- D When initiating a controlled act, an RN or RPN must : (put the following into the correct order as per the CNO document Authorizing Mechanisms) 1) Assess the client and identify the problem 2) Anticipate the management of potential outcomes 3) Decide on a course of action 4) Accept accountability for deciding the particular procedure is required and for ensuring that any potential outcomes are managed appropriately 5) Weight the risks and benefits of each option, considering the clients condition 6) Consider all of the available options to address the problem Correct answer- 1,6,5,3,2,4 The nurse provides immunizations to a primary school class of 40 patients Correct answerMedical directive The nurse provides her patient with 500 mg of Tylenol to treat the patients headache Correct answer- Order The nurse goes through a formal process to allow a family member provide wound care to the client Correct answer- Delegation The nurse in the community independently decides it is the patients best interest to have an I/O catheter to address the patients urinary retention Correct answer- Initiation A patient needs to have emergent surgery. The patient will need intravenous access for the surgery. The RPN starts the patient's IV. What will she need to be able to do this? a) Nothing, she is able to initiate this procedure b) An order c) A medical directive d) Permission from the CNO Correct answer- B Which Controlled Acts are authorized to nurses? 1) Performing allergy testing 2) Dispensing a drug 3) Treating by means of psychotherapy technique 4) Putting a hand, instrument or finger beyond a natural or artificial opening of the body 5) Managing labour, or conducting a delivery 6) Performing a prescribed procedure below the dermis or mucous membrane 7) Administering a substance by inhalation or injection Correct answer- 2,3,4,6,7 An RPN orders an RPN colleague to insert a urinary catheter for a newly admitted patient. a) Confirm RPN order with MD before proceeding b) Accept the order and proceed with the intervention c) Consult with an RN before proceeding d) Decline to accept the order Correct answer- D Shannon is an RN in an urban hospital and a preceptor for Mei, a nursing student on a clinical placement. Sharon has a client who requires urinary catheterization. Sharon introduces Mei to the client and asks for consent to allow Mei to perform the procedure. After the client agrees, Sharon supervises Mei as she inserts the catheter. It was appropriate for Sharon to allow to perform this controlled act. True or False? Correct answer- True A professional standard is an authoritative statement that sets out the legal and professional basis of nursing practice. All nurses are held to the same standard throughout their careers a) True b) False Correct answer- A Which of the following are NOT entry to Practice requirements? a) Successful completion of the nursing education requirements b) Proof of citizenship, permanent residency or authorization under the immigration protection act c) Obtain a minimum average of 70% on your academic record d) Successful of the jurisprudence exam Correct answer- C Which of the following is NOT considered one of the roles of the CNO in supporting Nursing Self Regulation? a) Establishing requirements for entry to practice b) Administering the QA program c) Developing and Reviewing Nursing Curriculum d) Articulating, Promoting, and Enforcing Standards of practice Correct answer- C The Registered Health Professions Act applies to all of the following except: a) Nurses b) Physiotherapists c) Paramedics d) Physicians Correct answer- C The purpose of entry to practice competencies are the following except: a) Inform the public about what they can expect from the nurses b) Expectations for nurses to provide cost effective and efficient care c) Demonstrate how nursing practice is influenced by the current competencies d) Describe the expected performance behaviors that reflect safe, competent and ethical care. Correct answer- B Which of the following does NOT apply to the nursing act? a) The nursing act identifies each of the controlled acts and what professionals can perform them b) The nursing act authorizes nurses to perform their controlled acts c) The nursing act provides title protection for nurses d) The nursing act defines professional misconduct Correct answer- A When initiating a controlled act an RN or RPN must Assess, consider options, weigh the risks, decide on action and anticipate or accept a) treatment and outcomes b) outcomes and accountability c) observe and accountability d) observe and treatment Correct answer- B Mandatory reporting requirements for the college of nurses apply to all regulated health care providers, employers and facility operators. a) True b) False Correct answer- B what must an individual achieve in order to use the title "nurse" in Ontario a) Complete an accredited nursing program b) Membership with the College of Nurses of Ontario c) Completion of the CPNRE d) Completion of the Jurisprudence Exam Correct answer- B an oncology nurse attends a conference on new pain management techniques during the end of life. upon returning to the unit, he works with the educator to share the new knowledge he attained at the conference. By sharing these new techniques with his colleagues, he is upholding which professional standard? a) Ethics b) Accountability c) Continuing Competence d) Knowledge Translation Correct answer- C