ROLE AND SCOPE EXAM 1 QUESTIONS AND ANSWERS 2023

ROLE AND SCOPE EXAM 1 QUESTIONS AND ANSWERS 2023

Question 1 Which is most true about autocratic leaders?

• They postpone decision making
• They encourage creative ideas from the team
• They share leadership among members of the group
• They give orders and make all decisions

Question 2 A coworker asks you to give her your password access so that she can view her partner’s healthcare record. Which client right would this violate?

• Right to fair treatment
• Right to protection against slander
• Right to privacy
• Right to competent care

Question 3 A graduating nurse is applying for a multistate, or compact, license. Which of the following rules apply to the nurse license compact?

• Nurses who live in one state cannot legally practice in another state.
• With nurse practice acts currently in all states, a constant potential for lawsuits exists.
• The Nurse Practice Act that regulates the practice of the RN is the state in which the client

resides.

• Nurses who practice with a multistate license are answerable to only their residential state's

Nurse Practice Act.

Question 4 Which of the following is NOT a rule of leadership? 1 / 4

• Listen to people
• Maintain a positive attitude
• Be likeable
• Maintain balance

Question 5 Which ethical principle is primarily involved in informed consent?

• Nonmaleficence
• Beneficence
• Veracity
• Autonomy

Question 6 Which can be most accurately said about followers?

• Followers are unpaid and therefore are not as accountable as leaders or managers.
• Effective followers provide feedback to the leader in order to identify problems and find

solutions.

• A follower with emotional intelligence is more apt to lead than follow at any given time.
• Followers can also be referred to control the group's individual work and energies.

Question 7 One of the staff nurses asks for the charge nurse’s advice because a client refuses to sign a consent for surgery. The client says that he won’t sign because he doesn’t understand the nature of the surgery. What is the charge nurse’s advice? (Select all that apply)

• Witnessing the consent is related only to the voluntary nature of the signature.
• The client must sign the consent, or the physician will be angry if he does not do it.
• Offer the client the chance to have his questions about the surgery clarified.
• The client has autonomy and may refuse to sign.
• Consent must not be forced. 2 / 4

Question 8 The client weighs 75 kg, and the order is to infuse 250 mg dobutamine in 500 mL NS at 10 mcg/kg/min. How many milligrams of dobutamine will infuse per hour? (Record answer as a whole number. Do not use a trailing zero.) mL/hr.90

Question 9 What central clearinghouse for nursing licensure makes certain that individual states are recording and enforcing nursing licensing laws?

• National Council of State Boards of Nursing (NCSBN)
• National League for Nursing (NLN)
• Quality and Safety Education for Nurses (QSEN)
• Institute of Medicine (IOM) Future of Nursing

Question 10 A new nurse observes another, more experienced nurse divert a medication by slipping one tablet into the pocket of her uniform. What is the new nurse's best action?

• Escort the experienced nurse to Security.
• Report the experienced nurse to the charge nurse.
• File a complaint with the Agency for Health Care Administration.
• Do nothing because it is not really important.

Question 11 A client refuses a simple procedure that the nurse believes is in the client’s best interest. Which are the two ethical principles that are directly in conflict in such a situation?

• Paternalism and respect for others
• Veracity and fidelity 3 / 4

• Fidelity and justice
• Autonomy and beneficence

Question 12 The provider orders amoxicillin 200 mg PO every 8 hours. Available is amoxicillin 250mg/5mL.How many mL will be given per dose? (Record answer as a whole number. Do not use a trailing zero.) mL 4

Question 13 A medication order states lactated Ringers 1000 mL IV to infuse over the next 5 hours. What is the infusion rate in mL/hr.? (Record answer as a whole number. Do not use a trailing zero.) 200

Question 14 The new Dean of a nursing program invites the faculty to share ideas and innovations in teaching and curriculum design. Many of these ideas are then successfully implemented, and the staff members are keen to try on other ideas. What type of leadership is the new Dean employing?

• Trait-based
• Situational
• Contingency-based
• Transformational

Question 15 Which situation violates the principle of veracity? (Select all that apply.)

• A nurse tricks a client into seclusion by asking the client to carry linen to the seclusion room.
• / 4