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NURSES LICENSURE EXAMINATION (NLE) Controlled Copy 2023 Rev. 00 24. The nurse is obligated to follow a physician’s order unless: A. The order is a verbal order B. The order is illegible C. The order has not been transcribed D. The order is an error, violates hospital policy, or would be detrimental to the client 25. A primary care provider's orders indicated that a surgical consent form needs to be signed. Since the nurse was not present when the primary care provider discussed the surgical procedure, which statement BEST illustrates the nurse fulfilling the client advocate role? A. "The doctor has asked that you sign the consent form." B. "Do you have any questions about the procedure?" C. "What were you told about the procedure you are going to have?" D. "Remember that you can change your mind and cancel the procedure." 26. Although the client refused the procedure, the nurse insisted and inserted a nasogastric tube in the right nostril. The administrator of the hospital decides to settle the lawsuit because the nurse is MOST likely to be found guilty of which of the following? A. An unintentional tort B. Assault C. Invasion of Privacy D. Battery 27. A nurse discovers that a primary care provider has prescribed an unusually large dosage of a medication. Which is the MOST appropriate action? A. Administer the medication B. Notify the prescriber C. Call the pharmacist. D. Refuse to administer the medication. 28. A primary care provider prescribes on tablet, but the nurse accidentally administers two. After notifying the primary care provider, the nurse monitors the client carefully for untoward effects of which there are none. Is the client likely to be successful in suing the nurse for malpractice? A. No, the client was not harmed B. No, the nurse notified the primary care provider C. Yes, a breach of duty exists D. Yes, foreseeability is present 29. The primary care provider wrote a do-not-resuscitate (DNR) order. The nurse recognizes that which applies in the planning of nursing care for this client? A. The client may no longer make decisions regarding his or her own health care. B. The client and family know that the client will most likely die within the next 48 hours. C. The nurses will continue to implement all treatments focused on comfort and symptom management. D. A DNR order from a previous admission is valid for the current admission 30. A 77-year-old woman with an inoperable brain tumor has been hospitalized for the past 5 days. Her daughter comes to visit her. The patient has asked that her daughter not be told her diagnosis. After visiting with her mother, the daughter asks to speak to the nurse. She says, My mother claims she has pneumonia, but I know she is not telling me the truth. The daughter asks the nurse to tell her what is truly wrong with her mother. The nurse should tell her that: A. Her mother has an inoperable brain tumor but does not wish anyone to know. B. She needs to speak to the physician in charge of her mother’s care. C. Her mother has requested that her case not be discussed with anyone, not even family. D. Her mother is very sick with a serious case of pneumonia that could lead to death. “It makes a big difference in your life when you stay positive.” -Ellen Degeneres-

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