Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A diabetic client reports being terminated from their employment for using their glucose meter. Which law does this action infringe upon?
A. Americans with Disabilities Act
The Americans with Disabilities Act (ADA) prohibits discrimination against people with disabilities in several areas, including employment, transportation, public accommodations, communications and access to state and local government’ programs and services. If a diabetic client was terminated from their employment for using their glucose meter, it would infringe upon this law.
B. Emergency Medical Treatment and Active Labor Act
The Emergency Medical Treatment and Active Labor Act (EMTALA) is a statute that governs when and how a patient may be refused treatment or transferred from one hospital to another when he is in an unstable medical condition. This law is not related to employment rights.
C. Mental Health Parity Act
The Mental Health Parity Act (MHPA) is legislation signed into United States law on September 26, 1996 that requires annual or lifetime dollar limits on mental health benefits to be no lower than any such dollar limits for medical and surgical benefits offered by a group health plan or health insurance issuer offering coverage in connection with a group health plan. This law does not pertain to employment rights.
D. Affordable Care Act
The Affordable Care Act (ACA), also known as Obamacare, is a healthcare reform that includes a list of health-related provisions that began taking effect in 2010. It doesn’t deal with employment rights.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Med Surg Nur214 proctored exam. Take the full exam now
Full Explanation
Choice A rationale
The Americans with Disabilities Act (ADA) prohibits discrimination against people with disabilities in several areas, including employment, transportation, public accommodations, communications and access to state and local government’ programs and services. If a diabetic client was terminated from their employment for using their glucose meter, it would infringe upon this law.
Choice B rationale
The Emergency Medical Treatment and Active Labor Act (EMTALA) is a statute that governs when and how a patient may be refused treatment or transferred from one hospital to another when he is in an unstable medical condition. This law is not related to employment rights.
Choice C rationale
The Mental Health Parity Act (MHPA) is legislation signed into United States law on September 26, 1996 that requires annual or lifetime dollar limits on mental health benefits to be no lower than any such dollar limits for medical and surgical benefits offered by a group health plan or health insurance issuer offering coverage in connection with a group health plan. This law does not pertain to employment rights.
Choice D rationale
The Affordable Care Act (ACA), also known as Obamacare, is a healthcare reform that includes a list of health-related provisions that began taking effect in 2010. It doesn’t deal with employment rights.
Similar Questions
A nursing student confidently communicates with a patient before performing a procedure for the first time, assuring the patient of their ability to safely carry out the procedure.
This demonstrates which critical thinking attitude?
A. Independent thinking
Independent thinking is a necessary component of critical thinking; however, it refers to the ability to think for oneself and make one’s own decisions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
B. Confidence
Confidence is a critical thinking attitude that involves believing in one’s own abilities and knowledge. A nursing student confidently communicating with a patient before performing a procedure for the first time demonstrates this attitude.
C. Fairness
Fairness in critical thinking involves considering all viewpoints and treating them equally. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
D. Creativity
Creativity in critical thinking involves thinking outside the box and coming up with innovative solutions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Full Explanation
Choice A rationale
Independent thinking is a necessary component of critical thinking; however, it refers to the ability to think for oneself and make one’s own decisions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Choice B rationale
Confidence is a critical thinking attitude that involves believing in one’s own abilities and knowledge. A nursing student confidently communicating with a patient before performing a procedure for the first time demonstrates this attitude.
Choice C rationale
Fairness in critical thinking involves considering all viewpoints and treating them equally. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
Choice D rationale
Creativity in critical thinking involves thinking outside the box and coming up with innovative solutions. It doesn’t directly relate to a nursing student confidently communicating with a patient before performing a procedure for the first time.
A 67-year-old patient is admitted to the ICU following a myocardial infarction that has caused damage to the right side of the heart.
What complication is the patient most likely to experience?
A. Enlargement of the liver
Enlargement of the liver is not a common complication following a myocardial infarction that has caused damage to the right side of the heart.
B. Pulmonary congestion
Pulmonary congestion is more commonly associated with left-sided heart failure.
C. Cardiac Tamponade
Cardiac Tamponade is a serious medical condition in which blood or fluids fill the space between the sac that encases the heart and the heart muscle. This can occur as a result of a myocardial infarction, but it is not the most likely complication in this scenario.
D. Peripheral edema
Peripheral edema is a common complication following a myocardial infarction that has caused damage to the right side of the heart. When the right side of the heart is damaged, it can lead to a backup of blood in the body’s veins, which can cause swelling in the ankles, legs, and abdomen.
Full Explanation
Choice A rationale
Enlargement of the liver is not a common complication following a myocardial infarction that has caused damage to the right side of the heart.
Choice B rationale
Pulmonary congestion is more commonly associated with left-sided heart failure.
Choice C rationale
Cardiac Tamponade is a serious medical condition in which blood or fluids fill the space between the sac that encases the heart and the heart muscle. This can occur as a result of a myocardial infarction, but it is not the most likely complication in this scenario.
Choice D rationale
Peripheral edema is a common complication following a myocardial infarction that has caused damage to the right side of the heart. When the right side of the heart is damaged, it can lead to a backup of blood in the body’s veins, which can cause swelling in the ankles, legs, and abdomen.
The nurse is providing education to the staff about delirium.
Which statement made by a staff member indicates a need for further education?
A. “An infection’s resolution can reverse delirium.”.
An infection’s resolution can indeed reverse delirium. Delirium is often caused by a physical or mental illness, such as an infection.
B. “Delirium and dementia cannot coexist.”.
The statement “Delirium and dementia cannot coexist” is incorrect and indicates a need for further education. Delirium and dementia can coexist.
C. “Sleep deprivation can lead to delirium.”.
Sleep deprivation can lead to delirium. This is a correct statement and does not indicate a need for further education.
D. “Frequent reality orientation should be used with delirium.”.
Frequent reality orientation should be used with delirium. This is a correct statement and does not indicate a need for further education.
Full Explanation
Choice A rationale
An infection’s resolution can indeed reverse delirium. Delirium is often caused by a physical or mental illness, such as an infection.
Choice B rationale
The statement “Delirium and dementia cannot coexist” is incorrect and indicates a need for further education. Delirium and dementia can coexist.
Choice C rationale
Sleep deprivation can lead to delirium. This is a correct statement and does not indicate a need for further education.
Choice D rationale
Frequent reality orientation should be used with delirium. This is a correct statement and does not indicate a need for further education.