A nurse practitioner is employed in a school health care center and has comprehensive malpractice insurance through the employer. Employer-provided malpractice insurance covers the nurse practitioner in which of the following situations?
Providing consultation on pediatric immunizations at a local health fair
Treatment of otitis media in a friend's school-aged child
Performing the Heimlich maneuver on a school-aged child in a local restaurant
Treating a presentation of sexually transmitted disease at the school-based health
The Correct Answer is D
Rationale:
A. Providing consultation at a local health fair is outside the scope of employment, so employer-provided coverage typically does not apply.
B. Treating a friend’s child is considered personal practice, not part of employment duties, and is not covered by employer insurance.
C. Performing the Heimlich maneuver in a public setting may be covered under Good Samaritan laws, but it is generally not covered by employer-provided malpractice insurance.
D. Treating students at the school-based health center is part of the nurse practitioner’s employment duties. Employer-provided malpractice insurance covers professional acts performed within the scope of employment, including assessment, diagnosis, and treatment of STDs in this setting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. The Sickledex test is a rapid screening tool for sickle hemoglobin but cannot definitively diagnose sickle cell disease.
B. A complete blood count (CBC) may show anemia or other hematologic abnormalities but cannot confirm the specific hemoglobin type.
C. Hemoglobin electrophoresis is the definitive test to diagnose sickle cell disease. It identifies the specific types of hemoglobin present (e.g., HbS, HbA, HbF) and distinguishes between sickle cell trait and sickle cell disease.
D. The sickle cell solubility test can indicate the presence of HbS but cannot differentiate between trait and disease and is therefore not diagnostic.
Correct Answer is A
Explanation
Rationale:
A. In a healthy 10-year-old, a heart rate of 60 beats per minute at rest is concerning because the normal resting heart rate for this age group ranges from approximately 70–120 bpm. A heart rate below 70 bpm (bradycardia) may indicate an underlying cardiac conduction issue or other pathology, particularly if symptomatic.
B. 73 bpm is within the normal range for a 10-year-old at rest.
C. 100 bpm is normal and can be expected depending on activity, anxiety, or mild stress.
D. 120 bpm is at the upper limit of normal for a 10-year-old and may be appropriate depending on recent activity or emotional state.
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