The nurse should recognize that floating to the adult medical-surgical unit has placed them at legal risk for:
Leaving their assignment on the pediatric unit before completing their duties.
Being assigned equipment they have not been validated on.
Refusing to take the assignment in the neonatal intensive care unit.
Performing procedures outside their scope of practice.
The Correct Answer is B
Choice A rationale
Assignment abandonment involves leaving patients without care, which isn’t the nurse’s action here. The nurse stayed responsible and notified the charge nurse about equipment unfamiliarity to maintain ethical and safe practice standards.
Choice B rationale
Legal risks arise when a nurse uses medical equipment without validation, breaching competency and risking harm. Standards by regulatory bodies like the Joint Commission highlight the need for appropriate training, ensuring safe, error-free patient care.
Choice C rationale
Refusal of neonatal assignments does not connect to the case's circumstances. The legal concerns stem from equipment unfamiliarity, not from declining to work in specific units, which falls under staffing policies rather than individual liability.
Choice D rationale
Scope-of-practice violations occur when nurses exceed their authorized duties, but this doesn’t apply. The central issue involves patient safety risks due to equipment use beyond competence, aligning more closely with training and validation requirements.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Difficulty swallowing, or dysphagia, places the client at risk for aspiration, which can lead to pneumonia or airway obstruction. This finding is a priority because it directly affects the client’s respiratory and nutritional status, requiring immediate intervention.
Choice B rationale
Increased difficulty dressing indicates progression in motor dysfunction associated with Parkinson’s disease. While important for assessing long-term care needs, it does not pose an immediate threat to the client’s health compared to swallowing difficulties.
Choice C rationale
Insomnia may affect the client’s quality of life but is not life-threatening or urgent compared to dysphagia, which requires more immediate attention and management.
Choice D rationale
Needing additional help to stand reflects mobility challenges but does not pose an immediate risk to safety or health compared to swallowing difficulties, which have a higher priority for intervention.
Correct Answer is C
Explanation
This scenario follows the RACE protocol for fire response in healthcare settings:
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R – Rescue: Remove anyone in immediate danger. ✅ Already done.
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A – Alarm: Activate the fire alarm system to alert others. 🔺 Next step
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C – Confine: Close doors/windows to contain the fire and smoke.
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E – Extinguish/Evacuate: Use a fire extinguisher if safe, or continue evacuation.
So after rescuing the client, the nurse should activate the fire alarm to initiate the facility’s emergency response. Closing the door (A), reporting details (B), and turning off equipment (D) are important, but they come after the alarm is triggered.
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