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DOS Final Exam With Answers (142 Solved Questions) - Document preview page 1

DOS Final Exam With Answers (142 Solved Questions) - Page 1

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DOS Final Exam With Answers (142 Solved Questions)

Identify your strengths and weaknesses with DOS Final Exam With Answers, using real past exams for self-assessment.

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DOS Final Exam With Answers (142 Solved Questions) - Page 1 preview imageDOS II FINAL EXAM QUESTIONS ANDANSWERSWhat are the three types of authorizing mechanisms?a) Medical directives, MD orders, NP ordersb) Standing orders, medical directives, delegationc) MD orders, NP orders, directivesd) Order, initiation,delegation Correct answer-DWhen initiating a controlled act, an RN or RPN must : (put the following into the correctorder as per the CNO document Authorizing Mechanisms)1) Assess the client and identify the problem2) Anticipate the management of potential outcomes3) Decide on a course of action4) Accept accountability for deciding the particular procedure is required and for ensuringthat any potential outcomes are managed appropriately5) Weight the risks and benefits of each option, considering the clients condition6) Consider all of the available options to address the problem Correct answer-1,6,5,3,2,4The nurse provides immunizations to a primary school class of 40 patients Correct answer-Medical directiveThe nurse provides her patient with 500 mg of Tylenol to treat the patients headacheCorrect answer-OrderThe nurse goes through a formal process to allow a family member provide wound care tothe client Correct answer-DelegationThe nurse in the community independently decides it is the patients best interest to havean I/O catheter to address the patients urinary retention Correct answer-InitiationA patient needs to have emergent surgery. The patient will need intravenous access for thesurgery. The RPN starts the patient's IV.What will she need to be able to do this?a) Nothing, she is able to initiate this procedureb) An orderc) A medical directived) Permission from the CNO Correct answer-BWhich Controlled Acts are authorized to nurses?1) Performing allergy testing2) Dispensing a drug3) Treating by means of psychotherapy technique
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DOS Final Exam With Answers (142 Solved Questions) - Page 2 preview image
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DOS Final Exam With Answers (142 Solved Questions) - Page 3 preview image4) Putting a hand, instrument or finger beyond a natural or artificial opening of the body5) Managing labour, or conducting a delivery6) Performing a prescribed procedure below the dermisor mucous membrane7) Administering a substance by inhalation or injection Correct answer-2,3,4,6,7An RPN orders an RPN colleague to insert a urinary catheter for a newly admitted patient.a) Confirm RPN order with MD before proceedingb) Accept the order and proceed with the interventionc) Consult with an RN before proceedingd) Decline to accept the order Correct answer-DShannon is an RN in an urban hospital and a preceptor for Mei, a nursing student on aclinical placement. Sharon has a client whorequires urinary catheterization. Sharonintroduces Mei to the client and asks for consent to allow Mei to perform the procedure.After the client agrees, Sharon supervises Mei as she inserts the catheter. It wasappropriate for Sharon to allow to performthis controlled act. True or False? Correctanswer-TrueA professional standard is an authoritative statement that sets out the legal andprofessional basis of nursing practice. All nurses are held to the same standard throughouttheir careersa) Trueb) False Correct answer-AWhich of the following are NOT entry to Practice requirements?a) Successful completion of the nursing education requirementsb) Proof of citizenship, permanent residency or authorization under the immigrationprotection actc)Obtain a minimum average of 70% on your academic recordd) Successful of the jurisprudence exam Correct answer-CWhich of the following is NOT considered one of the roles of the CNO in supporting NursingSelf Regulation?a) Establishing requirements forentry to practiceb) Administering the QA programc) Developing and Reviewing Nursing Curriculumd) Articulating, Promoting, and Enforcing Standards of practice Correct answer-CThe Registered Health Professions Act applies to all of the following except:a) Nursesb) Physiotherapistsc) Paramedicsd) Physicians Correct answer-CThe purpose of entry to practice competencies are the following except:a) Inform the public about what they can expect from the nurses
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DOS Final Exam With Answers (142 Solved Questions) - Page 4 preview imageb) Expectations for nurses to provide cost effective and efficient carec) Demonstrate how nursing practice is influenced by the current competenciesd) Describe the expected performance behaviors that reflect safe, competent and ethicalcare. Correct answer-BWhich of the following does NOT apply to the nursing act?a) The nursing act identifies each of the controlled acts and what professionals can performthemb) The nursing act authorizes nurses to perform their controlled actsc) The nursing act provides title protection for nursesd) The nursing act defines professional misconduct Correct answer-AWhen initiating a controlled act an RN or RPN must Assess, consider options, weigh therisks, decide on action and anticipate or accepta) treatment and outcomesb) outcomes and accountabilityc) observe and accountabilityd) observe and treatment Correct answer-BMandatory reporting requirements for the college of nurses apply to all regulated healthcare providers, employers and facility operators.a) Trueb) False Correct answer-Bwhat must an individual achieve in order to use the title "nurse" in Ontarioa) Complete an accredited nursing programb) Membership with the College of Nurses of Ontarioc) Completion of the CPNREd) Completion of the Jurisprudence Exam Correct answer-Ban oncology nurse attends a conference on new pain management techniques during theend of life. upon returning to the unit, he works with the educator to share the newknowledge he attained at the conference. By sharing these new techniques with hiscolleagues,he is upholding which professional standard?a) Ethicsb) Accountabilityc) Continuing Competenced) Knowledge Translation Correct answer-CWhat are Controlled Acts?a) Activities that have been established by the Nursing Actb) Activities that are considered to be potentially harmful if they are performed byunauthorized personsc) Activities assigned to nurses that include prescribing, dispensing, selling orcompounding a drugd) Activities that only apply to RNs and RPNs Correct answer-B
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DOS Final Exam With Answers (142 Solved Questions) - Page 5 preview imageThe Collegeof Nurses of Ontario assess the knowledge, skill and judgement of members byasking them to complete the CNO's Quality Assurance Program. The purpose of the QAprogram includes which of the following (select all that apply).a) Support nurses in practicing according to CNO's standards of practiceb) Increase the public's confidence in the nursing professionc) Help nurses develop the practice areas in which they have identified learning needd) Ensure that nurses pay their registration each year to maintain their membershipCorrect answer-A,B,CEnvironmental factors that influence decision-making regarding RPN assignments include:a) Charge Nurse Qualificationsb) Practice Supportsc) Predictability of the Environmentd) Experience of the Nursee) Acuityof the Client Correct answer-B,CNurses participate in the QA programa) Annuallyb) Every 3 yearsc) Upon graduationd) When called upon by the College Correct answer-AThe three factor framework considers:a) Model of care of a particular hospitalb)The relevance of the assignmentc) Standardized policies of the communityd) Predictability of the Client Correct answer-DThe Quality Assurance Program includes all except:a) Practice Reflectionb) Learning Goalsc) Examd) Learning Plan Correctanswer-CLucy is a RPN working on a medical unit. She is the Charge Nurse today and is formulatingthe assignments for the evening shift. Lucy knows she must consider the 3 factorframework when deciding Nursing assessment. Which of the following shouldsherecognize?a) Environment is the most important factor in the 3 factor frameworkb) RPNs are expected to meet a wide range of nursing care needs for complex andunpredictable patientsc) When consulting with a RN impacts the RPNs ability to provide efficient and appropriatecare, then care should be transferred to the RNd) RPNs may autonomously care for clients for whom signs and symptoms of complicationsmay be subtle Correct answer-C
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DOS Final Exam With Answers (142 Solved Questions) - Page 6 preview imageHow many learning goals are nurses in the General Class (RNs & RPNs) required to developand achieve each year?a) 2b) 3c) 5d) 1 Correct answer-AComplaints regarding nursing practice are often made to the College of Nurses. Which ofthe following complaints must the College of Nurses address? (Select all that apply)a) Repeatedly not following the 8 rights of medication administrationb) The facility where the nurse works is always short staffedc) A person observes a nurse sexually assaulting a patientd) The complaint is anonymouse) The nurse takes money from asleeping patients personal belongingsf) A witness saw a nurse cut someone off in traffic Correct answer-A,C,EThe nurse restrains a patient without the patient's permission and without a physician'sorder. the nurse may be found guilty of what type oftort?a) Assaultb) False imprisonmentc) Invasion of privacyd) Neglect Correct answer-BMandatory reporting requirements for the college of nurses apply to all regulated healthcare providers, employers and facility operators.a) Trueb) False Correctanswer-BIn the CBC article about Spencer Sullivan, his nurse Rose McKenzie was alleged to havecommitted all of the following acts, except:a) Over-medicating the patient by administering drugs ordered by 2 separate doctorswithout questionb) Failing to monitor and document appropriately, leaving hours between checksc) Not recognizing that her IV fluids were mismanaged and putting Spencer into fluidvolume excessd) Failing to respond quickly enough when Spencer stopped breathing Correct answer-CA nurse has been charge with negligence and a family is suing the nurse and hospital fordamages. What must a lawyer prove for the nurse to be found guilty of negligence?a) Assault, battery, false imprisonment, or invasion of privacyb) Assault, battery,false imprisonment and invasion of privacyc) Carelessness, thoughtlessness and inattentiond) Duty, Breech, Harm and Causation Correct answer-DWhat category of law does the Nursing Act fall under?
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DOS Final Exam With Answers (142 Solved Questions) - Page 7 preview imagea) Statue Lawb) Common Lawc) Public Lawd) Criminal Law Correct answer-AWhich of the following would be considered an intentional tort?a) Talking about your patients condition in the cafeteria line up, but referring to him by hisroom # instead of his nameb) Calculation errors when administering a medication to a patient that result in injury tothe patientc) Errors in sponge, instrument, or needle counts in surgical casesd) Burns caused by equipment, bathing, or spills of hot liquids and foods Correct answer-AIf a nurse is found guilty ofprofessional misconduct by the disciplinary committee therecan be several consequences to the nurse. Which of the following is not included in the listof consequences the Disciplinary committee can assign?a) Suspension for an assigned period of timeb)Revoking a nurses license to practicec) Pay a fine to the CNOd) Appear before the Disciplinary Committee for a reprimand Correct answer-CA family member has filed a complaint with the CNO regarding unprofessional conduct of anurse caring for their mother in a long term care facility. The CNO has conducted aninvestigation into the nurses conduct and determined that the Alternative Disputeresolution process is not an option case. Which of the following is an outcome that couldresult from the investigation into the nurses conduct?a) Meet with the offended party to resolve the conflictb) A letter of concern is issued with the intent to caution the nurse of her behaviorc) A summons issued to appear before the disciplinary committeed) Revoke the nurses ability to practice nursing Correct answer-BWhat is a nurse required to self report to the CNO?a) If they are diagnosed with a brain tumorb) If they have been charged with a crime in their jurisdiction or another jurisdictionc) If they make a med errord) If they are off work due to illness for more than two weeks Correct answer-BA family member has filed a complaint with the CNO regarding unprofessional conduct of anurse caring for their mother in a long term care facility. The CNO has conducted aninvestigation into the nurses conduct and determined that the Alternative Disputeresolution process is not an option in this case. Which of the following is an outcome thatcould result from the investigation into the nurses conduct?a) Meet with theoffended party to resolve conflictb) A letter of concern is issued with the intent to caution the nurse of her behaviourc) A summons issued to appear before the disciplinary committeed) Revoke the nurse's ability to practice nursing Correct answer-B
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DOS Final Exam With Answers (142 Solved Questions) - Page 8 preview imageWhat is a nurse required to self report to the CNO?a) If (s)he makes a medication errorb) If (s)he is diagnosed with a brain tumorc) If (s)he is off work due to illness for more than two weeksd) If (s)he has been charged with a crime in theirjurisdiction or another jurisdictionCorrect answer-DComplaints regarding nursing practice are often made to the CNO. Which of the followingcomplaints must the CNO address? (Select all that apply)a) A person observes a nurse sexually assaulting a patientb) The facility where the nurse works is always short staffedc) The nurse takes money from a sleep patients personal belongingsd) A witness saw a nurse cut someone off in traffice) Repeatedly not following the 8 rights of medication administrationf) The complaint is anonymous Correct answer-A,C,EIf a nurse is found guilty of professional misconduct by the Disciplinary Committee, therecan be several consequences to the nurse. Which of the following is NOT included in the listof the consequencesthe Disciplinary Committee can assign?a) Revoking a nurses license to practiceb) Suspension for an assigned period of timec) Pay a fine to the CNOd) Appear before the Disciplinary Committee for a reprimand Correct answer-CMandatory reporting requirements for the CNO apply to all regulated health careproviders, employers and facility operators.a) Trueb) False Correct answer-BAn employer is required to do mandatory reporting to the CNO about a nurse's professionalnegligence in another jurisdiction.a) Trueb) False Correct answer-BWhen a complaint is resolved through the Alternate Dispute Resolution all communicationbetween parties and investigator must remain confidential and it is not made known to thepublic.a) Trueb) False Correctanswer-AWhen addressing complaints investigators are used in the investigation process. When willan investigator be appointed?a) When the ICRC reviews a resolved complaint through the ADR and decides it needs aninvestigatorb) Investigator will be appointed if the complaint is not appropriate for ADR
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