Presentation questions 204

2. Arrange the following steps of evidence based practice (EBP) in the appropriate order: 1. Integrate the evidence. 2. Ask the burning clinical question. 3. Evaluate the practice decision or change. 4. Share the results with others. 5. Critically appraise the evidence you gather. 6. Collect the most relevant and best evidence.

Answer: 2, 6, 5, 1, 3, 4.

A nurse who works in a newborn nursery asks, "I wonder if the moms who breastfeed their babies would be able to breastfeed more successfully if we played peaceful music while they were breastfeeding." In this example of a PICOT question, the I is: 1. Breastfeeding moms. 2. Infants. 3. Peaceful music. 4. The nursery.

Answer: 3. The Intervention in this PICOT question is playing peaceful music.

Which actions should you delegate to an experienced UAP when caring for a client with a thrombotic stroke who has residual left sided weakness? (SATA) 1. Assisting the client to reposition every 2 hours 2. Reapplying pneumatic compression boots 3. Reminding the client to perform active ROM exercises 4. Assessing the extremities for redness and edema 5. Setting up meal trays and assisting with feeding

1. Assisting the client to reposition every 2 hours 2. Reapplying pneumatic compression boots 3. Reminding the client to perform active ROM exercises 5. Setting up meal trays and assisting with feeding

A client with a cervical SCI has been placed in fixed skeletal traction with a halo fixation device. When caring for this client, the nurse may delegate which actions to lpn? 1. Checking the client's skin for pressure from the device 2. Assessing the client's neurologic status for changes 3. Observing the halo insertion sites for signs of infection 4. Cleaning the halo insertion sites with hydrogen peroxide 5. Developing the nursing plan of care for the client

1. Checking the client's skin for pressure from the device 3. Observing the halo insertion sites for signs of infection 4. Cleaning the halo insertion sites with hydrogen peroxide

Which clients must be assigned to an experienced RN? (SATA) 1. Client who was in an automobile crash and sustained multiple injuries 2. Client with chronic back pain related to a workplace injury 3. Client who has returned from surgery and has a chest tube in place 4. Client with abdominal cramps related to food poisoning 5. Client with a severe headache of unknown origin 6. Client with chest pain who has a history of arteriosclerosis

1. Client who was in an automobile crash and sustained multiple injuries 3. Client who has returned from surgery and has a chest tube in place 5. Client with a severe headache of unknown origin 6. Client with chest pain who has a history of arteriosclerosis

Contemporary nursing requires that the nurse has knowledge and skills for a variety of professional roles and responsibilities. Which of the following are examples? SATA A. Caregiver B. Autonomy and accountability C. Patient advocate D. Health promotion E. Lobbyist

A. Caregiver B. Autonomy and accountability C. Patient advocate D. Health promotion

What is nursing informatics? A. It is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information and knowledge in nursing practice. B. It is the science of information as applied to or studied in the context of biomedicine. C. It is the medical professional's skills and knowledge.

A. It is a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information and knowledge in nursing practice.

You are assigned a new patient who is at risk for having a stroke, what are the Core Measures for that patient? Select all that apply. A. Venous Thromboembolism (VTE) Prophylaxis B. Place a pillow under the patient's knees C. Stroke education D. Bed rest E. Discharged on anticoagulant therapy

A. Venous Thromboembolism (VTE) Prophylaxis C. Stroke education E. Discharged on anticoagulant therapy

A patient enters the emergency department with symptoms of stroke, he reports his symptoms started two hours ago. What core measure should be started as soon as possible? A. rtPA B. Anticoagulant C. Statin drug D. Stroke education

A. rtPA

A nurse is caring for a patient who recently had coronary bypass surgery. Which are legal Sources of standards of care the nurse uses to deliver safe health care? (Select all that apply) A. Information provided by the head nurse. B. Policies and procedures of the employing hospital. C. State Nurse Practice Act D. Regulations identified in The Joint Commission's manual E. the American Nurses Association standards of nursing practice

B. Policies and procedures of the employing hospital. C. State Nurse Practice Act D. Regulations identified in The Joint Commission's manual E. the American Nurses Association standards of nursing practice

During a coffee break the nurse notices to coworkers arguing about how to handle a difficult client. Their voices are raised and body postured are tensed and defensive. Which would be the most appropriate approach for the nurse to use to address this conflict between staff members? A. Let is pass because the coworker probably didn't intend to be critical B. Speak privately to the coworkers telling them about personal reactions to this public encounter C. Confront and reprimand the coworkers publically D. Inform each coworker privately that it would be most helpful not to display this behavior again

B. Speak privately to the coworkers telling them about personal reactions to this public encounter

You should reassess pain levels after administering a pain medication: A. 30 minutes after B. Never C. 1 hour after D. 2 hours after

C. 1 hour after

The nursing unit is understaffed and a nurse from the surgical intermediate care unit has been floated to the unit for the day shift. Which clients should the nurse assign to this RN float nurse? Select all that apply. A. A client newly admitted with exacerbation of heart failure B. A client newly diagnosed with type 2 diabetes mellitus C. A client who underwent emergency appendectomy during the night D. A client with nephrolithiasis scheduled for lithotripsy later in the morning E. A client admitted with thyrotoxicosis

C. A client who underwent emergency appendectomy during the night D. A client with nephrolithiasis scheduled for lithotripsy later in the morning

Katherine tells one of the staff, "I don't have time to discuss the matter with you now. See me in my office later" when the latter asks if they can talk about an issue. Which of the following conflict resolution strategies did she use? A. Smoothing B. Compromise C. Avoidance D. Restriction

C. Avoidance

When lobbying for a bill or issue, the nurse should: A. Use threats or promises B. Berate your legislator C. Be specific and know about the issue or bill before you write or talk D. Write a long letter or a letter discussing multiple points; deal with a single bill or concern per letter or contact.

C. Be specific and know about the issue or bill before you write or talk

The nurse who works on the night shift enters the medication room and finds a coworker with a tourniquet wrapped around the upper arm. The coworker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. What is the most appropriate action by the nurse? A. Call security B. Call the police C. Call the nursing supervisor D. Lock the coworker in the medication room until help is obtained

C. Call the nursing supervisor

The charge nurse on the night shift reports that the narcotic count is incorrect. The nurse has spoken to the responsible staff nurse and believes that substance abuse by the nurse is the cause. If substance abuse proves to be the cause of the incorrect count, what is the most appropriate next step? A. Recount the narcotics with the staff nurse and take disciplinary action B. Ask the staff nurse to leave the unit and report the incident to the American Nurse Association C. Complete an incident report and report findings to the pharmacy and nurse administration D. Submit the finding to the Council on Nursing Practice

C. Complete an incident report and report findings to the pharmacy and nurse administration

The nurse working in an acute care environment would utilize which strategies to reduce the risk of malpractice litigation? Select all that apply A. Discuss any errors with the client and family in detail. B. Keep incident reports on file C. Maintain expertise in practice D. Offer opinions to clients when the situation warrants. E. Report unsafe staffing to levels of supervisor

C. Maintain expertise in practice E. Report unsafe staffing to levels of supervisor

The ANA Code of Nursing Ethics articulates that the nurse promotes, advocates for, and strives to protect the health, safety, and rights of the patient's privacy. On the basis of this principle, if you participate in a public online social network such as Facebook, could you post images of a patient's XRay film if you deleted all patient identifiers? A. Yes, because the patient privacy would not be violated as long as patient identifiers were removed. B. Yes, because respect for autonomy implies that you have the autonomy to decide what constitutes privacy. C. No, because even though patient identifiers are removed, someone could identify that patient based on other comments that you make online about his or her condition and your place of work. D. No, because the principle of justice requires you allocate resources fairly.

C. No, because even though patient identifiers are removed, someone could identify that patient based on other comments that you make online about his or her condition and your place of work.

Which of the following breaches of duty will cause the most harmful damages to the pt? A. The patient who is not being monitored while walking laps falls and gets a concussion with signs of neuro deficit. B. the Patient who has a broken arm from falling out of the bed because the nurse doesn't put the bed back in the lowest position. C. The patient who is mechanically ventilated who does not receive any maintenance or care while on the ventilator and develops Ventilation Acquired Pneumonia with a risk of aspiration. D. The patient who needed pain medication but was denied. Patient is now crying because her pain is unable to be controlled

C. The patient who is mechanically ventilated who does not receive any maintenance or care while on the ventilator and develops Ventilation Acquired Pneumonia with a risk of aspiration.

Why do we need nursing informatics? A. To speed medication administration up. B. To better educate the patient and their family. C. To improve the health of populations, communities, families, and individuals by optimizing information management and communication.

C. To improve the health of populations, communities, families, and individuals by optimizing information management and communication.

2. The nurse is assigned to care for four clients. In planning client's rounds, which client should thee nurse assess first? A. A client scheduled for a chest x-ray B. A client requiring daily dressing changes C. A postoperative client preparing for discharge D. A client receiving nasal oxygen who had difficulty breathing during the previous shift.

D. A client receiving nasal oxygen who had difficulty breathing during the previous shift.

The nurse employed in an emergency department is assigned to triage clients coming to the emergency department for treatment on the evening shift. The nurse should assign priority to which client? A. A client complaining of muscle aches, a headache, and a malaise B. A client who twisted her ankle when she fell while rollerblading C. A client with a minor laceration on the index finger sustained while cutting an eggplant D. A client with chest pain who states that he just ate pizza that was made with a very spicy sauce.

D. A client with chest pain who states that he just ate pizza that was made with a very spicy

In what environment do nurses act to influence policy? A. The Workplace and Workforce B. The Government C. Associations and Interest Groups D. All of the above

D. All of the above

Who is responsible for collecting data survey? A. The hospital B. Case manager C. Charge nurse D. Independent surveying company

D. Independent surveying company

The medical surgical nursing unit is short staffed for the shift and a registered nurse (RN) from the pediatric unit has been floated to the nursing unit. Which client should the nurse assign to the float nurse? a. A 32yearold client newly diagnosed with diabetes who needs dietary and medication teaching b. A 56yearold client newly admitted with GuillainBarré syndrome who has severe leg weakness c. An 86yearold client with dementia who will be transferred to a skilled nursing facility during the shift d. A 59yearold client who will be returning from surgery following transurethral resection of the prostate

a. A 32yearold client newly diagnosed with diabetes who needs dietary and medication teaching

What are the keys to knowing what tasks/procedures a nurse can perform? SATA a. As defined by the nurse practice act b. Dependent on level of education completed c. Determined by what company you work for d. The facilities policies and procedures

a. As defined by the nurse practice act b. Dependent on level of education completed d. The facilities policies and procedures

________ identifie(s) you as a nurse who is serious about the profession as well as purposeful about staying informed, educated and involved. a. Membership in a nursing organization b. Drugs c. Appearance d. Name badge

a. Membership in a nursing organization

When a challenge or trend arises in our profession, organizations rely on their ________ as the first link in developing an official resource. a. members b. doctors c. patients d. sponsors

a. members

When you become a member to an organization, you join with nurses across the country, and in your state, speaking with one strong voice on behalf of your profession and your ________. a. patients b. friends c. pizza delivery guy d. family

a. patients

Whether you're looking to improve your quality of care, become a leader in your chosen specialty, or create a healthier work environment, organizations offer________________. a. resources and solutions to concerns that affect you every day. b. pizza on Friday's c. bonus checks at work d. free advice

a. resources and solutions to concerns that affect you every day.

Nurses trust ANA because of their dedication to____________. a. standards, guidelines, and principles. b. doctors c. insurance d. hospitals

a. standards, guidelines, and principles.

Stephanie is an experienced nurse working on an oncology unit. One of her patients, Jane, keeps an online blog outlining her battle with cancer. In one of Jane's recent posts she stated "I'm frustrated that nothing seems to treat my pain effectively. With nothing alleviating my pain, I feel like my depression is only worsening." Stephanie saw Jane's post and responded "I understand your last few days have been difficult. Hopefully the new depression medication in combination with the increased dose of pain medication will provide you with some relief. I look forward to seeing you at your appointment on Thursday." The next day it occurred to Stephanie that she may have violated Jane's private patient information. Considering the case study above, what should Stephanie's first step be? a. Nothing. She was only supporting and showing empathy towards Jane's situation. Not to mention, the blog is only accessible by people Jane selected. b. Attempt to delete the post as soon as possible. c. Report herself immediately to her employer's board of nursing d. Get Jane's verbal permission to share those aspects of her health information.

c. Report herself immediately to her employer's board of nursing

Which of the following outlines the professional standards that have been developed for nurses in effort to provide a set of principles that aid in ethical problem solving? a. HIPAA b. Patient Self Determination Act c. Patient Care Partnership d. ANA Code of Ethics

d. ANA Code of Ethics

A new staff nurse wants to clarify responsibility regarding delegation while working on the unit. To which of the following documents would the nurse mentor refer this nurse? a. Policy manual b. Job description c. American Nurses Association (ANA) standards of practice d. State nurse practice act

d. State nurse practice act