NURS 450A Quiz 1 NCLEX Prep/ATI Book Questions

A nurse manager is developing an orientation plan for newly licensed nurses. Which of the following information should the manager include in the plan? (Select all that apply)

Skill proficiency Assignment to a preceptor Computerized charting Socialization into unit culture Facility policies and procedures

Which self-care area is included in helping nurses to limit fatigue in the clinical setting?

Spiritual

The nurse understands that improvement of safety in nursing is dependent on evidence-based practice and which element of the safety competency?

Standardized protocols

You are interviewing a nurse who arrives at the interview using a walker as an assistive device for ambulation. Which question if asked would be construed as violating the American with Disabilities Act of 1990?

"Do you have a disability?"

A nursing student is required to take a nursing leadership course and questions why this type of course is necessary when the initial primary role of the graduate nurse is to perform bedside care. What is the nurse educator's best response to this student?

"Leadership competencies are required even at the bedside to help in navigating the evolving healh-care landscape"

Nursing students are working together in a clinical simulation activity and being monitored by nursing faculty. Which statements if observed by nursing faculty during a clinical simulation activity with nursing students would require the nursing faculty member to intervene? Select all that apply.

"What do you think you are doing?" "I really thought you took nursing school more seriously." "What you did is so stupid that all I can do is sit here and laugh."

How many minutes is equivalent to one credit of continuing education?

50

What elements are included in the hallmarks of a professional nursing practice environment?

A formal program for performance improvement

Which statement best describes what is meant by the term "third-age nurses"?

A nurse who is within the age group of 50 to 70 years

A nurse manager is providing information about the audit process to members of the nursing team. Which of the following information should the nurse manager include? (Select all that apply.)

A structure audit evaluates the setting and resources available to provide care An outcome audit evaluates the results of the nursing care provided After data collection is completed, it is compared to a benchmark

The nurse leader is working with a team to develop a more effective admission assessment process. Which team member is an example of one who participates in the team by "standing by"?

A team member who requires detailed instructions concerning the leader's expectations

Which behavioral action, if observed by a nurse leader, would indicate effective coaching style?

Acknowledging a job well done

Which certification degree represents an acute care nurse practitioner?

Adult psychiatry, mental health

Which statements are accurate with regard to team building? Select all that apply.

All nurses should participate in a collaborative manner Team building is an effective way to increase productivity Team building is an effective way to decrease costs

The nurse manager is holding a unit meeting and asks each staff member to share one thing that the individual believes works best on the unit. What technique is the nurse manager using in this meeting?

Appreciative inquiry

The staff nurses from an orthopedic surgery unit are dissatisfied with the admission process of a patient following surgery. The nurses state that there may be four to five admissions within a 1-hour period as they are discharged from the post-anesthesia recovery unit. With many patients arriving at the same time, the staff does not feel able to give the patients the close assessment they deserve and complete the admission process. The director of nursing suggests that these nurses observe the system that the women's health unit uses for the multiple admissions that happen at the same time due to deliveries and female surgeries. What problem-solving technique is the director of nursing using?

Appreciative inquiry

A PN ending their shift reports to the RN that a newly hired AP has not calculated the intake and output for several clients. Which of the following actions should the RN take?

Ask the AP if they need assistance

Which criteria should a nurse use to evaluate Web sites for accuracy with regard to providing health information to the public? Select all that apply.

Assess the sites for relative strengths and weaknesses Evaluate Web sites for use of credible information supported by evidence-based practice

A nurse is hired to replace a staff member who has resigned. After working on the unit for several weeks, the nurse notices that the unit manager does not intervene when there is conflict between team members, even when it escalates. Which of the following conflict resolution strategies is the unit manager demonstrating?

Avoidance

Which components are included in a resume? Select all that apply.

Contact information for the applicant A listing of educational degrees Related work history

Which statements are true with regard to continuing education (CE) credit requirements for registered nurses? Select all that apply.

CE requirements may vary from state to state It is the individual nurse's responsibility to continue to take CEs CEs courses are accredited

A patient is reviewing an explanation of benefits (EOB) in relationship to insurance reimbursement for a medical evaluation in which he had an incision and drainage procedure performed for an infected abscess as a complication of diabetes. Which code would represent the incision and drainage procedure?

CPT (Current Procedural Terminology)

Which statements describe differences between licensure and certification? Select all that apply.

Certification is based on meeting additional criteria as opposed to licensure, which is based on meeting minimal competency. Licensure represents general knowledge, whereas certification represents specialized knowledge

Which option is not included in an electronic medication record (eMAR)?

Client history and physical

How would one explain the underlying framework of nursing informatics?

Combination of sciences from different disciplines such as nursing, computer, information, and information technology to provide information so as to support and effect change in nursing practice

With regard to the concept of meaningful use, which statement is accurate?

Completion of three stages is regulated by Centers for Medicare and Medicaid Services (CMS)

The nurse manager is aware that what aspect of leadership relates to the ability to make a promise, keep it, and carry through on that promise?

Connectedness

The nurse is aware that human factors engineering is utilized to accomplish what goal?

Decrease errors in nursing care

Nurses on the unit are trying to find out if there is a correlation between hospital admissions for community acquired pneumonia (CAP) and noncompliance with pneumonia vaccinations. Which action would lead to information that might help support the nurses' hypothesis?

Data mining

The nurse manager has determined that patient care on the nursing unit would be more efficient if a different nursing model was used and plans to use what tool for decision making that gives the manager the opportunity to look at more than one feasible alternative?

Decision-making grid

What is the first step that nurses should take in integrating evidence-based practice on a nursing unit?

Determine which clinical problem is to be researched

The nurse manager is planning to use the DECIDE model to assist in improving nursing staff self-scheduling and is explaining the use of this tool by comparing it to the nursing process and knows that the ECI of the model corresponds to what parts of the nursing process? Select all that apply.

Diagnosis Identification of outcomes

A nurse leader is explaining the process of appreciative inquiry to a group of nurses who hope to use this process in bringing change to their nursing unit. The leader shares that what are stages of appreciative inquiry? Select all that apply.

Discovery Dreaming Design Destiny

Which is an example of discrete data that could be used by nurses in the research process?

Documented patient weight

The nurse manager is evaluating several nurses who have expressed an interest in leadership activities and knows that the nurse who demonstrates which type of followership has the most potential for a leadership role?

Doing following

The nurse manager has encouraged the nurses to provide patients on the unit any toiletries that are needed but to determine whether the patient needs these supplies before providing them. Which one of the Institute of Medicine's Six Aims of Health Care in the 21st Century is the nurse manager using?

Efficient

A nurse manager has begun to use transformational leadership theory and knows that this theory uses what aims of the Institute of Medicine (IOM)? Select all that apply.

Efficient Timely Safe

A nurse who is endeavoring to increase emotional intelligence knows that what are the core components necessary to the development of this leadership characteristic? Select all that apply.

Empathy Motivation Self-awareness

A nurse is aspiring to move from a staff nurse's position to a leadership and management role. What activity would be most helpful to this nurse in achievement of this goal?

Enroll in a graduate leadership program

A new chief operating executive believes that patients will receive better care and be more satisfied in a unit that is specific to their disorder. A nurse manager heads a unit that has functioned for the last 10 years as a general medical-surgical unit but will now become a specialty unit for patients with chronic respiratory issues. What is the nurse manager's priority responsibility during this transition?

Ensure that the patients receive safe care by qualified staff

The director of nursing has decided to begin a quality improvement program, and staff members with what skills should be included on the initial committee to ensure the success of this program? Select all that apply.

Have experience in working with interdisciplinary teams Have experience in performing self-assessment Have experience in designing and testing interventions to change a care process

What action would help to promote workforce sustainability in a hospital setting?

Facilitating an open communication pattern

There has been a violation of the Health Insurance Portability and Accountability Act (HIPAA) in the hospital setting. The nurse understands that violation of HIPAA would cause legal action at which level?

Federal

The nurse student is aware that what feature is now a part of the newest nursing leadership theories?

Flexibility

A staff nurse approached the director of nursing to discuss steps that would be helpful in moving to an administrative position. The director of nursing told the staff nurse not to consider leadership because this nurse was not a "born leader." What leadership theory is the director of nursing using to make this judgment?

Great Man theory

The nurse manager recognizes that health-care organizations have been slow to accept the principles of quality improvement for what reason?

Health-care organizations did not have sufficient infrastructure

The nurse manager is working to ensure that the Institute of Medicine's 10 Rules for Health-care Delivery in the 21st Century are in place on the medical-surgical unit by using which rules? Select all that apply.

Health-care professionals are to be transparent in all activities The patient is the source of control over their own care Health-care professionals anticipate needs of the patient

The nurse is aware that the optimal healing environment, which is a component of the Patient-Centered Care Quality and Safety Education in Nursing (QSEN) competency, is designed to assist the patient in what way?

Helps the patient heal themselves

Despite best efforts, it has been decided that a nurse it to be terminated based on several recorded action plans without noted improvement or correction of incidents. The nurse manager and chief nursing officer of the facility are in agreement that the employee meets the criteria for termination. Which department in the facility should also be included in review of the termination procedure?

Human Resources

The nurse leaders of a large acute care facility have decided to implement shared decision making on each nursing unit and expect to see what result?

Improved retention of nurses

A nurse is participating in a quality improvement study of a procedure frequently performed on the unit. Which of the following information will provide data regarding the efficacy of the procedure?

Incidence of complications related to procedure

A nurse enters the room of a client and finds the client lying on the floor. Which of the following actions should the nurse take first?

Inspect the client for injuries

A nurse seeking to advance to a leadership position within the health-care organization has become the mentee of a nurse manager. What is the primary responsibility of the mentee in this relationship?

Work to dialogue with other nurse leaders and managers

Nurses are aware that the Quality and Safety Education in Nursing (QSEN) competency, Teamwork and Collaboration, requires what specific type of collaboration?

Interprofessional

Nursing management has been tasked with building a new team to address methods that can be used to promote health education in the clinical setting. Members of the previous team were all from the same nursing unit in the hospital. What action should nursing management take in order to build the new team?

Invite more diverse membership

Which employment option would be most beneficial for a new graduate nurse who has just passed state boards and is newly licensed as a registered nurse?

Medical-surgical unit with orientation training lasting 6 months inclusive of self-review and core competencies

A health-care provider uses the computerized provider order entry (CPOE) system to initiate a medication order for a patient. Which option is not included in the CPOE for the medication?

Medication barcode

The nurse manager has decided to use the strategies of the Institute of Medicine (IOM), To Err Is Human, to improve health care on the nursing unit. The nurse has identified that patient safety, practice consistent with current medical knowledge, and what other strategy must be implemented in this endeavor?

Meet the expectations of the patient

Which statement reflects the difference between a preceptor and a mentor?

Mentors do not have to be nurses but preceptors do

The nurse leader believes that a mentorship program for new nursing graduates would benefit the organization in what way?

Mentorship leads to new nurses remaining with the organization longer than those nurses who did not engage in a mentorship program

A nursing student who is going to graduate from a bachelor of science in nursing (BSN) program is preparing a resume. What fact should the nurse pay attention to when preparing the document?

Most employers who read resumes spend little time reviewing the document

Based on Benner's novice to expert model, which nurse would best serve as a preceptor for a new graduate nurse who is starting the orientation process on a medical-surgical unit and has no prior clinical experience other than nursing school clinical experience?

Nurse who has just gotten off orientation but has been a nurse for about 5 years

Which statement is accurate with regard to the concept of competence as applied to nursing practice?

Nurses must continue to maintain competence following graduation from nursing school

An RN on a medical-surgical unit is making assignments at the beginning of the shift. Which of the following tasks should the nurse delegate to the PN?

Obtain vital signs for a client who is 2 hr postprocedure following a cardiac catheterization

The nurse manager has determined that the nursing unit should see a reduction in medication errors by 50% and knows that this decision equates to what part of the nursing process?

Outcomes identification

The nurse manager has been evaluating the nursing unit's strengths and weaknesses in an effort to ensure that the unit continues to improve its safety practices and is using what cognitive skill of the critical thinking process in this exercise?

Self-regulation

A patient is going to a new health-care provider. Which documentation system would contain their medical record files and be brought by the patient to the scheduled office visit?

Personal Health Record (PHR)

When using an electronic documentation system in the clinical environment, which situations should the nurse anticipate will occur? Select all that apply.

Planned downtime System maintenance

A group of nurses are discussing unit policies and procedures. Based on a consensus of opinion, the nurses suggest minimal changes in the near future. What type of future is demonstrated by this statement?

Probable

The nurse manager has decided to begin a shared decision-making model on the nursing unit and knows that individual staff nurses will receive what benefit from this decision?

Sense of empowerment

What information should not be included in a cover letter?

Quotes from references

The nurse manager knows that which of the following is the first step in the critical thinking process?

Reflection

The nurse leader manages a nursing unit that has a preponderance of nurses who have graduated from nursing school within the last 12 months and knows that what type of thinking will provide the best guidance to the nursing staff?

Reflective

The nurse manager, using the Institute of Medicine's 10 Rules for Healthcare Delivery in the 21st Century, knows that the policies and procedures should be based on what?

Research concerning best practices

A nurse is admitting a patient to the hospital with cognitive heart failure (CHF) using an electronic documentation system. While entering assessment data, pop-up windows are appearing asking for additional information. How would the nurse respond to this situation?

Respond to the pop-up by providing the additional information that is required

An experienced nurse is applying for a new job position, and an interview has been scheduled. What priority information should the experienced nurse use to help prepare for the upcoming interview?

Review the organization's mission, values, and goals

In a corrective plan of action, which violations would warrant documenting a written reprimand? Select all that apply.

Second Third Fourth

Which members would be included in an interprofessional team approach in the clinical setting? Select all that apply.

Selected members from different departments throughout the hospital Both licensed and nonlicensed employees who work in the hospital setting A collection of individuals who work in the hospital and/or community of interest who are considered to be stakeholders

A new nurse working on a medical-surgical unit needs some assistance with working within the electronic documentation system. Which individuals would the nurse contact to help with application of this system in the context of delivery of care? Select all that apply.

Superuser: Expert Superuser: Shift Superuser: Unit

What component is not included in the SMART technique acronym?

Talented

A new nurse leader has adopted a laissez-faire style of leadership that may result in what characteristics of those who report to this leader?

Team members experience disagreements among themselves.

Which behavioral action by a charge nurse would indicate an example of destructive feedback if observed in a clinical setting relative to a nurse's performance?

Telling the nurse that in all your years of nursing experience you have never seen anyone do that in front of a patient

The nurse manager knows that which nurse on the medical-surgical unit will be the best at using intuitive thinking?

The nurse who just started working on the unit but has worked on a pediatric unit for 2 years

The nurse leader as a part of the patient-centered care Quality Safety Education in Nursing (QSEN) competency has encouraged all nurses to be advocates for their patients. The nurse leader knows that this concept is understood by nurses when the patients state that:

The nursing staff knew about their desires and allowed them to make their own decisions

What components should be included in an agenda for a meeting? Select all that apply.

Time and date of meeting Topics to be presented Individuals who will be providing information Time allotted to each topic

Which statement indicates the primary purpose for nurse residency programs?

To provide a transition program that leads to competent practice

A nurse is taking care of a patient whose health information has been requested by a consulting physician during a phone conversation. In providing that health information to the consulting physician, which option would help prevent health information from being distributed to others in consideration of the Health Insurance Portability and Accountability Act (HIPAA)?

Use encryption methods to send requested health information

Which option would represent a method that can be used to maintain data security when using the electronic medical record system in the clinical setting by.a staff nurse on a medical-surgical unit?

Use random generator to come up with an access code

The nurse manager is responsible for designing a new pediatric oncology unit and plans to ensure that it is designed with a culture of safety. The nurse manager is aware that this culture of safety requires what necessary principles to accomplish this task? Select all that apply.

Work processes are to be simplified Train all members of the nursing unit to work as a team Redesign work processes to prevent accidents

In order to promote clinical competencies for the new graduate nurse, which orientation strategy would be most beneficial?

Working with an experienced nurse in a mentor relationship as part of orientation training