NSG 1050 Modules 4-6 ATI quizzes
A nurse is reviewing the concept of critical thinking with a newly licensed nurse. Which of the following statements should the nurse make? - "Critical thinking is the foundation for clinical decision making." - "Critical thinking takes into consideration nursing, scientific, and technological knowledge in client situations." - "Critical thinking is the visible or observed outcome while using evidence-based practice." - "Critical thinking is necessary for the nurse to collect objective client data."
"Critical thinking is the foundation for clinical decision making."
A nurse is caring for a client who has suction equipment in their room. The client asks the nurse, "Why do you check my suction equipment every day even though I am not using it?" Which of the following statements should the nurse make? - "It is part of an outcome audit that is being performed." - "It is part of the quality assurance plan of the unit." - "It is part of a plan developed by your case manager." - "It is part of a quality improvement program."
"It is part of the quality assurance plan of the unit"
A nurse is assisting with teaching a class about quality core measures. Which of the following information should the nurse include? - A cost-effective analysis is used to identify quality core measures. - Quality core measures are a standard of care for treatment. - Client satisfaction is an example of a quality core measure. - Quality core measures are filled out by clients to evaluate health care facility services.
Quality core measures are a standard of care for treatment
A nurse is reviewing a health care facility's policy that states to use a gauze dressing over IV insertion sites. After completing a literature review, the nurse discovers that evidence-based practice (EBP) indicates to use a transparent dressing over IV sites. Which of the following actions should the nurse take next? - Recommend changing the procedure to the policy and procedure committee. - Evaluate the results of the change in procedure. - Implement the change into clinical practice. - Communicate the outcomes of the procedure change with others.
Recommend changing the procedure to the policy and procedure committee.
A nurse is providing information to a client who is from the Baby Boomer generation about a newly prescribed medication. Using information about generational preferences, which of the following methods of teaching should the nurse use? - Send a text message. - Talk with the client in person. - Provide a link to a teaching video or animation. - A formal face-to-face meeting with written notes.
Talk with the client in person.
A charge nurse is preparing to discuss critical thinking skills with a group of newly licensed nurses. Which of the following skills should the nurse plan to include in the discussion? (select all that apply) - Inspection - Implementation - Inference - Creativity - Inductive reasoning
inference, creativity, inductive reasoning
A nurse is developing a goal for a client to ambulate with assistance at least once by the end of the shift. The nurse should identify that this is an example of which of the following steps of the nursing process?
planning
A charge nurse is planning to discuss factors that can influence the clinical decision-making process in client care with a newly licensed nurse. Which of the following factors should the charge nurse include? (Select all that apply) - Appropriate delegation - Cost of client care - Available resources - Awareness of client status - Support from other staff
- Available resources - Awareness of client status - Support from other staff
A nurse is assisting with teaching a class about sentinel events. The nurse should include that which of the following situations is a sentinel event? - A nurse infused an incompatible blood product to a client. - A client fell getting out of bed. - A client who is confused walks out of the nursing unit. - A nurse receives a needlestick injury from a contaminated needle.
A nurse infused an incompatible blood product to a client
A nurse is assisting with teaching a class about types of research studies. The nurse should include that which of the following is an example of a randomized controlled trial (RTC)? - A study examining environmental factors that lead to obesity - A study comparing a group of people who have diabetes mellitus with a group of people who do not have diabetes mellitus - A study examining the cause of falls in a long-term care facility - A study arbitrarily assigning people who smoke into either an experimental group or a control group to determine the effects of a new therapy to reduce smoking
A study arbitrarily assigning people who smoke into either an experimental group or a control group to determine the effects of a new therapy to reduce smoking
Nursing process for RNs
Assessment Analysis Planning Implementation Evaluation
A nurse is caring for a client who has been wheezing. The nurse asks an assistive personnel (AP) to use a stethoscope and listen to the client's lung sounds to determine if their wheezing has improved. This is an example of which of the following concepts? - Delegation of the right circumstance - Delegation of the wrong task - Delegation to the right person - Delegation of the wrong time
Delegation of the wrong task (nurse, not AP)
A nurse asks a client to rate their current level of pain using a scale of 0 to 10 after administering pain medication 30 minutes ago. Which of the following steps of the nursing process is the nurse performing?
Evaluation
A nurse is explaining National Patient Safety Goals (NPSGs) to a newly licensed nurse. The nurse should include that which of the following is a goal addressed in the NPSGs? - Improving staff communciation - Improving staff retention - Increasing client satisfaction - Increasing client involvement in their plan of care
Improving staff communication
A nurse is assisting with using the Plan-Do-Study-Act (PDSA) model to decrease client falls in a long-term care facility. The nurse should identify that developing guidelines to decrease falls is included in which of the steps of the PDSA model?
Plan
A nurse is caring for a client who tells the nurse, "Something is wrong. I feel like God is so far away from me and I don't know what to do." Which of the following is the client experiencing? - Medical futility - Spiritual distress - Palliative care - Caritas Processes
Spiritual distress
A nurse is assisting with teaching a newly licensed nurse about the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) tool. Which of the following information should the nurse include? - The HCAHPS tool is provided to clients upon admission to a facility. - The HCAHPS tool is completed during an in-person interview. - The HCAHPS tool is issued to measure client satisfaction about health care service. - The HCAHPS tool results are not shared with the public.
The HCAHPS tool is issued to measure client satisfaction about health care service.
A nurse is assisting with teaching a class about incident reports. The nurse should include that which of the following situations requires an incident report? - a client vomits after receiving an oral medication - a client refuses to take a medication - a nurse administers an antibiotic to a client 25 minutes after the scheduled time - a nurse administers the wrong medication to a client
a nurse administers a wrong medication to a client
A nurse is planning an in-service for a group of staff nurses about spiritual care. Which of the following situations should the nurse identify as appropriate for a consultation with pastoral staff? (select all that apply) - Ethical dilemma - Terminal illness - Death of a client - Financial arrangements - Hardship
all except financial arrangements
A nurse at an urgent care clinic is auscultating the lungs of a client who reports a cough and shortness of breath. Which of the following steps of the nursing process is the nurse using?
assessment
A nurse enters a client's room and finds the client crying. The nurse sits beside the bed in silence. Which of Swanson's five categories of caring behaviors is the nurse demonstrating?
being with
A nurse is caring for a client who is emotionally distraught. Which of the following uses of touch should the nurse implement to convey caring? - Briefly holding the client's hand - A lengthy front-facing hug - Rubbing the client's shoulders - Sitting beside the client and touching their thigh
briefly holding the client's hand
A nurse is reviewing methods created to assist nurses in using evidence-based practice. Which of the following is a NCSBN model that can assist the nurse with critical thinking and decision making? - clinical judgment - critical thinking - clinical reasoning - SMART goal
clinical judgment
A nurse is assisting on a quality improvement committee to decrease the number of client falls occurring at night. After identifying the problem, which of the following is the next step the nurse should take? - Implement the practice change. - Evaluate the results of the change. - Complete a literature review. - Communicate the outcomes with others.
complete a literature review
A nurse manager is planning an in-service about culturally competent care. Which of the following cultural competencies should the manager describe as enabling a nurse to interact with clients from other cultures? - Cultural awareness - Cultural encounters - Cultural knowledge - Cultural desire
cultural encounters
A nurse is using evidence-based practice to address the incidence of catheter-associated infections on a surgical unit. According to EBP, which of the following actions should the nurse take first? - identify a clinical problem - collect best evidence relevant to the question - evaluate studies to determine validity - share the findings with others
identify a clinical problem
A nurse is caring for a client who states the health care provider recommends treatment to provide comfort because a cure is not possible. To which of the following concepts is the provider referring? - Palliative care - Medically futile care - Potentially inappropriate treatment - Quality of life
palliative care
A nurse is discussing quality measurement with a newly licensed nurse. The nurse should include that medication reconciliation is an aspect of which of the following parts of quality measurement? - Benchmark - Structure - Outcome - Process
process
A nurse is assisting with developing a quality improvement (QI) plan to reduce the incidence of medication errors in an acute care unit. The nurse should recognize that which of the following actions is included in the identifying step of the QI process? - Developing a plan to implement change - Evaluating the results of the change - Recognizing a need for a change - Implementing the plan of change
recognizing a need for a change
A nurse is assisting a quality improvement team that is using the Plan-Do-Study-Act (PDSA) model to address an increase in pressure injuries on a medical unit. Which of the following actions should the nurse identify as an example of the "Do" step of the PDSA model? - Reviewing data collected on clients who received the new protocol - Developing a plan to initiate a change in client care - Implementing a new evidence-based practice protocol - Accepting the new protocol in the unit's policy and procedure guidelines
Implementing a new evidence-based practice protocol
A nurse is caring for a client who is in an acute care facility. The nurse should recognize that the client's care requires clinical reasoning when it is complicated by which of the following factors? (select all that apply) - Complex clinical situations - Ongoing client and family concerns - Cost of health care - Decreased need for advanced health care practitioner intervention - Availability of computerized medical records
- Complex clinical situations - Ongoing client and family concerns
A nurse is a member of a committee that is using evidence-based practice (EBP) to decrease the incidence of central line infections. The nurse should identify that which of the following interventions is part of the implementation step of EBP? - Recognizing a high incidence of central line infections - Evaluating whether the practice changes decreased the infection rate - Researching best practices to reduce the rate of central line infections - Incorporating the new practice into client care
Incorporating the new practice into client care
A nurse is caring for a client who has a prescription for opioid analgesia. The client tells the nurse, "I don't want to take that medication because it makes me sleepy." Which of the following responses should the nurse make? - "You need to take the medication so that you will not be in pain." - "This medication does not affect your reasoning ability." - "Controlling your pain is more important right now than your mental state." - "I will speak to your provider to see if there is a different medication to treat your pain."
"I will speak to your provider to see if there is a different medication to treat your pain."
A nurse is caring for a client who is postoperative and requests spiritual support. Which of the following statement should the nurse make? - "I'm not trained in providing spiritual support, but you can call the chaplain." - "Tell me what I can do to help fulfill your need for support." - "Let's talk about this later and focus instead on your wound healing." - "I'm not very spiritual so I will find another nurse who can help you."
"Tell me what I can do to help fulfill your need for support."
A nurse is caring for a client whose religious belief prohibits them from receiving blood products. The client states, "My adult children don't agree with my beliefs and want me to receive a transfusion." Which of the following responses should the nurse make? - "Your children's opinions do not matter." - "You should receive blood products if it will save your life." - "You have the right to choose what treatments are best for you." - "Your health care provider will make the final choice on treatments that are in your best interest."
"You have the right to choose what treatments are best for you."