Transitions quiz questions
The nurse understands that delegation and supervision are two concepts that go hand-in-hand. Which is the best example of the concept of supervision?
Following up with a CNA on the assigned task of ambulation and feeding of two patients
The health care team responsible for deciding whether to move a critically ill patient out of the ICU so that a new patient may be admitted to the unit is faced with what principle of an ethical dilemma?
Justice
A nurse is reviewing treatment protocols for clients exposed to bioterrorism agents. For which of the following agents should the nurse plan to administer a vaccine following exposure?
Smallpox
What does the "scope of nursing practice" refer to?
The activities legally permissible for a nurse to perform in a particular state
An older adult woman of Chinese ancestry refuses to eat at the nursing home, stating, "I'm just not hungry." What factors should the staff assess for this problem?
The food served may not be culturally appropriate.
Where should a nurse go if they are facing a dilemma in patient care with no absolute right or wrong answer?
The hospital Ethics Committee
A nurse manager is giving a presentation at a local community college. The nurse manager understands the job expectations of a new graduate when making which of the following statements?
"A graduate nurse should be able to function competently as an advanced beginner as a registered nurse at the entry level."
A nurse is teaching a group of newly hired nurses about the requirements for disaster planning. Which of the following statements by one of the newly hired nurses indicates an understanding of the teaching?
"Disaster drills should be held on a regular basis."
A student in the last semester of nursing school has established a goal of making a successful role transition to graduate nurse. Which statement by the student indicates his/her understanding of how to achieve this goal during the capstone experience?
"I should care for increased numbers of patients to enhance work organization skills."
During a job interview, the interviewee is asked, "What do you believe your weaknesses to be?" What is the best reply?
"I'm looking forward to strengthening my ability to plan care for a group of patients."
Which statement by the graduate nurse indicates understanding of the importance of a cover letter?
"It should introduce you to the reader."
An experienced nurse overhears a new graduate giving instructions to an unlicensed nursing assistant. What statement by the new graduate would cause the experienced nurse to be concerned?
"Let me know if any of my patients has a fever"
What is the purpose of the Robert Wood Johnson Institute of Medicine report?
To make recommendations for the nursing profession to transform healthcare.
What would be the most effective way for a nurse to validate "informed consent?"
Ask the patient what he understands regarding the procedure.
How is assertive behavior described?
Direct
The nurse manager is giving a presentation on the disadvantages of democratic leadership in group functioning. Which statement shows an understanding of this type of leadership?
"Requires more time and effort to make decisions and accomplish goals"
Which of the following represents appropriate feedback for an assignment to an LPN?
"The patient in Room 430 looks much better, and you did a good job of making her comfortable."
Which statement by the nursing student indicates an understanding of the purpose in setting a career goal?
"To help you define the direction of your career"
As the interview is drawing to a close, the interviewer asks the applicant, "What questions could I answer for you?" Which of the following questions would it be most advisable to ask to create a favorable impression?
"What is the orientation process and what is the length of orientation?"
The nurse manager is updating unit staff on findings by The Joint Commission. Which of the following statements shows an understanding of the primary cause of untoward events in the hospital setting?
"unclear, ineffective communication."
Which of the following describes reward power used by the nurse manager? (Select all that apply.)
- A nurse manager who uses salary increases to motivate staff - A nurse manager who uses fear of consequences to motivate staff
The nursing student is preparing an application for employment. Who would be the best reference for the student to include? Select all that apply
- A recent clinical instructor - Their preceptor - A previous employer
A nurse is caring for a client following exposure to inhalational anthrax due to bioterrorism. Which of the following medications should the nurse expect as a common medication to treat anthrax? (Select all that apply.)
- Ciprofloxacin - Amoxicillin - Doxycycline
A nurse is educating community members about how to prepare for a disaster. Which of the following supplies should the nurse instruct the clients to include in a disaster preparedness kit? (Select all that apply.)
- Clean clothing - Prescription medications - Personal identification - Three quarts of water per person
Which action would help the graduate nurse when seeking out employment? (Select all that apply.)
- Determine the length of orientation. - Find out what type of nursing care is delivered. - Ask to speak to nurses who work on the unit. - Plan out interviews.
What are the key messages that structure the discussion and recommendations presented in the Robert Wood Johnson Institute of Medicine Report? Select all that apply
- Effective workforce planning and policy making require better data collection and an improved information infrastructure - Nurses should achieve higher levels of education and training through and improved education system that promotes seamless academic progression. - Nurses should be full partners, with physicians and other health professionals, in redesigning health care in the U.S. - Nurses should practice to the full extent of their education and training
A nurse is developing an education program for a community group about dietary intake of vitamins and minerals in the diet. The nurse should include which of the following foods as sources of vitamin C? (Select all that apply.)
- Green pepper - Orange - Cabbage - Strawberries
The nurse is considering strategies to increase nurses' time at the bedside. Which strategies should be included? Select all that apply
- Hourly rounding by staff members - Effectiveness in medication administration - Bedside change of shift report - Standardized documentation tools
Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.)
- Lifelong learners - Value-driven visionaries - Courageous change agents
What aspects define nursing as a profession? select all that apply
- Nurses have developed a Code of Ethics. - Nurse's possess a specialized body of knowledge. - Nurses serve the public.
The nurse is reviewing categories for improving client safety. Which categories should the nurse review? Select all that apply
- Prevention of hospital-related infections - Medication management - Facilitating information transfer and clear communication
The new graduate nurse is working to create culture of safety on the unit. What actions will exemplify a culture of safety? Select all that apply
- Refusing to be interrupted during medication administration. - look at systems and processes to identify areas that need to be changes - Using the I-SBARR when collaborating with a provider. - Using Universal Protocol 3 steps prior to surgery and procedures.
What is expected of the new graduate across healthcare agencies? Select all that apply
- To work effectively with assistive personnel, delegating and supervising nursing care tasks in an appropriate manner. - Use communication skills effectively with clients and coworkers. - Possess theoretic background for safe client care and for decision making. - Recognize own abilities and limitations - Use the nursing process in a systematic way.
The nurse is implementing fall prevention protocol. What would be included in the protocol?
- assessment of medication side effects - thorough and sound assessment of clients abilities and limitations - bed and chair alarms - toileting every 2 hours and visual hourly checks
What are the factors that contribute to medication errors? Select all that apply
- high nurse-client ratios - overly tired nurses - inadequate staffing
A nurse in a community health center is assessing the results of a tuberculin skin test she performed for a client. Which of the following results indicates exposure to and a possible infection with tuberculosis (TB)?
15 mm induration
According to the Utah Nurse Practice Act Rule, how many hours must a licensed nurse practice without an additional requirement of contact hours to renew their license?
400
After a nursing student has graduated from their program, what is the timeframe the applicant has to take and pass the NCLEX-RN? (According to the Utah Nurse Practice Act Rule)
5 years
A nurse is performing triage for a group of clients following a mass casualty incident (MCI). Which of the following clients should the nurse plan to care for first?
A client experiencing a tension pneumothorax
Which of the following actions is consistent with a nurse leader?
A nurse who encourages staff to give excellent patient care
Following an earthquake, patients are triaged by emergency medical personnel and are transported to the hospital. Which of these patients will the nurse need to assess first?
A patient with a red tag
What is the best definition of malpractice?
A professional act or failure to act that leads to injury of a patient
The student nurse is reviewing sentinel events in healthcare. According to the Joint Commission which of the following is considered the main reason for Sentinel Events?
Communication errors
A nurse tells a patient, "If you don't stop getting out of that chair, I'm going to put some restraints on you." What may this nurse be accused of?
Assault
A nurse is teaching a class about preventive care to clients who are at risk for acquiring viral hepatitis. Which of the following information should the nurse include in the presentation?
Avoid foods prepared with tap water.
A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?
Choose the highest level of protection equipment available.
The nurse manager needs to let a nurse know that he will be put on probation if he continues to be tardy to work. Which type of power is the nurse manager using?
Coercive power
Which task could a staff nurse delegate to a certified nursing assistant (CNA)?
Collecting a routine urine sample
What is the best legal safeguard for a nurse?
Competent practice
According to the American Hospital Association, what is a basic right of patients?
Considerate and respectful care from all care providers
The new graduate nurse would like to pursue a career in the Intensive Care Unit (ICU). What goal might be appropriate for this career?
Credentialing as a Certified Critical Care Nurse (CCRN)
George the construction worker tells the Ameritech students preparing for a quiz on ethics: "I find it easy to make the right decision. All life is sacred, and all decisions must be made with the intent to continue life." What do we call the framework from which George approaches ethical reasoning?
Deontological
A nurse is gathering data on a patient of a different culture. Which action can the nurse take to enhance communication while gathering cultural data?
Determine the patient's level of fluency in English.
The nurse has several tasks to complete. Which task would the nurse NOT delegate to a certified nursing assistant?
Discussing the importance of deep breathing to a pre-operative patient
The student nurse is preparing a resume. Which elements would he/she include?
Experience and education
In a malpractice suit, how may a breach of duty be established?
Expert testimony
George was taken to the emergency room after falling off a crane in the Ameritech construction site. George's buddies came to the emergency room to visit. A doctor told George's buddies that George is HIV-positive. What ethical principle did the doctor violate?
Fidelity
A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure?
Flu-like symptoms
A nurse manager needs to purchase new thermometers for the nursing unit. What technique would demonstrate a laissez-faire style of leadership?
Having the nurses on the day shift order any thermometer that they want
An occupational health nurse in the clinic of an industrial plant is developing a guidebook for clinic workers. Which of the following actions should the nurse include as a secondary prevention strategy?
Help plant workers identify signs of carpal tunnel syndrome.
A charge nurse is discussing staff nurses' responsibilities in preplanning for response to a disaster. Which of the following responsibilities should the nurse include in the discussion?
Identify potential community disasters.
George the construction worker decided to leave the emergency room against medical advice. His nurse is an incredibly ethical AmeriTech graduate. What did the nurse do in this situation?
Informed George that he could return to the hospital if he changes his mind
A nurse is preparing to care for a client who has suspected exposure to plague as a result of bioterrorism. Which of the following actions should the nurse plan to take first?
Initiate contact precautions.
In a legal suit, what element is necessary to prove a tort has been committed?
Injury
Which of the following actions by the nurse manager would indicate an autocratic management style?
Makes most of the decisions without input from the staff members
What is a correct statement regarding a nurse who acts beyond the scope of practice?
May be disciplined by the board of nursing
The soon to graduate nurse would like information about what to expect on the NCLEX-RN exam and how to apply to take the exam. Where would the student find information?
NCSBN website
Which organization developed the most definitive statement on the competencies needed by the newly licensed RN?
National Council of State Boards of Nursing (NCSBN)
George the construction worker fell off a crane while working on the Ameritech roof. The students rushed to his aid, and decided not to move him in case he had sustained a neck injury. What ethical principle were the students following?
Non-maleficence
The nursing student is studying about root cause analysis (RCA) Which of the following is a critical element in error reporting?
Non-punitive action when errors are reported.
A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following as a triage officer during the time of a disaster?
Nurses and other emergency medical personnel
A nurse is working with an interdisciplinary disaster committee to develop a community-wide emergency response plan in the event of a nonbiological or chemical incident. The nurse should include which of the following agencies to be notified immediately after calling 911?
Office of Emergency Management (OEM)
A nurse is caring for a patient from Taiwan who constantly requests pain medication. What should the nurse consider when assessing the patient's pain?
Pain is what the patient says it is.
George and his fellow construction workers were listening to the Trends class study for a quiz on ethics. What is NOT an ethical dilemma that the students are discussing?
Parking
A nurse is triaging clients injured during a tornado. The nurse assesses a client who has an open fracture of his arm. Which of the following tags would the nurse place on the client?
Place a yellow tag on the client's upper body.
A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?
Providing treatment for clients who have chronic obstructive pulmonary disease
After receiving report on 4 patients, the RN may delegate which client's needs to an assitive personel?
Reapplying a condom catheter for a client who has urinary incontinence
Which of the following actions best reflects maintaining accountability for the nursing process?
Reassessing a client's BP when the reported value is higher than usual
The nurse is receiving a phone order from a health care provider. How will the nurse make sure that the provider's order is received without error?
Repeat the order, write the order verbatim, and read it back to the provider.
Which of the following actions by the graduate nurse would be advised during an interview campaign?
Research the prospective employer and evaluate their mission statement.
A nurse is serving on a continuous quality improvement (CQI) committee that has been assigned to develop a program to reduce the number of medication administration errors following a sentinel event at the facility. Which of the following strategies should the committee plan to initiate first?
Review the events leading up to each medication administration error.
Which does not reflect one of the "five rights" of delegation?
Right Route
A charge nurse explains to a student: "I tend to act differently depending on which nurses are working that particular shift. Some nurses need more direction from me than others." What type of leadership style best describes this charge nurse's approach?
Situational
A nurse is caring for a client involved in a suspected bioterrorism event involving exposure to cutaneous anthrax. Which of the following manifestations should the nurse anticipate?
Skin lesions with pruritus
The nurse is reviewing I-SBAR-R with a coworker at the end of the shift. Which statement indicates that they are discussing the Situation component?
The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today.
A nurse is being sued for assault and battery. What does this mean?
The nurse, without consent, touched the patient in an offensive, insulting, or injurious way.
The ethical principle of autonomy is not applicable in which patient situation?
The patient is unaware of who he is and where he is.
Which situation could lead to performance inadequacy?
The person to whom the task was assigned did not understand what the task involved.
A nurse who commits an infraction of the Nurse Practice Act may be subject to discipline by what group?
The state board of nursing
What is the purpose of the nurse's Code of Ethics?
To guide the behavior of the professional nurse
A nurse is interested in moving into a management position. Which action would assist with accomplishing this?
Use of expert power
The nurse on the unit is determining which activities may be delegated to assistive personnel. Assuming that the nurse assistant is competent, which one of the following activities may be safely delegated by the registered nurse?
Vital signs on a stable client
Which of the following is the most frequent reason for revocation or suspension of a nurse's license?
alcohol or drug abuse
When performing a cultural assessment with a patient of a different culture, the nurse's first action should be to
ask the patient about any affiliation with a particular cultural group.
How does the Utah Nurse Practice Act Rule define a Comprehensive nursing assessment?
conducting extensive initial and ongoing data collection
What is the primary role of The Joint Commission (TJC)?
ensuring medical facilities meet patient safety guidelines.
A nurse is respected by peers for clinical skills and effective interpersonal relationships. The nurse has studied diabetic patient educational needs and consults with several units. What type of power does this nurse possess?
expert
When caring for a patient who is Native American, the best initial action by the nurse is to
observe the patient's use of eye contact.