Transitions Quizzes
Which of the following is the most frequent reason for revocation or suspension of a nurse's license? a. mental impairment b. criminal acts c. fraud d. alcohol or drug abuse
D
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)? a. 15 mm induration b. 10 mm wheal c. 5 mm induration d. 4 mm erythema
A
A nurse is caring for a client who suspects recent exposure to inhalation anthrax. Which of the following findings indicate possible exposure? a. Vesicles on the skin b. Flu-like symptoms c. Sloughing of skin d. Respiratory failure
B
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? a. Members of the Federal Emergency Management Agency (FEMA) b. Nurses and other emergency medical personnel c. Representatives from the American Red Cross d. Responding law enforcement officers
B
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. A client who has agonal respirations b. A client experiencing a tension pneumothorax c. A client who has a closed upper extremity fracture d. A client who has full-thickness burns over 80% of his body
B
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? a. Decontaminate the client. b. Initiate contact precautions. c. Prepare for drainage of lesions. d. Notify the Centers for Disease Control and Prevention (CDC).
B
Which of the following statement by the nurse reflect transformational leaders? (Select all that apply.) a. Slow to change b. Value-driven visionaries c. Courageous change agents d. Lifelong learners e. Hesitant to follow
B, C, D
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? a. Situational b. Interactional c. Transformational d. Transactional
A
A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention? a. Providing treatment for clients who have chronic obstructive pulmonary disease b. Performing screening for sexually transmitted infections c. Administering influenza immunizations at a local health fair d. Testing new nurses for exposure to tuberculosis.
A
A nurse is being sued for assault and battery. What does this mean? a. The nurse, without consent, touched the patient in an offensive, insulting, or injurious way. b. The nurse threatened to put the patient in restraints if he did not stay in bed. c. The nurse told the patient he could not leave until his bill was paid. d. The nurse failed to perform an act expected of a reasonable nurse.
A
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? a. Skin lesions with pruritus b. Respiratory distress c. Flu-like symptoms d. Bloody diarrhea
A
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? a. Avoid foods prepared with tap water. b. Avoid eating meat. c. Avoid handwashing after eating. d. Avoid covering sores with bandages.
A
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? a. Office of Emergency Management (OEM) b. American Red Cross (ARC) c. Federal Emergency Management Agency (FEMA) d. U.S. Department of Homeland Security (DHS)
A
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? a. Assault b. Defamation c. Invasion of privacy d. Malpractice
A
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? a. Help plant workers identify signs of carpal tunnel syndrome. b. Collaborate with physical therapists to develop programs for injured employees to return to work. c. Set up an influenza immunization campaign. d. Teach plant workers about proper lifting techniques.
A
During a job interview, the interviewee is asked, "What do you believe your weaknesses to be?" What is the best reply? a. "I'm looking forward to strengthening my ability to plan care for a group of patients." b. "I've never thought about having any weaknesses." c. "My biggest problem is getting to work on time." d. "My instructors told me I was disorganized."
A
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. A patient with a red tag b. A patient with a yellow tag c. A patient with a green tag d. A patient with a blue tag
A
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? a. Parking b. Passive euthanasia c. Quality of life d. Abortion
A
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? a. Non-maleficence b. Fidelity c. Justice d. Autonomy
A
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? a. Deontological b. Confusional c. Teleological d. Situational
A
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? a. Fidelity b. Justice c. Veracity d. Beneficence
A
How is assertive behavior described? a. Direct b. Apologetic c. Coercive d. Self-denying
A
The new graduate nurse would like to pursue a career in the Intensive Care Unit (ICU). What goal might be appropriate for this career? a. Credentialing as a Certified Critical Care Nurse (CCRN) b. Obtain employment at only Magnet status facilities. c. Become a Family Nurse Practitioner (FNP) d. Complain to the Clinical Placement Team regarding their capstone assignment in a M/S unit
A
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? a. "Requires more time and effort to make decisions and accomplish goals" b. "It is frustrating to the leader because they cannot control all the decisions of the group" c. "Discourages participation from quieter members of the group" d. "Increases the possibility of "scapegoating" or argumentative behavior"
A
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? a. Following up with a CNA on the assigned task of ambulation and feeding of two patients b. Assigning nursing care for a group of five patients to an RN c. Scheduling the LPN to administer medications on the unit for the afternoon d. Assigning a urinary catheterization and collection of sterile culture to an LPN
A
The student nurse is preparing a resume. Which elements would he/she include? a. Experience and education b. Hobbies and interests c. Marital status d. Nursing class grade point average
A
What is a correct statement regarding a nurse who acts beyond the scope of practice? a. May be disciplined by the board of nursing b. Demonstrates what a good nurse she or he can be c. May make other nurses angry because of the increased expectations created d. Provides enriched services to patients who would not otherwise receive them
A
What is the best legal safeguard for a nurse? a. Competent practice b. A legal contract c. A valid license d. Following management policies
A
What is the primary role of The Joint Commission (TJC)? a. ensuring medical facilities meet patient safety guidelines. b. lobbying Congress on behalf of Medicare/Medicaid patients. c. inspecting hospitals for compliance of infection control standards. d. granting magnet status to excellent hospitals.
A
What is the purpose of the Robert Wood Johnson Institute of Medicine report? a. To make recommendations for the nursing profession to transform healthcare. b. To give physicians an opportunity to have input in the nursing profession. c. To force all nurses to obtain a Baccalaureate in Nursing. d. To help congress Pass laws and make changes in healthcare.
A
Which situation could lead to performance inadequacy? a. The person to whom the task was assigned did not understand what the task involved. b. The person to whom the task was assigned had appropriate educational qualifications to complete the task. c. The person who delegated the task confirmed the recipient's ability to perform the task. d. The task was assigned to a person capable of carrying out the assignment.
A
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.) a. Green pepper b. Orange c. Cabbage d. Strawberries e. Milk
A, B, C, D
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 a. Nurses should practice to the full extent of their education and training b. Nurses should achieve higher levels of education and training through and improved education system that promotes seamless academic progression. c. Nurses should be full partners, with physicians and other health professionals, in redesigning health care i the U.S. d. Effective workforce planning and policy making require better data collection and an improved information infrastructure e. Nurses should work to become transformational leaders through continuing educations courses.
A, B, C, D
Which action would help the graduate nurse when seeking out employment? (Select all that apply.) a. Determine the length of orientation. b. Find out what type of nursing care is delivered. c. Ask to speak to nurses who work on the unit. d. Plan out interviews. e. Wait until the interview day to gather all of the information.
A, B, C, D
What is expected of the new graduate across healthcare agencies? Select all that apply a. To work effectively with assistive personnel, delegating and supervising nursing care tasks in an appropriate manner. b. Use communication skills effectively with clients and coworkers. c. Possess theoretic background for safe client care and for decision making. d. Recognize own abilities and limitations e. Use the nursing process in a systematic way. f. Possess all knowledge regarding pathophysiology of all disease processes.
A, B, C, D, E
The nurse is implementing fall prevention protocol. What would be included in the protocol? a. toileting every 2 hours and visual hourly checks b. assessment of medication side effects c. bed and chair alarms d. placing the client bed is a high position e. thorough and sound assessment of clients abilities and limitations
A, B, C, E
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. A recent clinical instructor b. Their preceptor c. A student mentor d. The schools student support team member e. A previous employer
A, B, E
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 a. look at systems and processes to identify areas that need to be changes b. Over riding the smart IV pump to save time. c. Using the I-SBARR when collaborating with a provider. d. Adopt a work around when the system is not functioning to save time. e. Refusing to be interrupted during medication administration. f. Using Universal Protocol 3 steps prior to surgery and procedures.
A, C, E, F
What are the factors that contribute to medication errors? Select all that apply a. inadequate staffing b. the use of Computerized Physician/ Provider Entry CPOE c. computerized drug monitoring and electronic dispensing systems d. overly tired nurses e. high nurse-client ratios
A, D, E
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.) a. Clean clothing b. Antibiotics c. 3 boxes of vodka d. Personal identification e. Three quarts of water per person f. Prescription medications
A, D, E, F
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? a. "A physician must triage victims of a disaster in the emergency department." b. "Disaster drills should be held on a regular basis." c. "An actual disaster cannot take the place of a disaster drill." d. "A staff nurse can function as the incident commander."
B
A nurse manager needs to purchase new thermometers for the nursing unit. What technique would demonstrate a laissez-faire style of leadership? a. Having the nurses on the unit try several types and vote on their favorite b. Having the nurses on the day shift order any thermometer that they want c. Asking the nurses during staff meeting what they prefer in a thermometer d. Purchasing the brand that the nurse manager thinks is the best thermometer
B
A nurse who commits an infraction of the Nurse Practice Act may be subject to discipline by what group? a. A court of law b. The state board of nursing c. The local chapter of the state nurses association d. The National League for Nursing
B
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? a. 40/week b. 400 c. 200 d. 1,000
B
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) a. Indefinite b. 5 years c. 90 days d. 1 year
B
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? a. "Thank you for helping me turn my unconscious patient" b. "Let me know if any of my patients have a fever" c. "Do not take the patient's blood pressure on the same arm as her IV line" d. "Please document the amount of urine emptied from the Foley"
B
The nurse has several tasks to complete. Which task would the nurse NOT delegate to a certified nursing assistant? a. Sitting at the bedside of a confused patient to keep them from wandering b. Discussing the importance of deep breathing to a pre-operative patient c. Accompanying a patient being discharged by wheelchair to the front door d. Bathing an unconscious patient
B
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? a. The oncoming nurse acknowledges the info that has been received. b. The nurse states that the patient was hospitalized for a broken tibia and that surgery is scheduled for later today. c. The nurse states the patient's name using two identifiers. d. The nurse states an opinion on what is happening with the patient.
B
The nursing student is studying about root cause analysis (RCA) Which of the following is a critical element in error reporting? a. Errors are documented as person focused. b. Non-punitive action when errors are reported. c. Individuals are encouraged to report near misses. d. Communication is linked to increased errors.
B
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? a. RWJ IOM report b. NCSBN website c. State Board of Nursing d. A nursing unit manager
B
What does the "scope of nursing practice" refer to? a. Acts that permit some overlap between nursing and medicine b. The activities legally permissible for a nurse to perform in a particular state c. The specific duty the nurse owes to a patient d. Those activities for which a nurse can be held liable for malpractice
B
What does the "scope of nursing practice" refer to? a. Those activities for which a nurse can be held liable for malpractice b. The activities legally permissible for a nurse to perform in a particular state c. The specific duty the nurse owes to a patient d. Acts that permit some overlap between nursing and medicine
B
What is the purpose of the nurse's Code of Ethics? a. To assist in clarifying the individual nurse's personal values and goals b. To guide the behavior of the professional nurse c. To differentiate between moral and immoral acts d. To identify acts that are legal for the nurse to perform
B
When caring for a patient who is Native American, the best initial action by the nurse is to a. avoid all eye contact with the patient. b. observe the patient's use of eye contact. c. look directly at the patient when interacting. d. ask the family about the patient's cultural beliefs.
B
Which does not reflect one of the "five rights" of delegation? a. Right Person b. Right Route c. Right Task d. Right Communication
B
Which of the following actions best reflects maintaining accountability for the nursing process? a. Assisting a team member in providing a client with a complete bed bath b. Reassessing a client's BP when the reported value is higher than usual c. Asking the CNA to take vital signs on a patient who just received pain medication d. Asking a client's daughter to bring her father's non-skid slippers to the hospital
B
Which of the following actions by the graduate nurse would be advised during an interview campaign? a. For more exposure post your resume on the public internet. b. Research the prospective employer and evaluate their mission statement. c. Plan 3-4 interviews in a day to save time. d. Make note cards with details to take with you to use during the interview.
B
Which of the following represents appropriate feedback for an assignment to an LPN? a. "I know you are busy; however, you need to get caught up with your pain medications." b. "The patient in Room 430 looks much better, and you did a good job of making her comfortable." c. "Have you completed the urinary catheterization and care of the new patient?" d. "Did you understand the assignment that you received in the staff report?"
B
Which statement by the nursing student indicates an understanding of the purpose in setting a career goal? a. "To keep you focused on your current job" b. "To help you define the direction of your career" c. "To guarantee you will achieve your goal" d. "To impress those part of the interview process"
B
Which task could a staff nurse delegate to a certified nursing assistant (CNA)? a. Making rounds with a physician b. Collecting a routine urine sample c. Checking a patient's response to pain medication d. Reporting on the color of nasogastric (NG) drainage
B
The nurse is considering strategies to increase nurses' time at the bedside. Which strategies should be included? Select all that apply a. Supplies in s central location near the nurses station b. Effectiveness in medication administration c. Standardized documentation tools d. Bedside change of shift report e. Hourly rounding by staff members
B, C, D, E
What aspects define nursing as a profession? select all that apply a. Nurses work around the clock. b. Nurse's possess a specialized body of knowledge. c. Nurses have developed a Code of Ethics. d. Nurses are trusted by the public. e. Nurses serve the public.
B, C, E
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? a. Legitimate b. Reward c. Expert d. Informational
C
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? a. Botulism b. Plague c. Smallpox d. Anthrax
C
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? a. Require staff nurses to demonstrate competency by passing a medication administration examination. b. Develop a quality improvement program for nurses involved in medication administration errors. c. Review the events leading up to each medication administration error. d. Provide an inservice on medication administration to all the nurses.
C
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? a. Have the client's wife drive him to the hospital. b. Perform a rapid head-to-toe assessment. c. Place a yellow tag on the client's upper body. d. Place a red tag on the client's upper body.
C
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. "A graduate nurse should be able to function in the role that was described in the curriculum for the school of nursing." b. "A graduate nurse should be able to function independently with ability to make clinical nursing judgments and set priorities and handle all emergencies during all shifts." c. "A graduate nurse should be able to function competently as an advanced beginner as a registered nurse at the entry-level." d. "A graduate nurse should be able to perform as independently as was demonstrated the beginning of the last semester of nursing."
C
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? a. "I will observe staff nurses as they perform nursing procedures to refine technique." b. "I will evaluate my progress every 6 months to allow time for growth." c. "I should care for increased numbers of patients to enhance work organization skills." d. "I should seek increasingly close guidance from the nursing instructor to reduce errors."
C
After receiving report on 4 patients, the RN may delegate which client's needs to an assistive personnel? a. Reinforcing teaching with a client who is learning to walk using a quad cane b. Feeding a client who was admitted 24 hours ago with aspiration pneumonia c. Reapplying a condom catheter for a client who has urinary incontinence d. Applying a sterile dressing to a pressure ulcer
C
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? a. The woman does not like to eat with other residents of the home. b. The woman is using this as a means of going home. c. The food served may not be culturally appropriate. d. The food served may violate religious beliefs.
C
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? a. "After completing orientation, how much and when will the first pay raise be given?" b. "Will you provide full tuition reimbursement for all courses to obtain my terminal degree?" c. "What is the orientation process and what is the length of orientation?" d. "What will happen if I am unable to meet the outcomes for the competency-based orientation?"
C
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? a. Hid George's clothes so he couldn't get dressed and walk away b. Called George's girlfriend to come and talk some sense into him c. Informed George that he could return to the hospital if he changes his mind d. Tied George to the bed so he wouldn't leave
C
How does the Utah Nurse Practice Act Rule define a Comprehensive nursing assessment? a. assessing the patient's care plan b. verification and evaluation of prescribed orders c. conducting extensive initial and ongoing data collection d. appraisal of a patient's status and the situation at hand
C
In a legal suit, what element is necessary to prove a tort has been committed? a. Intent b. Assault c. Injury d. Malpractice
C
In a malpractice suit, how may a breach of duty be established? a. Liability testimony of physician b. Testimony from state board of nurses c. Expert testimony d. Testimony of coworkers
C
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? a. Veracity b. Deontology c. Justice d. Autonomy
C
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? a. Ask the nurse in charge to come to the phone to take the order. b. Write the order without using any unclear or unapproved abbreviations. c. Repeat the order, write the order verbatim, and read it back to the provider. d. Advise the health care provider that the order must be written on the chart within the next 24 hours.
C
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? a. Legitimate power b. Reward power c. Coercive power d. Referent power
C
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? a. Initial transfer of a postoperative client b. Administration of medications prepared by the nurse c. Vital signs on a stable client d. An admission history on a new client
C
When performing a cultural assessment with a patient of a different culture, the nurse's first action should be to a. wait until a cultural healer is available to help with the assessment. b. obtain a list of any cultural remedies that the patient currently uses. c. ask the patient about any affiliation with a particular cultural group. d. tell the patient what the nurse already knows about the patient's culture.
C
Which of the following actions by the nurse manager would indicate an autocratic management style? a. Emphasizes effective group functioning b. Exerts little control over staff c. Makes most of the decisions without input from the staff members d. Allows staff members to make most of the decisions
C
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.) a. Penicillin G b. Cefotaxime c. Doxycycline d. Amoxicillin e. Ciprofloxacin
C, D, E
The nurse is reviewing categories for improving client safety. Which categories should the nurse review? Select all that apply a. Surgery on wrong body part b. Tubing misconnections c. Prevention of hospital-related infections d. Facilitating information transfer and clear communication e. Medication management
C, D, E
Which of the following describes reward power used by the nurse manager? (Select all that apply.) a. A nurse manager who has information that others need to perform their jobs b. A nurse manager who is well-liked by the majority of staff c. A nurse manager who uses fear of consequences to motivate staff d. A nurse manager who is perceived as an expert due to specialized knowledge e. A nurse manager who uses salary increases to motivate staff
C, E
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? a. Evaluate the impact of a disaster on the community. b. Assess survivors of a disaster for levels of psychological stress. c. Link victims with support agencies to help with food, clothing, shelter, and counseling needs. d. Identify potential community disasters.
D
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? a. Wait until the type of equipment needed is known. b. Decontaminate victims before intervening. c. Use a dosimeter to measure the level of radiation in the area before intervening. d. Choose the highest level of protection equipment available.
D
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? a. Most people react to pain in the same way. b. Pain in adults in less intense than pain in children. c. The patient is a constant complainer. d. Pain is what the patient says it is.
D
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? a. Ignore the patient's culture and focus on the reason for hospital admission. b. Use hand gestures to get points across to a patient with poor English. c. Use close-ended questions to gather information. d. Determine the patient's level of fluency in English.
D
A nurse is interested in moving into a management position. Which action would assist with accomplishing this? a. Use of legitimate power b. Use of coercive power c. Use of reward power d. Use of expert power
D
According to the American Hospital Association, what is a basic right of patients? a. Choice of diet to be eaten during hospitalization b. Information from nurses about diagnosis and prognosis c. Medical care regardless of ability to pay d. Considerate and respectful care from all care providers
D
The ethical principle of autonomy is not applicable in which patient situation? a. The patient has values that conflict with the caregiver's values. b. The patient has been in a long-term care facility for 10 years. c. The patient does not speak or understand the English language. d. The patient is unaware of who he is and where he is.
D
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? a. "lack of consistent supervision of nursing staff." b. "unclear chain of communication for reporting." c. "ineffective reporting of the untoward event." d. "unclear, ineffective communication."
D
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? a. Ambiguity in responsibilities b. Medication errors c. Conflict among staff d. Communication errors
D
What is a correct statement regarding a nurse who acts beyond the scope of practice? a. Demonstrates what a good nurse she or he can be b. Provides enriched services to patients who would not otherwise receive them c. May make other nurses angry because of the increased expectations created d. May be disciplined by the board of nursing
D
What is the best definition of malpractice? a. A criminal act committed against society b. Doing something a reasonable person or nurse would not do c. An intentional professional act of negligence d. A professional act or failure to act that leads to injury of a patient
D
What would be the most effective way for a nurse to validate "informed consent?" a. Check the chart for a completed and signed consent form. b. Determine from the physician what was discussed with the patient. c. Ask the family whether the patient understands the procedure. d. Ask the patient what he understands regarding the procedure.
D
Where should a nurse go if they are facing a dilemma in patient care with no absolute right or wrong answer? a. The nurse's religious leader b. The hospital legal department c. The client's insurance company review board d. The hospital Ethics Committee
D
Which of the following actions is consistent with a nurse leader? a. A nurse who gives pain medication to an assigned patient b. A nurse who writes yearly staff evaluations c. A nurse who performs chart audits on her staff d. A nurse who encourages staff to give excellent patient care
D
Which organization developed the most definitive statement on the competencies needed by the newly licensed RN? a. Magnet Council for Nurses (MCN) b. Intermountain Health care (IHC) c. American Association of Colleges of Nursing (ACEN) d. National Council of State Boards of Nursing (NCSBN)
D
Which statement by the graduate nurse indicates understanding of the importance of a cover letter? a. "It is optional." b. "It is necessary only if your resume needs further explanation." c. "It should recapitulate all of the important points of your resume." d. "It should introduce you to the reader."
D