MOC

The nurse has just assisted a client back to bed after a fall. The nurse and health care provider have assessed the client and have determined that the client is not injured. After completing the incident report, the nurse should implement which action next? 1. Reassess the client. 2. Conduct a staff meeting to describe the fall. 3. Document in the nurse's notes that an incident report was completed. 4. Contact the nursing supervisor to update information regarding the fall.

1 Rationale: After a client's fall, the nurse must frequently reassess the client because potential complications do not always appear immediately after the fall. The client's fall should be treated as private information and shared on a "need to know" basis. Communication regarding the event should involve only the individuals participating in the client's care. An incident report is a problem-solving document; however, its completion is not documented in the nurse's notes. If the nursing supervisor has been made aware of the incident, the supervisor will contact the nurse if status update is necessary.

The nurse calls the heath care provider (HCP) regarding a new medication prescription because the dosage prescribed is higher than the recommended dosage. The nurse is unable to locate the HCP, and the medication is due to be administered. Which action should the nurse take? 1. Contact the nursing supervisor. 2. Administer the dose prescribed. 3. Hold the medication until the HCP can be contacted. 4. Administer the recommended dose until the HCP can be located.

1 Rationale: If the HCP writes a prescription that requires clarification, the nurse's responsibility is to contact the HCP. If there is no resolution regarding the prescription because the HCP cannot be located or because the prescription remains as it was written after talking with the HCP, the nurse should contact the nurse manager or nursing supervisor for further clarification as to what the next step should be. Under no circumstances should the nurse proceed to carry out the prescription until obtaining clarification.

The nurse is providing discharge instructions to a Chinese American client regarding prescribed dietary modifications. During the teaching session, the client continuously turns away from the nurse. The nurse should implement which best action? 1. Continue with the instructions, verifying client understanding. 2. Walk around the client so that the nurse constantly faces the client. 3. Give the client a dietary booklet and return later to continue with the instructions. 4. Tell the client about the importance of the instructions for the maintenance of health care.

1 Rationale: Most Chinese Americans maintain a formal distance with others, which is a form of respect. Many Chinese Americans are uncomfortable with face-to-face communications, especially when eye contact is direct. If the client turns away from the nurse during a conversation, the best action is to continue with the conversation. Walking around the client so that the nurse faces the client is in direct conflict with this cultural practice. The client may consider it a rude gesture if the nurse returns later to continue with the explanation. Telling the client about the importance of the instructions for the maintenance of health care may be viewed as degrading.

The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the head. How should the nurse interpret this nonverbal behavior?f 1. Reflecting a cultural value 2. An acceptance of the treatment 3. Client agreement to the required procedures 4. Client understanding of the preoperative procedures

1 Rationale: Nodding or smiling by a Japanese American client may reflect only the cultural value of interpersonal harmony. This nonverbal behavior may not be an indication of acceptance of the treatment, agreement with the speaker, or understanding of the procedure.

6. Which clients have a high risk of obesity and diabetes mellitus? Select all that apply. Latino American man Native American man . Asian American woman Hispanic American man African American woman

1, 2, 4, 5 Rationale: Because of their health and dietary practices, Latino Americans, Native Americans, Hispanic Americans, and African Americans have a high risk of obesity and diabetes mellitus. Owing to dietary practices, Asian Americans have a lower risk for obesity and diabetes mellitus.

Which identifies accurate nursing documentation notations? Select all that apply. 1 The client slept through the night. 2 Abdominal wound dressing is dry and intact without drainage. 3 The client seemed angry when awakened for vital sign measurement. 4 The client appears to become anxious when it is time for respiratory treatments. 5 The client's left lower medial leg wound is 3 cm in length without redness, drainage, or edema.

1, 2, 5 Rationale: Factual documentation contains descriptive, objective information about what the nurse sees, hears, feels, or smells. The use of inferences without supporting factual data is not acceptable because it can be misunderstood. The use of vague terms, such as seemed or appears, is not acceptable because these words suggest that the nurse is stating an opinion

5. A critically ill Hispanic client tells the nurse through an interpreter that she is Roman Catholic and firmly believes in the rituals and traditions of the Catholic faith. Based on the client's statements, which actions by the nurse demonstrate cultural sensitivity and spiritual support? Select all that apply. .-1Ensures that a close kin stays with the client. - 2Makes a referral for a Catholic priest to visit the client. -. 3Removes the crucifix from the wall in the client's room. -.4 Administers the sacrament of the sick to the client if death is imminent. -. 5Offers to provide a means for praying the rosary if the client wishes. -. 6Reminds the dietary department that meals served on Fridays during Lent do not contain meat.

1, 2, 5 Rationale: In times of illness, a Roman Catholic client may turn to prayer for spiritual support. This may include rosary prayers or visits from a priest, who is the spiritual leader in the Roman Catholic faith. Close family members usually want to stay with a dying family member in order to hear the wishes of the client, allowing the soul to leave in peace. A priest, not a nurse, would administer the sacrament of the sick. Roman Catholics would not ask for the crucifix to be removed. Members of other religious groups such as Islam or Judaism may request the removal of the crucifix. Dietary rituals are not a concern at this time.

The nurse educator is providing in-service education to the nursing staff regarding transcultural nursing care; a staff member asks the nurse educator to provide an example of the concept of acculturation. The nurse educator should make which most appropriate response? 1. "A group of individuals identifying as a part of the Iroquois tribe among Native Americans." 2. "A person who moves from China to the United States (U.S.) and learns about and adapts to the culture in the U.S." 3. "A group of individuals living in the Azores that identify autonomously but are a part of the larger population of Portugal." 4. "A person who has grown up in the Philippines and chooses to stay there because of the sense of belonging to his or her cultural group."

2 Rationale: Acculturation is a process of learning a different culture to adapt to a new or changing environment. Options 1 and 3 describe a subculture. Option 4 describes ethnic identity.

When communicating with a client who speaks a different language, which best practice should the nurse implement? 1. Speak loudly and slowly. 2. Arrange for an interpreter to translate. 3. Speak to the client and family together. 4. Stand close to the client and speak loudly.

2 Rationale: Arranging for an interpreter would be the best practice when communicating with a client who speaks a different language. Options 1 and 4 are inappropriate and ineffective ways to communicate. Option 3 is inappropriate because it violates privacy and does not ensure correct translation.

Nursing staff members are sitting in the lounge taking their morning break. An unlicensed assistive personnel (UAP) tells the group that she thinks that the unit secretary has acquired immunodeficiency syndrome (AIDS) and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. The registered nurse should inform the UAP that making this accusation has violated which legal tort? 1. Libel 2. Slander 3. Assault 4. Negligence

2 Rationale: Defamation is a false communication or a careless disregard for the truth that causes damage to someone's reputation, either in writing (libel) or verbally (slander). An assault occurs when a person puts another person in fear of a harmful or offensive contact. Negligence involves the actions of professionals that fall below the standard of care for a specific professional group.

The nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which best action? 1. Refuse to float to the ICU based on lack of unit orientation. 2. Clarify with the team leader to make a safe ICU client assignment. 3. Ask the nursing supervisor to review the hospital policy on floating. 4. Submit a written protest to nursing administration, and then call the hospital lawyer.

2 Rationale: Floating is an acceptable practice used by hospitals to solve understaffing problems. Legally, the nurse cannot refuse to float unless a union contract guarantees that nurses can work only in a specified area or the nurse can prove the lack of knowledge for the performance of assigned tasks. When encountering this situation, the nurse should set priorities and identify potential areas of harm to the client. That is why clarifying the client assignment with the team leader to ensure that it is a safe one is the best option. The nursing supervisor is called if the nurse is expected to perform tasks that he or she cannot safely perform. Submitting a written protest and calling the hospital lawyer is a premature action.

The nurse has made an error in a narrative documentation of an assessment finding on a client and obtains the client's record to correct the error. The nurse should take which actions to correct the error? Select all that apply. 1 Document a late entry in the client's record. 2 Draw 1 line through the error, initialing and dating it. 3 Try to erase the error for space to write in the correct data. 4 Use whiteout to delete the error to write in the correct data. 5 Write a concise statement to explain why the correction was needed. 6 Document the correct information and end with the nurse's signature and title.

2, 6 Rationale: If the nurse makes an error in narrative documentation in the client's record, the nurse should follow agency policies to correct the error. This includes drawing one line through the error, initialing and dating the line, and then documenting the correct information. A late entry is used to document additional information not remembered at the initial time of documentation, not to make a correction of an error. Documenting the correct information with the nurse's signature and title is correct. Erasing data from the client's record and the use of whiteout are prohibited. There is no need to write a statement to explain why the correction was necessary.

An antihypertensive medication has been prescribed for a client with hypertension. The client tells the clinic nurse that he would like to take an herbal substance to help lower his blood pressure. The nurse should take which action? 1. Advise the client to read the labels of herbal therapies closely. 2. Tell the client that herbal substances are not safe and should never be used. 3. Encourage the client to discuss the use of an herbal substance with the health care provider (HCP). 4. Tell the client that if he takes the herbal substance he will need to have his blood pressure checked frequently.

3 Rationale: Although herbal substances may have some beneficial effects, not all herbs are safe to use. Clients who are being treated with conventional medication therapy should be encouraged to avoid herbal substances because the combination may lead to an excessive reaction or to unknown interaction effects. The nurse should advise the client to discuss the use of the herbal substance with the HCP. Therefore, options 1, 2, and 4 are inappropriate nursing actions.

Which is the best nursing intervention regarding complementary and alternative medicine? 1. Advising the client about "good" versus "bad" therapies 2. Discouraging the client from using any alternative therapies 3. Educating the client about therapies that he or she is using or is interested in using 4. Identifying herbal remedies that the client should request from the health care provider

3 Rationale: Complementary and alternative therapies include a wide variety of treatment modalities that are used in addition to conventional therapy to treat a disease or illness. Educating the client about therapies that he or she uses or is interested in using is the nurse's role. Options 1, 2, and 4 are inappropriate actions for the nurse to take because they provide advice to the client.

The nurse employed in a hospital is waiting to receive a report from the laboratory via the facsimile (fax) machine. The fax machine activates and the nurse expects the report, but instead receives a sexually oriented photograph. Which is the most appropriate initial nursing action? 1. Call the police. 2. Cut up the photograph and throw it away. 3. Call the nursing supervisor and report the incident. 4. Call the laboratory and ask for the name of the individual who sent the photograph.

3 Rationale: Ensuring a safe workplace is a responsibility of an employing institution. Sexual harassment in the workplace is prohibited by state and federal laws. Sexually suggestive jokes, touching, pressuring a co-worker for a date, and open displays of or transmitting sexually oriented photographs or posters are examples of conduct that could be considered sexual harassment by another worker. If the nurse believes that he or she is being subjected to unwelcome sexual conduct, these concerns should be reported to the nursing supervisor immediately. Option 1 is unnecessary at this time. Options 2 and 4 are inappropriate initial actions.

A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action? 1. Obtain a court order for the surgical procedure. 2. Ask the EMS team to sign the informed consent. 3. Transport the victim to the operating room for surgery. 4. Call the police to identify the client and locate the family

3 Rationale: In general, there are two situations in which informed consent of an adult client is not needed. One is when an emergency is present and delaying treatment for the purpose of obtaining informed consent would result in injury or death to the client. The second is when the client waives the right to give informed consent. Option 1 will delay emergency treatment, and option 2 is inappropriate. Although option 4 may be pursued, it is not the best action because it delays necessary emergency treatment.

An Asian American client is experiencing a fever. The nurse plans care so that the client can self-treat the disorder using which method? 1. Prayer 2. Magnetic therapy 3. Foods considered to be yin 4. Foods considered to be yang

3 Rationale: In the Asian American culture, health is believed to be a state of physical and spiritual harmony with nature and a balance between positive and negative energy forces (yin and yang). Yin foods are cold and yang foods are hot. Cold foods are eaten when one has a hot illness (fever), and hot foods are eaten when one has a cold illness. Options 1 and 2 are not health practices specifically associated with the Asian American culture or the yin and yang theory.

Which meal tray should the nurse deliver to a client of Orthodox Judaism faith who follows a kosher diet? 1. Pork roast, rice, vegetables, mixed fruit, milk 2. Crab salad on a croissant, vegetables with dip, potato salad, milk 3. Sweet and sour chicken with rice and vegetables, mixed fruit, juice 4. Noodles and cream sauce with shrimp and vegetables, salad, mixed fruit, iced tea

3 Rationale: Members of Orthodox Judaism adhere to dietary kosher laws. In this religion, the dairy-meat combination is unacceptable. Only fish that have scales and fins are allowed; meats that are allowed include animals that are vegetable eaters, cloven hoofed, and ritually slaughtered.

The nurse who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm. The co-worker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. Which is the most appropriate action by the nurse? 1. Call security. 2. Call the police. 3. Call the nursing supervisor. 4. Lock the co-worker in the medication room until help is obtained.

3 Rationale: Nurse practice acts require reporting impaired nurses. The board of nursing has jurisdiction over the practice of nursing and may develop plans for treatment and supervision of the impaired nurse. This incident needs to be reported to the nursing supervisor, who will then report to the board of nursing and other authorities, such as the police, as required. The nurse may call security if a disturbance occurs, but no information in the question supports this need, and so this is not the appropriate action. Option 4 is an inappropriate and unsafe action.

The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? 1. The client fell out of bed. 2. The client climbed over the side rails. 3. The client was found lying on the floor. 4. The client became restless and tried to get out of bed.

3 Rationale: The incident report should contain a factual description of the incident, any injuries experienced by those involved, and the outcome of the situation. The correct option is the only one that describes the facts as observed by the nurse. Options 1, 2, and 4 are interpretations of the situation and are not factual information as observed by the nurse.

The nurse is preparing a plan of care for a client, and is asking the client about religious preferences. The nurse considers the client's religious preferences as being characteristic of a Jehovah's Witness if which client statement is made? 1. "I cannot have surgery." 2. "I cannot have any medicine." 3. "I believe the soul lives on after death." 4. "I cannot have any food containing or prepared with blood."

4 Rationale: Among Jehovah's Witnesses, surgery is not prohibited, but the administration of blood and blood products is forbidden. For a Jehovah's Witness, administration of medication is an acceptable practice except if the medication is derived from blood products. This religious group believes that the soul cannot live after death. Jehovah's Witnesses avoid foods prepared with or containing blood.

A hospitalized client tells the nurse that an instructional directive is being prepared and that the lawyer will be bringing the document to the hospital today for witness signatures. The client asks the nurse for assistance in obtaining a witness to the will. Which is the most appropriate response to the client? 1. "I will sign as a witness to your signature." 2. "You will need to find a witness on your own." 3. "Whoever is available at the time will sign as a witness for you." 4. "I will call the nursing supervisor to seek assistance regarding your request."

4 Rationale: Instructional directives (living wills) are required to be in writing and signed by the client. The client's signature must be witnessed by specified individuals or notarized. Laws and guidelines regarding instructional directives vary from state to state, and it is the responsibility of the nurse to know the laws. Many states prohibit any employee, including the nurse of a facility where the client is receiving care, from being a witness. Option 2 is nontherapeutic and not a helpful response. The nurse should seek the assistance of the nursing supervisor.

A nursing instructor delivers a lecture to nursing students regarding the issue of client's rights and asks a nursing student to identify a situation that represents an example of invasion of client privacy. Which situation, if identified by the student, indicates an understanding of a violation of this client right? 1. Performing a procedure without consent 2. Threatening to give a client a medication 3. Telling the client that he or she cannot leave the hospital 4. Observing care provided to the client without the client's permission

4 Rationale: Invasion of privacy occurs with unreasonable intrusion into an individual's private affairs. Performing a procedure without consent is an example of battery. Threatening to give a client a medication constitutes assault. Telling the client that the client cannot leave the hospital constitutes false imprisonment.

The nurse educator asks a student to list the 5 main categories of complementary and alternative medicine (CAM), developed by the National Center for Complementary and Alternative Medicine. Which statement, if made by the nursing student, indicates a need for further teaching regarding CAM categories? 1. "CAM includes biologically based practices." 2. "Whole medical systems are a component of CAM." 3. "Mind-body medicine is part of the CAM approach." 4. "Magnetic therapy and massage therapy are a focus of CAM."

4 Rationale: The 5 main categories of CAM include whole medical systems, mind-body medicine, biologically based practices, manipulative and body-based practices, and energy medicine. Magnetic therapy and massage therapy are therapies within specific categories of CAM.

An 87-year-old woman is brought to the emergency department for treatment of a fractured arm. On physical assessment, the nurse notes old and new ecchymotic areas on the client's chest and legs and asks the client how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her son frequently hits her if supper is not prepared on time when he arrives home from work. Which is the most appropriate nursing response? 1. "Oh, really? I will discuss this situation with your son." 2. "Let's talk about the ways you can manage your time to prevent this from happening." 3. "Do you have any friends who can help you out until you resolve these important issues with your son?" 4. "As a nurse, I am legally bound to report abuse. I will stay with you while you give the report and help find a safe place for you to stay

4 Rationale: The nurse must report situations related to child or elder abuse, gunshot wounds and other criminal acts, and certain infectious diseases. Confidential issues are not to be discussed with nonmedical personnel or the client's family or friends without the client's permission. Clients should be assured that information is kept confidential, unless it places the nurse under a legal obligation. Options 1, 2, and 3 do not address the legal implications of the situation and do not ensure a safe environment for the client.

A true electronic health record (EHR) is a complete record of an individual's health-related data. The ____________________is continuing to spearhead the initiative to build a national electronic health care system that would allow patients and their care givers to access their complete health records anytime and anywhere (HealthIT.gov, 2015). A. U.S. Department of Health and Human Services (DHHS) B. American Nurses Association (ANA) C. National Institute for Occupational Safety and Health (NIOSH) D. Centers for Disease Control and Prevention (CDC)

A

Duty to do good to others; to maintain a balance between benefits and harm; to provide all patients, including terminally ill, with caring attention; and to treat every patient with respect and courtesy. What is the requirement that care providers contribute to the health and welfare of the patient and not merely attempt to avoid harm to the patient or client? A. Beneficence B. Nonmaleficence C. Personal liability D. Corporate liability

A

Issues that are commonly addressed by ethics committees are: A. End-of-life issues, organ donation, futility-of-care issues B. End-of-life issues, organ donation, change in the durable power of attorney C. Organ donation, futility-of-care issues, pediatric patient issues D. Organ donation, do not resuscitate order, Jehovah's Witness issues

A

Nursing informatics (NI) is a specialty that integrates: A. Nursing science, computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. B. Nursing science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice. C. Nursing science, computer science, and information science to manage and communicate data, information, and knowledge, in nursing practice. D. Computer science, and information science to manage and communicate data, information, knowledge, and wisdom in nursing practice.

A

SBAR stands for: A. Situation, Background, Assessment, Recommendation B. Situation, Background, Assessment, Reaction C. Situation, Background, Assessment, Reply D. Situation, Background, Action, Recommendation

A

The American Nurses Association approved the revised code of ethics in 2015. There are _________codes. A. 9 B. 10 C. 12 D. 20

A

The core functionalities for an electronic health information system are: A. Health information, data, and order entry B. Patient census, data, and order entry C. Patient acuities, patient census, and incident report D. Incident reports and outcomes measures

A

Which of the following is not a nursing minimum data set under the service element area? A. Nursing outcomes B. Unique facility or service agency number C. Unique health record number of the patient D. The discharge or termination date

A

Which of the following is on the list of "do's" regarding the change-of-shift report? A. Provide essential background information about the patient B. Identify the patient's discharge plans C. Share significant information about family friends D. Discuss every routine order for the patient

A

In the PICO framework for developing the question of concern, "I" stands for: A. Intervention B. Interdisciplinary C. Interrelational D. Integrity

A Population, intervention, comparison, outcome

When working in team situations, which of the following is the most effective tool to use? A. Team STEPPS (team strategies and tools to enhance performance and patient safety) B. STEP (status of the patient, team members, environment, progress toward goal) C. Huddle D. Situation monitoring

A- Team STEPPS

Your patient is coming into the trauma unit and you are the registered nurse for the patient. Example: Leader: "Airway status?"; Resident: "Airway clear"; Leader: "Breath sounds?"; Resident: "Breath sounds decreased on right." Leader: "Blood pressure?"; Nurse: "BP is 90/40." Which strategy is in use? A. Call-out B. Check-back C. SBAR (situation, background, assessment, recommendation) D. STEPPS

A-call out

Hospitals are legally and ethically obligated to uphold patient rights, which include the right to: A. Review records; family can also review records B. Participate in treatment decisions and to provide consent to treatment C. Be informed of hospital bylaws and hospital attorneys' names and telephone numbers D. Expect reasonable care after hospitalization

B

In nursing, clear and precise communication is essential in the care of the patient. As a nurse, you are aware that messages can be: A. Native and foreign B. Verbal and nonverbal C. Coded and encoded D. Clear and unclear

B

In reviewing a study for applicability for use on your unit, you need to evaluate the study in terms of: A. The sponsoring agency of the study B. Patient context and assess whether they are similar to patients in your unit C. Whether the sample adequately is described D. Qualifications of the study authors

B

In the hierarchy of evidence, which of the following has the highest value? A. Single correctional studies B. Randomized clinical trials C. Case study, opinion D. Descriptive studies

B

Regarding the SBAR process, pertinent background information related to the situation includes: A. Socioeconomic status of the family B. List of current medications allergies, intravenous fluids, and laboratory results C. Patient's dietary needs before hospitalization D. Family history of disease

B

The electronic physician order entry system: A. Prevents all medication errors B. Provides many online alerts and warnings for clinical care givers C. Poses problems when the system is done D. Is not the most acceptable type of physician's orders

B

The first step in integrating evidence into practice is to convert the clinical concern into a: A. Solution B. Question C. Decision D. Goal

B

What is the document that permits an individual to give a surrogate or proxy the authority to make decisions for that person in the event that they become incompetent? A. Living will B. Durable power of attorney for health care decisions C. Advance directive D. Informed consent

B

When calling the physician and following the SBAR process, which of the following items is included under the Situation criteria? A. Identify the patient's ethnicity and religious affiliation B. Briefly state the problem, what it is, when it happened or started, and its severity C. Inform the physician regarding the patient's roommates D. Describe patient's mental status

B

When implementing an evidence-base practice change, the all-important final step is to: A. Pilot the protocol. B. Monitor the results. C. Publish the study. D. Do a cost-benefit analysis.

B

Which of the following is on the list of "don'ts" regarding the change-of-shift report? A. Share significant information about family members B. Relay to staff significant changes in the way therapies are given C. Continually review ongoing discharge plan D. Review all routine care procedures

B

Which of the following sets educational standards, examination requirements, and licensing requirements and regulates the nursing profession in each particular state? A. The National League for Nursing (NLN) B. Nurse practice acts C. State board of nursing D. The National Council of State Boards of Nursing

B

A key component of evidence-based practice is: A. Traditional practice B. Organizational commitment C. Patient preference D. Nurse ability

C

As a nurse, you have just read about a change in intervention insertion practice that sounds like it would work on your unit. Before suggesting such a change in practice, you need to: A. Perform a cost-benefit analysis of the new practice. B. Talk with the nurse manager to gain his or her opinion. C. Conduct a further review of the literature. D. Contact the nursing research committee.

C

Automated systems for providers to enter patient care orders and to access decision support databases are called: A. Clinical information systems B. Decision support C. Computerized provider order entry (CPOE) D. Electronic health records

C

The Organ Procurement and Transplantation Network (OPTN) is a(n)________network. A. State B. Local C. National D. International

C

The experienced nurse can do the following to use evidence-based practice in their own practice: A. Use textbooks from school for reference. B. Maintain membership in alumni organization C. Review professional journals. D. Go back to school for an advanced degree.

C

You are the nursing supervisor and there is a patient that will be going to the operating room for a kidney transplantation. It is the ultimate responsibility of ______________to check and ensure that the organ donor and recipient are correct. A. Surgeon B. Anesthesiologist C. Registered nurse and surgeon D. Surgeon and anesthesiologist

C

What is the transfer of information (along with authority and responsibility) during transitions in care across the continuum, to include an opportunity to ask questions, clarify, and confirm? A. Communications B. Change-of-shift report C. Handoff D. Physician order entry

C handoff

An example of a knowledge trigger for an evidence-based research question is: A. Patient fall data B. Database review C. Benchmark information D. Research study

D

Another name is added to the organ donation list every ________minutes A. 5 B. 6 C. 7 D. 12

D

Another use for computerized information is: A. Finances B. Billing C. Inventory tracking D. All of the above

D

As per Rundio and Wilson (2013, p. 64), informatics is a core competency of all health care professionals. The key areas of focus center on: A. National information infrastructure, computerized clinical data B. Clinical decision support, use of Internet C. Integration of evidence-based practice D. All of the above

D

Nursing informatics is a specialty that integrates nursing science, computer science, and information science to: A. Maintain and communicate data information, knowledge, and wisdom in nursing practice B. Manage and calculate data information, knowledge, and wisdom in nursing practice C. Manage and communicate data information, knowledge, and accountability in nursing practice D. Manage and communicate data information, knowledge, and wisdom in nursing practice

D

One key feature of an electronic health record (EHR) is that it can be created, managed, and consulted by authorized providers and staff across ________other organization(s). A. 1 B. 2 C. 3 D. Many

D

Over 144,000 payments totaling ______________have already been issued to professionals and hospitals by the Centers for Medicare & Medicaid Services (CMS) to have sharing of patient data on a nationwide level. A. $4.1 billion B. $5.1 billion C. $6.1 billion D. $7.1 billion

D

The difference between bioethics and ethics is: A. Bioethics is specific to health care; ethics deals with the principles of right and wrong. B. Bioethics is specific to health care; ethics deals with the principles of right and wrong, good and bad. C. Bioethics is specific to health care; ethics deals with the principles of right and wrong, good and bad with no issues of beliefs and values. D. Bioethics is specific to health care, ethics is the science that deals with the principles of right and wrong and of good and bad, and governs our relationships with others. It is based on personal beliefs and values.

D

Which of the following would be a reliable source of information for a change in pediatric practice? A. Physician/staff discussion B. Editorial in Pediatric Nursing C. Growth and development charts D. Clinical trial results

D