RN NURSING Exam 5 Questions & Answers, Rated 100%-1 ) A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility . After problem identification , which of the following
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RN NURSING Exam 5 Questions & Answers, Rated 100%-1 ) A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility . After problem identification , which of the following actions should the nurse plan to take first as part of the quality improvement process ?
a . Notify staff of the increased fall rate
b . Review current literature regarding client falls
c . Implement a fall prevention plan
d . Identify clients who are at risk for falls-d . Identify clients who are at risk for falls
2 ) A client who is febrile is admitted to the hospital for treatment of pneumonia . In accordance with the care pathway , antibiotic therapy is prescribed . Which of the following situations requires the nurse to complete a variance report with regard to the care pathway ?
a . Antibiotic therapy was initiated 2 hr after implementation of the care pathway .
b . A blood culture was obtained after antibiotic therapy had been initiated .
c . The route of antibiotic therapy on the care pathway was changed from IV to PO .
d . An allergy to penicillin required an alternative antibiotic to be prescribed .-b . A blood culture was obtained after antibiotic therapy had been initiated .
3 ) A nurse is caring for a client who has cancer . The client and her partner are asking the nurse about hospice care . Which of the following statements by the nurse is appropriate ?
a . " Hospice care will prolong the life expectancy of clients who are terminally ill . "
b . " Hospice care is a multidisciplinary program for clients who are terminally ill . "
c . " Hospice care is helpful for clients at various stages of chronic illness
d . " Hospital access is no longer available for clients who are in hospice care . "-b . " Hospice care is a multidisciplinary program for clients who are terminally ill . "
4 ) A nurse manager discovers there is a conflict between nurses working the day shift and nurses working on the night shift . Which of the following actions should the nurse manager take first ?
a . Acknowledge the conflict and encourage the nurses to focus on working as a team .
b . Gather information regarding the situation
c . Encourage the nurses to resolve the conflict autonomously
d . Meet with a committee from each shift to discuss issues related to the conflict-. b . Gather information regarding the situation
5 ) A nurse in the emergency room is assessing several clients . Which of the following is the highest priority ?
a . A client who report right sided flank pain and is diaphoretic
b . A client who has a raised red skin rash on his arms , neck and face
c . A client who has active bleeding from a puncture wound of the left groin area
d . A client who reports SOB and left neck and shoulder pain .-d . A client who reports SOB and left neck and shoulder pain .
6 ) A nurse is providing change - of - shift report for an oncoming nurse . Which of the following information should the nurse include in the report ?
a . " The client's partner came to visit him 2 hours ago and smelled of alcohol . "
b . " The client is currently in the radiology department for a chest x - ray . "
c . " The client will need vital signs every 4 hours . "
d . " The client is the president of a local bank . "-b . " The client is currently in the radiology department for a chest x - ray . "
7 ) A nurse is planning discharge for a client who has lung resection . The nurse initiates a referral for a social worker . Which of the following assessment data supports this referral ?
a . The client needs to have someone bring O₂ tanks and equipment to her home .
b . The client needs to have range - of - motion exercises to assist with ambulation
c . The client needs to arrange financial resources to purchase equipment .
d . The client needs to have someone come in to help her bathe at home .-c . The client needs to arrange financial resources to purchase equipment
8 ) A nurse is caring for a dient who requests information about the prevalence of tay sachs disease . Which of the following resources should the nurse use to obtain this information ?
a . The facility's case manager
b . The client's health provider
c . A collaborative , user - edited website
d . An evidence - based nursing journal-d . An evidence based nursing journal
9 ) A nurse is orienting a newly licensed nurse about client confidentiality . Which of the following statements by the newly licensed nurse indicates an understanding of the teaching ?
a . " I should encrypt personal health information when sending emails .
b . " I can post the client's vital signs in the client's room . "
c . " I can use another nurse's password as long as I log off after using the computer "
d . " I should discard personal health information documents in the trash before leaving the unit "-a . " I should encrypt personal health information when sending emails .
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