QUESTIONS WITH FULL SOLUTION GRADED
A+
◉ When implementing an evidence-based nursing program to
decrease the incidence of pressure ulcers on a
medical-surgical unit, which of the following is the most important
to ensure its success?
A. Obtaining support from management, administration, and
physicians
B. Determining and documenting patient outcomes
C. Identifying a significant problem that needs to be addressed
D. Evaluating research based on its validity and reliability. Answer:
A. Obtaining support from management, administration, and
physicians
Rationale: To successfully implement an evidence-based nursing
program, it's important
to obtain the support of management, administration, and
physicians.
Option B is part of evaluating evidence-based nursing program
implementation.
,Option C is part of the first step of the evidence-based nursing
program process. Option D is part of the critical evaluation of
resources.
◉ When planning the implementation of evidence-based practices
to prevent falls, which of the following
steps should the nurse take fi rst?
A. Identify the common causes of falls.
B. Gather and review currently existing literature and guidelines for
the prevention of falls.
C. Identify fall prevention practices that are applicable to the patient
care setting.
D. Gather data to identify the effectiveness of the new practice
guidelines. Answer: B. Gather and review currently existing
literature and guidelines for the prevention of falls.
Rationale: Options A, B, and C are correct steps in planning for the
implementation of evidence-based practices; however, Option B
would be the initial step, followed by Options A and C. Option D is
part of the evaluation phase of evidence-based practice
implementation
◉ Which measure most effectively reduces the risk of health care-
associated infections?
A. Keeping employee health records up-to-date
,B. Performing hand hygiene
C. Providing annual influenza vaccinations
D. Always wearing a mask when caring for patients Answer: B.
Performing hand hygiene
Rationale: Performing hand hygiene in compliance with the World
Health Organization or Centers for Disease Control and Prevention
guidelines is the most effective in reducing the risk of health care-
associated infections. Keeping employee health records up-to-date
(Option A), providing annual influenza vaccinations (Option C), and
always wearing a mask when caring for patients (Option D) aren't
the most effective ways to reduce the risk of health care-associated
infections.
◉ Which action should the nurse take when receiving a telephone
order from a physician?
A. Inform the physician that telephone orders are not permitted.
B. Write the order in the patient's medical record immediately.
C. Write down the order and then read back the complete order to
the physician.
D. Immediately carry out the order. Answer: C. Write down the order
and then read back the complete order to the physician.
Rationale: When receiving a telephone or other verbal order, the
nurse should write down the
, order and then read back the complete order to the physician to
verify its accuracy.
Options A, B, and D aren't appropriate actions for the nurse to take
when receiving a telephone order from a physician.
◉ A secondary latency phase that occurs in some diseases that is
commonly followed by another acute phase
is referred to as:
A. remission.
B. convalescence.
C. the acute phase.
D. the subclinical acute phase. Answer: A. remission.
Rationale: A secondary latency phase that occurs in some diseases
that is commonly followed by another acute phase is referred to as
remission.
Convalescence (Option B) is progression toward
recovery.
The acute phase (Option C) refers to the disease at its full intensity,
possibly with complications.
The subclinical acute phase (Option D) occurs when the patient is in
the acute phase but still functions as if the disease weren't present.