ACTUAL Questions and CORRECT
Answers
The nurse provides an SBAR hand-off communication regarding a client whose blood pressure and
respiratory rate have decreased. Where will the nurse include these data as part of the SBAR format?
A. Situation
B. Background
C. Assessment
D. Recommendation - CORRECT ANSWER -A. Situation
The nurse collaborates with the registered dietitian nutritionist to improve the nutritional status of clients
on a hospital unit. Which priority professional nursing concepts apply in this situation? Select all that
apply.
A. Quality Improvement
B. Ethics
C. Health Care Disparities
D. Systems Thinking
E. Teamwork and Collaboration - CORRECT ANSWER -A. Quality Improvement
D. Systems Thinking
E. Teamwork and Collaboration
The nurse is participating in a unit meeting to discuss daily nursing care expectations. Which nursing
statement reflects systems level thinking?
A. "It is important to provide care consistent with the client's expectation."
B. "I will always consider my client's cultural preferences when delivering care."
C. "I have been comparing our rates of infection with other units in the hospital."
, D. "I will look for the policy about family visitation to show my client." - CORRECT ANSWER -
C. "I have been comparing our rates of infection with other units in the hospital."
Which nursing action reflects implementation of systems level thinking?
A. Conducting a skin assessment on a newly admitted client
B. Documenting a pressure injury in the electronic health record
C. Notifying the health care provider of a 2″ × 1″ pressure injury on the coccyx
D. Participating in a quality improvement project about eliminating pressure injury occurrences -
CORRECT ANSWER -D. Participating in a quality improvement project about eliminating
pressure injury occurrences
How will the experienced nurse explain systems thinking to a new nurse?
A. Reading a journal article to enhance one's understanding of a specific disorder
B. Providing patient-centered care to each individual, recognizing his or her uniqueness
C. Engaging in a professional development activity to earn continuing education credit
D. Using information from individual client care to improve outcomes at a macro level - CORRECT
ANSWER -D. Using information from individual client care to improve outcomes at a macro level
The nurse is assessing an older adult and notes that the client is at risk for constipation. Which statements
will the nurse include in health teaching for this client to promote optimum bowel elimination? Select all
that apply.
A. "Be sure to include plenty of fresh fruits and vegetables in your diet each day."
B. "Eat lots of high fiber foods, including whole grains each day."
C. "Be sure to take a laxative every day to clean out your bowels and prevent toxins."
D. "Exercise several times a week to keep our bowels working for regular elimination."
E. "Drink at least 3 caffeinated beverages every day to keep your bowels stimulated."
F. "Drink plenty of fluids, including water, to prevent having difficulty going to the bathroom." -
CORRECT ANSWER -A. "Be sure to include plenty of fresh fruits and vegetables in your diet
each day."