1) A client admitted with congestive heart failure attempted to reach for the call light and fell from the bed, with no
injury. The nurse manager put together a group of staff to evaluate the event. What type of evaluation is this?
Root cause analysis
Infection control meeting
Sentinel event
Failure identification meeting
2)The charge nurse wants to briefly round on four clients before nursing assignments are made. Which client should the
charge nurse see first?
The adolescent client with a fracture reports the cast is tight
The client with carpal tunnel syndrome reports pain
The 64-year-old client with osteoporosis awaiting discharge
The 56-year-old client with a left below-the-knee amputation reported phantom pain
3)According to the Institute of Medicine (IOM), all healthcare professionals should be educated in evidence-based
practice (EBP) and be able to do the following?
Search for relevant answers to clinical questions
Develop evidence
Formulate clear clinical questions
Know where and how to find the best possible sources of evidence
Search from blogs and WebMD
4)Order: Cefactor 0.3g PO every 8 hours. Supply. Cofactor reconstituted oral suspension, 375 mg per 5 ml. How many ml
will the nurse administer for one dose? ( Record the answer as a whole number) 4
5)A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client’s provider, and
completes an incident report, which of the following actions should the nurse take?
Document in the chart that an incidence report has been filed
Submit the incident report to the risk manager
Make a copy of the incident report for the client
Make a copy of the incident report for the provider
6) In health care, which of the following attempts to guarantee that when an action is performed by a health care
professional, it is performed correctly the first time and each time thereafter?
Quality assurance
Care management
Risk management
Six Sigma
7) Which of the following is not a factor to be considered in the use of research?
Quality improvement initiatives
Pressure to reduce medical errors
The rising cost of healthcare
Lack of publicity
8) The nurse manager of a rehab unit wants to purchase a new anti-embolic stocking. What is the most effective way for
the nurse manager to practice democratic leadership?
Involve the rehab staff in the decision
Make the decision alone
Involve administration in the decision
Involve the sales representative.
9) A nurse wants to research the infection rate in a hospital unit and develops the following PICOT question. Will clients
on our unit, during the month of May, have reduced infection, with hand hygiene? What is missing from the PICOT?
Population
Comparison
Time frame
Intervention
10) A charge nurse is interested in complying with the suggestions made Crossing the Quality Chasm. Which of the
following understandings will help the nurse comply?
, Preferences are given to increasing staff numbers rather than staff credentials
Nurses must closely manage the performance of each unit staff member
Care must be equitable and not vary due to gender, ethnicity, or socioeconomics
Rules and decisions are made through federal processes
11) A nurse executive is hired to restore a unit’s productivity, which has decreased as a result of low staff morale. Which
leadership principle should the nurse consider?
If the staff members are not satisfied, they will insist on a different leader, who will get them what they want
Workplace satisfaction depends on staffing ratios and adequate pay, and these are things the leader can control
The leader sets the tone, which allows nurses to feel more in control of their work environment
Leaders at the national level are seeking relief for nurses in the workplace are the solution to the nursing
shortage
12) Which clinical question is listed in a proper PICOT format?
Are postpartum women who have gestational diabetes compared with those without gestational diabetes at
an increased risk for cardiovascular disease within 5 years of giving birth?
Are postpartum women who have gestational diabetes compared with those without gestational diabetes at an
increased risk for cardiovascular disease?
In postpartum women, how does gestational diabetes affect the probability of developing cardiovascular
disease?
Are some women with gestational diabetes at an increased risk for cardiovascular disease?
13) A nurse educator is planning a class on quality improvement for the students. At what point should the educator
introduce the focus on quality care?
On the first clinical day a long-term care setting
On the first clinical day in acute care
On day one and continuing throughout the course
Before the first written exam is given
14) A nurse is caring for a 16-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The
client’s mother insists that the client receive treatment. Which of the following actions should the nurse take?
Administer a sedative to calm the client
Initiate the IV per the parent’s request
Notify the provider of the situation
Offer the client an antiemetic
15) Which of the following is part of the quality improvement process? (Select all that apply)
Establish outcomes
Discuss plan
Collect the data
Work individually
Evaluate
16) A nurse plans to carry out a research project on the effects of immobility on clients’ stress levels. Of the following
statements, which principles are most important when planning this project?
Collaboration with other disciplines is essential to the successful practice of nursing
The corporate nurse executive should be consulted because the project will take nursing time.
Any client has the right to refuse to participate in research studies
The cooperation of the physicians on staff must be ensured for the project to succeed
17) Nurses can assist risk management by doing which of the following? (Select all that apply)
Asking families to clean up spills if they occur in the client’s room
Ensuring safety precautions such as hand washing, and cleanliness are in place
Removing and storing all cellular phones found on the unit
Reporting near misses when and if they occur on the unit
Reporting and removing malfunctioning medical equipment
18) Research on client care satisfaction has shown that clients are happiest when they have what?
Painless procedures
Competent health care
Private rooms
injury. The nurse manager put together a group of staff to evaluate the event. What type of evaluation is this?
Root cause analysis
Infection control meeting
Sentinel event
Failure identification meeting
2)The charge nurse wants to briefly round on four clients before nursing assignments are made. Which client should the
charge nurse see first?
The adolescent client with a fracture reports the cast is tight
The client with carpal tunnel syndrome reports pain
The 64-year-old client with osteoporosis awaiting discharge
The 56-year-old client with a left below-the-knee amputation reported phantom pain
3)According to the Institute of Medicine (IOM), all healthcare professionals should be educated in evidence-based
practice (EBP) and be able to do the following?
Search for relevant answers to clinical questions
Develop evidence
Formulate clear clinical questions
Know where and how to find the best possible sources of evidence
Search from blogs and WebMD
4)Order: Cefactor 0.3g PO every 8 hours. Supply. Cofactor reconstituted oral suspension, 375 mg per 5 ml. How many ml
will the nurse administer for one dose? ( Record the answer as a whole number) 4
5)A nurse is caring for a client who falls in his room. After the nurse assesses the client, notifies the client’s provider, and
completes an incident report, which of the following actions should the nurse take?
Document in the chart that an incidence report has been filed
Submit the incident report to the risk manager
Make a copy of the incident report for the client
Make a copy of the incident report for the provider
6) In health care, which of the following attempts to guarantee that when an action is performed by a health care
professional, it is performed correctly the first time and each time thereafter?
Quality assurance
Care management
Risk management
Six Sigma
7) Which of the following is not a factor to be considered in the use of research?
Quality improvement initiatives
Pressure to reduce medical errors
The rising cost of healthcare
Lack of publicity
8) The nurse manager of a rehab unit wants to purchase a new anti-embolic stocking. What is the most effective way for
the nurse manager to practice democratic leadership?
Involve the rehab staff in the decision
Make the decision alone
Involve administration in the decision
Involve the sales representative.
9) A nurse wants to research the infection rate in a hospital unit and develops the following PICOT question. Will clients
on our unit, during the month of May, have reduced infection, with hand hygiene? What is missing from the PICOT?
Population
Comparison
Time frame
Intervention
10) A charge nurse is interested in complying with the suggestions made Crossing the Quality Chasm. Which of the
following understandings will help the nurse comply?
, Preferences are given to increasing staff numbers rather than staff credentials
Nurses must closely manage the performance of each unit staff member
Care must be equitable and not vary due to gender, ethnicity, or socioeconomics
Rules and decisions are made through federal processes
11) A nurse executive is hired to restore a unit’s productivity, which has decreased as a result of low staff morale. Which
leadership principle should the nurse consider?
If the staff members are not satisfied, they will insist on a different leader, who will get them what they want
Workplace satisfaction depends on staffing ratios and adequate pay, and these are things the leader can control
The leader sets the tone, which allows nurses to feel more in control of their work environment
Leaders at the national level are seeking relief for nurses in the workplace are the solution to the nursing
shortage
12) Which clinical question is listed in a proper PICOT format?
Are postpartum women who have gestational diabetes compared with those without gestational diabetes at
an increased risk for cardiovascular disease within 5 years of giving birth?
Are postpartum women who have gestational diabetes compared with those without gestational diabetes at an
increased risk for cardiovascular disease?
In postpartum women, how does gestational diabetes affect the probability of developing cardiovascular
disease?
Are some women with gestational diabetes at an increased risk for cardiovascular disease?
13) A nurse educator is planning a class on quality improvement for the students. At what point should the educator
introduce the focus on quality care?
On the first clinical day a long-term care setting
On the first clinical day in acute care
On day one and continuing throughout the course
Before the first written exam is given
14) A nurse is caring for a 16-year-old client who is experiencing a relapse of leukemia and is refusing treatment. The
client’s mother insists that the client receive treatment. Which of the following actions should the nurse take?
Administer a sedative to calm the client
Initiate the IV per the parent’s request
Notify the provider of the situation
Offer the client an antiemetic
15) Which of the following is part of the quality improvement process? (Select all that apply)
Establish outcomes
Discuss plan
Collect the data
Work individually
Evaluate
16) A nurse plans to carry out a research project on the effects of immobility on clients’ stress levels. Of the following
statements, which principles are most important when planning this project?
Collaboration with other disciplines is essential to the successful practice of nursing
The corporate nurse executive should be consulted because the project will take nursing time.
Any client has the right to refuse to participate in research studies
The cooperation of the physicians on staff must be ensured for the project to succeed
17) Nurses can assist risk management by doing which of the following? (Select all that apply)
Asking families to clean up spills if they occur in the client’s room
Ensuring safety precautions such as hand washing, and cleanliness are in place
Removing and storing all cellular phones found on the unit
Reporting near misses when and if they occur on the unit
Reporting and removing malfunctioning medical equipment
18) Research on client care satisfaction has shown that clients are happiest when they have what?
Painless procedures
Competent health care
Private rooms
