7/19/2021 Module I6 IExam: IHESI IVN ITXGRP I1912COHORT(VNE
I39)
Question 1 I
pts
I I I
Which Ievent Iwould Irequire Ia Inurse Ito Icomplete Iand Ifile Ian
Ii ncident Ireport?
A Iclient Ihas Ia Iseizure.
The Inurse Idetermines Ithat Ia Iclient Iwould Ibenefit Ifrom Ithe Iuse Iof
Ia Iwalker Ito Iambulate.
The Inurse, Ipreparing Ian Iintravenous Iinfusion, Inotes Ithat Ithe
Ibattery Iof Ian Iintravenous Iinfusion Ipump Iis Inot Iworking.
Co
orrrec
ct!
When Ia Ivisitor Isuddenly Ibecomes Iweak Iand Idizzy, Ithe Inurse
Ichecks Ithe Ivisitor’s Iblood Ipressure Iand Itakes Ithe Ivisitor Ito Ithe
Iemergency Idepartment Ifor Itreatment.
1/109
,7/19/2021 Module I6 IExam: IHESI IVN ITXGRP I1912COHORT(VNE
I39)
Rationale: IAn Iincident Iis Iany Ievent Ithat Iis Inot Iconsistent
Iwith Ithe Iroutine Ioperation Iof Ia Ihealth Icare Iunit Ior Iroutine
Icare Iof Ia Iclient. IExamples Iof Iincidents Iinclude Iclient Ifalls,
Ineedlestick Iinjuries, Ia Ivisitor Ihaving Isymptoms Iof Iillness,
I medication Iadministration Ierrors, Iaccidental Iomission Iof
Iprescribed Itherapies, Iand Icircumstances Ileading Ito Iinjury
Ior Ia Irisk Ifor Iinjury. IAn Iincident Ireport Idoes Inot Ineed Ito Ibe
Ifiled Iif Ia Iclient Ihas Ia Iseizure Iunless Ithe Iclient Isustains
Iinjury Ias Ia Iresult Iof Ithe Iseizure. IIf Ithe Inurse Idetermines
Ithat Ia Iclient Iwould Ibenefit Ifrom Ithe Iuse Iof Ia Iwalker Ito
Iambulate, Ihe Ior Ishe Ishould Itake Ithe Iappropriate Iaction Ito
Iobtain Ione. IIf Ithe Inurse Inotes Ithat Ithe Ibattery Iof Ian
Iintravenous Iinfusion Ipump Iis Inot Iworking, Ihe Ior Ishe
Ishould Iobtain Ia Ifunctioning Ipump Iand Isend Ithe
Inonfunctioning Ipump Ito Ithe Iappropriate Idepartment Ifor
Irepair.
Test-Taking IStrategy: IUse Iknowledge Iof Ithe Isubject,
Ireasons Ifor Ifiling Ian Iincident Ireport, Ito Iassist Iyou Iwith Ithe
Iprocess Iof Ielimination. IRead Ieach Ioption Icarefully.
Recalling Ithat Ian Iincident Iis Iany Ievent Ithat Iis Inot
Iconsistent Iwith Ithe Iroutine Ioperation Iof Ia Ihealth Icare Iunit
Ior Iroutine Icare Iof Ia Iclient Iwill Idirect Iyou Ito Ithe Icorrect
Ioption. IReview Ithe Ireasons Ifor Ifiling Ian Iincident Ireport Iif
Iyou Ihad Idifficulty Iwith Ithis Iquestion.
Cognitive IAbility: IApplying
Client INeeds: ISafe Iand IEffective ICare IEnvironment
I Integrated IProcess: INursing IProcess/Implementation
Content IArea: IEthical/Legal
I
Question 2 I
pts
I I I
A Inurse, Icharting Ithe Iadministration Iof Imedications Ito Ian Iassigned
Iclient Iat I9 Ip.m., Inotes Ithat Iatenolol I(Tenormin) Iwas Iprescribed Ito
Ibe Iadministered Iat I9 Ia.m. Iinstead Iof I9 Ip.m. IThe Inurse Ichecks Ithe
Iclient’s Ivital Isigns, Icompletes Ian Iincident Ireport,Iand Icalls Ithe
Ihealth Icare Iprovider Ito Ireport Ithe Ierror. IThe Ihealth Icare Iprovider
Itells Ithe Inurse Ithat Ian Iincident Ireport Iis Inot Ineeded Ibut Iinstructs
Iher Ito Imonitor Ithe Iclient Iduring Ithe Inight Ifor Ihypotension. IWhat
Iaction Ishould Ithe Inurse Itake?
2/109
,7/19/2021 Module I6 IExam: IHESI IVN ITXGRP I1912COHORT(VNE
I39)
Notifying Ithe Inursing Isupervisor
Tearing Iup Iand Idiscarding Ithe Iincident Ireport
Co
orrrec
ct!
Telling Ithe Ihealth Icare Iprovider Ithat Ithe Ierror Iwarrants Ithe
Icompletion Iof Ian Iincident Ireport
Telling Ithe Inursing Isupervisor Ithat Ithe Ihealth Icare Iprovider Idid Inot
Iw ant Ian Iincident Ireport Icompleted Iand Ifiled
Rationale: IIncident Ireports Iare Ian Iimportant Ipart Iof Ia Ihealth
Icare Iagency’s Iquality Iimprovement Iprogram. IAn Iincident Iis
Iany Ievent Ithat Iis Inot Iconsistent Iwith Ithe Iroutine Ioperation
Iof Ia Ihealth Icare Iunit Ior Iroutine Icare Iof Ia Iclient. IAn Iexample
Iof Ian Iincident Iis Iadministering Ia Imedication IatIa Itime Iat
Iwhich Iit Iis Inot Iprescribed Ito Ibe Igiven. IWhenever Ian
Iincident Ioccurs, Ian Iincident Ireport Iis Icompleted Iand Ifiled Iin
Iaccordance Iwith Iagency Iguidelines. IThe Inursing
Isupervisor Iwould Ibe Inotified Iof Ithe Iincident; Ihowever, Ion
Ithe Ibasis Iof Ithe Idata Iin Ithe Iquestion, Ithe Inurse Ishould Itell
Ithe Ihealth Icare Iprovider Ithat Ithe Ierror Iwarrants Icompletion
Iand Ifollow-through Iwith Ian Iincident Ireport. ITherefore, Ithe
Iother Ioptions Iare Iincorrect.
Test-Taking IStrategy: IFocus Ion Ithe Isubject Iof Ithe Iquestion,
Ithe Ihealth Icare Iprovider’s Itelling Ithe Inurse Ithat Ian Iincident
Ireport Iis Inot Ineeded. IEliminate Ithe IcomparableIor Ialike
Ioptions Ithat Iinvolve Inotifying Ithe Inursing Isupervisor. ITo
Iselect Ifrom Ithe Iremaining Ioptions, Irecall ItheIpurpose Iof Ian
Iincident Ireport Ito Iselect Ithe Icorrect Ioption.
Review Ithe Iprocedures Iinvolved Iin Icompleting Iand Ifiling
Ii ncident Ireports Iif Iyou Ihad Idifficulty Iwith Ithis Iquestion.
Cognitive IAbility: IApplying
Client INeeds: ISafe Iand IEffective ICare IEnvironment
I Integrated IProcess: INursing IProcess/Implementation
Content IArea: IEthical/Legal
I
Question 3 I
pts
I I I
3/109
, 7/19/2021 Module I6 IExam: IHESI IVN ITXGRP I1912COHORT(VNE
I39)
Contact Iprecautions Iare Iinitiated Ifor Ia Iclient Iwith Imethicillin-
Iresistant IStaphylococcus Iaureus I(MRSA) Iinfection. IThe Inurse,
Iproviding Iinstructions Ito Ia Inursing Iassistant Iabout Icaring Ifor Ithe
Iclient, Itells Ithe Iassistant Ito Itake Iwhich Iaction?
To Itransfer Ithe Iclient Ito Ia Isemiprivate Iroom
That Igloves Ionly Iare Ineeded Ito Icare Ifor Ithe Iclient
Co
orrrec
ct!
To Iwear Igloves Iand Ia Igown Iwhen Ichanging Ithe Iclient’s Ibed Ilinen
To Iwear Ia Igown Iwhen Icaring Ifor Ithe Iclient Iand Iremove Ithe Igown
Iimmediately Iafter Ileaving Ithe Iclient Is Iroom
Rationale: IContact Iprecautions Irequire Ithe Iuse Iof Igloves,
Igown, Iand Igoggles Iif Idirect Iclient Icontact Iis Ianticipated.
IThe Iclient Ishould Ibe Iplaced Iin Ia Iprivate Iroom Ior, Iif Ia
Iprivate Iroom Iis Inot Iavailable, Iin Ia Isemiprivate Iroom I with
Ianother Iclient Iwho Ihas Iactive Iinfection Iwith Ithe Isame
I microorganism Ibut Ino Iother Iinfection. IThe Inursing
Iassistant Iwould Iremove Ithe Iprotective Igear Ibefore Ileaving
Ithe Iclient’s Iroom.
Test-Taking IStrategy: IUse Ithe Iprocess Iof Ielimination.
IEliminate Ithe Ioption Ithat Iincludes Ithe Iclosed-ended Iword
I“only.” INext Ieliminate Ithe Ioption Ithat Iinvolves Iremoval Iof
Ithe Igown Iafter Ileaving Ithe Iclient’s Iroom. ITo Iselect Ifrom Ithe
Iremaining Ioptions, Iread Ieach Icarefully Iand Ivisualize Ithe
Iprocedure Iinstituted Ifor Icontact Iprecautions, Iwhich Iwill
Idirect Iyou Ito Ithe Icorrect Ioption. IIf Iyou Ihad Idifficulty Iwith
Ithis Iquestion, Ireview Icontact Iprecautions.
Cognitive IAbility: IApplying
Client INeeds: ISafe Iand IEffective ICare IEnvironment
Integrated IProcess: ITeaching Iand ILearning
Content IArea: ILeadership/Management
Question 4 I
pts
I I I
4/109
I39)
Question 1 I
pts
I I I
Which Ievent Iwould Irequire Ia Inurse Ito Icomplete Iand Ifile Ian
Ii ncident Ireport?
A Iclient Ihas Ia Iseizure.
The Inurse Idetermines Ithat Ia Iclient Iwould Ibenefit Ifrom Ithe Iuse Iof
Ia Iwalker Ito Iambulate.
The Inurse, Ipreparing Ian Iintravenous Iinfusion, Inotes Ithat Ithe
Ibattery Iof Ian Iintravenous Iinfusion Ipump Iis Inot Iworking.
Co
orrrec
ct!
When Ia Ivisitor Isuddenly Ibecomes Iweak Iand Idizzy, Ithe Inurse
Ichecks Ithe Ivisitor’s Iblood Ipressure Iand Itakes Ithe Ivisitor Ito Ithe
Iemergency Idepartment Ifor Itreatment.
1/109
,7/19/2021 Module I6 IExam: IHESI IVN ITXGRP I1912COHORT(VNE
I39)
Rationale: IAn Iincident Iis Iany Ievent Ithat Iis Inot Iconsistent
Iwith Ithe Iroutine Ioperation Iof Ia Ihealth Icare Iunit Ior Iroutine
Icare Iof Ia Iclient. IExamples Iof Iincidents Iinclude Iclient Ifalls,
Ineedlestick Iinjuries, Ia Ivisitor Ihaving Isymptoms Iof Iillness,
I medication Iadministration Ierrors, Iaccidental Iomission Iof
Iprescribed Itherapies, Iand Icircumstances Ileading Ito Iinjury
Ior Ia Irisk Ifor Iinjury. IAn Iincident Ireport Idoes Inot Ineed Ito Ibe
Ifiled Iif Ia Iclient Ihas Ia Iseizure Iunless Ithe Iclient Isustains
Iinjury Ias Ia Iresult Iof Ithe Iseizure. IIf Ithe Inurse Idetermines
Ithat Ia Iclient Iwould Ibenefit Ifrom Ithe Iuse Iof Ia Iwalker Ito
Iambulate, Ihe Ior Ishe Ishould Itake Ithe Iappropriate Iaction Ito
Iobtain Ione. IIf Ithe Inurse Inotes Ithat Ithe Ibattery Iof Ian
Iintravenous Iinfusion Ipump Iis Inot Iworking, Ihe Ior Ishe
Ishould Iobtain Ia Ifunctioning Ipump Iand Isend Ithe
Inonfunctioning Ipump Ito Ithe Iappropriate Idepartment Ifor
Irepair.
Test-Taking IStrategy: IUse Iknowledge Iof Ithe Isubject,
Ireasons Ifor Ifiling Ian Iincident Ireport, Ito Iassist Iyou Iwith Ithe
Iprocess Iof Ielimination. IRead Ieach Ioption Icarefully.
Recalling Ithat Ian Iincident Iis Iany Ievent Ithat Iis Inot
Iconsistent Iwith Ithe Iroutine Ioperation Iof Ia Ihealth Icare Iunit
Ior Iroutine Icare Iof Ia Iclient Iwill Idirect Iyou Ito Ithe Icorrect
Ioption. IReview Ithe Ireasons Ifor Ifiling Ian Iincident Ireport Iif
Iyou Ihad Idifficulty Iwith Ithis Iquestion.
Cognitive IAbility: IApplying
Client INeeds: ISafe Iand IEffective ICare IEnvironment
I Integrated IProcess: INursing IProcess/Implementation
Content IArea: IEthical/Legal
I
Question 2 I
pts
I I I
A Inurse, Icharting Ithe Iadministration Iof Imedications Ito Ian Iassigned
Iclient Iat I9 Ip.m., Inotes Ithat Iatenolol I(Tenormin) Iwas Iprescribed Ito
Ibe Iadministered Iat I9 Ia.m. Iinstead Iof I9 Ip.m. IThe Inurse Ichecks Ithe
Iclient’s Ivital Isigns, Icompletes Ian Iincident Ireport,Iand Icalls Ithe
Ihealth Icare Iprovider Ito Ireport Ithe Ierror. IThe Ihealth Icare Iprovider
Itells Ithe Inurse Ithat Ian Iincident Ireport Iis Inot Ineeded Ibut Iinstructs
Iher Ito Imonitor Ithe Iclient Iduring Ithe Inight Ifor Ihypotension. IWhat
Iaction Ishould Ithe Inurse Itake?
2/109
,7/19/2021 Module I6 IExam: IHESI IVN ITXGRP I1912COHORT(VNE
I39)
Notifying Ithe Inursing Isupervisor
Tearing Iup Iand Idiscarding Ithe Iincident Ireport
Co
orrrec
ct!
Telling Ithe Ihealth Icare Iprovider Ithat Ithe Ierror Iwarrants Ithe
Icompletion Iof Ian Iincident Ireport
Telling Ithe Inursing Isupervisor Ithat Ithe Ihealth Icare Iprovider Idid Inot
Iw ant Ian Iincident Ireport Icompleted Iand Ifiled
Rationale: IIncident Ireports Iare Ian Iimportant Ipart Iof Ia Ihealth
Icare Iagency’s Iquality Iimprovement Iprogram. IAn Iincident Iis
Iany Ievent Ithat Iis Inot Iconsistent Iwith Ithe Iroutine Ioperation
Iof Ia Ihealth Icare Iunit Ior Iroutine Icare Iof Ia Iclient. IAn Iexample
Iof Ian Iincident Iis Iadministering Ia Imedication IatIa Itime Iat
Iwhich Iit Iis Inot Iprescribed Ito Ibe Igiven. IWhenever Ian
Iincident Ioccurs, Ian Iincident Ireport Iis Icompleted Iand Ifiled Iin
Iaccordance Iwith Iagency Iguidelines. IThe Inursing
Isupervisor Iwould Ibe Inotified Iof Ithe Iincident; Ihowever, Ion
Ithe Ibasis Iof Ithe Idata Iin Ithe Iquestion, Ithe Inurse Ishould Itell
Ithe Ihealth Icare Iprovider Ithat Ithe Ierror Iwarrants Icompletion
Iand Ifollow-through Iwith Ian Iincident Ireport. ITherefore, Ithe
Iother Ioptions Iare Iincorrect.
Test-Taking IStrategy: IFocus Ion Ithe Isubject Iof Ithe Iquestion,
Ithe Ihealth Icare Iprovider’s Itelling Ithe Inurse Ithat Ian Iincident
Ireport Iis Inot Ineeded. IEliminate Ithe IcomparableIor Ialike
Ioptions Ithat Iinvolve Inotifying Ithe Inursing Isupervisor. ITo
Iselect Ifrom Ithe Iremaining Ioptions, Irecall ItheIpurpose Iof Ian
Iincident Ireport Ito Iselect Ithe Icorrect Ioption.
Review Ithe Iprocedures Iinvolved Iin Icompleting Iand Ifiling
Ii ncident Ireports Iif Iyou Ihad Idifficulty Iwith Ithis Iquestion.
Cognitive IAbility: IApplying
Client INeeds: ISafe Iand IEffective ICare IEnvironment
I Integrated IProcess: INursing IProcess/Implementation
Content IArea: IEthical/Legal
I
Question 3 I
pts
I I I
3/109
, 7/19/2021 Module I6 IExam: IHESI IVN ITXGRP I1912COHORT(VNE
I39)
Contact Iprecautions Iare Iinitiated Ifor Ia Iclient Iwith Imethicillin-
Iresistant IStaphylococcus Iaureus I(MRSA) Iinfection. IThe Inurse,
Iproviding Iinstructions Ito Ia Inursing Iassistant Iabout Icaring Ifor Ithe
Iclient, Itells Ithe Iassistant Ito Itake Iwhich Iaction?
To Itransfer Ithe Iclient Ito Ia Isemiprivate Iroom
That Igloves Ionly Iare Ineeded Ito Icare Ifor Ithe Iclient
Co
orrrec
ct!
To Iwear Igloves Iand Ia Igown Iwhen Ichanging Ithe Iclient’s Ibed Ilinen
To Iwear Ia Igown Iwhen Icaring Ifor Ithe Iclient Iand Iremove Ithe Igown
Iimmediately Iafter Ileaving Ithe Iclient Is Iroom
Rationale: IContact Iprecautions Irequire Ithe Iuse Iof Igloves,
Igown, Iand Igoggles Iif Idirect Iclient Icontact Iis Ianticipated.
IThe Iclient Ishould Ibe Iplaced Iin Ia Iprivate Iroom Ior, Iif Ia
Iprivate Iroom Iis Inot Iavailable, Iin Ia Isemiprivate Iroom I with
Ianother Iclient Iwho Ihas Iactive Iinfection Iwith Ithe Isame
I microorganism Ibut Ino Iother Iinfection. IThe Inursing
Iassistant Iwould Iremove Ithe Iprotective Igear Ibefore Ileaving
Ithe Iclient’s Iroom.
Test-Taking IStrategy: IUse Ithe Iprocess Iof Ielimination.
IEliminate Ithe Ioption Ithat Iincludes Ithe Iclosed-ended Iword
I“only.” INext Ieliminate Ithe Ioption Ithat Iinvolves Iremoval Iof
Ithe Igown Iafter Ileaving Ithe Iclient’s Iroom. ITo Iselect Ifrom Ithe
Iremaining Ioptions, Iread Ieach Icarefully Iand Ivisualize Ithe
Iprocedure Iinstituted Ifor Icontact Iprecautions, Iwhich Iwill
Idirect Iyou Ito Ithe Icorrect Ioption. IIf Iyou Ihad Idifficulty Iwith
Ithis Iquestion, Ireview Icontact Iprecautions.
Cognitive IAbility: IApplying
Client INeeds: ISafe Iand IEffective ICare IEnvironment
Integrated IProcess: ITeaching Iand ILearning
Content IArea: ILeadership/Management
Question 4 I
pts
I I I
4/109
