1. A nurse is working on a quality improvement team that is assessing an increase in
clients falls at the facility after problem identification which of the following actions
should the nurse plan to take first as part of a quality improvement process
a. Notify staff of increase fall rate
b. review current literature regarding clients fall
c. identify clients who are at risk for falls
d. implemented A fall prevention plan
2. A client who is febrile is admitted to the hospital for the treatment of pneumonia. In
accordance with the care pathway antibiotic therapy is prescribed which of the
following situations require the nurse to complete a variance report with regards to the
care pathway?
a. The route of antibiotic therapy on the care pathway was from IV to PO
b. A blood culture was obtained after antibiotic therapy had been initiated
c. An allergy to penicillin requires an alternative antibiotic to be prescribed
d. antibiotic therapy was initiated 2 hours after implementation of the care pathway
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. Hospital is no longer available for clients who are in Hospice care
b. Hospice care will prolong the life expectancy of the client who are terminally ill
c. Hospice care is a multi-disciplinary program for clients who are terminally ill
d. hospice care is helpful for clients are very stages of chronic
4. A nurse manager discovers there is conflict between nurses working the day shift and
the nurses working night shift. Which of the following actions should the nurse
manager take first?
a. Meet with a committee of nurses from each shift to discuss issues related to
the conflict
b. Gathering information regarding the situation
c. Acknowledge the conflict and encourage the nurses to focus on working as
a team
d. Encourage the nurses to resolve the conflict autonomously
5. A nurse working in the emergency Department is assessing several clients which of
the following clients is the highest priority
a. A client who reports right sided flank pain and diaphoretic
b. A client who has active bleeding from a puncture wound of the left groin area
c. A client who has raised skin rash on his arm neck and face
d. a client who reports shortness of breath and left neck and shoulder pain
6. A nurse is providing change your shift report to an oncoming nurse which of
the following information should the nurse include in the report?
a. The client is in the radiology department for a chest X Ray
, b. The client is the president of the local bank
c. The client's partner came to visit him two hours ago
d. the client has routine vital signs prescribed
7. A nurse is planning discharge for a client who had a lung reception. The nurse initiates
a referral to a social worker which of the following assessment data supports his
referral?
a. client is to have a range of motion exercises Ambulation (OT)
b. client is to have someone bring oxygen tanks and equipment to her home (CM)
c. client needs to have someone come in to Help her bathe at home (CM)
d. client needs to arrange financial resources to purchase equipment (CS)
8. A nurse is caring for client who request information about the prevalence of Tay-Sachs
disease, which of the following resources should the nurse use to obtain this
information
a. The client’s health care provider
b. an evidence-based nursing Journal special one
c. A collaborate user- edited website
d. The facility's case manager
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 can use another nurse’s password as long as I log off after using the computer
b. I should encrypt personal health information when sending emails
c. I should discard personal health information documents in the trash
before leaving the unit
d. I can post the clients vitals in the client's room
10. A nurse is providing instructions about chemotherapy for a client who has a new
diagnosis of breast cancer. The client has decided to try an alternative treatment
rather than starting chemotherapy which of the following actions should the nurse
take
a. Tell client they cannot change their mind once consent is given
b. Inform the client about the risks of not starting chemotherapy immediately
c. notify its spiritual services to speak with the client about their decision
d. respect the client decision about not receiving chemotherapy
11. A charge nurse notices that two staff nurses are not taking meal breaks during their
shift which of the following actions should the nurse take first?
a. Discuss time management strategies with the nurses
b. provide coverage for the nurse’s breaks
c. review facility policies for taking schedule breaks
d. determine the reasons the nurses are not taking a scheduled break
clients falls at the facility after problem identification which of the following actions
should the nurse plan to take first as part of a quality improvement process
a. Notify staff of increase fall rate
b. review current literature regarding clients fall
c. identify clients who are at risk for falls
d. implemented A fall prevention plan
2. A client who is febrile is admitted to the hospital for the treatment of pneumonia. In
accordance with the care pathway antibiotic therapy is prescribed which of the
following situations require the nurse to complete a variance report with regards to the
care pathway?
a. The route of antibiotic therapy on the care pathway was from IV to PO
b. A blood culture was obtained after antibiotic therapy had been initiated
c. An allergy to penicillin requires an alternative antibiotic to be prescribed
d. antibiotic therapy was initiated 2 hours after implementation of the care pathway
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. Hospital is no longer available for clients who are in Hospice care
b. Hospice care will prolong the life expectancy of the client who are terminally ill
c. Hospice care is a multi-disciplinary program for clients who are terminally ill
d. hospice care is helpful for clients are very stages of chronic
4. A nurse manager discovers there is conflict between nurses working the day shift and
the nurses working night shift. Which of the following actions should the nurse
manager take first?
a. Meet with a committee of nurses from each shift to discuss issues related to
the conflict
b. Gathering information regarding the situation
c. Acknowledge the conflict and encourage the nurses to focus on working as
a team
d. Encourage the nurses to resolve the conflict autonomously
5. A nurse working in the emergency Department is assessing several clients which of
the following clients is the highest priority
a. A client who reports right sided flank pain and diaphoretic
b. A client who has active bleeding from a puncture wound of the left groin area
c. A client who has raised skin rash on his arm neck and face
d. a client who reports shortness of breath and left neck and shoulder pain
6. A nurse is providing change your shift report to an oncoming nurse which of
the following information should the nurse include in the report?
a. The client is in the radiology department for a chest X Ray
, b. The client is the president of the local bank
c. The client's partner came to visit him two hours ago
d. the client has routine vital signs prescribed
7. A nurse is planning discharge for a client who had a lung reception. The nurse initiates
a referral to a social worker which of the following assessment data supports his
referral?
a. client is to have a range of motion exercises Ambulation (OT)
b. client is to have someone bring oxygen tanks and equipment to her home (CM)
c. client needs to have someone come in to Help her bathe at home (CM)
d. client needs to arrange financial resources to purchase equipment (CS)
8. A nurse is caring for client who request information about the prevalence of Tay-Sachs
disease, which of the following resources should the nurse use to obtain this
information
a. The client’s health care provider
b. an evidence-based nursing Journal special one
c. A collaborate user- edited website
d. The facility's case manager
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 can use another nurse’s password as long as I log off after using the computer
b. I should encrypt personal health information when sending emails
c. I should discard personal health information documents in the trash
before leaving the unit
d. I can post the clients vitals in the client's room
10. A nurse is providing instructions about chemotherapy for a client who has a new
diagnosis of breast cancer. The client has decided to try an alternative treatment
rather than starting chemotherapy which of the following actions should the nurse
take
a. Tell client they cannot change their mind once consent is given
b. Inform the client about the risks of not starting chemotherapy immediately
c. notify its spiritual services to speak with the client about their decision
d. respect the client decision about not receiving chemotherapy
11. A charge nurse notices that two staff nurses are not taking meal breaks during their
shift which of the following actions should the nurse take first?
a. Discuss time management strategies with the nurses
b. provide coverage for the nurse’s breaks
c. review facility policies for taking schedule breaks
d. determine the reasons the nurses are not taking a scheduled break
