NCLEX-RN & Med-Surg Examination 2023

NCLEX-RN & Med-Surg Examination 2023 The nurse is assigned to care for four clients. In planning client rounds, which client should the nurse assess first? 1. A postoperative client preparing for discharge with a new medication. 2. A client requiring daily dressing changes of a recent surgical incision. 3. A client scheduled for a chest x-ray after insertion of an NG tube. 4. A client with asthma who requested a breathing treatment during the previous shift. - Correct answer-4 *Airway is always the highest priority NCLEX-RN #27, pg. 72 The nurse employed in an emergency department is assigned to triage clients coming to the ED for treatment on the evening shift. The nurse should assign priority to which client? 1. A client complaining of muscle aches, a headache, and history of seizures. 2. A client who twisted her ankle when rollerblading and is requesting medication for pain. 3. A client with a minor laceration on the index finger sustained while cutting an eggplant. 4. A client with chest pain who states that he just ate pizza that was made with a very spicy sauce. - Correct answer-4 *Chest pain is always considered Emergent NCLEX-RN #29, pg. 72 The nurse has received the assignment for the day shift. After making initial rounds and checking all of the assigned clients, which client should the nurse plan to care for first? 1. A client who is ambulatory demonstrating steady gait. 2. A postoperative client who has just received an opioid pain medication. 3. A client scheduled for physical therapy for the first crutch-walking session. 4. A client with a WBC count of 14,000 and a temperature of 38.4C - Correct answer-4 *Elevated WBC and fever NCLEX-RN #474, pg. 562 The nurse is conducting a session about the principles of first aid and is discussing the interventions for a snakebite to an extremity. The nurse would inform those attending the session that the first priority intervention in the event of this occurrence is which action? 1. Immobilize the affected extremity. 2. Remove jewelry and constricting clotting from the victim. 3. Place the extremity in a position so that it is below the level of the heart. 4. Move the victim to a safe area away from the snake and encourage the victim to rest. - Correct answer-4 *Safety is the first priority NCLEX-RN #481, pg. 563 A client arriving at the emergency department has experienced frostbite to the right hand. Which finding would the nurse note on assessment of the client's hand? 1. A pink, edematous hand. 2. Fiery red skin with edema in the nail beds. 3. Black fingertips surrounded by an erythematous rash. 4. A white color to the skin, which is insensitive to touch. - Correct answer-4 *White or blue color is common NCLEX-RN #483, pg. 563 An adult client was burned in an explosion. The burn initially affected the client's entire face (anterior half of the head) and the upper half of the anterior torso, and there were circumferential burns to the lower half of both arms. The client's clothes caught fire, and the client ran, causing subsequent burn injuries to the posterior surface of the head and the upper half of the posterior torso. Using the rule of nines, what would be the extent of the burn injury? 1. 18% 2. 24% 3. 36% 4. 48% - Correct answer-3 NCLEX-RN #484, pg. 563 The nurse is preparing to care for a burn client scheduled for an escharotomy procedure being performed for a third-degree circumferential arm burn. The nurse understands that which finding is the anticipated therapeutic outcome of the escharotomy? 1. Return of distal pulses. 2. Brisk bleeding from the site. 3. Decreasing edema formation. 4. Formation of granulation tissue. - Correct answer-1 *Escharotomy releases the tourniquet-like compression around the extremity, allowing pulses to return NCLEX-RN #485, pg. 563 A client is undergoing fluid replacement after being burned on 20% of her body 12 hours ago. The nursing assessment reveals a blood pressure of 90/50 mm Hg, a pulse rate of 110 beats/minute, and a urine output of 20 mL over the past hour. The nurse reports the findings to the health care provider and anticipates which prescription? 1. Transfusing 1 unit of packed red blood cells. 2. Administering a diuretic to increase urine output. 3. Increasing the amount of IV lactated Ringer's solution administered per hour. 4. Changing the IV lactated Ringer's solution to one that Fontaine's 5% dextrose in water. - Correct answer-3 *Urine output determines the fluid infusion and this client needs more fluids NCLEX-RN #486, pg. 563 A client is brought to the ED with partial-thickness burns to the face, neck, arms, and chest after trying to put out a car fire. The nurse should implement which nursing actions for this client? Select all that apply. 1. Restrict fluids. 2. Assess for airway patency. 3. Administer oxygen as prescribed. 4. Place a cooling blanket on the client. 5. Elevate extremities if no fractures are present. 6. Prepare to give oral pain medication as prescribed. - Correct answer-2, 3, 5 *Priorities are to maintain airway, administer IV fluids, and preserve vital organ functioning NCLEX-RN #487, pg. 563 The nurse is caring for a client who sustained superficial partial-thickness burns on the anterior lower legs and anterior thorax. Which finding does the nurse expect to note during the resuscitation/emergent phase of the burn injury? 1. Decreased heart rate. 2. Increased urinary output. 3. Increased blood pressure. 4. Elevated hematocrit levels. - Correct answer-4 *Due to hemoconcentration from the large fluid shifts NCLEX-RN #489, pg. 563 A client arrives at the ED following a burn injury that occurred in the basement at home, and an inhalation injury is suspected. What would the nurse anticipate to be prescribed for the client? 1. 100% oxygen via an aerosol mask. 2. Oxygen via nasal cannula at 6 L/minute. 3. Oxygen via nasal cannula at 15 L/minute. 4. 100% oxygen via tight-fitting nonrebreather face mask. - Correct answer-4 NCLEX-RN #490, pg. 564 The nurse is administering fluids intravenously as prescribed to a client who sustained superficial partial-thickness burn injuries of the back and legs. In evaluating the adequacy of fluid resuscitation, the nurse understands that which assessment would provide the most reliable indicator for determining the adequacy? 1. Vital signs. 2. Urine output. 3. Mental status. 4. Peripheral pulses. - Correct answer-2 NCLEX-RN #491, pg. 564 The nurse manager is observing a new nursing graduate caring for a burn client in protective isolation. The nurse manager intervenes if the new nursing graduate planned to implement which unsafe component of protective isolation technique? 1. Using sterile sheets and linens. 2. Performing strict hand-washing technique. 3. Waring gloves and a gown only when giving direct care to the client. 4. Wearing protective garb, including a mask, gloves, cap, shoe covers, gowns, and plastic apron. - Correct answer-3 *The client should be protected at all times, not just during direct care NCLEX-RN #492, pg. 564 The nurse is caring for a client following an autograft and grafting to a burn wound on the right knee. What would the nurse anticipate to be prescribe for the client? 1. Out-of-bed activities. 2. Bathroom privileges. 3. Immobilization of the affected leg. 4. Placing the affected leg in a dependent position. - Correct answer-3 *Elevate and immobilize for 3-7 days NCLEX-RN #493, pg. 564 The nurse is caring for a client who suffered an inhalation injury from a wood stove. The carbon monoxide blood report reveals a level of 12%. Based on this level, the nurse would anticipate noting which sign in the client? 1. Coma 2. Flushing 3. Dizziness 4. Tachycardia - Correct answer-2 *Flushing = levels of 11%-20%; Dizziness & Tachycardia = levels of 21%-40%; Coma = levels of 41%-60% NCLEX-RN #496, pg. 575 Silver sulfadiazine is prescribed for a client with a burn injury. Which laboratory finding requires the need for follow-up by the. nurse? 1. Glucose level of 99 2. Magnesium level of 1.5 3. Platelet level of 300,000 4. WBC count of 3,000 - Correct answer-4 *Leukopenia indicates a possible adverse effect NCLEX-RN #497, pg. 575 A burn client is receiving treatments of topical mafenide acetate to the site of injury. The nurse monitors the client, knowing that which finding indicates that a systemic effect has occurred? 1. Hyperventilation. 2. Elevated blood pressure. 2. Local rash at the burn site. 3. Local pain at the burn site. - Correct answer-1 *Acidosis can occur NCLEX-RN #502, pg. 576 Silver sulfadiazine is prescribed for a client with a partial-thickness burn and the nurse provides teaching about the medications. Which statement made by the client indicates a need for further teaching about the treatments? 1. "The medication is an antibacterial." 2. "The medication will help heal the burn." 3. "The medication is likely to cause stinging every time it is applied." 4. "The medication should be applied directly to the wound." - Correct answer-3 *Stinging should not occur NCLEX-RN #897, pg. 1039 The nurse in the ED is caring for a young female victim of sexual assault. The client's physical assessment is complete, and physical evidence has been collected. The nurse notes that the client is withdrawn, confused, and at times physically immobile. How should the nurse interpret these behaviors? 1. Signs of depression. 2. Reactions to a devastating event. 3. Evidence that the client is a high suicide risk. 4. Indicative of the need for hospital admission. - Correct answer-2 NCLEX-RN #904, pg. 1039 The ED nurse is caring for an adult client who is a victim of family violence. Which priority instruction should be included in the discharge instructions? 1. Information regarding shelters. 2. Instructions regarding calling the police. 3. Instructions regarding self-defense classes. 4. Explaining the importance of leaving the violent situation. - Correct answer-1 NCLEX-RN #905, pg. 1039 A female victim of a sexual assault is being seen in the crisis center. The client states that she still feels "as though the rape just happened yesterday," even though it has been a few months since the incident. Which is the most appropriate nursing response? 1. "You need to try to be realistic. The rape did not just occur." 2. "It will take some time to get over these feelings about your rape." 3. "Tell me more about the incident that causes you to feel like there rape just occurred." 4. "What do you think that you can do to alleviate some of your fears about being raped again?" - Correct answer-3 MSS #1, pg. 475 The client comes into the ED in severe pain and reports that a pot of boiling hot water accidentally spilled on his lower legs. The assessment reveals blistered, mottled red skin, and both feet are edematous. Which depth of burn should the nurse document? 1. Superficial partial thickness 2. Deep partial thickness 3. Full thickness 4. First degree - Correct answer-1 MSS #2, pg. 475 The client with full-thickness burns to 40% of the body, including both legs, is being transferred from a community hospital to a burn center. Which measure should be instituted before the transfer? 1. A 22-gauge intravenous line with normal saline infusing. 2. Wounds covered with moist sterile dressings. 3. No intravenous pain medication. 4. Ensure adequate peripheral circulation to both feet. - Correct answer-4 MSS #3, pg. 476 The client has full-thickness burns to 65% of the body, including the chest area. After establishing a patent airway, which collaborative intervention is priority for the client? 1. Replace fluids and electrolytes. 2. Prevent contractures of extremities. 3. Monitor urine output hourly. 4. Prepare to assist with an eshcarotomy. - Correct answer-1 MSS #4, pg. 476 The nurse is applying mafenide acetate (Sulfamylon), a sulfa antibiotic cream, to a client's lower extremity burn. Which assessment data would require immediate attention by the nurse? 1. The client complains of pain when the medication is administered. 2. The client's potassium level is 3.9 and sodium level is 137. 3. The client's ABGs are pH 7.34, PaO2 98, PaCO2 38, and HCO3 20. 4. The client is able to perform active range-of-motion exercises. - Correct answer-3 MSS #5, pg. 476 The client is scheduled to have a xenograft to a left lower-leg burn. The client asks the nurse, "Who is a xenograft?" Which statement by the nurse would be the best response? 1. "The doctor will graft skin from your back to your leg." 2. "The skin from a donor will be used to cover your burn." 3. "The graft will come from an animal, probably a pig." 4. "I think you should ask your doctor about the graft." - Correct answer-3 MSS #6, pg. 476 The ICU burn nurse is developing a nursing care plan for a client with severe full-thickness and deep partial-thickness burns over half the body. Which client problem has priority? 1. High risk for infection. 2. Ineffective coping. 3. Impaired physical mobility. 4. Knowledge deficit. - Correct answer-1 MSS #7, pg. 476 The nurse writes the nursing diagnosis "impaired skin integrity related to open burn wounds." Which intervention would be appropriate for this nursing diagnosis? 1. Provide analgesia before pain becomes severe. 2. Clean the client's wounds, body, and hair daily. 3. Screen visitors for respiratory infections. 4. Encourage visitors to bring plants and flowers. - Correct answer-2 MSS #8, pg. 476 Which nursing interventions should be included for the client who has full-thickness and deep partial-thickness burns to 50% of the body? Select all that apply. 1. Perform meticulous hand hygiene. 2. Use sterile gloves for wound care. 3. Wear gown and mask during procedures. 4. Change central lines once a week. 5. Administer antibiotics as prescribed. - Correct answer-1, 2, 3, 5 MSS #9, pg. 476 The nurse is caring for a client with deep partial-thickness and full-thickness burns to the chest area. Which assessment data would warrant notifying the health-care provider? 1. The client is complaining of severe pain. 2. The client's pulse oximeter reading is 95%. 3. The client has T 100.4, P 100, R 24, and BP 102/60. 4. The client's urinary output is 50 mL in two (2) hours. - Correct answer-4 MSS #10, pg. 476 The client is admitted with full-thickness and partial-thickness burns to more than 30% of the body. The nurse is concerned with the client's nutritional status. Which intervention should the nurse implement? 1. Encourage the client's family to bring favorite foods. 2. Provide a low-fat, low-cholesterol diet for the client. 3. Monitor the client's weigh weekly in the same clothes. 4. make a referral to the hospital social worker. - Correct answer-1 MSS #11, pg. 476 The client sustained a hot grease burn to the right hand and calls the emergency department or advice. Which information should the nurse provide to the client? 1. Apply an ice pack to the right hand. 2. Place the hand in cool water. 3. Be sure to rupture any blister formation. 4. Go immediately to the doctor's office. - Correct answer-2 MSS #12, pg. 476 The client is being discharged after being in the burn unit for six (6) weeks. Which strategies should the nurse identify to promote the client's mental health? 1. Encourage the client to stay at home as much as possible. 2. Discuss the importance of not relying on the family for needs. 3. Tell the client to remember that changes in lifestyle take time. 4. Instruct the client to discuss feelings only with the therapist. - Correct answer-3 MSS #13, pg. 579 The nurse in the ED has admitted five (5) clients in the last two (2) hours with complaints of fever and gastrointestinal distress. Which question is most appropriate for the nurse to ask each client to determine if there is a bioterrorism threat? 1. "Do you work or live near any large power lines?" 2. "Where were you immediately before you got sick?" 3. "Can you write down everything you ate today?" 4. "What other health problems do you have?" - Correct answer-2 MSS #14, pg. 579 The health-care facility has been notified an alleged inhalation anthrax exposure has occurred at the local post office. Which category of personal protective equipment (PPE) should the response team wear? 1. Level A 2. Level B 3. Level C 4. Level D - Correct answer-1 MSS #15, pg. 579 The nurse is teaching a class on bioterrorism and is discussing personal protective equipment (PPE). Which statement is the most important fact for the nurse to share with the participants? 1. Health care facilities should keep masks at entry doors. 2. The respondent should be trained in the proper use of PPE. 3. No single combination of PPE protects against all hazards. 4. The EPA has divided PPE into four levels of protection. - Correct answer-3 MSS #16, pg. 579 The nurse is teaching a class on bioterrorism. Which statement is the scientific rationale for designating a specific area for decontamination? 1. Showers and privacy can be provided to the client in this area. 2. This area isolates the clients who have been exposed to the agent. 3. It provided a centralized area for stocking the needed supplies. 4. It prevents secondary contamination to the health-care providers. - Correct answer-4 MSS #17, pg. 579 The triage nurse in a large trauma center has been notified of an explosion in a major chemical manufacturing plant. Which action should the nurse implement first when the clients arrive at the ED? 1. Triage the clients and send them to the appropriate areas. 2. Thoroughly wash the clients with soap and water and then rinse. 3. Remove the client's closing and have them shower. 4. Assume the clients have been decontaminated at the plant. - Correct answer-3 MSS #18, pg. 579 The nurse is teaching a class on biological warfare. Which information should the nurse include in the presentation? 1. Contaminated water is the only source of transmission of biological agents. 2. Vaccines are available and being prepared to counteract biological agents. 3. Biological weapons are less of a threat than chemical agents. 4. Biological weapons are easily obtained and result in significant mortality. - Correct answer-4 MSS #19, pg. 579 Which signs/symptoms should the nurse assess in the client who has been exposed to the anthrax bacillus via the skin? 1. A scabby, clear fluid-filled vesicle. 2. Edema, pruritus, and a 2-mm ulcerated vesicle. 3. Irregular brownish-pink spots around the hairline. 4. Tiny purple spots flush with the surface of the skin. - Correct answer-2 MSS #20, pg. 579 The client has expired secondary to smallpox. Which information about funeral arrangements is most important for the nurse to provide to the client's family? 1. The client should be cremated. 2. Suggest an open casket funeral. 3. Bury the client within 24 hours. 4. Notify the public health department. - Correct answer-1 MSS #21, pg. 580 A chemical exposure has just occurred at an airport. An off-duty nurse, knowledgeable about biochemical agents, is giving directions to the travelers. Which direction should the nurse provide to the travelers? 1. Hold their breath as much as possible. 2. Stand up top avoid heavy exposure. 3. Lie down to stay under the exposure. 4. Attempt to breathe through their clothing. - Correct answer-2 MSS #22, pg. 580 The nurse is caring for a client in the prodromal phase of radiation exposure. Which signs/symptoms should the nurse assess in the client? 1. Anemia, leukopenia, and thrombocytopenia. 2. Sudden fever, chills, and enlarged lymph nodes. 3. Nausea, vomiting, and diarrhea. 4. Flaccid paralysis, diplopia, and dysphagia. - Correct answer-3 MSS #23, pg. 580 Which cultural issues should the nurse consider when caring for clients during a bioterrorism attack? Select all that apply. 1. Language difficulties. 2. Religious practices. 3. Prayer times for the people. 4. Rituals for handling the dead. 5. Keeping the family in the designated area. - Correct answer-1, 2, 3, 4 MSS #24, pg. 580 The off-duty nurse hears on the television of a bioterrorism act in the community. Which action should the nurse take first? 1. Immediately report to the hospital emergency department. 2. Call the American Red Cross to find out where to go. 3. Pack a bag and prepare to stay at the hospital. 4. Follow the nurse's hospital policy for responding. - Correct answer-4 MSS #37, pg. 581 Which situation warrants the nurse obtaining information from a material safety data sheet (MSDS)? 1. The custodian spilled a chemical solvent in the hallway. 2. A visitor slipped and fell on the floor that had just been mopped. 3. A bottle of antineoplastic agent broke on the client's floor. 4. The nurse was stuck with a contaminated needle in the client's room. - Correct answer-1 MSS #38, pg. 581 The triage nurse is working in the emergency department. Which client should be assessed first? 1. The 10-year-old child whose dad thinks the child's leg is broken. 2. The 45-year-old male who is diaphoretic and clutching his chest. 3. The 58-year-old female complaining of a headache and seeing spots. 4. The 25-year-old male who cut his hand with a hunting knife. - Correct answer-2 MSS #39, pg. 581 The nurse is teaching a class on disaster preparedness. Which are components of an emergency operations plan (EOP)? Select all that apply. 1. A plan for practice drills. 2. A deactivation response. 3. A plan for internal communication only. 4. A preincident response. 5. A security plan. - Correct answer-1, 2, 5 MSS #40, pg. 581 According to the North Atlantic Treaty Organization (NATO) triage system, which situation is considered a level red (Priority 1)? 1. Injuries are extensive and chances of survival are unlikely. 2. Injuries are minor and treatment can be delayed hours to days. 3. Injuries are significant but can wait hours without threat to life or limb. 4. Injuries are life threatening but survivable with minimal interventions. - Correct answer-4 MSS #41, pg. 582 Which statement best describes the role of the medical-surgical nurse during a disaster? 1. The nurse may be assigned to ride in the ambulance. 2. The nurse may be assigned as a first assistant in the operating room. 3. The nurse may be assigned to crowd control. 4. The nurse may be assigned to the emergency department. - Correct answer-4 MSS #42, pg. 582 The nurse in a disaster is triaging the following clients. Which client should be triaged as an Expectant Category, Priority 4, and color black? 1. The client with a sucking chest wound who is alert. 2. The client with a head injury who is unresponsive. 3. The client with an abdominal wound d and stable vital signs. 4. The client with a sprained ankle which may be fractured. - Correct answer-2 MSS #43, pg. 582 Which federal agency is a resource for the nurse volunteering at the American Red Cross who is on a committee to prepare the community for any type of disaster? 1. The Joint Commission (JC). 2. Office of Emergency Management (OEM). 3. Department of Health and Human Services (DHHS). 4. Metro Medical Response Systems (MMRS). - Correct answer-3 MSS #44, pg. 582 Which situation requires the emergency department manager to schedule and conduct a Critical Incident Stress Management (CISM). 1. Caring for a two-year-old child who died from sever physical abuse. 2. Performing CPR on a middle-aged male executive who died. 3. Responding to a 22-victim bus accident with no apparent fatalities. 4. Being required to work 16 hours without taking a break. - Correct answer-1 MSS #45, pg. 582 During a disaster, a local news reporter comes to the emergency department requesting information about the victims. Which action is most appropriate for the nurse to implement? 1. Have security escort the reporter off the premises. 2. Direct the reporter to the disaster command post. 3. Tell the reporter this is a violation of HIPAA. 4. Request the reporter to stay out of the way. - Correct answer-2 MSS #46, pg. 582 The triage nurse has placed a disaster tag on the client. Which action warrants immediate intervention by the nurse? 1. The nurse documents the tag number in the disaster log. 2. The UAP documents vital signs on the tag. 3. The health-care provider removes the tag to examine the limb. 4. The LPN securely attaches the tag to the client's foot. - Correct answer-3 MSS #47, pg. 582 The father of a child brought to the ED is yelling at the staff and obviously intoxicated. Which approach should the nurse take with the father? 1. Talk to the father in a calm and low voice. 2. Tell the father to wait in the waiting room. 3. Notify the child's mother to come to the ED. 4. Call the police department to come and arrest him. - Correct answer-1 MSS #48, pg. 582 A gang war has resulted in 12 young males being brought to the ED. Which action by the nurse is priority when a gang member points a gun at a rival gang member in the trauma room? 1. Attempt to talk to the person who has the gun. 2. Explain to the person the police are coming. 3. Stand between the client and the man with the gun. 4. Get out of the line of fire and protect self. - Correct answer-4 MSS #52, pg. 583 The male client was found in a parked car with the motor running. The paramedic brought the client to the ED with complaints of a headache, nausea, and dizziness and the client is unable to recall his name or address. On assessment, the nurse notes the buccal mucosa is a cherry-red color. Which intervention should the nurse implement first? 1. Check the client's oxygenation level with a pulse oximeter. 2. Apply oxygen via nasal cannula at 100%. 3. Obtain a psychiatric consult to determine if this was a suicide attempt. 4. Prepare the client for transfer to a facility with a hyperbaric chamber. - Correct answer-2 MSS #54, pg. 583 A vat of chemicals spilled onto the client. Which action should the occupational health nurse implement first? 1. Have the client stand under a shower while removing all clothes. 2. Check the material safety data sheets for the antidote. 3. Administer oxygen by nasal cannula. 4. Collect a sample of the chemicals in the vat for analysis. - Correct answer-1 MSS #57, pg. 583 The nurse is providing first aid to a victim of a poisonous snake bite. Which intervention should be the nurse's first action? 1. Apply a tourniquet to the affected limb. 2. Cut an "X" across the bite and suck out the venom. 3. Administer a corticosteroid medication. 4. Have the client lie still and remove constrictive items. - Correct answer-4 MSS #58, pg. 583 The nurse is discharging a client diagnosed with accidental carbon monoxide poisoning. Which statement made by the client indicates the need for further teaching? 1. "I should install carbon monoxide detectors in my home." 2. "Having a natural brighter-red color to my lips is good." 3. "You cannot smell carbon monoxide, so it can be difficult to detect." 4. "I should have my furnace checked for leaks before turning in on." - Correct answer-2 MSS #76, pg. 586 The nurse is responding to a disaster call from home following a multi-vehicle motor-vehicle accident. Which action should the nurse take first? 1. Go to the ED to triage the clients coming in. 2. Assist the charge nurse to identify clients who could be discharged. 3. Report to the command center for assignment. 4. Pack a bag to be able to stay until the emergency is over. - Correct answer-3 MSS #78, pg. 587 The charge nurse has been notified that a disaster has occurred and that all possible clients should be discharged so the floor can receive the casualties. Which client should not be discharged? 1. The 13-year-old client who is scheduled for a tonsillectomy. 2. The 42-year-old client scheduled for an abdominal aorta aneurysm dissection. 3. The 76-year-old client diagnosed with a pulmonary embolus whose INR is 2.9. 4. The 80-year-old client who is refusing to assist in activities of daily living. - Correct answer-2 MSS #79, pg. 587 The nurse is working at a facility where an Ebola client has been admitted. Which action should the nurse take? 1. Consult the nurse manager regarding the infection-control standards to follow. 2. Resign immediately and leave the facility. 3. Watch the television news reports to identify which station has the client. 4. Participate in a news report about the quality of care provided at the hospital. - Correct answer-1