WGU C157 Questions and Answers
100% Pass
How should a director of nursing respond to the national quality goal of improving the quality of
care transitions and communication across care settings? ✔✔Create a task force comprised of
nursing administration, charge nurses, discharge planners, and staff nurses
A healthcare organization has been collecting data about the quality and safety of the nursing care
provided within the organization.
Consistent with the national priority of ensuring that each person is engaged as a partner in care,
which dataset should the nurse use to substantiate the need for changes in patient care processes?
✔✔A report from a patient/nurse focus group indicating patients do not feel they are adequately
included in making decisions regarding their healthcare
A healthcare organization is collecting data about the quality and safety of the nursing care
provided within the organization.
Consistent with the national priority of promoting effective coordination of care, which dataset
should the nurse use to substantiate the need for changes in patient care processes? ✔✔Patient
readmissions for patients discharged to long-term care facilities, increasing from a readmission
rate of 3% (six months earlier) to a rate of 4% (current)
Which information should the nurse use to justify the implementation of a mobile healthcare clinic
for rural healthcare delivery? ✔✔The organization serves rural communities where much of the
population does not have access to reliable transportation.
An advanced practice nurse for a nursing unit in a hospital has identified the problem of sepsis.
, What is the next step in the Plan Do Study Act (PDSA) cycle? ✔✔Implement the Institute for
Health Improvement guidelines for sepsis
An advanced practice nurse for the nursing unit in a hospital identified the problem of increased
sepsis rates related to intravenous lines.
Which step represents the Act component of the Plan Do Study Act (PDSA) cycle for the process
improvement team? ✔✔Review antibiotic therapies of patients throughout the hospital
Which benchmark domains must be considered when evaluating evidence for use in a healthcare
setting innovation? ✔✔Quality, quantity, and consistency
What must a nurse ensure has been considered before implementing an innovation in care provided
to adult patients? ✔✔Patient desires
Which approach should the nurse manager employ to create an environment that encourages
innovations toward evidence-based nursing care? ✔✔Providing nursing staff with resources and
opportunities for the implementation of evidence-based nursing practice
The nurse manager is concerned that nurses may not be following proper hand washing guidelines
and wants to improve practice. The nurse decides to focus on a major area to improve quality and
performance for this skill.
Which area should be addressed to improve hand hygiene practices? ✔✔Leadership
An internal audit revealed that the rate of inpatient falls on the medical surgical unit is higher than
that of other units. An MSN registered nurse (RN) has implemented a new fall reduction plan that
involves and needs to measure and communicate the effectiveness of the plan to the hospital
leadership.
100% Pass
How should a director of nursing respond to the national quality goal of improving the quality of
care transitions and communication across care settings? ✔✔Create a task force comprised of
nursing administration, charge nurses, discharge planners, and staff nurses
A healthcare organization has been collecting data about the quality and safety of the nursing care
provided within the organization.
Consistent with the national priority of ensuring that each person is engaged as a partner in care,
which dataset should the nurse use to substantiate the need for changes in patient care processes?
✔✔A report from a patient/nurse focus group indicating patients do not feel they are adequately
included in making decisions regarding their healthcare
A healthcare organization is collecting data about the quality and safety of the nursing care
provided within the organization.
Consistent with the national priority of promoting effective coordination of care, which dataset
should the nurse use to substantiate the need for changes in patient care processes? ✔✔Patient
readmissions for patients discharged to long-term care facilities, increasing from a readmission
rate of 3% (six months earlier) to a rate of 4% (current)
Which information should the nurse use to justify the implementation of a mobile healthcare clinic
for rural healthcare delivery? ✔✔The organization serves rural communities where much of the
population does not have access to reliable transportation.
An advanced practice nurse for a nursing unit in a hospital has identified the problem of sepsis.
, What is the next step in the Plan Do Study Act (PDSA) cycle? ✔✔Implement the Institute for
Health Improvement guidelines for sepsis
An advanced practice nurse for the nursing unit in a hospital identified the problem of increased
sepsis rates related to intravenous lines.
Which step represents the Act component of the Plan Do Study Act (PDSA) cycle for the process
improvement team? ✔✔Review antibiotic therapies of patients throughout the hospital
Which benchmark domains must be considered when evaluating evidence for use in a healthcare
setting innovation? ✔✔Quality, quantity, and consistency
What must a nurse ensure has been considered before implementing an innovation in care provided
to adult patients? ✔✔Patient desires
Which approach should the nurse manager employ to create an environment that encourages
innovations toward evidence-based nursing care? ✔✔Providing nursing staff with resources and
opportunities for the implementation of evidence-based nursing practice
The nurse manager is concerned that nurses may not be following proper hand washing guidelines
and wants to improve practice. The nurse decides to focus on a major area to improve quality and
performance for this skill.
Which area should be addressed to improve hand hygiene practices? ✔✔Leadership
An internal audit revealed that the rate of inpatient falls on the medical surgical unit is higher than
that of other units. An MSN registered nurse (RN) has implemented a new fall reduction plan that
involves and needs to measure and communicate the effectiveness of the plan to the hospital
leadership.
