Role & Scope Exam 2 100% Latest Update 2023 QUESTIONS AND ANSWERS

Role & Scope Exam 2 100% Latest Update 2023 QUESTIONS AND ANSWERS 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 who reports the cast is tight The client with carpal tunnel syndrome who reports pain The 64-year-old client with osteoporosis awaiting discharge The 56-year-old client with a left below the knee amputation reporting 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. Cefactor reconstituted oral suspension, 375 mg per 5 ml. How many ml will the nurse administer for one dose? ( Record 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 health care 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 on 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 is 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 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 the 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 is 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 of the physicians on staff must be ensured in order 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 Gourmet meals 19) What is the primary purpose for the development of the Quality and safety Education for Nurses (QSEN) project? Increase the number of students in diploma nursing programs Decrease the number of associate degree nursing programs Shift nursing education to a more medical model due to increased client acuity Focus nursing education on competencies to reduce the number of medical errors 20) The risk management department has several functions. Which of the following is one of their functions? Implement change in nursing policy and procedure manuals Define standards for nursing ethics To identify consumer needs Identifying potential risks or opportunities to improve care 21) A nurse wants to do a study on a particular group of clients. In keeping with the mandates of the Belmont Report, why does the nurse need to get permission from the institutionalReview Board (IRB)? To promote the study’s future publication To maintain ethical compliance To ensure diversity in research To maintain fidelity to the client 22.) Which of the following is true of an effective team? (Select all that apply) Feedback is freely given and well received Leadership is autocratic and rigid Disagreements are handled in a fair and unbiased manner Team members understand goals and the tasks to achieve them Team members are not willing to listen to each other 23.) Which of the following are examples of sentinel events? (Select all that apply) Short staffing on the unit A client falls off a surgical gurney with severe injury Administration of morphine overdose Forceps left in an abdominal cavity Death of a client related to inappropriately treated postpartum hemorrhage 24.) Which of the following is the best guarantee that the client’s priority needs are met? Preparing a nursing care plan in collaboration with the client Consulting with the physician Checking with the relatives and friends of the client Coordinating with other members of the team 25. Which of the following apply to delegation in nursing? The failure to assign, delegate, supervise within acceptable standards of professional nursing practice may constitute malpractice. Designation is the transfer of accountability for the performance of an activity. Only the unit’s nurse manager has the authority to delegate any nursing task. Designation in the transfer of responsibility for the performance of tasks, skills, w/o transfer of accountability for the ultimate outcome. Delegation is complex because it involves relationships and the ability to communicate with all levels of staff personnel. Registered nurses are ethically and legally accountable for the standards of practice and nursing actions delegated to others 26. What is the nurse’s primary role in becoming a client advocate? Ensure that clients have the right information needed to make informed decisions Use their influences to make a client comply with taking medication Share their own personal feelings about a medical treatment Make health care decisions for their clients 27. Match the correct name to the correct work of the agency QSEN: An institute devoted to providing resources related to essential competencies for both undergraduate and graduate practitioners Joint Commission:An organization that accredits healthcare organizations and holds healthcare facilities to certain standards AHRQ: Federal agency devoted to improving quality, safety, efficiency, and effectiveness through the “Five Steps to Safer Health Care” Magnet Recognition Program: National designation built upon nursing research designed to recognize nursing excellence through self-nominating and appraisal processes. IOM: An organization that works outside of the federal government to provide independent scientific advice. 28. When the Joint Commission changed its focus from processes to outcomes, it emphasized patient safety. Which of the following is not a function of the Joint Commission? Overlook sentinel events Accredit organizations that meet CMS requirements Create annual patient safety goals Issue list of ‘do not use” abbreviations 29. A nurse enters a client’s room and prepares to administer the 0900 medications. What is the very first step to administering the medications safety? Open the unit dosing packages Obtain the correct unit dose medications Check the client’s medication administration record (MAR) for the 0900 medications Scan the client’s wristband to confirm identity 30. A nurse wants to utilize the best sources of support for nurses’ belief about health care. Where can these be found? Written reports and published surveys Opinions and stereotypes News programs and documentaries Discussions and informal feedback from clients 31. What is the purpose of evidence-based practice in nursing? Validation of existing nursing knowledge and research Generate new knowledge to obtain a PhD in nursing Use the best research to make client care decisions that improve outcomes. Support current theories of nursing to prove them to clients 32. A client requires an appendectomy. The surgeon explains the procedure and asks the client to sign the consent. The client very little English and looks worried. Why should be the nurse’s priority action? Draw a picture on the whiteboards, or a paper show the incision Not intervene, as it is not the nurse’s responsibility to obtain surgical consent Ask the client if he has any addition questions about the upcoming procedure or recovery. Suggest that an interpreter explain the procedure to the client and answer any questions 33. Which is one of the goals of the Institute of Medicine (IOM) The Future of Nursing? Remove ethical dilemmas from practice settings Increase the number BSN nurses by 80% Increase the number of nurses with a doctorate by 15% Eliminate nurse residency programs 34. The Institute of Medicine, through its report, The Future of nursing: Leading Change, Advancing Health, advocated for having at least 80% of the registered nurse population prepared at the baccalaureate level. What is the best rationale behind this recommendation? This recommendation is based on research indicating that BSN prepared nurses make more mistakes on the units. Creating a culture of safety is only the nurses’ business, so nobody else should challenge any act that appears unsafe This recommendation is based on research showing that lower mortality rates are correlated with a better educated nursing workforce. This recommendation is based on a major concern about public safety when licensed practical nurse work outside their scope of practice. 35. A nurse is working in a small rural hospital. How can this nurse, with limited resources, develop an evidence -based nursing policy on reducing falls? Partner with faculty and/or nursing students at the nearest university. Read newspaper articles about client falls and lawsuits. Subscribe to a medical or nursing journal Hire a nurse-research team to conduct a study 36. Common examples of nurse’s contribution to evidence- based practice (EBP)can be found in. which of the clinical policies (SATA) Dictation methods by physicians and physician assistants Family-centered care an intensive care unit Surgical suturing techniques by scrub techs and aides. The Braden Scale for pressure ulcer risk detection Preoperative teaching by a registered nurse. 37. Which of the following is an example of a nurse-sensitive outcome that could be used for a quality improvement project? Pressure ulcer rate compared to a national benchmark rate Nurse satisfaction scores compared to other hospitals Percentage of clients with heart failure who are prescribed an ACE inhibitor on hospital discharge Client satisfaction scores compared to other hospitals 38. Which statement describes the conclusions of the Institute of Medicine (IOM) concerning Quality in Healthcare (SATA): Quality problems are serious, costly, and extensive Pharmaceutical companies should bear the burden for changing practice Quality cannot be defined There is an urgent need for rapid change Current approaches to quality improvement have been inadequate 39. Which of the follow statements complies with the recommendations made in the IOM report. The Future of Nursing? Hospitals must operate at a profit and therefore do not need to accept all clients Care must be equitable and not vary due to ethnicity or socioeconomics Preference should be given to increasing staff numbers rather than staff credentials Adhere to the scope of practice barriers 40. A nurse is teaching a class about safe medication administration. The nurse include in the teaching that which of the following references are acceptable for safe medication administration (SATA): Davis Drug Guide pharmaceutical sales representatives Published nursing journals Pharmacists A website that ends in “.com” 41. What is the term used for the transfer of responsibility for the performance of an activity from one individual to another with delegator retaining accountability for the outcome? Supervision Evaluation Delegation Assignment 42. An UAP reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the UAP? Observe the incision site Palpate for bladder distention Obtain vital signs Change the client’s dressing 43. A nurse is planning an in-service with newly licensed nurses about safe delegation practices. The nurse should plan to refer the group to which of the following resources to guide delegation practices? The omnibus Budget Reconciliation Act of 1987 The state Nurse Practice Act The National Association for Practical Nurse Education and Services Benner’s Novice to Expert model 44. Which of the following are reasons for which the State Board of Nursing can revoke a nursing license? (SATA): Failure to renew a license while continuing to practice nursing Unethical conduct in the practice of nursing Use of drugs during the provision of client care Drinking alcohol at a wedding reception Demonstration of gross negligence during client care 45. A nurse is caring for a teenager on the oncology unit. The teen needs a lot of rest. What needs to be done to provide client-centered care for the teen and his family? Encourage the client and his family to create visiting hours that best meet the client’s needs Restrict visits knowing that teen boys typically want their parents to visit them. Have a defined period of time each evening during which the family may visit the client Allow family to visit but not friends as they have been known to be noisy 46. A nurse will infuse 1.5 L of Normal Saline IV over 7 hours per order. The drop factor on the available tubing is 15 gtt/ml. What is the flow rate in ml/hr? (DOSAGE CALC). 47. A nurse manager is managing a culturally diverse staff. Which of the following nurse manager tracts will assist the nurse in meeting the cultural needs of the staff? (SATA): Positive reinforcement Disapproval of others Age biases Stereotyping of others Respect for others Knowledge about the staff 48. Which of the following should be reviewed annually to ensure compliance the Joint Commissioner (JC) goal t