WGU C157 Practice Test 7-key Questions and Answers | Updated 2024/2025 | Scored A+

1. A surgeon’s wound infection rate is 32%. Further examination of which of the following data will provide the MOST useful information in determining the cause of this surgeon’s infection rate? a. mortality rate b. facility infection rate c. use of prophylactic antibiotics d. type of anesthesia used 2. Which of the following monitors provides patient outcome information? a. healthcare-acquired infection rate b. nursing care documentation compliance c. antibiotic therapy discontinuation compliance d. equipment malfunction rate 3. The surgery department's monthly case review revealed twenty-six records meeting the criteria. Six records did not meet the criteria. When calculating the incidence risk, the denominator is a. 6 b. 20 c. 2 6 d. 32 4. Which of the following requests is likely to obtain the most objective evidence for verification? a. “What kind of information do you receive?” b. “Who provides the information to you?” c. “Describe how you receive information.” d. “Show me the information you have received.” 5. Before selecting a vendor of a particular healthcare equipment or supply, the masters prepared nurse should do which of the following first? a. Conduct vendor surveys. b. Define departmental needs. c. Determine which vendors are industry leaders. d. Get feedback from team members about how various vendors and their supplies are performing. e. Decide which vendor is most cost effective. 6. Based on observation, an NP believes that the rates of smoking and obesity are increasing in their patient population and wants to implement a program to address this issue in the ambulatory clinic. What is the 1st step the NP should take to determine if this belief is, in fact, a trend? a. work with the practice manager to determine rates of smoking and obesity in the practice b. ask the other staff if they are seeing increasing numbers of patients who are smoking and/or obese c. ask patients if they feel that either smoking or obesity is affecting their lifestyle d. work with the staff to counsel each patient on the dangers of smoking and the risk factors of obesity 7. Clinical leadership in a large healthcare system is committed to assisting patients to engage in healthy lifestyle behaviors. The team is determining the need for a weightloss support program at one of its clinics. What information is required in order to determine the need for such a program? a. the % of pt's who are overweight & have expressed interest in losing weight b. the % of pts who are overweight & have recently attempted to change their diets c. the % of pts who have successfully lost weight & are now struggling to maintain their weight d. the % of pts who are overweight who have requested information on bariatric surgery 8. A pediatrics office is offering a baseline pre-concussion mental exam for their adolescent athletes. Studies have shown that the exam is beneficial in the event of a concussion, as it will show the deviation from baseline when the exam is performed post-concussion. Few patients have heard of this cutting edge exam, and the office is trying to determine the best way to make parents aware of the additional screening. What is the most effective way to help acquaint them with the offering? a. in the waiting room, display a poster that discussed concussion risks & prevention techniques available b. provide written education, in plain language, at all well-child checks ages 12 and up c. have parents complete a form about their child, and offer education to those who have a child in a contact sport d. ask providers to discuss the exam at well-child visits, and let the parents take home a sample. 9. An acute care hospital wants to change their information sharing policy. They currently share the following information with pts only: diagnoses, care planning, medications, activity, & discharge information. They want to change the HIPAA privacy policy to enable personal health information to be shared with any person a patient gives permission to have access. Clinical staff are concerned because expanding access to patient information will cause them additional cross-checking work prior to being able to direct visitors to answer questions about a patient's care. Hospital administration is considering this change as a way to enhance patient-centered care. How should this change be evaluated to determine if it is successful? a. compare quality care metrics of medication reconciliation pre-policy and postpolicy change b. compare quality care metrics between the acute hospital and the skilled nurse facility c. compare patient satisfaction metrics between pre-policy and post-policy change d. compare clinical staff satisfaction metrics between pre-policy and post-policy change