A 65yo man with hx of chest palpitations was seen by his cardiologist for new onset
palpitations & put on a beta-blocker & told to return for a follow up in 1 week after
taking a stress test. The beta blocker's action includes:
A) Increasing the consistency of the heart rate
B) Deceasing the ability of the heart muscle to contract
C) Decreasing the change of dysrythmias
D) Increasing contractility & decreasing heart rate
Give this one a try later!
, D) Increasing contractility & decreasing heart rate
A patient is admitted to the unit post-op fixation of the femur. What is a priority for the
CNL?
A) Make sure a diet is ordered post-op
B) Makes sure the physician addressed or filled out the VTE sheet with type & time of
anticoag
C) Make sure the family in the waiting room knows where the patient is
D) Place the phone near the patient
Give this one a try later!
B) Make sure the MD addressed/filled out the VTE sheet with type & time
of anticoagulant
Rationale: CNL acts as an advocate for pt in making sure anticoagulant is
addressed on pt at a severe risk for DVT or PE
All of the following are steps of EBP except:
A) Integrating evidence with clinical expertise, patient preferences, & values when
making a decision or change
B) Asking the question in a PICO format
C) Obtaining informed consent from patients involved in the practice change
D) Critically appraising the evidence
Give this one a try later!
C) Obtaining informed consent from patients involved in the practice
change
Rationale: EBP changes don't require consents
,Electronic nursing documentation has recently been instituted in organization. Select
a response that best defines a clinical decision support:
A) A reminder to save & sign your admission assessment
B) A visual red-alert when a patient's potassium is 6..8 mEq/L
C) A pop-up to initiate the discharge instruction sheet with every physician discharge
order
D) An electronic nursing care plan
Give this one a try later!
C) A pop-up to initiate the discharge instruction sheet with every physician
discharge order.
Rationale: CDS is a computer-based program designed to assist clinicians
in making clinical decisions by filtering & integrating vast amounts of
information & providing suggestions for clinical intervention.
When conducting a lit review, the publication that would provide a comprehensive
summary of research on that topic would be:
A) Non experimental
B) Experimental
C) Case study
D) Meta-analysis
Give this one a try later!
D) Meta-analysis
Rationale: A meta-analysis includes an analysis of multiple studies on that
topic
Which group presents the highest challenge in attaining buy-in for a new innovation?
A) Early innovators
, B) Early adopters
C) Late majority
D) Laggards
Give this one a try later!
C) Late majority
Rationale: Members of the late majority approach any new initiative with a
high degree of skepticism & require a large amount of information before
adopting change. They will adopt change only in the late stages. laggards
historically will not adopt change.
You are reviewing a patient's morning lab values. Pt's Hgb dropped from 12.5 to 7.3.
The RN has called MD & received orders for 2units of PRBCs to be transfused. Pt was
admitted for diabetic ketoacidosis. What is the next step you should perform?
A) Research whether the pt has ever had a history of any anemia or GI bleeding
B) Assess pt for s/s of bleeding
C) Call MD & inform him to redraw the labs
D) Review rest of pt's lab values
Give this one a try later!
B) Assess pt for s/s of bleeding
Rationale: If the significant decrease in Hgb is unexpected & lab error is
suspected, the clinician must first assess pt to ensure no s/s of bleeding
are present.
You are the CNL on a postpartum unit. You have noticed that lately you have had an
increased number of patients readmitted with wound infections. You know that the
most appropriate next step is to:
A) Perform a failure mode & effects analysis
B) Ask the MDs why their patients are getting so many infections lately
palpitations & put on a beta-blocker & told to return for a follow up in 1 week after
taking a stress test. The beta blocker's action includes:
A) Increasing the consistency of the heart rate
B) Deceasing the ability of the heart muscle to contract
C) Decreasing the change of dysrythmias
D) Increasing contractility & decreasing heart rate
Give this one a try later!
, D) Increasing contractility & decreasing heart rate
A patient is admitted to the unit post-op fixation of the femur. What is a priority for the
CNL?
A) Make sure a diet is ordered post-op
B) Makes sure the physician addressed or filled out the VTE sheet with type & time of
anticoag
C) Make sure the family in the waiting room knows where the patient is
D) Place the phone near the patient
Give this one a try later!
B) Make sure the MD addressed/filled out the VTE sheet with type & time
of anticoagulant
Rationale: CNL acts as an advocate for pt in making sure anticoagulant is
addressed on pt at a severe risk for DVT or PE
All of the following are steps of EBP except:
A) Integrating evidence with clinical expertise, patient preferences, & values when
making a decision or change
B) Asking the question in a PICO format
C) Obtaining informed consent from patients involved in the practice change
D) Critically appraising the evidence
Give this one a try later!
C) Obtaining informed consent from patients involved in the practice
change
Rationale: EBP changes don't require consents
,Electronic nursing documentation has recently been instituted in organization. Select
a response that best defines a clinical decision support:
A) A reminder to save & sign your admission assessment
B) A visual red-alert when a patient's potassium is 6..8 mEq/L
C) A pop-up to initiate the discharge instruction sheet with every physician discharge
order
D) An electronic nursing care plan
Give this one a try later!
C) A pop-up to initiate the discharge instruction sheet with every physician
discharge order.
Rationale: CDS is a computer-based program designed to assist clinicians
in making clinical decisions by filtering & integrating vast amounts of
information & providing suggestions for clinical intervention.
When conducting a lit review, the publication that would provide a comprehensive
summary of research on that topic would be:
A) Non experimental
B) Experimental
C) Case study
D) Meta-analysis
Give this one a try later!
D) Meta-analysis
Rationale: A meta-analysis includes an analysis of multiple studies on that
topic
Which group presents the highest challenge in attaining buy-in for a new innovation?
A) Early innovators
, B) Early adopters
C) Late majority
D) Laggards
Give this one a try later!
C) Late majority
Rationale: Members of the late majority approach any new initiative with a
high degree of skepticism & require a large amount of information before
adopting change. They will adopt change only in the late stages. laggards
historically will not adopt change.
You are reviewing a patient's morning lab values. Pt's Hgb dropped from 12.5 to 7.3.
The RN has called MD & received orders for 2units of PRBCs to be transfused. Pt was
admitted for diabetic ketoacidosis. What is the next step you should perform?
A) Research whether the pt has ever had a history of any anemia or GI bleeding
B) Assess pt for s/s of bleeding
C) Call MD & inform him to redraw the labs
D) Review rest of pt's lab values
Give this one a try later!
B) Assess pt for s/s of bleeding
Rationale: If the significant decrease in Hgb is unexpected & lab error is
suspected, the clinician must first assess pt to ensure no s/s of bleeding
are present.
You are the CNL on a postpartum unit. You have noticed that lately you have had an
increased number of patients readmitted with wound infections. You know that the
most appropriate next step is to:
A) Perform a failure mode & effects analysis
B) Ask the MDs why their patients are getting so many infections lately
