Questions With Complete Solutions
A charge nurse on the pediatric unit is making assignments for a
nurse who has floated from the labor and delivery unit. Which of
the following clients is appropriate for the charge nurse to
assign?
A. A preschooler with a hip spica cast who is being discharged
today
B. An infant scheduled for a surgical repair of a ventricular
septal defect tomorrow
C. A toddler with a fractured femur who has been in Bryant's
traction for 5 days
D. An adolescent who is 2 days postoperative following an
appendectomy Correct Answers D. An adolescent who is 2
days postoperative following an appendectomy
*The content of this question emphasizes the concept of
leadership through the coordination of client care by making
appropriate assignments.
The care of an adolescent who is 2 days postoperative following
an appendectomy requires postoperative care including
education, infection prevention, and medications that require
fundamental nursing skills and knowledge; therefore, it is
appropriate to assign this client to the nurse who has floated
from the labor and delivery unit.
A nurse at a long-term care facility is participating in a quality
improvement project to reduce the occurrence of pressure ulcers.
, Which of the following audits should be conducted to determine
the impact of a new skincare regimen on the incidence of
pressure ulcers among clients who are immobile?
A. Prospective audit
B. Outcome audit
C. Process audit
D. Structure audit Correct Answers B. Outcome audit
*The content of this question emphasizes the concept of quality
improvement by selecting the appropriate audit to conduct when
determining the impact of a new skincare regimen on the
incidence of pressure ulcers among clients who are immobile.
The primary goal of quality improvement is developing and
implementing a plan to improve health care services and better
meet the needs of clients. To accomplish this goal it is necessary
to recognize client and facility issues that impact the provision
of safe, quality care, as well as identify gaps between current
practices and best practices. Audits are a process of measuring
the quality of delivered care so better practices can be developed
and implemented when needed. An outcome audit is conducted
to determine the actual result a specific nursing intervention has
had on client outcomes. This type of audit is appropriate to use
when determining the impact of a new skincare regimen on the
incidence of pressure ulcers among clients who are immobile.
A nurse has assigned four tasks to an assistive personnel (AP).
Which of the following should the nurse instruct the AP to
perform first?
A. Take an ABG specimen to the laboratory.