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1. 1. A nurse is reviewing the electronic medical
Clients 2, 3, 5
record on clients following the implementation of a
quality improvement plan to reduce health care
associated infections on a medical surgical unit.
Exhibit 1
Client 1 Diagnosis: Cerebrovascular
accident Exhibit 2:
Client 2 Diagnosis:
Pneumonia Exhibit 3
Client 3: Diagnosis: Wound infection
Exhibit 4
Client 4: Diagnosis: Urinary tract
infection Exhibit 5
Client 5 Diagnosis: Fractured hip
Select the 3 clients whose finding indicates the
pro- gram is EFFECTIVE.
2. 2. A nurse manager is overseeing employees on
their unit. Remove the em-
Which of following actions is the nurse manager ployee from the
prior- ity? Select the 1 action that the nurse manager work environment.
should take first.
o Schedule a meeting with the employee to
address the occurrence within 24 hr.
o Remove the employee from the work environment.
o Create a plan for the employee to overcome
their substance dependency.
o Coordinate a ride home for the employee.
o Have the employee sign a contract
acknowledging that substance use will not be
tolerated.
3. 3. A nurse is triaging a group of clients as they Client 4,5,6
arrive simultaneously in the emergency department
follow- ing a nearby bus crash.
Which of the following clients should the nurse
trans- fer to the three available trauma rooms?
Select the 3 clients to transfer for immediate
treatment.
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4. 4. A charge nurse on a mental health unit is receiv- The charge nurse
ing change of shift report for a group of clients. The should first as-
charge nurse is working with an RN and PN and sess CLIENT 1
assis- tive personnel (API from 0700 to 1900 and is due to HALLU-
reviewing client care: assignments. CINATIONS and
Complete the following sentence by using the lists DELUSIONS
of options.
The charge nurse should first assess due
to and
5. 5. An infectious disease nurse is reviewing Clients 1, 2, 4, 6
electronic medical records on a group of clients.
Select 4 clients whose diagnosis should be reported
to the health department.
o Client 1 (Lyme disease)
o Client 2 (Acute Hepatitis C)
o Client 3 (Clostridium difficile)
o Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis)
o Client 6 (pertussis)
6. 6. A nurse case manager is coordinating care for Hospice care,
a client. Respite care, So-
Select the 3 community resources the nurse should cial worker
refer the client.
o Adult day care
o Hospice care
o Legal assistance
o Respite care
o Social worker
7. 7. A nurse is caring for a client and notices fraying Remove the
on the electrical cord of the client's IV pump. Which IV pump from
of the following actions is the priority for the nurse the client's
to take? room.
a. Report the problems to the engineering team.
b. Check the expiration date of the inspection
sticker.
c. Request a replacement IV pump.
d. Remove the IV pump from the client's room
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8.
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8. A nurse is observing a newly licensed nurse prepare Withdraws the
a medication from an ampule for a client's report
injection. For which of the following actions by the
newly li- censed nurse should the nurse intervene?
o Breaks the top of the ampule using an antiseptic
wipe.
o Withdraws the medication from the ampule using
a subcutaneous needle.
o Disposes of the ampule by placing it in a
sharps container
o Performs 3 checks of medication before
administra- tion.
9. 9. A nurse manager observes an assistive personal
(AP) incorrectly transferring a client to the bedside
commode. Which of the following actions should
the nurse take first?
o Help the AP assist the client with the transfer.
o Instruct the AP to request assistance when unsure
about a task.
o Demonstrate the proper client transfer technique
for the AP.
o Refer the AP to the facility procedure manual.
10. 10. A nurse is participating in the development of a
disaster management plan for a hospital. The
nurse should recognize that which of the following
re- sources is the highest priority to have available
in response to a bioterrorism event?
o A sufficient supply of personal protective
equipment
o A system for tracking client information
o A mental health specialist on the response team
o A network for communication between staff
mem- bers families.
11. 11. A charge nurse observes a client fall while ambu-
lating with an assistive personnel and notes that the
client's gait belt was not in place. When reviewing
the incident report, the charge nurse finds that the
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