1
Q
What is the name of the organizational structure that arranges services and departments according to their function?
A
Functional
2
Q
When incorporating the five rights of delegation, the right task is used in which situation?
A
When the CNA reinforces use of the incentive spirometer to the patient
3
Q
Please identify the required elements of informed consent:
A
a. Patient given information about the procedure and questions answered
b. Patient is competent
c. Consent is given voluntarily
4
Q
Looking at the hierarchy of evidence of the choices below, which has the highest
validity? Or carries the most strength?
A
Double blind randomized controlled studies
5
Q
Why is the team assessment questionnaire used?
A
To evaluate a team’s effectiveness
6
Q
When leading a team, a high performing leader is seen as which type of leader?
A
A problem solver
7
Q
What is the greatest benefit to the organization from improved patient satisfaction?
A
Greater employee satisfaction
8
Q
Please identify the rights of delegation
A
a. Right person
b. Right circumstance
c. Right task
d. Right communication
e. Right supervision
9
Q
Which of the following can only be done by an RN?
A
Patient teaching of wound care
10
Q
What is the principle behind lean culture?
A
All processes contain waste
11
Q
An effective team leader will?
A
a. Organize the team
b. Articulate clear goals
c. States clear goals
12
Q
Select the true statements about the Nurse Practice Act
A
a. Sets educational standards
b. Sets educational requirements
c. Sets licensing requirements
d. Sets up the structure of the Nevada State Board of Nursing
13
Q
What is the name of the decision-making model that describes the integration of
research evidence with clinical experience to improve patient outcomes?
A
Evidence based practice (EBP)
14
Q
Duty to do good
A
a. Beneficence
15
Q
Avoiding deliberate harm
A
Nonmalfesance
16
Q
Personal beliefs about the worth of an idea
A
Values
16
Q
Ethics within the field of healthcare
A
Bioethics
17
Q
Keeping promises
A
Fidelity
18
Q
Right or wrong; good or bad
A
Ethics
19
Q
A nurse is participating in a hospital sponsored disaster simulation in which a toxic
substance is released into a crowded stadium. This is the second simulation she has
been a part of this year. Why is this simulation done?
A
It is required by the joint commission
20
Q
An older man arrives in triage disoriented and tachypneic. His skin is hot and dry.
His wife states he was fine earlier today. What is the first action the nurse should
take?
A
Assess complete set of vital signs
21
Q
A client who has terminal cancer decides to discontinue all current treatment.
Which action reflects the approach the nurse should take?
A
To ask the client to discuss the situation
22
Q
A nurse is observing client care provided by an AP (assistive personnel). Which of
the following actions should prompt the nurse to intervene?
A
The AP applies OTC moisturizing cream to the feet of a client who has diabetes
mellitus
23
Q
A nurse manager is preparing a program about managing conflict for nurses on the
unit. Which of the following is an example of interpersonal conflict?
A
Nurses on the unit disagree about what time of day daily client weights should be
obtained
24
A nurse follows a policy that was developed based on current evidence for delivery
of care for her patient. What is this decision-making model called?
Evidence based practice
25
What is the focus of clinical ladders?
The concept of reward for growth in nursing
26
When delegating to an LPN, what are the two important considerations for the RN?
a. The state nurse practice act for the LPN
b. The hospital policies and procedures or restrictions for the LPN
27
A group of staff members led by a nurse to provide care
Team Nursing
28
One nurse assumes 24-hour responsibility for the care of a group of
patients
Primary Nursing
29
A model that mixes both process and care delivery
Case Management
30
One nurse assumes shift accountability for the complete care for a group of patients
Total Patient Care
31
Which of these examples demonstrates the ethical principle of justice?
Arranging for a translator to be present prior to a conversation with the Practioner regarding the diagnosis and treatment plan for a non-English speaking patient.
32
To promote health and quality of life by preventing and controlling disease, injury,
and disability. This is the mission statement of which agency?
The Centers for Disease Control (CDC)
33
A novice nurse demonstrates a willingness to make decisions and take ownership
for those decisions. She is demonstrating which of the following?
Accountability
34
Choose the best statement describing negligence
Failure to exercise the proper degree of care required by the circumstance
35
In terms of HIPAA, as a new nurse, which of the following statements by the newly
licensed nurse would indicate a need for further education?
a. Information about a client can be disclosed to family members at any time
b. HIPAA established regulations of individually identifiable health information and
verbal electronic or written form
c. Personal health information is not confidential anymore
36
When planning delegation tasks to assistive personnel (AP), a nurse considers the
five rights of delegation. When choosing the right person for the task, you should
focus on:
The assistive personnel (AP) has the knowledge and skill to perform the task
37
Autonomy is an ethical principle that can be applied to which clinical situation?
The patient refusing hemodialysis after years of treatment
38
The transfer of the responsibility for the performance of an activity from
one individual to another while retaining accountability for the outcome
Delegation
39
The willingness to express ownership; the core of shared governance
Accountability
40
The recognition and acceptance of the importance of everyone’s work
Ownership
41
The delegation of work to a selected group of patient caregivers
Assignment
42
Using a step-by-step process otherwise known as the ADPIE to determine a course of action
Decision-making
43
The charge nurse is making assignments for nursing personnel who will be caring
for clients during the oncoming shift. Which of the following factors should the
charge nurse consider? (Select all that apply)
a. Acuity of the patient
b. Experience of the nurse
c. The staff mix (ex: RN, LPN, UAP)
d. Care delivery model used on the unit
44
A registered nurse precepting a newly licensed nurse is assisting her with delegation.
Which of the following statements by the nurse explains the purpose of delegation?
Delegation permits a designed individual to meet a goal on your behalf
45
Threatening behavior toward a patient is known as?
Assault
46
A nurse checks with assistive personnel on the unit throughout the shift to
determine if delegated tasks are being completed. By doing this, the nurse is
demonstrating which of the rights of delegation?
Right supervision
47
A nurse administers an incorrect medication to a client. The nurse determines that the client has not experienced any side effects as a result of the error and does not complete an incident report. From the following choices, which ethical principle did
the nurse violate?
Justice
48
A nurse on a medical surgical unit is assigning tasks to assistive personnel (AP). Which of the following tasks should the nurse delegate to the CNA? Rather than the assistive personnel?
a. Ambulate a client who has a cane
b. Assist in transferring a client to a stretcher
c. Record urinary output
49
A written description of a course of action is called what?
Policy
50
A document that allows a competent person to make choices about healthcare
before need is called?
An advanced directive or living will
51
If an RN does not complete a required course on a unit, what ethical principle does
she or he risk violating?
Nonmalfesance
52
What is the term for the type of scheduling that occurs by the nursing office?
Centralized scheduling
53
How often are nursing job appraisals usually completed?
Every year
54
Who determines that a hospital must provide the right number of competent staff to
meet the needs of the patient?
The Joint Commission
55
An act of aggression towards another colleague (verbal abuse, threats, or
battery)
Horizontal violence
56
Hostile or aggressive behavior which occurs between two or more persons
on different levels of the hierarchy
Vertical violence
57
The intentional act of causing physical harm to someone
Battery
58
Making unwelcome and inappropriate sexual remarks or physical
advances in a workplace or other professional or social situation
Sexual harassment
59
A confidential short term counseling services for employees with personal
problems that affect their work performance
Employee Assistance program (EAP)
60
A threat or attempt to inflict bodily harm on a person
Assault
61
The nurse demonstrates the ethical principle of fidelity by doing which of the
following?
Keeping an appointment with a client
61
The mission of the Joint Commission is?
To continuously improve the safety and quality of care
62
Which federal law prohibits employment discrimination based on race, color,
religion, sex, or national origin?
Title VII (Title 7) of Civil Rights Act of 1964
63
A strategy used to communicate important or critical information
Call-Out
64
The basic principles of sending and receiving information
Communication
65
A template among professionals that includes communication about
situation, background, assessment, and recommendation
SBAR
66
The transfer of information along with authority and responsibility during
transitions in care across the continuum.
Hand-Off
67
That sets the tone of management style and often the tone of the unit
Professional Communication
68
The organ procurement and transplant network is a ______ network
Federal network
69
The best definition for core measures?
National standards of care and treatment for certain medical conditions
70
Which level of manager is responsible for supervising the work of non-managerial
personnel and the day-to-day activities of a specific work unit?
The first level manager
71
Who develops the NCLEX examination?
The National Council of State Boards of Nursing
72
A visual means of determining the level of centralization or decentralization in an
organization is called?
An organizational chart
73
Root cause analysis is?
A retrospective review of an event
74
While preparing to administer an intramuscular medication, the patient states he
does not want the medication. The nurse knows that the medication is important to
the patient and gives the injection of the medication. This is considered what?
Battery
75
A closed loop communication system is one that helps ensure the information
conveyed by the sender is understood by the receiver. This is known as?
Check – Back
76
A nurse is caring for an older adult patient who is disoriented and has a history of
falls. The 3 actions the nurse should take are?
a. Apply an ambulation alarm to the patient
b. Perform hourly rounding
c. Ask the family to stay and watch their loved one
77
A nurse is receiving change of shift report at the start of the shift. Which patient
should the nurse prioritize?
The client expressing thoughts of suicide
78
A nurse enters a client’s room and finds the client pulseless. The family has
requested a DNR order from the provider, but the DNR order is not written.
Legally, what should the nurse do?
Begin CPR
79
A nurse manager is working with a nurse who is on orientation to the unit. Which of
the following actions by the nurse indicates the nurse manager should intervene?
The nurse uses the client’s telephone number as one form of identification when
administering medications to the client
80
What is the name of the federal agency responsible for developing new knowledge
and practice of occupational safety and health?
National Institute for occupational safety and health
81
A newly licensed nurse is seeking advice from her preceptor about the need to
purchase personal professional liability insurance. Which of the following
statements should the preceptor make?
Personal liability coverage is not mandatory, but you can consider purchasing
your own coverage
82
The primary focus of the American Nurses Association code of ethics for nurses is?
Guidelines for ethical care of clients by nurses
83
A nurse is caring for a client who is dying. The nurse incorporates the principle of
nonmalfesance into practice by taking which of the following actions?
Withholding a dose of narcotic pain medication when the client has respiratory
depression
84
What is the phrase used for the average number of days that the patient occupies a bed during a hospital stay?
The average length of stay
85
A nurse manager has recently become aware of a conflict between the pharmacy
and the staff nurses regarding sending and receiving medications. Which is the first
action the manager should take to resolve the conflict?
Identify the problem
85
What is a professional practice model (PPM)?
The description of a system that shows how nursing aligns with the mission, vision, and values of the organization.
86
Comparison information that allows organizations to evaluate their own
performance in relation to others is?
Benchmark
87
The outcome measure of hospital readmission is an area of particular concern.
What may help prevent hospital readmission?
Interdisciplinary team meetings
88
A client who is newly admitted requests information about advanced directives. The
nurse should include which of the following statements in the discussion?
I will give you a pamphlet with written information about advanced directives
89
Workplace violence toward an employee on a different hierarchal level is known as?
Vertical violence
90
Please identify components of documentation
Factual, objective, and timely
91
What is the best statement which describes good Samaritan laws?
Laws stating that healthcare providers are not liable for care provided during an
emergency even if they are not trained in the care they offer
92
The Joint Commission is a voluntary accrediting agency that is nationally
recognized for its performance standards. From the list, you are to select 4 true
statements
a. Leads to improved patient care
b. Strengthens community confidence
c. May substitute for federal certification for Medicare and Medicaid
d. Strengthens and supports nursing retention and recruitment efforts
93
Training is often on the job
UAP
94
Why do facilities orient staff? Best answer
To promote safe and effective job performance
95
certificate program
CNA
96
Education is approximately 12 to 18 months
LPN
97
Diploma, ADN, BSN, or higher
RN
98
A nurse plans care for a group of clients. Which task is best delegated to the licensed
practical nurse (LPN)?
To insert an indwelling urinary catheter for a client scheduled for a cholecystectomy
99
Please select the true statements of total patient care by an RN (select 3)
a. Decreases the need for supervision
b. Expensive
c. Reduces communication time
100
Advantages to using the electronic health record include:
Medical records are complete and easily accessible to healthcare providers
101
A nurse is caring for an older adult client who has a terminal illness and is
ventilator dependent. The client is alert and oriented and he wants to discontinue
use of the ventilator. This represents which ethical principle?
Autonomy
102
Which interdisciplinary team members will a patient who had an uncomplicated
hip replacement operation work with?
a. Physical therapy
b. Occupational therapy
c. Case manager
103
You are the nursing supervisor on the 11pm-7am shift. When making rounds, the
charge nurse on the unit reports that one of the patients is dyspneic. What action
would be expected from a nurse in the expertise stage of clinical competence when
assessing shortness of breath in a patient?
Recognizes the patient may have pulmonary edema and asks the physician for an
order for an IV push diuretic
104
Clinical ladders for nurses are best used in what circumstance?
Horizontal advancement for clinicians that wish to stay at the bedside
105
Rules help them perform their duties
Novice
106
Principles to guide action begin to be formulated marginally acceptable performance
Advanced beginner
107
2-3 years on the job in the same or similar duties
Competent nurse
108
Has intuitive grasp of the situation as a result of lots of experience
Expert nurse
108
Perceives a situation as a whole rather than small parts
Proficient nurse
109
What is short term relief for primary caregivers allowing them time to rest, travel,
or spend time with other family or friends called?
Respite care
110
Why is it important to have community services for women and children in need?
To address health and social disparities providing support and resources
110
Identify 4 challenges that the homeless population faces related to healthcare
a. Lack of transportation
b. Lack of sanitation
c. Financial barriers
d. Healthcare eligibility
111
A nurse is caring to a client with alcohol dependency. The client expresses a desire
to seek help for their addiction. Which community resources should the nurse recommends to support the client in recovery?
Alcoholic anonymous meetings (AA meetings)
112
What is the best answer for benchmark?
Standard by which others may be measured or judged
113
There are a number of groups that function within a nursing unit. Some of the groups are?
All are correct
114
A student is working on a homework assignment. She believes the quickest course is
the internet. Which is NOT an acceptable source?
Wikipedia
115
Client speaks another language
get an interpreter
116
Effective team member does NOT:
make decisions to provide staff with an update in staff meeting
117
CNA cannot perform:
sterile dressing; administering eye drops
118
The one thing the Joint Commission does not do:
guarantee higher salaries
Managenent!
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