WGU C157 Final Exam Questions With Correct Answers Latest Graded A+ (100% Verified) 2023/2024

An advanced practice nurse for the nursing unit in a hospital identified the problem of increased sepsis rates related to intravenous lines. Which step represents the Act component of the Plan Do Study Act (PDSA) cycle for the process improvement teamReview antibiotic therapies of pa- tients throughout the hospital 3 / 12 7. Which benchmark domains must be considered when evaluating evidence for use in a healthcare setting innovationQuality, quantity, and consistency 4 / 12 8. What must a nurse ensure has been considered before implementing an innovation in care provided to adult patientsPatient desires 9. Which approach should the nurse manager employ to create an environment that encourages innovations toward evidence-based nursing care- Providing nursing staff with resources and opportunities for the implementation of evidence-based nursing practice 10. The nurse manager is concerned that nurses may not be following proper hand washing guidelines and wants to improve practice. The nurse decides to focus on a major area to improve quality and performance for this skill. Which area should be addressed to improve hand hygiene practicesLead- ership 11. An internal audit revealed that the rate of inpatient falls on the medical surgical unit is higher than that of other units. An MSN registered nurse (RN) has implemented a new fall reduction plan that involves and needs to measure and communicate the effectiveness of the plan to the hospital leadership. An outcome measure reveals the rate of falls has decreased by 3% over a two-month timeframe.: Nurse manager 5 / 12 12. An internal audit revealed that the rate of inpatient falls on the medical surgical unit is higher than that of other units. An MSN registered nurse (RN) has implemented a new fall reduction plan that involves and needs to measure and communicate the effectiveness of the plan to the hospital leadership. A balancing measure reveals the rate of falls has decreased, but the rate of call-light usage has increased: Unit RN 13. An internal audit revealed that the rate of inpatient falls on the medical surgical unit is higher than that of other units. An MSN registered nurse (RN) has implemented a new fall reduction plan that involves and needs to measure and communicate the effectiveness of the plan to the hospital leadership. A process measure, whereby each stakeholder is assessed for a history of falls when admitted, and which reveals that the rate of falls in the first 30 days has started to decrease.: Patient 6 / 12 14. The Centers for Disease Control (CDC) have described a central line-associated bloodstream infection (CLA-BSI) as consisting of: A laboratory-confirmed bloodstream infection (LCBI) where central line (CL) or umbilical catheter (UC) was in place for 2 calendar days when all elements of the LCBI infection criterion were first present together, with day of device placement being Day 1, and a CL or UC was in place on the date of event or the day before. If the patient is admitted or transferred into a facility with a central line in place (e.g., tunneled or implanted central line), day of first access is considered Day 1. Based on the this criteria, which data should be collected to determine the rate of CLA-BSI in a healthcare agencyThe percent of patients with central lines who have positive laboratory results for infection 15. A nurse is assigned to call recently-discharged patients and to ask the patients about their experiences during their hospitalization. On a call, the patient asks the nurse why this information is needed. How should the nurse respond to this question: The answers to these questions help us determine if we are providing quality care and how we can improve. 16. During the QI process, organizational data reveals that overall hospital patient satisfaction scores are 72% for the first quarter and 69% for the second quarter. The organization goal is 80%. 7 / 12 Which action should the advanced practice nurse take according to the PDSA cycle Plan an evidence-based intervention to address the declining scores 17. The advanced practice nurse was a member of an interdisciplinary team that planned and implemented an evidence-based program to decrease patient falls. Evaluation reveals that the number of falls pre-program was 15 and the number of falls post-program was 10. The goal was to have a 20% decrease in the number of falls.