WGU C157 Final Practice Exam Questions and Answers Latest Updated 2024/2025 | Scored A+

1. How should a director of nursing respond to the national quality goal of improving the quality of care transitions and communication across care settingsCreate a task force comprised of nursing administration, charge nurses, discharge planners, and staff nurses 2. A healthcare organization has been collecting data about the quality and safety of the nursing care provided within the organization. Consistent with the national priority of ensuring that each person is engaged as a partner in care, which dataset should the nurse use to substantiate the need for changes in patient care processesA report from a patient/nurse focus group indicating patients do not feel they are adequately included in making decisions regarding their healthcare 3. A healthcare organization is collecting data about the quality and safety of the nursing care provided within the organization. Consistent with the national priority of promoting effective coordination WGU C157 Final Practice Exam Questions and Answers Latest Updated 2024/2025 | Scored A+ 2 / 12 of care, which dataset should the nurse use to substantiate the need for changes in patient care processes Patient readmissions for patients discharged to long-term care facilities, increasing from a readmission rate of 3% (six months earlier) to a rate of 4% (current) 4. Which information should the nurse use to justify the implementation of a mobile healthcare clinic for rural healthcare delivery The organization serves rural communities where much of the population does not have access to reliable transportation. 5. An advanced practice nurse for a nursing unit in a hospital has identified the problem of sepsis. What is the next step in the Plan Do Study Act (PDSA) cycle Implement the Institute for Health Improvement guidelines for sepsis 6. 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%