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A 72-year-old make patient comes to the health clinic for an annual follow-up. The nurse enters
the patient's room and notices him to be diaphoretic, holding his chest and breathing with
difficulty. The nurse immediately checks the patient's heart rate and blood pressure and asks him,
"Tell me where your pain is." Which of the following assessment approaches does this scenario
describe?
1. Review of system approach.
2. Use of a structural database format
3. Back of channeling
4. A problem-oriented approach - CORRECT ANSWER ✔✔ -4. A problem-oriented approach
A child's immunization may cause discomfort during administration, but the benefits of
protection from disease, both for the individual and society, outweigh the temporary discomforts.
Which principle is involved in this situation?
1. Fidelity
2. Beneficence
3. Nonmaleficence
4. Respect for autonomy - CORRECT ANSWER ✔✔ -2. Beneficence
,A community center is presenting a nurse-led program on the Patient Protection and Affordable
Care Act. Which statement made by the participant indicates a need for further teaching?
1. My small company will now have to offer the 75 employees health insurance or pay a small
penalty.
2. As long as my son is a full-time student in college, I will be able to keep him on my health
insurance until he is 26 years old.
3. I signed up for the state health insurance exchange before the designated deadline to make
sure I had health insurance.
4. Since I have now been diagnosed with diabetes, my health insurance plan cannot charge me
for higher premiums. - CORRECT ANSWER ✔✔ -2. As long as my son is a full-time student in
college, I will be able to keep him on my health insurance until he is 26 years old.
A community nurse in a diverse community is working with health care professionals to provide
prenatal care for underemployed and underinsured South African women. Which overall goal of
Healthy People of 2020 does this represent?
1. Assess the health care needs of individuals, families, or communities.
2. Develop and implement public health policies and improve access to care.
3. Gather information on incident rates of certain diseases and social problems.
4. Increase life expectancy and quality of life and to eliminate health disparities. - CORRECT
ANSWER ✔✔ -4. Increase life expectancy and quality of life and to eliminate health disparities.
,A critical care nurse is using a computerized decision support system to correctly position her
ventilated patients to reduce pneumonia caused by accumulated respiratory secretions. This is an
example of which Quality and Safety Education of Nurses (QSEN) competency?
1. Patient-centered care
2. Safety
3. Teamwork and collaboration
4. Informatics - CORRECT ANSWER ✔✔ -4. Informatics
A group of nurses have identified that the elderly patients on their unit have a high incidence of
pressure ulcers after they have a stroke. During a unit meeting they discuss different
interventions that they think may reduce the development of pressure ulcers. What is the nurses'
next step to investigate this clinical problem further?
1. Conduct a literature review
2. Share the findings with others
3. Conduct a statistical analysis
4. Create a well-defined PICOT question - CORRECT ANSWER ✔✔ -4. Create a well-defined
PICOT question
A group of nurses on the research council of a local hospital are measuring nursing-sensitive
outcomes. Which of the following is a nursing-sensitive outcome that the nurses need to consider
measuring? (Select all that apply.)
1. Frequency of low blood sugar episodes in children at a local school
, 2. Number of patients who develop a urinary tract infection from a Foley catheter
3. Number of patients who fall and experience subsequent injury on the evening shift
4. Number of sexually active adolescent girls who attend the community-based clinic for birth
control
5. Patient-reported quality of life following coronary artery bypass graft surgery and cardiac
rehabilitation - CORRECT ANSWER ✔✔ -2. Number of patients who develop a urinary tract
infection from a Foley catheter
3. Number of patients who fall and experience subsequent injury on the evening shift
A groups of staff nurses notice an increased incidence of medication errors on their unit. After
further investigation it is determined the nurses are not consistently identifying the patient
correctly. A change is needed quickly. What type of quality improvement method would be most
appropriate?
1. PDSA
2. Six Sigma
3. Rapid-improvment event (RIE)
4. A randomized control trial - CORRECT ANSWER ✔✔ -3. Rapid-improvment event (RIE)
A home health nurse notices significant bruising on a 2-year old patient's head, arms, abdomen,
and legs. The patient's mother describes the patient's frequent falls. What is the best nursing
action for the home health nurse to take?
1. Document her findings and treat the patient