"Never Event" medical errors that shouldn't have happened
Correct Answers -Shocking medical errors that should never
occur (wrong-site surgery)
-Adverse events that are unambiguous (clearly identifiable and
measureable)
-Serious (resulting in death or significant disability)
-Usually preventable
In 2007, CMS saidwill not payfor additional cost of these "never
events" unless Present on Admission (POA):
1.A nurse discovers that she made a medication error. What
should be the nurse's FIRST response? Correct Answers Asses
the patient for any possible side effects of the error
1.Mrs. Redor, age 55 years, was hospitalized. She takes 5
medications. She is being discharged home. In preparing her
discharge, which of the following is least likely to be helpful?
Correct Answers Leave medication brochures by her bed
A caregiver asks a nurse to explain respite care. How would the
nurse respond?
A. "Respite care is a service that allows time away for
caregivers."
B. "Respite care is a special service for the terminally ill and
their family."
C. "Respite care is direct care provided to people in a long-term
care facility."
,D. "Respite care provides living units for people without regular
shelter." Correct Answers A. "Respite care is a service that
allows time away for caregivers."
A client comes to the emergency department reporting becoming
very ill after consuming shrimp and lobster. How will the nurse
document this condition? Correct Answers noncommunicable
disease
A client diagnosed with lung cancer has been given a prognosis
of 3 to 4 months of life. The nurse discusses hospice care with
the client and family. Which aspect of the client's health status
indicates that hospice care is appropriate? Correct Answers The
client has a life expectancy of less than 6 months
A client has tested positive for methicillin-resistant
Staphylococcus aureus after being swabbed on admission to the
hospital. Bacterial resistance to antibiotics is an example of:
Correct Answers Survival adaptation
A client is admitted to the facility after fracturing a hip. The
client has undergone surgery to repair the fracture and is
receiving services to promote healing of the surgical site and
regain mobility. Which discussion should the nurse have with a
member of the interdisciplinary team member to promote the
goal of regaining mobility? Correct Answers Speak with the
physical therapist about exercises to strengthen muscles.
A client is admitted with Clostridium difficile (C. difficile) with
frequent loose stool and fever. Which action should the nurse
,implement for this client? Select all that appl Correct Answers
-Start contact precaution protocol and place a sign by the door.
-Allocate a vital signs machine for the client's room.
A client with a hip fracture is returning to the orthopedic unit,
and the orders indicate that the client should be turned by
logrolling. Which statement regarding logrolling is correct?
Correct Answers Use a drawsheet or a friction-reducing sheet to
facilitate smooth movement.
A home health nurse is visiting a client who was taught to
crutch-walk in the hospital following a knee surgery. The client
says, "My armpits are so sore." Which information does the
nurse provide? Correct Answers "Try to bear your weight on
your hands, not your armpits."
A new nurse is considering getting a job in either an acute care
setting or a home care setting. Which statement about these care
settings is most accurate? Correct Answers Clients play a large
role in helping themselves in the home care setting
A nurse cares for dying patients by providing physical,
psychological, social, and spiritual care for the patients, their
families, and other loved ones. What type of care is the nurse
providing?
A. Respite care
B. Palliative care
C. Hospice care
D. Extended care Correct Answers C. Hospice care
, A nurse caring for patients in a pediatrician's office assesses
infants and toddlers for physical developmental milestones.
Which patient would the nurse refer to a specialist based on
failure to achieve these milestones?
A. A 4-month-old infant who is unable to roll over
B. A 6-month-old infant who is unable to hold his head up
himself
C. An 11-month-old infant who cannot walk unassisted
D. An 18-month-old toddler who cannot jump Correct Answers
B. A 6-month-old infant who is unable to hold his head up
himself
A nurse caring for patients in a primary care setting submits
paperwork for reimbursement from managed care plans for
services performed. Which purpose best describes managed care
as a framework for health care?
A. A design to control the cost of care while maintaining the
quality of care
B. Care coordination to maximize positive outcomes to contain
costs
C. The delivery of services from initial contact through ongoing
care
D. Based on a philosophy of ensuring death in comfort and
dignity Correct Answers A. A design to control the cost of care
while maintaining the quality of care
A nurse has an older adult home care client who lives alone with
no family nearby. On a recent visit, the nurse notices that his
clothes are very loose, and he has difficulty letting the nurse
leave when the visit is ending. After talking with him, the nurse