RN NURSING Exam 5 Questions & Answers, Rated 100%

RN NURSING Exam 5 Questions & Answers, Rated 100%-1 ) A nurse is working on a quality improvement team that is assessing an increase in client falls at the facility . After problem identification , which of the following actions should the nurse plan to take first as part of the quality improvement process ? a . Notify staff of the increased fall rate b . Review current literature regarding client falls c . Implement a fall prevention plan d . Identify clients who are at risk for falls-d . Identify clients who are at risk for falls 2 ) A client who is febrile is admitted to the hospital for treatment of pneumonia . In accordance with the care pathway , antibiotic therapy is prescribed . Which of the following situations requires the nurse to complete a variance report with regard to the care pathway ? a . Antibiotic therapy was initiated 2 hr after implementation of the care pathway . b . A blood culture was obtained after antibiotic therapy had been initiated . c . The route of antibiotic therapy on the care pathway was changed from IV to PO . d . An allergy to penicillin required an alternative antibiotic to be prescribed .-b . A blood culture was obtained after antibiotic therapy had been initiated . 3 ) A nurse is caring for a client who has cancer . The client and her partner are asking the nurse about hospice care . Which of the following statements by the nurse is appropriate ? a . " Hospice care will prolong the life expectancy of clients who are terminally ill . " b . " Hospice care is a multidisciplinary program for clients who are terminally ill . " c . " Hospice care is helpful for clients at various stages of chronic illness d . " Hospital access is no longer available for clients who are in hospice care . "-b . " Hospice care is a multidisciplinary program for clients who are terminally ill . " 4 ) A nurse manager discovers there is a conflict between nurses working the day shift and nurses working on the night shift . Which of the following actions should the nurse manager take first ? a . Acknowledge the conflict and encourage the nurses to focus on working as a team . b . Gather information regarding the situation c . Encourage the nurses to resolve the conflict autonomously d . Meet with a committee from each shift to discuss issues related to the conflict-. b . Gather information regarding the situation 5 ) A nurse in the emergency room is assessing several clients . Which of the following is the highest priority ? a . A client who report right sided flank pain and is diaphoretic b . A client who has a raised red skin rash on his arms , neck and face c . A client who has active bleeding from a puncture wound of the left groin area d . A client who reports SOB and left neck and shoulder pain .-d . A client who reports SOB and left neck and shoulder pain . 6 ) A nurse is providing change - of - shift report for an oncoming nurse . Which of the following information should the nurse include in the report ? a . " The client's partner came to visit him 2 hours ago and smelled of alcohol . " b . " The client is currently in the radiology department for a chest x - ray . " c . " The client will need vital signs every 4 hours . " d . " The client is the president of a local bank . "-b . " The client is currently in the radiology department for a chest x - ray . " 7 ) A nurse is planning discharge for a client who has lung resection . The nurse initiates a referral for a social worker . Which of the following assessment data supports this referral ? a . The client needs to have someone bring O₂ tanks and equipment to her home . b . The client needs to have range - of - motion exercises to assist with ambulation c . The client needs to arrange financial resources to purchase equipment . d . The client needs to have someone come in to help her bathe at home .-c . The client needs to arrange financial resources to purchase equipment 8 ) A nurse is caring for a dient who requests information about the prevalence of tay sachs disease . Which of the following resources should the nurse use to obtain this information ? a . The facility's case manager b . The client's health provider c . A collaborative , user - edited website d . An evidence - based nursing journal-d . An evidence based nursing journal 9 ) A nurse is orienting a newly licensed nurse about client confidentiality . Which of the following statements by the newly licensed nurse indicates an understanding of the teaching ? a . " I should encrypt personal health information when sending emails . b . " I can post the client's vital signs in the client's room . " c c . " I can use another nurse's password as long as I log off after using the computer " d . " I should discard personal health information documents in the trash before leaving the unit "-a . " I should encrypt personal health information when sending emails . 10 ) A nurse is discussing critical pathway use during a staff meeting . Which of the following information should the nurse manager include as an outcome of critical pathway use ? a . Decreased cost - effectiveness b . Increased length of stay c . Decreased care delays d . Increased variation in clinical interventions-c . Decreased care delays 11 ) A nurse is providing instructions about chemotherapy for a client who has a new diagnosis of breast CA. The client has decided to try an alternative treatment rather than starting chemotherapy . Which of the following actions should the nurse take ? a . Notify spiritual services to speak with the client about their decision . b . Inform the client about the risks of not starting chemotherapy immediately . c . Respect the dient's decision about not receiving chemotherapy . d . Tell the client they can't change their mind once consent is given-c . Respect the dient's decision about not receiving chemotherapy .