lOMoAR cPSD| 47061011
Module 6 Exam - Module 6 Exam NUR2811 - 1- Nursing
Capstone
Due May 5 at 11:59pm
Points 97
Questions 97
Available until May 5 at 11:59pm
Time Limit None
Allowed Attempts Unlimited
This quiz was locked May 5 at 11:59pm.
Attempt History
Attempt Time
LATEST Attem pt 1 68 minutes 86.33 out of 97
Score
Submitted Feb 15 at 3:01pm
Question 1
pts
Which event would require a nurse to complete and file an incident report?
The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump is not working.
The nurse determines that a client would benefit from the use of a walker to ambulate.
Correct!
When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor s blood pressure and takes the visitor to the
emergency department for treatment.
A client has a seizure.
Rationale: An incident is any event that is not consistent with the routine operation of a healthcare unit or routine
care of a client. Examples of incidents include client falls, needlestick injuries, a visitor having signs/symptoms of
illness, medication administration errors, accidental omission of prescribed therapies, and circumstances leading
to injury or a risk for injury. An incident report does not need to be filed if a client has a seizure unless the client
sustains injury as a result of the seizure. If the nurse determines that a client would benefit from the use of a
walker to ambulate, he or she should take the appropriate action to obtain one. If the nurse notes that the battery
of an intravenous infusion pump is not working, he/she should obtain a functioning pump and send the
nonfunctioning pump to the appropriate department for repair.
Test-Taking Strategy: Focus on the subject, incidents that require the filling out of a report. Use the process of
elimination and read each option carefully. Recalling that an incident is any event that is not consistent with the
routine operation of a healthcare unit or routine care of a client will direct you to the correct option.
Review: the reasons for filing an incident report
, lOMoAR cPSD| 47061011
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Ethical/Legal
Giddens Concepts: Clinical Judgment, Health Policy
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Health Policy/Systems
Question 2
pts
A nurse, charting the administration of medications to an assigned client at 9 pm, notes that atenolol was
prescribed to be administered at 9 am instead of 9 pm. The nurse checks the client s vital signs, completes an
incident report, and calls the primary health care provider to report the error. The primary health care provider tells
the nurse that an incident report is not needed but instructs her to monitor the client during the night for
hypotension. What action should the nurse take? Correct!
Tell the primary health care provider that the error warrants the completion of an incident report
Tear up and discard the incident report
Tell the nursing supervisor that the primary health care provider did not want an incident report completed and filed
Notify the nursing supervisor
Rationale: Incident reports are an important part of a healthcare agency’s quality improvement program. An
incident is any event that is not consistent with the routine operation of a healthcare unit or routine care of a client.
An example of an incident is administering a medication at a time at which it is not prescribed to be given.
Whenever an incident occurs, an incident report is completed and filed in accordance with agency guidelines. The
nursing supervisor would be notified of the incident; however, on the basis of the data in the question, the nurse
should tell the primary health care provider that the error warrants completion and follow-through with an incident
report. Therefore, the other options are incorrect.
Test-Taking Strategy: Focus on the subject of the question, the primary health care provider telling the nurse
that an incident report is not needed. Eliminate the options that are comparable or alike in that they involve
notifying the nursing supervisor. To select from the remaining options, recall the purpose of an incident report to
select the correct option.
Review: the procedures involved in completing and filing incident reports
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Ethical/Legal
Giddens Concepts: Clinical Judgment, Health Policy
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Health Policy/Systems
Question 3
pts
, lOMoAR cPSD| 47061011
Contact precautions are initiated for a client with methicillin-resistant Staphylococcus aureus (MRSA) infection.
What does the nurse, providing instructions to a nursing assistant about caring for the client, tell the assistant?
To transfer the client to a semiprivate room
That gloves only are needed to care for the client
Correct!
To wear gloves and a gown when changing the client’s bed linen.
To wear a gown when caring for the client and remove the gown immediately after leaving the client s room
Rationale: Contact precautions require the use of gloves, gown, and goggles if direct client contact is anticipated.
Goggles are worn to protect the mucous membranes of the eye during interventions that may produce splashes of
blood or body fluids, secretions, or excretions. The client should be placed in a private room or, if a private room is
not available, in a semiprivate room with another client who has active infection with the same microorganism but
no other infection. The nursing assistant would remove the protective gear before leaving the client s room. Test-
Taking Strategy: Focus on the subject, what the nurse should tell the nursing assistant about caring for a client
with MRSA? Use the process of elimination. Eliminate the option that includes the closed-ended word only. Next
eliminate the option that involves removal of the gown after leaving the client s room. To select from
the remaining options, read each carefully and visualize the procedure instituted for contact precautions, which will
direct you to the correct option.
Review: contact precautions.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Leadership/Management
Giddens Concepts: Infection, Leadership
HESI Concepts: Collaboration/Managing Care Leadership, Infection
Question 4
pts
The mother of a 3-year-old calls a neighbor who is a nurse and reports that her child just drank some window
cleaner that had been stored in a cabinet. What should the nurse instruct the mother to do immediately?
Call an ambulance to bring the child to the emergency department
Leave a message on the primary health care provider s answering service about the incident
Administer an excessive amount of fluids to induce vomiting
Correct!
Call a poison control center
Rationale: When a poisoning occurs, a poison center should be called immediately. Vomiting should not be
induced if the victim is unconscious or if the substance ingested was a strong corrosive or petroleum product.
Also, vomiting should not be induced unless a primary healthcare provider has given specific instructions to induce
vomiting. Neither calling an ambulance nor calling the primary health care provider s answering service is the
, lOMoAR cPSD| 47061011
immediate action because either would delay treatment. Additionally, the primary health care provider would
immediately make a referral to the poison control center. The poison control center may advise the mother to bring
the child to the emergency department; if this is the case, the mother should then call an ambulance. Test-Taking
Strategy: Focus on the subject, what to do when a 3-year-old child ingests a poison. Note the strategic word
immediately in the query of the question. First, recalling that vomiting should not be induced without appropriate
advice to do so will help you eliminate the option that involves inducing vomiting. Next eliminate the options that
will delay treatment (i.e., calling an ambulance and leaving a message with the answering service).
Review: immediate poison control measures
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Safety
Giddens Concepts: Clinical Judgment, Safety
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Safety
Question 5
pts
A hurricane is forecast to make landfall in 48 hours, and the staff of the emergency department of an area hospital
is advised to prepare for causalities. Which action should the nurse manager who receives the telephone call
regarding this warning take first? Correct!
Activate the agency disaster plan
Increase the number of nursing staff for the day on which the hurricane is expected
Supply the triage rooms with additional equipment
Call the hospital maintenance department to secure the building against the storm
Rationale: In an external disaster, many people may be brought to the emergency department for treatment.
Although increasing the nursing staff and supplying the triage rooms with additional equipment may be steps in
preparing for casualties, the initial action by the nurse manager must be activation of the disaster plan. Calling the
hospital maintenance department to secure the building from the storm is not a responsibility that falls within the
scope of nursing management.
Test-Taking Strategy: Focus on the subject, primary action by the nurse manager when notified of a hurricane
coming in 48 hours. Note the strategic word first in the query of the question. Use the process of elimination in
determining the priority action. Note that the correct option is the umbrella option. Also remember that other
necessary activities will be initiated once the agency disaster plan has been activated.
Review: procedures related to management in times of disaster
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Disasters
Giddens Concepts: Clinical Judgment, Safety
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Safety
Module 6 Exam - Module 6 Exam NUR2811 - 1- Nursing
Capstone
Due May 5 at 11:59pm
Points 97
Questions 97
Available until May 5 at 11:59pm
Time Limit None
Allowed Attempts Unlimited
This quiz was locked May 5 at 11:59pm.
Attempt History
Attempt Time
LATEST Attem pt 1 68 minutes 86.33 out of 97
Score
Submitted Feb 15 at 3:01pm
Question 1
pts
Which event would require a nurse to complete and file an incident report?
The nurse, preparing an intravenous infusion, notes that the battery of an intravenous infusion pump is not working.
The nurse determines that a client would benefit from the use of a walker to ambulate.
Correct!
When a visitor suddenly becomes weak and dizzy, the nurse checks the visitor s blood pressure and takes the visitor to the
emergency department for treatment.
A client has a seizure.
Rationale: An incident is any event that is not consistent with the routine operation of a healthcare unit or routine
care of a client. Examples of incidents include client falls, needlestick injuries, a visitor having signs/symptoms of
illness, medication administration errors, accidental omission of prescribed therapies, and circumstances leading
to injury or a risk for injury. An incident report does not need to be filed if a client has a seizure unless the client
sustains injury as a result of the seizure. If the nurse determines that a client would benefit from the use of a
walker to ambulate, he or she should take the appropriate action to obtain one. If the nurse notes that the battery
of an intravenous infusion pump is not working, he/she should obtain a functioning pump and send the
nonfunctioning pump to the appropriate department for repair.
Test-Taking Strategy: Focus on the subject, incidents that require the filling out of a report. Use the process of
elimination and read each option carefully. Recalling that an incident is any event that is not consistent with the
routine operation of a healthcare unit or routine care of a client will direct you to the correct option.
Review: the reasons for filing an incident report
, lOMoAR cPSD| 47061011
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Ethical/Legal
Giddens Concepts: Clinical Judgment, Health Policy
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Health Policy/Systems
Question 2
pts
A nurse, charting the administration of medications to an assigned client at 9 pm, notes that atenolol was
prescribed to be administered at 9 am instead of 9 pm. The nurse checks the client s vital signs, completes an
incident report, and calls the primary health care provider to report the error. The primary health care provider tells
the nurse that an incident report is not needed but instructs her to monitor the client during the night for
hypotension. What action should the nurse take? Correct!
Tell the primary health care provider that the error warrants the completion of an incident report
Tear up and discard the incident report
Tell the nursing supervisor that the primary health care provider did not want an incident report completed and filed
Notify the nursing supervisor
Rationale: Incident reports are an important part of a healthcare agency’s quality improvement program. An
incident is any event that is not consistent with the routine operation of a healthcare unit or routine care of a client.
An example of an incident is administering a medication at a time at which it is not prescribed to be given.
Whenever an incident occurs, an incident report is completed and filed in accordance with agency guidelines. The
nursing supervisor would be notified of the incident; however, on the basis of the data in the question, the nurse
should tell the primary health care provider that the error warrants completion and follow-through with an incident
report. Therefore, the other options are incorrect.
Test-Taking Strategy: Focus on the subject of the question, the primary health care provider telling the nurse
that an incident report is not needed. Eliminate the options that are comparable or alike in that they involve
notifying the nursing supervisor. To select from the remaining options, recall the purpose of an incident report to
select the correct option.
Review: the procedures involved in completing and filing incident reports
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Ethical/Legal
Giddens Concepts: Clinical Judgment, Health Policy
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Health Policy/Systems
Question 3
pts
, lOMoAR cPSD| 47061011
Contact precautions are initiated for a client with methicillin-resistant Staphylococcus aureus (MRSA) infection.
What does the nurse, providing instructions to a nursing assistant about caring for the client, tell the assistant?
To transfer the client to a semiprivate room
That gloves only are needed to care for the client
Correct!
To wear gloves and a gown when changing the client’s bed linen.
To wear a gown when caring for the client and remove the gown immediately after leaving the client s room
Rationale: Contact precautions require the use of gloves, gown, and goggles if direct client contact is anticipated.
Goggles are worn to protect the mucous membranes of the eye during interventions that may produce splashes of
blood or body fluids, secretions, or excretions. The client should be placed in a private room or, if a private room is
not available, in a semiprivate room with another client who has active infection with the same microorganism but
no other infection. The nursing assistant would remove the protective gear before leaving the client s room. Test-
Taking Strategy: Focus on the subject, what the nurse should tell the nursing assistant about caring for a client
with MRSA? Use the process of elimination. Eliminate the option that includes the closed-ended word only. Next
eliminate the option that involves removal of the gown after leaving the client s room. To select from
the remaining options, read each carefully and visualize the procedure instituted for contact precautions, which will
direct you to the correct option.
Review: contact precautions.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Teaching and Learning
Content Area: Leadership/Management
Giddens Concepts: Infection, Leadership
HESI Concepts: Collaboration/Managing Care Leadership, Infection
Question 4
pts
The mother of a 3-year-old calls a neighbor who is a nurse and reports that her child just drank some window
cleaner that had been stored in a cabinet. What should the nurse instruct the mother to do immediately?
Call an ambulance to bring the child to the emergency department
Leave a message on the primary health care provider s answering service about the incident
Administer an excessive amount of fluids to induce vomiting
Correct!
Call a poison control center
Rationale: When a poisoning occurs, a poison center should be called immediately. Vomiting should not be
induced if the victim is unconscious or if the substance ingested was a strong corrosive or petroleum product.
Also, vomiting should not be induced unless a primary healthcare provider has given specific instructions to induce
vomiting. Neither calling an ambulance nor calling the primary health care provider s answering service is the
, lOMoAR cPSD| 47061011
immediate action because either would delay treatment. Additionally, the primary health care provider would
immediately make a referral to the poison control center. The poison control center may advise the mother to bring
the child to the emergency department; if this is the case, the mother should then call an ambulance. Test-Taking
Strategy: Focus on the subject, what to do when a 3-year-old child ingests a poison. Note the strategic word
immediately in the query of the question. First, recalling that vomiting should not be induced without appropriate
advice to do so will help you eliminate the option that involves inducing vomiting. Next eliminate the options that
will delay treatment (i.e., calling an ambulance and leaving a message with the answering service).
Review: immediate poison control measures
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Safety
Giddens Concepts: Clinical Judgment, Safety
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Safety
Question 5
pts
A hurricane is forecast to make landfall in 48 hours, and the staff of the emergency department of an area hospital
is advised to prepare for causalities. Which action should the nurse manager who receives the telephone call
regarding this warning take first? Correct!
Activate the agency disaster plan
Increase the number of nursing staff for the day on which the hurricane is expected
Supply the triage rooms with additional equipment
Call the hospital maintenance department to secure the building against the storm
Rationale: In an external disaster, many people may be brought to the emergency department for treatment.
Although increasing the nursing staff and supplying the triage rooms with additional equipment may be steps in
preparing for casualties, the initial action by the nurse manager must be activation of the disaster plan. Calling the
hospital maintenance department to secure the building from the storm is not a responsibility that falls within the
scope of nursing management.
Test-Taking Strategy: Focus on the subject, primary action by the nurse manager when notified of a hurricane
coming in 48 hours. Note the strategic word first in the query of the question. Use the process of elimination in
determining the priority action. Note that the correct option is the umbrella option. Also remember that other
necessary activities will be initiated once the agency disaster plan has been activated.
Review: procedures related to management in times of disaster
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Disasters
Giddens Concepts: Clinical Judgment, Safety
HESI Concepts: Clinical Decision-Making/Clinical Judgment, Safety
