LEADERSHIP QUALITY IMPROVEMENT AND
HEALTHCARE SYSTEMS
◉ A nurse in a provider's office is reinforcing teaching with a client
about performing testicular self-examination. Which of the following
instructions should the nurse include?
Answer: Examine your testicles after a warm shower."
◉ A nurse is planning care for a client who is 1 day postoperative
following abdominal surgery. Which of the following tasks should
the nurse
delegate to an assistive personnel?
Answer: Transferring the client from the bed to a chair
◉ A newly-licensed nurse tells another nurse that their password
has expired and asks for assistance with inputting data into a client's
electronic medical record. Which of the following statements should
the nurse make?
Answer: You won't be able to input any data until you reset your
password."
,◉ A nurse on a postpartum unit is caring for a group of clients.
Which of the following clients is the nurse's priority?
Answer: A client who is 3 days postpartum and has not had a bowel
movement since prior to admission
◉ A nurse is reinforcing home safety instructions with the guardian
of an 18-month-old toddler. Which of the following responses by the
guardian indicates an understanding of the teaching?
Answer: I will turn all pot handles toward the back of the stove."
◉ A nurse is caring for a client who is at 6 weeks of gestation. Which
of the following laboratory findings should the nurse report to the
provider?
Answer: Hemoglobin 13 g/dL
◉ A nurse is preparing to give change-of-shift report to the
oncoming nurse. Which of the following information should the
nurse include?
Answer: Expected laboratory results
◉ A nurse is reinforcing teaching with a client who has gestational
diabetes mellitus. Which of the following statements by the client
indicates an
understanding of the teaching?
,Answer: "My baby will be monitored for hypoglycemia after birth."
◉ A nurse is selecting foods for a client who is in the manic phase of
bipolar disorder. Which of the following foods should the nurse offer
the client?
Answer: Milkshake
◉ A nurse is preparing to perform an irrigation to remove a buildup
of cerumen from a client's ear. Which of the following actions should
the nurse
take?
Answer: Instill cerumen-softening drops before the irrigation
◉ A nurse is contributing to the plan of care for an adolescent client
following surgery for a ruptured appendix. which of the following
interventions should the nurse recommend to include in the plan?
Answer: Ensure that the client receives pain medication prior to
ambulation.
◉ A nurse is preparing a room for a client who has a tracheostomy
tube. Which of following supplies should the nurse place in the
room?
Answer: Obturator
, ◉ A nurse is reinforcing teaching for a client who has a new
prescription for low-dose aspirin. The nurse should inform the client
that which of the
following is known to interact with aspirin?
Answer: Ginkgo biloba
◉ A nurse is reinforcing teaching with a newly licensed nurse about
incident reports. The nurse should identify that which of the
following situations requires the completion of an incident report?
Answer: Insulin lispro was administered to a client immediately
before bed.
◉ A nurse is collecting data from an older adult client and finds
visible bruises on their lower legs. Which of the following client
statements should the nurse identify as a risk factor for elder abuse?
I take a blood thinner and I bump into things sometimes.
"Please don't tell anyone you saw these: I do not want to go to a
nursing home
"My caregiver rearranged the furniture in the living room and I ran
into the couch."