RSQL Final Exam 2023{SCORED 96%} VERIFIED QUESTIONS AND ANSWERS GRADED A

RSQL Final Exam 2023{SCORED 96%} VERIFIED QUESTIONS AND ANSWERS GRADED A 1. In health care, which of the following attempts to guarantee that when an action is performed by a health-care professional, it is performed correctly the first time and each time thereafter? A. Six Sigma B. Quality assurance C. Risk management D. Care management 2. The nurse asks why he should consider joining the American Nurses’ Association. What should be the nurse manager’s response? A. Other organizations do not really care about medical-surgical nurses. B. Legislator prefer to work with the largest organizations to get all their information on nursing issues. C. Formal nursing organizations can increase the unity an influence that nurses have. D. Diversity in nursing is difficult enough without adding the burden of nursing organizations. 3. Match the term with the proper definition. Prompts Submitted Answers The nurse’s Obligation to avoid causing harm to a client Nonmaleficence The nurse’s duty to be truthful and honest Veracity Keeping one’s promise to the client Fidelity Care given that is in the best interest of the client Beneficence The client’s ability to make personal decisions even when those decisions are not in the client’s best interest Autonomy Fair, equal treatment in issues, treatment, and resources Justice 4. A nurse is planning care for a group of clients. Which of the following principles need to be remembered regarding client centered care? A. Goals should be centered on the disease process. B. Resource acquisition is for the family members. C. The client needs to be partners in care. D. Nursing interventions are based upon physician orders. 5. A nurse manager is explaining the importance of developing leadership skills to a group of novice nursing students. What must the nurse manager emphasize? A. Most nurses are not expected to assume leadership roles B. The role of nurse leadership is only at the bedside C. Only individuals in formal leadership roles are expected to be leaders D. The public depends on nurses to assume leadership in moving health concerns forward 6. A nurse from the neonatal intensive care unit (NICU) is floated to the emergency department (ED) for the day. Which of the following clients should the charge nurse assign to the NICU nurse? A. A 57-year-old client with chest pain and an ECG showing elevated ST segments. B. An 80-year-old client with acute respiratory distress for whom his wife wants everything done. C. A 24-year-old client who fell from a rooftop and has a fractured humerus with no other trauma. D. An 18-year-old with fever and expiratory wheezing 7. A registered nurse (RN) from the operating room is told by the charge nurse to report (float) to the intensive care unit (ICU) for several hours until relief can be sent. The nurse has never worked in the ICU before. Which action should the RN take first? A. Report to the ICU and do the tasks which the nurse can safely perform. B. Call the nursing supervisor and complain about the assignment. C. Refused to flow to the ICU as the nurse does not have any experience there. D. Tell the charge nurse that it is ok this time, but it if it happens again, the nurse will quit. 8. Which of the following has not contributed to the ongoing nursing shortage? A. Higher salaries for night shift nurses B. Stressful working conditions such as short staffing C. Aging populations with increased health care needs D. Lack of equitable pay for increasingly demanding work 9. The Institute of Medicine has recommended that nurse residency programs be established to help new nurses make the transition from the sheltered environment of nursing school to the practice setting. What is a primary advantage for a nursing graduate to complete a nurse residency program? A. Nurse residency programs help develop new nurses’ skills, increase their knowledge, and aid them in providing safer B. Health-care employers today are looking for nurses who believe that any job in a hospital is a good place to start. C. Research has shown that up to 70 percent of employers have rejected potential employees because of information found online. D. Nurses that do not complete such programs have poor coping behaviors and may turn to overeating and overuse of alcohol. 10. A charge nurse has heard a staff registered nurse (RN) complaining about her handling of the work schedule. The charge nurse decides to have a private meeting with the RN so that they can focus on the problem and negotiate a better schedule for both of them. What strategy of conflict resolution is the charge nurse using? A. Submissive B. Aggressive C. Assertive D. Divisive 11. A Day shift nurse has just begun work and has received a report for four clients. Which one should the nurse see first? A. A client who is scheduled for a chest x-ray to rule out pneumonia. B. A client with a new below-the-knee amputation needing a dressing change. C. A client on 2L of O2 per nasal cannula who had difficulty breathing during the night. D. A client who had a hip replacement, scheduled to be discharged to a rehabilitation center 12. A nurse who is also a graduate student is preparing to research the effects of aromatherapy on post-operative clients. Which ethical principle must the nurse adhere to when recruiting clients for the study? A. Authority B. Autonomy C. Beneficence D. Collaboration 13. A new nurse asks her preceptor about the purpose of the Quality and Safety Education for Nurses (QSEN) project. Which of the following answers she receives is most accurate? A. Founded in 1893, QSEN was the first professional nursing organization in the United States. B. QSEN developed safety competencies for nurses to address the knowledge, skills, and attitudes needed to give safe, evidence-based quality care. C. QSEN is the premier nursing organization representing the nations 4 million registered nurses to provide universal access to essential health care services for all clients. D. QSEN’s mission is to support innovative medical care delivery methods designed to lower the cost of health care for all Americans. 14. The evening charge nurse takes control of the unit when she is working her shift. She follows a strict schedule and gives the unit specific instructions that she expects to be followed throughout the shift. She is not one to take suggestions from others. What leadership style is the charge nurse using? A. Intelligence B. Democratic C. Authoritarian D. Transactional 15. The nurse is working in the Emergency Department and has just received report from the previous shift. Which client should the nurse see first? A. The client with a headache and productive cough. B. The client with a second-degree sunburn over 60% of his posterior trunk C. The client who fell off a ladder and suspects his wrist is broken D. The client who was stung by wasps and his hives and wheezing 16. A school nurse has been caring for a child who fell and hurt his ankle on the school playground. The child’s mother has arrived at the school’s health clinic. The nurse has recommended that the child be taken to a healthcare provider for further evaluation. In which of the following situation should the nurse intervene? A. The mother states that she has to go to work later that day. B. The child says his ankle hurts, and he just wants to go home. C. The mother says she is afraid the ankle may be sprained. D. The nurse smells alcohol on the mother’s breath. 17. The home health nurse is planning an educational session with a newly diagnosed client who has diabetes mellitus. What is the first action the nurse needs to take to develop a comprehensive education plan for the client? A. The nurse spends time with the client and family to assess their needs and to determine their abilities. B. The nurse creates a teaching plan with the goals to be accomplished. C. The nurse instructs the client, using a variety of teaching methods, including pictures and demonstration. D. The nurses has the client “teach back” or demonstrate that he knows what is expected. 18. Two floor nurses are arguing over the usage of the units only available computer. The manager needs to help settle the dispute, and listens to both sides. In doing so, the manager recognizes what fact about conflict? A. Conflict is always a negative and destructive emotion. B. Conflict can sometimes be used to generate a solution to a problem. C. Conflict needs to be expressed immediately to prevent break downs. D. Conflict should be held inside as controlled rage 19. A babysitter has brought a six-year-old client to the emergency department with a fractured ulna. The arm appears to need surgical repair. What is the nurse’s priority action? A. Prepare the child for the surgery on his arm. B. Determine who may sign the consent for treatment for the child. C. Teach the client about the care of the cast he will receive. D. Determine who will pay the portion of the bill not covered by the insurance. 20. A nurse manager hears a staff nurse on the unit speak openly about her dislike of a recent policy change regarding client care. When discussing the issue with the nurse, which of the following statements by the nurse manager is most helpful and appropriate? A. “Why didn’t you voice your concerns before the new policy was implemented?” B. “Being open to change is an expectation of the nurses who work on this unit.” C. “You should support this policy change because it was based on evidence-based practice.” D. “Let’s talk about your concerns about the new policy.” 21. During a fire drill, several clients in the psychiatric unit become agitated. The nurse manager quickly assigns a staff member to each client. In which situation is this auto Craddick decision style most appropriate? A. Routine problems. B. Crisis situations. C. Managers who prefer a “telling” style. D. Followers who cannot agree on a situation 22. The nurse starts one L of lactated ringer’s solution at 2300 at 75mL/hr. By 0600, the nurse expects the remaining amount of fluid to be ___mL. (Record answer as a whole number.) 475 23. Which phrase best describes the term “negligence”? A. Negligence is professional misconduct or unreasonable lack of knowledge or skill. B. Negligence is the failure to use such care as a reasonably prudent and careful person would use under similar circumstances. C. Negligence is a generic function that includes focusing on completing the work that must be done. D. Negligence is the capacity or ability to direct or influence the behavior of others or the course of events. 24. A graduate nurse is about to take the NCLEX and asks a nursing instructor for advice which she then shares with another graduate nurse. Which statement by the graduate nurse requires correction? A. Look for critical or key words in the questions to help choose the right answer B. Read the entire question carefully before selecting an answer C. Choose the answer based on your previous real-world experience D. Identify positive and/or negative words in each question 25. The new chief nursing officer (CNO) asks the unit charge to report on prevalence of pressure ulcers on the unit. The charge nurse selects January 2019 through June 2019 as the time period for this prevalence rate. During that time, 75 clients were receiving care on the unit. The records show that 20 clients developed pressure ulcers during that time. What is the prevalence rate of pressure ulcers on the unit? A. 26.7% B. 34.6% C. 37.5% D. 2.8% 26. The Institute of medicine (IOM) described five the areas of competency for nurses: Client-centered care, Teamwork, Evidence-based Practice, Quality, and Informatics. The Quality and Safety Education for Nurses (QSEN) project took the five competencies of the IOM and added one more. What was added to make six competencies? A. Prescriptive Care B. Risk Management C. Safety D. Six Sigma 27. In order to gain freedom and independence, what corresponding factors must the nursing profession embrace? A. Health and happiness B. Chaos and disorder C. More control but less feedback D. Responsibility and accountability 28. A nurse is caring for a client who is experiencing pain. Which statement by the nurse to the client best demonstrates the principle of fidelity? A. “I am here to check on your pain level like I said I would. How are you feeling now?” B. “I do not want to cause any more undue harm to you, so I will let you sleep.” C. “You probably should not have let the pain get so bad; now it will be harder to control it.” D. “You are doing so well with your pain management regimen.” 29. A nurse manger encourages staff to work it out between themselves when conflicts occur between 2 nurses. What leadership style is this? A. Authoritarian B. Laissez-faire C. Democratic D. Autocratic 30. A Chief Nursing Officer (CNO) is providing an in-service to a multidisciplinary group of health care professionals. The CNO begins the meeting by giving a short but positive introduction to the members, praising their involvement on the team. By doing so, what is the CNO attempting to do? A. Invite more disciplines to join in the scheduled meetings B. Establish nursing’s role as the head of all collaborative efforts C. Create an environment of laissez-faire leadership so improved client outcomes can be measures. D. Support collaborative care by recognizing each discipline’s unique contribution to client care 31. A novice nurse is having difficulty transitioning from working with a preceptor to functioning independently. The nurse has been overheard to say, “That isn’t the way I was taught,” and “How am I supposed to get this all done on time?” What problem has the novice nurse experienced? A. Recission B. Culture shock C. Root cause analysis D. Six Sigma strategy 32. A nurse has just received report. Which of the following clients’ findings should be assessed first? A. Blood pressure of 104/68 mm Hg in a dehydrated client B. Blood glucose of 141 mg/dl in a client with diabetes mellitus C. New onset of confusion in a client with a right femur fracture D. Decreased bowel sounds in a client who is one full day post-operative