Health Care Quality

Which is a person-focused intervention to reduce burnout in nurses?

Following a motor vehicle accident, the patient is noted to have an estimated blood loss of 500 mL and the blood pressure is normal. The nurse anticipates the provider to diagnose the patient with which class of shock?

Which is considered the fifth phase of the disaster cycle?

The nurse notes a colleague consistently triages patients as more acutely ill than necessary. The nurse educates the colleague to triage appropriately in order to prevent which complication?

Which statement is most important for the nurse to include in the teaching of a male patient undergoing treatment for invasive amebiasis?

The nurse is preparing to start an intravenous catheter on an adult patient at risk for severe dehydration. The patient adamantly refuses the procedure despite thorough explanation. Which action by the nurse is appropriate?

The recently-discharged patient sends a social media message to the nurse asking for her full diagnosis. Which response by the nurse is appropriate?

Which infection control practice is most appropriate?

How frequently does the nurse clean the toys of a pediatric patient with measles?

The elderly patient is at risk for falls related to urinary incontinence. Which intervention is appropriate?

The 85-year-old patient fell in the bathroom. Which score will most accurately predict the adverse effects the patient will experience from the fall?

Which intervention does the nurse utilize first to decrease the risk for fall in the patient who is confused and agitated?

The nurse caring for the patient with pulmonary tuberculosis requests which personal protective equipment?

A 30-year-old female presents in the emergency room with symptoms of a lower respiratory infection with a productive cough, but there are no N95 respirators for the staff to utilize. Which action by the nurse is appropriate?

The nurse is participating in a project to reduce infection of multidrug resistant organisms (MDRO). Which type of surveillance will assist in this endeavor?

Which error in the use of a child's car seat occurs most frequently?

Which personal hygiene interventions will increase the patient’s risk for infection? Select all that apply.

A 23-year-old pregnant woman presents to the clinic stating, “I am a teacher and have heard there is a measles outbreak in my community. I want to get the measles vaccine to protect my baby and myself. Which response by the nurse is most appropriate?

The patient has a peripherally inserted central catheter (PICC) for the long-term administration of parenteral nutrition, oxacillin, and gentamicin. Which assessment findings, if present in the patient, indicate the patient is experiencing a complication of the PICC line? Select all that apply.

The patient presents to the emergency room complaining that his heart is racing and he feels dizzy. His heart rate is 220 bpm, his blood pressure is 80/40 mmHg, and his capillary refill is 5 seconds. He is diaphoretic and is becoming increasingly lethargic. The nurse anticipates which order first?

The 10-year-old patient presents to the emergency room following a fever as high as 105°F for 5 days. The patient’s mother reports the child has had red, watery eyes, poor appetite, and has felt ill during this time. The child was brought to the emergency room upon the appearance of a red rash that started on the child’s face and spread to the neck and chest. Which question will be most helpful in order to determine the cause of this patient’s symptoms?

The unvaccinated child presents to the emergency department with a fever lasting 6 days, malaise, and a new, diffuse, maculopapular rash that started on the face and has spread to the chest and arms. Prior to entering the room to assess the patient, the nurse dons which personal protective equipment (PPE)? Select all that apply.

The school nurse who works in an area with poor vaccination compliance learns a child has developed measles after being in class for the past week. Twenty other children in the class have not received the measles vaccine. The nurse anticipates how many of these children will contract measles?

A patient who was admitted with measles infection spent 4 hours in the busy emergency department. Each hour the patient was in the emergency department, 10 new patients entered the room. This trend continued for six hours after the patient was admitted to a room. How many patients are at risk for contracting the measles virus?

The 4-year-old child is admitted with measles. Which medication does the nurse prepare to administer initially?

The patient in the intensive care unit who is intubated and mechanically ventilated abruptly requires a drastically increased fraction of inspired oxygen (FiO2) and is hypoxic, hypotensive, and tachycardic. Which intervention does the nurse perform first?

The patient was intubated in the field following a severe motor vehicle accident and is being managed in the intensive care unit. One day after the accident, increased oxygen requirement and diminished lung sounds are noted, and a radiograph is obtained. The chest x-ray reveals consolidation in bilateral lower lobes. The nurse anticipates which diagnosis for this patient?

A nurse is teaching a student about Good Samaritan laws. Which statement is correct?

A famous football player is brought to a local hospital following a severe, on-field injury. A nurse and avid sports fan comes to the hospital on his day off to find out the status of the injury. The nurse caring for the player is asked to provide him with an update on the player’s health. What is the appropriate response?

In the weeks after a stroke, which patient problem is of the highest priority?

A nurse is discussing abortion with a distraught pregnant woman. The nurse understands that the patient is most likely struggling with which pair of ethical principles?

A nurse is preparing discharge plans. Which patient is most likely to need home health care services?

An infant has been admitted to the hospital for gastroenteritis. Friends of the family stayed in the room while the patient’s father talks to other family members in the lobby. The nurse prepares to remove an infiltrated IV line and place a new one. The visitor stops the nurse and insists that the nurse obtains consent from the parents. Which is the most appropriate response?

The nurse manager makes decisions for nurses with minimal input and gives orders based on these decisions. Which leadership style does this reflect?

An unlicensed assistive personnel (UAP) reports that a patient has greenish discharge around the tracheostomy. Which response by the nurse is most appropriate?

Which tasks can be delegated to an unlicensed assistive personnel (UAP)? Select all that apply.

The nurse provides care for the client diagnosed with Barrett's esophagus. Which goals does the nurse establish in the plan of care? Select all that apply.

Which event does the nursing manager address because it violates the Health Insurance Portability and Accountability Act (HIPAA)? Select all that apply.

Which actions are violations of the Emergency Medical Treatment and Active Labor Act (EMTALA)? Select all that apply.

The family practice nurse is reviewing telephone messages from patients. Which call is to be returned first?

The nursing supervisor overhears a nurse discussing the Health Insurance Portability and Accountability Act (HIPAA) guidelines with a group of nursing students. Which statement by the nurse prompts the nursing supervisor to intervene immediately?

Which actions can the nurse delegate to the unlicensed assistive personnel (UAP)? Select all that apply.

The nursing team consists of a nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which task is appropriate to assign to the UAP?

The nurse receives shift report on four patients. In which order does the nurse see the patients? Place the answer options in the correct order.

The nursing team consists of a registered nurse, a licensed practical nurse (LPN), and an unlicensed assistive personnel (UAP). Which patient does the registered nurse assign to the LPN?

The nurse is creating a tool to screen patients for depression and includes questions about which symptoms in the tool? Select all that apply.

Following an outbreak of pertussis, which action describes tertiary prevention?

The nurse is planning care for the patient with severe liver disease who has substantial ascites and peripheral edema. Which interventions are included in the care plan? 

The nurse is instructing the student nurse on proper sterile technique. Which statements are included in the teaching? Select all that apply.

The patient with a hearing deficit has been stabilized in the emergency department following a spontaneous pneumothorax. Which action does the nurse take first?