Health Care Quality

The nurse is instructing the nursing student on indwelling urinary catheterization. Which statement does the nurse include in the teaching? 

The patient presents to the urgent care clinic with a hand laceration sustained while using pruning shears in the garden. Which vaccine is most important for this patient?

The patient presents to the clinic following being bitten by a bat while cleaning out a barn. The nurse anticipates administering which vaccine?

The nurse asks a patient to provide a urine sample for a urine culture. When the nurse returns 3 hours later, the patient says the urine sample has been sitting by the bed for the last 2 hours. Which action by the nurse is appropriate?

The patient appears to be fatiguing before daily bathing and grooming is finished. Which action by the nurse is most appropriate?

The unlicensed assistive personnel (UAP) performs a delegated task after failing to complete the yearly mandatory education and skills check-off and an adverse event occurs. Who is most responsible for the adverse event?

The bedside nurse asks the unlicensed assistive personnel (UAP) to help a stable patient to the bedside commode. Upon standing, the patient complains of being dizzy and lightheaded, but insists on using the commode. The UAP calls out to the bedside nurse for help, but the nurse had left the floor with another patient. The patient falls and sustains a mild head injury. Which individual is most responsible for the patient’s injury?

The nurse is assigned to a 32-year-old male admitted with bowel obstruction status post exploratory laparotomy. Which telephone call from the nurse to the provider is most appropriate?

The nurse calls the provider with this report: “Hi, Dr. Smith, the patient Mrs. Welch is complaining of an 8/10 pain in her lower abdomen. Her abdomen is distended but is soft with positive bowel sounds in all four quadrants. I have tried ambulation, warm compresses, and position changes, to no avail. Could you please come assess her?” Which component of SBAR communication does the nurse need to elaborate for this patient?

Following a mass casualty event, the nurse is called in to the hospital to work in accordance with the city's emergency response plan. The nurse is instructed to discharge as many current inpatients as possible to assist with reallocation of resources. Which patient is most appropriate to be discharged?

A fire has started in one of the medical surgical units, and the staff has been instructed to perform a horizontal evacuation. Which action does the nurse take first?

The nurse is assigned to care for a 65-year-old male patient who is diagnosed with atrial fibrillation. The nurse realizes during the shift report that six hours ago she administered 0.6 mg of this patient’s antiarrhythmic medication instead of 6.0 mg. Which action does the nurse perform first?

A terminally ill patient has attempted to commit suicide by swallowing an entire bottle of opioid pain medication.The patient is brought to the emergency department and found to have a “Do Not Resuscitate” tattoo on her chest along with a handwritten note that states that she is tired of suffering and wishes her life to end. Which next step by the medical team is most appropriate?

The nurse is assigned to care for a patient with human immunodeficiency virus (HIV) with an infected boil that requires lancing. Which personal protective equipment does the nurse don? Select all that apply.

A nurse is assigned to care for a 45-year-old male who is admitted for alcohol withdrawal. On the second day of admission, the patient becomes disoriented and combative, and the provider places him in bilateral wrist restraints. Which physical exam finding is most important for this patient?

The 29-year-old male patient admitted with schizophrenia has pulled out 4 IVs in the last 12 hours. Which intervention does the nurse include in this patient’s care plan?

The nurse would like to institute a process improvement project to improve the cleanliness of the patient rooms. Which key stakeholders does the nurse include? Select all that apply.

The nurse is admitting a patient positive for human immunodeficiency virus (HIV). A fellow nurse states, “This patient is on contact precautions for his HIV status. You need to wear an isolation gown in addition to your gloves.” Which response by the nurse is most appropriate?

A 12-year-old male patient has received the first dose of the human papillomavirus vaccine in May of this year. When will the nurse schedule an appointment for him to come back to receive his second and third doses?

The nurse receives an order to administer digoxin 0.125 mg intramuscularly each morning to a patient in heart failure. Which part of the order does the nurse question?

The nurse on the telemetry floor is reviewing EKG readings of the patients. The nurse notes one patient, who is taking digoxin, to have peaked T waves and a prolonged PR interval. The nurse contacts the provider to report concerns for which possible impending condition?

The patient who is scheduled for a cardiac catheterization is unable to read or write. How does the medical team obtain informed consent for the procedure? 

Prior to transporting a patient to surgery, the nurse ensures which items are in the patient's chart? Select all that apply. 

The patient who underwent an upper gastrointestinal radiographic study requires which post-procedure instruction?

The patient who is scheduled for an elective surgery in 2 hours asks the nurse, “What time do the maids typically come to clean the hotel room?” Further questioning reveals the patient believes the hospital in the United States is a hotel in Paris, France, and the year is 20 years prior. The nurse notes that the patient signed a consent form for the procedure just minutes ago. Which action does the nurse take first?

Which statement by the novice nurse requires correction by the charge nurse?

Which process improvement project will be most effective in improving patient satisfaction?

Which observation prompts the nurse manager to implement a process improvement project on alarm fatigue in the unit?

Patients with which characteristics are at an increased risk for falls? Select all that apply.

Which situation in the hospital unit requires the most immediate attention?

Which patient is appropriate to assign to a licensed practical/vocational nurse (LPN/LVN)?

Which task in the care of a patient newly diagnosed with diabetes is appropriate to delegate to an unlicensed assistive personnel?

The nurse is caring for the patient who was admitted to the hospital after a fall at the nursing home. Which intervention does the nurse implement in order to reduce the patient’s fall risk?

The patient is rushed into the emergency department by a family member who states the patient is having a stroke. Which action does the nurse take first?

After receiving report, which patient does the nurse see first?

A fire develops in the nurses’ station kitchen. Which action does the nurse take first?

The off-duty nurse passes a car accident. Which statement is true regarding this situation?

Which statement by the unlicensed assistive personnel (UAP) indicates an understanding of the proper way to transfer patients?

The nurse holds the transfusion and contacts the blood bank if which anemic patient is sent B negative packed red blood cells for transfusion?

Which is an example of the mitigation phase of disaster planning?

The 8-year-old presents with a generalized rash. The patient's mother reports that some areas of the rash have developed into pimples that are oozing clear fluid. The nurse places this patient on which type of precaution(s)? Select all that apply.

The novice nurse is transferring a patient from the floor to the intensive care unit. Which statement, if made by the novice nurse, indicates a need for further teaching about SBAR (Situation, Background, Assessment, Recommendation) communication?

Which action by the intensive care unit (ICU) nurse is most appropriate following the resolution of an active shooter emergency in the emergency department?

Which statement by a patient with mumps indicates an understanding of the diagnosis?

The nurse is teaching a student nurse about cancer screening guidelines. Which statement by the student nurse indicates the need for further teaching?

A first-time mother brings in her one-year-old daughter for a check-up. Which assessment finding requires further investigation?

Following a motor vehicle accident, the patient is unable to make his wishes known and is close to death without immediate and extensive treatment. The patient’s girlfriend, who he has been living with for the last five years, wants the medical team to do everything possible to save him. The patient’s wife, who he left when he moved in with his girlfriend, states she would not like any lifesaving measures and will sign the Do-Not-Resuscitate (DNR) paperwork. The medical team looks to which entity for decision-making?

The patient with advanced dementia accuses the nurse of trying to poison him with his scheduled medications. Which nursing intervention is most appropriate?

The nurse is assisting with the development of a tool in the electronic medical record to prompt providers to screen appropriate individuals for hypothyroidism. The nurse provides which characteristics to the informatics team to include in the tool? Select all that apply.

The nurse is planning care for a patient returning from surgery for a colon resection and ileal pouch-anal anastomosis. Which interventions does the nurse employ to prevent surgical site infection? Select all that apply.