A nurse is caring for a client who is 5 hours postoperative following a transurethral resection of the prostate (TURP). The nurse notes that the client's indwelling urinary catheter has not drained urine in the past hour. Which of the following actions should the nurse take first?

A nurse is caring for four patients in the emergency department during a mass casualty event.Hospital resources, including available personnel and lifesaving equipment, are limited. The following patients have just arrived: Patient A is a 27-year-old with an open femur fracture and stable vital signs; Patient B is an 82-year-old with advanced dementia and severe internal bleeding; Patient C is a 34-year-old with a head injury and a Glasgow Coma Scale score of 4; Patient D is a 12-year-old with superficial lacerations and mild respiratory distress. The nurse must apply the ethical principle of justice when making triage decisions. Based on the ethical principle of justice, which actions by the nurse are appropriate? Select all that apply.

A nurse fails to raise the side rails on a confused patient's bed, and the patient subsequently falls and fractures a hip. Which two elements of malpractice are demonstrated in this case?

To satisfy duty of care to a patient, a nurse manager is legally responsible for all of the following except:

As the unit manager, you are interested in determining whether patient autonomy is preserved through informed consent in surgical settings. You determine that participatory action research is the best method to address this task. Which of the following is consistent with a participatory action research design?

A nurse has received the assignment for the day shift. After making initial rounds and checking all of the assigned clients, which client should the nurse plan to care for first?

A nurse on an inpatient psychiatric unit is found to have made sexually explicit remarks toward a patient with a previous history of sexual abuse. The patient sues, claiming malpractice. What conditions do not apply in this situation and do not support malpractice?

Which of the following is true of malpractice?

A registered nurse is caring for a hospitalized patient who reports that their medication looks different from what they usually take at home. The nurse pauses administration and verifies the medication order with the pharmacy before proceeding. Which Quality and Safety Education for Nurses (QSEN) competency is being demonstrated?

A nurse manager is implementing strategies to improve the work environment on a busy telemetry unit after staff reported burnout and decreased morale. Which action by the nurse manager is most effective in promoting a healthy work environment and improving patient outcomes?

A nurse on a hospital unit motivates the team to adopt a new patient safety protocol by communicating the vision and inspiring collaboration. Which role is the nurse primarily demonstrating?

A nurse leader in a community hospital is tasked with improving evidence-based practice (EBP) implementation but faces limited resources, staff unfamiliarity with research, and time constraints. Which strategy would be most effective to advance EBP in this setting?

The nurse manager of a unit is asked by a family member of a dying Native American patient if it is possible to have the patient's eight-member family recite the rosary by the bedside. The manager responds affirmatively. The nurse manager is most likely exhibiting behavior related to:

A nurse administers the wrong medication dosage despite the label clearly indicating the correct amount. Which element of malpractice does this situation represent?

An example of a nursing care activity that would not be delegated by an RN to a UNP is: (Select all that apply.)

Safety is a main concern when delegating patient care assignments. Which of the following is true regarding delegation?

A registered nurse (RN) is preparing to delegate tasks during a busy shift on a medical-surgical unit. The team includes a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Which tasks can the RN appropriately delegate based on scope of practice and the principles of safe delegation?

After a change of shift, you are assigned to care for the following patients. Which patient should you assess first?

A client who fell and broke his hip while being assisted to the bathroom by a nurse states he plans to sue the nurse. The nurse should know that, in a legal proceeding, the standard that will be used to determine if the nurse was negligent is which of the following?

A nurse is caring for a 68-year-old patient who recently immigrated from Vietnam and practices traditional healing methods. The patient has been hospitalized twice in the past month for uncontrolled hypertension. During assessment, the nurse learns the patient stopped taking prescribed antihypertensive medication because it caused dizziness and instead has been using herbal remedies recommended by a community healer. Which actions by the nurse best promote quality and safety? (Select all that apply.)

A newly licensed nurse reports feeling overwhelmed and frequently stays past the end of the shift to complete documentation. The nurse states, "I try to make everything perfect, but I can never seem to finish on time.”. Which response by the charge nurse best promotes effective time management and safe practice?

Chart audits have revealed significant omissions of data that could have legal and financial guideline ramifications. The unit manager meets with the staff to discuss audit findings and to find approaches that will address the gaps in charting and achieve desired goals. What is the manager demonstrating?

The nurse manager wants to use evidence-based recommendations to prevent ventilator-associated pneumonia. What is the critical first step to effectively gather evidence for guiding practice?

A charge nurse is teaching a new graduate about the Five Rights of Delegation. Which statement by the new nurse indicates a correct understanding of these principles?