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    Exam Review

    1. A nurse manager is reviewing a group of incident reports as part of a quality improvement initiative. Exhibits For each incident report, click to specify if the findings in the incident report indicate a near miss or an adverse event. There must be at least 1 selection in every row. There does not need to be a selection in every column.
      Near MissAdverse Event
      Incident report 1✓
      Incident report 2✓
      Incident report 3✓
      Incident report 4✓
      Incident report 5✓
    2. The guardian of a child who has a terminally illness tells a nurse that they want to take their child home. Which of the following responses should the nurse make?
      A)
      "Your provider will be here later today."
      B)
      "I can give you information on what that would involve."
      C)
      "I understand how you feel. I felt the same way when my sibling was terminally ill."
      D)
      "I think you should speak with social services about your request."
    3. A nurse is preparing to administer the initial dose of ceftriaxone to a client who has endometritis. Which of the following statements by the client should cause the nurse to hold the medication and consult the provider?
      A)
      "I have a severe allergy to amoxicillin."
      B)
      "I get sick when I take diuretics."
      C)
      "I have a history of hearing problems."
      D)
      "I take prednisone for my asthma."
    4. A nurse is planning a staff education program to review nursing interventions for clients who have kidney failure. Which of the following sources should the nurse identify as the best resource for obtaining evidence-based information?
      A)
      The advice of an expert nephrology nurse
      B)
      Retrospective chart reviews
      C)
      Facility critical pathway
      D)
      A recent peer-reviewed nursing research article
    Page 1 of 12

    Exam Review

    1. A nurse is conducting a home visit with an older adult client. Which of the following observations should the nurse address to promote a safe environment?
      A)
      Loud volume of the television set
      B)
      Wall-to-wall carpet in the living room
      C)
      Low chairs without armrests
      D)
      Use of indirect lighting
      E)
      None
      F)
      None
    2. A county public health nurse is developing a list of interventions to address the three core functions of public health. Which of the following interventions should the nurse include as part of the assurance function?
      A)
      Use surveillance to investigate outbreaks of foodborne illness.
      B)
      Monitor the incidence rates of varicella every 2 months.
      C)
      Organize an immunization clinic for at-risk members of the community.
      D)
      Educate the community about the health risks of alcohol use.
    3. A nurse working in a mobile health clinic is assessing a client who is an agricultural worker. Which of the following findings should the nurse identify as the priority?
      A)
      Report of back pain associated with twisting at the waist
      B)
      Absence of a dental health provider
      C)
      Lives in a home with 25 other agricultural workers
      D)
      Report of muscle twitching and skin rash
    4. During an initial visit, a home health nurse is assessing a client who has cultural beliefs different than their own. Which of the following questions should the nurse ask to determine the client's beliefs about environmental control?
      A)
      "Do you spend more time thinking about the past, present, or future?"
      B)
      "Who makes most of the decisions in your family group?"
      C)
      "What do you think you can do to affect your health status?"
      D)
      "Can you list any diseases that your parents or siblings have had?"
    Page 2 of 12

    Exam Review

    1. A nurse manager is leading a discussion on legal guidelines for the use of restraints. Which of the following information should the nurse include?
      A)
      "You can place a client in a chair with a table or tray blocking them as an alternative to restraints."
      B)
      "Monitoring the client less often than required can be considered negligence."
      C)
      "Family members cannot file a lawsuit when restraints are used for clients who have a mental illness."
      D)
      "Chemical restraints are allowed when there is a high client-to-nurse ratio."
    2. An occupational health nurse is preparing to teach a health promotion class for workers at a warehouse. Which of the following statements should the nurse include?
      A)
      "Rub your hands together for at least 10 seconds when washing them."
      B)
      "Keep your abdominal muscles tightened when lifting objects."
      C)
      "Ensure that 20% or less of calories are from saturated fats."
      D)
      "Engage in aerobic exercise 2 to 4 days per week for 20 minutes."
    3. A nurse manager is asked to select clients for early discharge from the unit following a mass casualty event. Which of the following clients should the nurse manager recommend?
      A)
      A client awaiting a screening colonoscopy later that day
      B)
      A client whose discharge was cancelled the prior day because they developed respiratory distress
      C)
      A client who is 6 hr postoperative following an open cholecystectomy
      D)
      A client who is prescribed gastric lavage treatments to treat acute aspirin toxicity
    4. A nurse is caring for a newborn in the nursery following a circumcision. The newborn's grandparent, who does not have an identification bracelet, requests to take the newborn to their guardian's room. Which of the following actions should the nurse take?
      A)
      Check the newborn's identification bracelet with the chart.
      B)
      Obtain permission from the newborn's guardian.
      C)
      Respectfully deny the grandparent's request.
      D)
      Review the newborn's footprint record.
    Page 3 of 12

    Exam Review

    1. A nurse manager is preparing to complete staff performance appraisals. Which of the following principles should the nurse manager consider when completing the appraisals?
      A)
      Performance appraisals should be written in measurable terms.
      B)
      Appraisal objectives should be applicable to staff at every level.
      C)
      Performance appraisals should be based on the nurse manager's preferences.
      D)
      Completed appraisals should be approved by a provider.
    2. A nurse manager on an acute care unit is preparing a staff presentation about promoting cost-effective care. Which of the following strategies should the nurse plan to include in the presentation?
      A)
      Change IV solution bags every 36 hr.
      B)
      Avoid the delegation of hygiene care to assistive personnel (AP).
      C)
      Wear sterile gloves when removing urinary retention catheters.
      D)
      Educate staff about the correct use of personal protective equipment (PPE) for isolation precautions.
    3. A nurse manager is discussing electronic medical records with a newly licensed nurse. Which of the following actions should the nurse take to maintain client confidentiality? (Select all that apply.)
      A)
      Log out of the computer terminal before leaving.
      B)
      Share passwords for computer access with colleagues.
      C)
      Change computer access passwords on a regular basis.
      D)
      Avoid accessing information about clients admitted to other units.
      E)
      Shred computer-generated client worksheets after use.
    4. A public health nurse is developing guidelines for management of a botulism outbreak. Which of the following information should the nurse include?
      A)
      High-risk individuals should receive immunoglobulin E (IgE).
      B)
      Implement airborne precautions for clients who have botulism.
      C)
      Administer an aminoglycoside medication.
      D)
      Rinse skin with soap and water following exposure to the botulism toxin.
    Page 4 of 12

    Exam Review

    1. A school nurse is developing a teaching plan about testicular cancer for a group of clients. Which of the following information should the nurse include in the teaching?
      A)
      Perform a testicular self-examination weekly.
      B)
      Do not palpate the epididymis when performing a testicular self-examination.
      C)
      Expect testicles to be uniform in consistency when performing a testicular self-examination.
      D)
      Perform a testicular self-examination after a cool shower.
    2. A community health nurse is instructing a group of newly licensed nurses about diseases that require airborne precautions. Which of the following diseases should the nurse include?
      A)
      Rubella
      B)
      Pertussis
      C)
      Influenza
      D)
      Varicella
    3. After signing an informed consent form, a client states, "I have changed my mind and do not want to have the procedure." Which of the following actions should the nurse take?
      A)
      Suggest that family members discuss the importance of the surgery with the client.
      B)
      Notify the surgeon that the client wishes to withdraw informed consent for the procedure.
      C)
      Document the risks of refusing the procedure in the client's medical record.
      D)
      Discuss the benefits of the procedure with the client.
    4. An occupational health nurse in a factory is planning interventions to reduce environmental stressors for employees. Which of the following interventions should the nurse use to affect physical agents in the environment? (Select all that apply.)
      A)
      Teach workers to choose personal strategies to cope with work stress.
      B)
      Limit the amount of time workers spend in temperatures over 43.3° C (110° F).
      C)
      Provide ear plugs for use at workstations throughout the factory.
      D)
      Obtain dosimeters for employees to wear when using new machinery that emits radiation.
      E)
      Require more frequent disinfection of work surfaces during influenza season.
    Page 5 of 12

    Exam Review

    1. A nurse manager is planning to conduct a follow-up performance appraisal with a nurse who has had reports of unsafe practice due to not completing client care tasks. Which of the following actions should the nurse manager take?
      A)
      Schedule the meeting to occur in the nursing station.
      B)
      Arrange seating to sit across from the nurse.
      C)
      Tell the nurse they need to improve their client care delivery.
      D)
      Ask the nurse how things have been going since the last meeting.
    2. A staff nurse is challenging a shift assignment with the charge nurse. Which of the following statements made by the charge nurse is an example of smoothing as a strategy to resolve conflict?
      A)
      "If you accept this assignment today, I will let you choose your assignment tomorrow."
      B)
      "Let's just focus on giving out client medications on time."
      C)
      "If you don't agree with the assignment, I will have to report your decision to the nursing supervisor."
      D)
      "You have a lot of experience, so I'm sure you're capable of these tasks."
    3. A nurse is caring for a client and realizes they have administered the wrong medication. Which of the following actions should the nurse take first?
      A)
      Notify the provider.
      B)
      Check the condition of the client.
      C)
      Report the occurrence to the unit manager.
      D)
      Complete an incident report.
    4. A nurse is caring for a client who has an ethical conflict about the care they are receiving. Which of the following resources should the nurse consult about resolving the dilemma?
      A)
      Hospital ethics committee
      B)
      Quality improvement committee
      C)
      Chaplain
      D)
      Director of nursing
    Page 6 of 12