1. A nurse manager is preparing to institute a new system for scheduling staff. Several
nurses haveverbalized their concern over the possible changes that will occur. Which of the
following is an appropriate method to facilitate the adoption of the new scheduling
system?
A. Identify nurses who accept the change to help influence other staffnurses
B. Provide a brief overview of the new scheduling system immediately
beforeit implementation
C. Introduce the new scheduling system by describing how it will save the institutionmoney
D. Offer to reassign staff who do not support the change to anotherunit
2. A client who is febrile is admitted to the hospital for treatment of pneumonia. In
accordance with the care pathway, antibiotic therapy is prescribed. Which of the following
situations requires the nurse to complete a variance report with regard to the carepathway?
A. Antibiotic therapy was initiated 2 hr after implementation of the carepathway
B. A blood culture was obtained after antibiotic therapy has beeninitiated
C. The route of antibiotic therapy on the care pathway was changed from IV toPO
D. An allergy to penicillin required an alternative antibiotic to beprescribed.
3. A nurse should recognize that an incident report is requiredwhen
,A. A client refuses to attend physicaltherapy
B. A visitor pinches his finger in the client‟s bedframe
C. A client throws a box of tissues at anurse
D. A nurse gives a med 30 min late
, 5. Client satisfactory surveys from a med-surg unit indicate the pain is not being adequately
relieved during the first 12 hr post-opt. The unit manager decides to identify post-opt pain as
a quality indicator. Which of the following data sources will be helpful in determine the
reason why clients are not receiving adequate pain management aftersurgery?
A. Prospective chartaudit
B. Retrospective chartaudit
C. Postoperative carepolicy
D. Pain assessmentpolicy
6. A nurse precepting a newly licenced nurse who is caring for a client who is confused and
has an IV infusion. The newly licensed nurse has placed the client in wrist restraints to prevent
dislodging the IV catheter. Which of the following questions should the precepting nurseask?
A. “Did you secure the restraints to the side rails of thebed?”
B. “Are you able to insert two fingers between the restraint and the client‟sskin?”
C. “Did you tie the restraints using doubleknot?”
D. “Are you removing the client‟s restraints every 4hr?”
7. A nurse is caring for an older adult client who has stage III pressure ulcer. The nurse
requesta consultation with the wound care specialist. Which of the following actions by the
nurse is appropriate when working with aconsultant?
A. Arrange the consultation for time when the nurse is caring for the client is able to
be present forconsultation
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