6 competencies of Quality and safety education for nurses
(QSEN) Correct Answers 1. Safety
2. Patient-centered care
3. Evidence based practice
4. Informatics
5. Quality Improvement
6. Teamwork and collaboration
A charge nurse is reviewing the steps of the nursing process
with a group of nurses. Which of the following data should the
charge nurse identify as objective data? (select all that apply)
a. Respiratory rate is 22/min with even, unlabored respirations
b. The client's partner states, "He said he hurts after walking
about 10 minutes"
c. Pain rating is 3 on a scale of 0-10
d. Skin is pink, warm, and dry
,e. The assistive personnel reports the client walked with a limp
Correct Answers Respiratory rate is 22/min with even,
unlabored respirations, Skin is pink, warm, and dry, The
assistive personnel reports the client walked with a limp
Rationale: Objective data includes information the nurse
measures, such as vital signs, skin appearance, and observation
of others, such as family and staff
A charge nurse is talking with a newly licensed nurse and is
reviewing nursing interventions that do not require a provider's
prescription. Which of the following interventions should the
charge nurse include? (select all that apply)
a. Writing a prescription for morphine sulfate as needed for pain
b. Inserting a nasogastric (NG) tube to relieve gastric distention
c. Showing a client how to use progressive muscle relation
d. Performing a daily bath after the evening meal
e. Repositioning a client every 2 hr to reduce pressure ulcer risk
Correct Answers Showing a client how to use progressive
muscle relation, Performing a daily bath after the evening meal,
Repositioning a client every 2 hr to reduce pressure ulcer risk
Rationale: Showing a client how to use progressive muscle
relaxation is an appropriate nurse-initiated intervention for stress
relief. Performing a bath is a routine nursing acre procedure.
Repositioning a client every 2 hr is an appropriate nurse-
initiated intervention for clients. Unless it is a contraindication
for a specific client, the nurse can use this technique with clients
without a provident's prescription.
,A client who has had a cerebrovascular accident has persistent
problems with dysphagia (difficulty swallowing). The nurse
caring for the client should initiate a referral with which of the
following members of the interprofessional care team?
a. Social worker
b. Certified nursing assistant
c. Occupational therapists
d. Speech-language pathologist Correct Answers Speech-
language pathologist
Rationale: a speech-language pathologist can initiate specific
therapy for clients who have difficulty with feeding due to
swallowing difficulties
A client who is postoperative following knee arthoplasty is
concerned about the adverse effects of the medication he is
receiving for pain management. Which of the following
members of the interprofessional care team can assist the client
in understanding the medication's effects? (select all that apply)
a. Provider
b. Certified nursing assistant
c. Pharmacist
d. Registered nurse
e. Respiratory therapist Correct Answers Provider, Pharmacist,
and Registered nurse
Rationale: The provider must be knowledgable about any
medication he prescribes for the client, including it's actions,
effects, and interactions. The pharmacist must be knowledgable
, about any medication she dispenses for the client, including it's
actions, effects, and interactions. The RN must be knowledgable
about any medication she administers, including its actions,
effects, and interactions.
Rationale: It is not within the scope of a CNA duties to counsel
a client about medications. Although, some analgesics can cause
respiratory depression, requiring assistance from a respiratory
therapist, it is not within the therapist's scope of practice to
counsel the client about medications his provider prescribes
A goal for a client who has difficulty with self-feeding due to
rheumatoid arthritis us to use adaptive devices. The nurse caring
for the client should initiate a referral to which of the following
members of the interprofessional team?
a. Social worker
b. Certified nursing assistant
c. Registered dietitian
d. Occupational therapist Correct Answers Occupational
Therapist
Rationale: An occupational therapist can assist clients who have
physical challenges to use adaptive devices and strategies to
help with self-care activities.
A newly licensed nurse is reporting to the charge nurse about the
care she gave to a client. She states, "The client saved his leg
pain was back, so i checked his medical record, and he last
received his pain medication 6 hours ago. The prescription reads
every 4 hours PRN for pain, so I decided he needs it. I asked the
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