1. 1. A nurse is reviewing the electronic medical record on clients following
the implementation of a quality improvement plan to reduce health care
associat- ed infections on a medical surgical unit.
Exhibit 1
Client 1 Diagnosis: Cerebrovascular
accident Exhibit 2:
Client 2 Diagnosis:
Pneumonia Exhibit 3
Client 3: Diagnosis: Wound infection
Exhibit 4
Client 4: Diagnosis: Urinary tract
infection Exhibit 5
,Client 5 Diagnosis: Fractured hip
Select the 3 clients whose finding indicates the program is EFFECTIVE.: -
Clients 2, 3, 5
2. 2. A nurse manager is overseeing employees on their unit.
Which of following actions is the nurse manager priority? Select the 1
action that the nurse manager should take first.
o Schedule a meeting with the employee to address the occurrence within
24 hr.
o Remove the employee from the work environment.
o Create a plan for the employee to overcome their substance dependency.
o Coordinate a ride home for the employee.
o Have the employee sign a contract acknowledging that substance use
will not be tolerated.: Remove the employee from the work environment.
3. 3. A nurse is triaging a group of clients as they arrive simultaneously in
the emergency department following a nearby bus crash.
,Which of the following clients should the nurse transfer to the three
available trauma rooms? Select the 3 clients to transfer for immediate
treatment.: Client 4,5,6
4. 4. A charge nurse on a mental health unit is receiving change of shift
report for a group of clients. The charge nurse is working with an RN and
PN and assistive personnel (API from 0700 to 1900 and is reviewing client
care: assignments.
Complete the following sentence by using the lists of options.
The charge nurse should first assess due to and
: The charge nurse should first assess CLIENT 1 due to
HALLUCINA- TIONS and DELUSIONS
, 5. 5. An infectious disease nurse is reviewing electronic medical records
on a group of clients.
Select 4 clients whose diagnosis should be reported to the health
department. o Client 1 (Lyme disease)
o Client 2 (Acute Hepatitis C)
o Client 3 (Clostridium difficile)
o Client 4 (Salmonellosis)
o Client 5 (Streptococcal pharyngitis)
o Client 6 (pertussis): Clients 1, 2, 4, 6
6. 6. A nurse case manager is coordinating care for a client.
Select the 3 community resources the nurse should refer the client.
o Adult day care
o Hospice care
o Legal assistance
o Respite care
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