Exam (elaborations)
PNC Midterm SEM 3 Questions and Answers 2024
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Exam of 8 pages for the course PNC 100 at PNC 100 (PNC Midterm SEM 3)
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PNC Midterm SEM 3The chief executive officer asks the nurse manager of the telemetry unit to justify the
disproportionately high number of registered nurses on the telemetry unit. The nurse
manager explains tht nursing research has validated which statement about a low
nurse-to-patient ratio? - answer It improves outcomes
A nurse is explaining the pediatric unit's quality improvement (QI) program to a newly
employed nurse. Which of the following would the nruse include as the primary purpose
of QI programs? - answer Improvement in patient outcomes
Before beginning a continuous quality improvement project, a nurse should determine
the minimal safety level of care by referring to the - answerNursing care standards
The nurse gives an inaccurate dose of medication to a patient. After assessment of the
patient, the nurse completes an incident report. The nurse notifies the nursing
supervisor of the med error & calls the physician to report the occurrence. The nurse
who administered the inaccurate medication understands that - answerRisk
management programs are NOT designed to assign blame.
An example of an effective patient outcome statement is - answer80% of all patients
admitted to the ER will be seen by a nurse practitioner within 3 hours of presentation in
the ER.
The outcome statement "Patients will experience a 10% reduction in urinary tract
infections as a result of enhanced staff training related to catheterization & prompted
voiding is: - answerMeasurable & nursing sensitive.
At Hospital Ajax, there has been a 20% increase in instruments & sponges being left in
patients during surgery & surgeries on the wrong limbs. These are known as -
answerNever events.
The primary role of The Joint Commission (TJC) is - answerensuring medical facilities
meet patient safety guidelines.
The Joint Commission publishes a Sentinel Event Alert every month. Which of the
following is the best example of a sentinel event? - answerode pink is called after a
newborn is discovered missing from the nursery.
A nurse is reviewing the technique used to identify the factors involved in an error.
Which statement indicates the nurse has an adequate understanding? - answer"A root
, cause analysis is a process designed to investigate & categorize the root cause of the
event."
The continuous quality improvement (CQI) committee has performed a retrospective
chart audit to investigate whether outcomes recorded in each nursing care plan are
patient centered & written in behavioral terms. The expected standard is 98%
compliance. The same size was 200. Results showed that 180 charts met the standard.
What assessment can be made? - answerThe standard was NOT met. An action plan
should be developed.
Which of the following statements by the nruse indicates an understanding of Quality &
Safety for Nurses (QSEN)? - answer"QSEN helps prepare future nurses for improving
patient safety."
A nurse manager is brainstorming quality improvement methods. Which action would
help implement these methods on the assigned unit? - answerEmpower employees to
carry out needed strategies for change.
Examples of sentinel events include (Select 3 that apply) - answerForceps left in an
abdominal cavity
Patient fall, with injury
Administration of morphine overdose
If the nurse had an adequate understanding of continuous quality improvement, which
of the following statements would the nurse? (Select 5 that apply) - answer"The
accountability for quality is vested in quality circles that function along service lines to
improve patient care."
"After quality standards are achieved, the nurse strives to maintain that standard of
care."
"Quality standards must incorporate the expectations of patients & their families."
"Systems within the hospital must be reviewed to determine how care can be
enhanced."
"Computerized electronic documentation systems thatprov ide continuous assessment
of patient charges are an example of continuous quality improvement."
Which of the following are considered core measures & monitored by The Joint
Commission? (Select 4 that apply) - answerCode arrests infection rates
Advance directives
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