Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which is the priority when providing nursing care?
1) Implementing evidence-based practice
2) Providing patient-centered care
3) Implementing safe practice
4) Providing advocacy
____ 2. Which is a result of the Institute of Medicine’s (IOM’s) report addressing quality and safety issues in
health care?
1) The Quality and Safety Education for Nurses (QSEN) initiative
2) The American Nurses Association (ANA) Code of Nursing Ethics
3) The National League for Nurses (NLN) Centers of Excellence in Nursing
Education
4) The American Association of Colleges of Nursing (AACN) Essentials in Nursing
Practice
____ 3. Which term is used when implementing patient-centered care in the maternal-newborn and pediatric
settings?
1) Culturally sensitive care
2) Evidence-based practice
3) Family-centered care
4) Age-appropriate care
____ 4. Which is a core concept in providing patient-centered care?
1) Advocacy
2) Safety
3) Collaboration
4) Teamwork
____ 5. Which should the nurse evaluate in himself/herself when implementing patient-centered care?
1) Personal values
2) Level of education
3) Use of research
4) Family dynamics
____ 6. Which is an essential skill for a nurse who is a member of a health-care team?
1) Advocacy
2) Assessment
3) Spirituality
4) Communication
,____ 7. The maternal-newborn nurse works with a registered nurse and a nurse’s aide. Which type of team is
this nurse a member of according to current data?
1) Intraprofessional
2) Interprofessional
3) Multidisciplinary
4) Allied health
____ 8. The nurse is a member of an interprofessional team. Which observed behavior by another member of
the team could adversely affect collaboration?
1) A physician who reviews the nurse’s documentation prior to prescribing a new
medication
2) A registered nurse who updates the physical therapist on a patient’s progress with
ambulation
3) A licensed practical nurse who neglects to notify the charge nurse regarding
abnormal vital signs
4) An unlicensed assistive personnel who asks for assistance with a delegated task
____ 9. Which action should the nurse implement to remain up-to-date regarding best patient practices?
1) Reviewing a skill in a textbook on the unit
2) Completing annually required competencies
3) Attending a conference offering continuing education credits
4) Asking a seasoned nurse to act as a professional mentor
____ 10. The nurse is asked to participate on a quality improvement (QI) committee related to hospital-
acquired infections. Which initial action should the nurse take in preparation for the meeting?
1) Review current data on the subject
2) Conduct a review of the literature to determine best practices
3) Edit unit policies related to infection control and prevention
4) Plan an in-service to educate staff on the current issue
____ 11. Which electronic health record (EHR) tool should the nurse use to include evidence-based
interventions in the patient’s plan of care?
1) Alerts related to abnormal test results
2) Clinical decision support tool
3) Multiuser access in real time
4) Storage of collected data
____ 12. The nurse is asked during a job interview to state a prerequisite skill in the QSEN competency
related to informatics. Which response by the nurse reflects correct understanding?
1) “An advanced practice degree is considered a prerequisite skill in the QSEN
competencies.”
2) “Licensure as a practical nurse is a prerequisite skill in the QSEN competencies.”
3) “Basic computer literacy is considered a prerequisite skill in the QSEN
competencies.”
4) “Licensure as a registered nurse is a prerequisite skill in the QSEN competencies.”
, ____ 13. Which health-care provider is the last line of defense between a patient and a medication error?
1) Nurse
2) Surgeon
3) Physician
4) Pharmacist
____ 14. The nurse makes a medication error during a busy shift on the unit. Which response by the nurse
manager reflects “just culture”?
1) Placing the nurse on administrative leave
2) Recommending that the nurse’s job be terminated
3) Encouraging the nurse to complete an incident report
4) Making a public announcement about the error during shift report
____ 15. Which nursing action enhances patient safety while making it harder to do the wrong thing?
1) Creating independent checks
2) Learning from defects
3) Using evidence-based practice
4) Standardizing work when possible
____ 16. Which nursing action reflects the simple rules of a 21st century health-care system?
1) Controlling the delivery of patient care
2) Including the patient in the delivery of care
3) Basing patient care on the current visit only
4) Basing patient interventions on clinical experience
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 17. Which QSEN competencies should be evaluated during performances reviews? (Select all that
apply.)
1) Communication
2) Infection control
3) Patient-centered care
4) Evidence-based practice
5) Teamwork and collaboration
____ 18. Which are core concepts related to the implementation of patient-centered nursing care? (Select all
that apply.)
1) Respect
2) Dignity
3) Advocacy
4) Participation
5) Collaboration
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