Download Exam 3: NUR204/ NUR 204 (New 2025/ 2026 Update) Leadership & Management | QS & AS and more Exams Nursing in PDF only on Docsity!
Exam 3: NUR204/ NUR 204 (New 202 5 / 2026
Update) Leadership & Management |
Questions and Verified Answers| 100%
Correct| A Grade โ Fortis
QUESTION
The team is providing emergency care to a client who reveived an excessive dose of narcotic pain medication. Which task is best to delegate to the LPN/LVN? Answer: Applying oxygen per nasal cannula as ordered
QUESTION
the nurse manager has decided to use evidence-based practice to solve an issue and has called staff nurses together for input. which question reflects the first step of the EBP process? Answer: what is the exact clinical issue we are dealing
QUESTION
A nurse is removing a saturated dressing from an abdominal incision and must cut the tape to remove the dressing. The nurse accidentally cuts the sutures holding the incision, and evisceration occurs. In quality improvement this incident is best identified using what term Answer: sentinel event
QUESTION
the patient with complicated diabeted is scheduled for a below the knee amputation at 7 am. the surgical team adheres to the 2018 national patient safety foals protocols SATA
Answer:
- mark procedure site with an X and again ask the patient to verify correct site
- the surgical team asks the patient to verify his or her name, type of surgery and limb to be removed
- after arrival in the operating room, perform a time out for final identification of patient and operative site along with agreement of what procedure is scheduled
- the surgical team uses the chart number and name/hospital number to ensure to have the correct patient information
QUESTION
a patient admitted with CABG. According to the clinical pathway the the patient should be extubated and discharged from critical care the day after surgery. during surgery the patient oxygen saturation decreased drastically because of chronic tobacco abuse. subsequently the patient remained on the ventilator an additional 2 day post of. according to the clinical practice guidelines for CABG, this situation results in what type of event? Answer: variance
QUESTION
which clients can be properly assigned to a newly graduate RN who has recently completed orientation? SATA Answer:
- client who is reporting pain at the site of a peripheral IV line
- client on the second post op day who needs pain medication before dressing changes
- client with kidney stone who needs frequent as needed prn pain medication
QUESTION
a nurse recently joined a quality and improvement committee at the hospital. the nurse is excited to get started with quality improvement but finds that staff on the unit are skeptical of change. how should the nurse respond Answer:
Answer: a patient classification system
QUESTION
procedural changes are being planned on the unit as the direct result of client satisfaction surveys. which person is most strategically to handle how these changes are initiated Answer: nurse manager
QUESTION
infuse 500ml with 800mg of theophyline at 0.3 mg/kg/hr the client weighs 242 lb Answer: 21 ml
QUESTION
all members must verify what in a surgery? Answer: pt name, type of surgery, surgical site
QUESTION
before the surgery, have the patient verify what? Answer: correct site
QUESTION
Your most important job is to ensure Answer: client care accountability
QUESTION
National Database of Nursing Quality Indicators (NDNQI) Answer: If we have a job description already set up and train the person to their job description you improve quality. RN education/specialty certification staffing and skill mix
QUESTION
nursing-sensitive quality indicators (POSSIBLY A SELECT ALL THAT APPLY) Answer: outcomes: catheter-associated urinary tract infections (CAUTI), hospital readmission, patient falls, pressure injuries, ventilator associated pneumonia (VAP)
QUESTION
QSEN sex competencies Answer: pt-centered care teamwork and collaborations quality improvement safety
QUESTION
the first step in EBP is
QUESTION
functional nursing is often seen where? Answer: in the ER the RN does the assessments, care plans, IV meds (ADPIE)
QUESTION
Nurses, physicians, and social workers finalize the plan of care and coordinate discharge for a homeless person who will need wound care and follow up over the next 4 weeks. Each member contributes based on his or her area of expertise but also recognize other members' strengths. Which of the QSEN competencies are being demonstrated? Answer: teamwork and collaboration
QUESTION
the nurse adminstrator has been asked to work with other administrators to change a long- standing hospital policy. what should be the nurse first action Answer: research the options that will work best for the nursing staff at the hospital
QUESTION
the nursing staff notices that the number of urinary tract infections caries from month to month. they plot the number of infections for each month for 1 year to determine when the periods of the greatest number of infections are occurring. the staff uses which types of graph to present this information Answer: time plot
QUESTION
the charge nurse working on the assignment list for the shift. which clients should be assigned to an experienced RN? SATA Answer:
- client with a severe headache of unknown origin
- client who was in automobile crash and sustained multiple injuries
- client who has returned from surgery and has a chest tube in place
QUESTION
the following documentation was entered in the clients medical record. the client was found lying on the floor. Dr. x was notified. apparently, the restrains were improperly applies. which statement best described this documentation? Answer: inappropriate because it places blame on an individual
QUESTION
what would be the most appropriate methos for the nurse to voice concerns over unfair client workload assignment? Answer: discuss the problem with the nurses team leader and then the charge nurse if the problem remains unsolved
QUESTION
a nurse is preparing to administer a medication by using the vastus lateralis site and is unfamiliar with the process. as step-by-step reference that shows how to complete the process is referred to by what term? Answer: top-down flow chart
QUESTION
the nurse is delegating task to the team members on the medical unit. which infection control activities can be assigned to the nursing assistant SATA Answer:
- remind visitor to wear proper PPE in isolation room
- disinfecting blood pressure cuff after client discharge
QUESTION
when delegating the RN. as science one nurse to care for a patient with shingles and a different nurse to care for a patient with HIV. this represents which category of nursing care Answer: safe and effective care environment
QUESTION
which client can be appropriately assigned to an LPN who will function under the supervision of an RN or team leader? SATA Answer:
- client, who underwent amputation and has diabetic neuropathic pain
- client with arthiritis who needs schedule pain medication and heat application
- client, with a leg cast who needs circulation checks and as needed hydrocodone
QUESTION
a nurse discovers that the wrong patient has been trasnported to sugery for a procedure in the operating room. when examining the incident, the nurse manager list contributory factors such as having two patients with the same name, a new nurse in orientation and new admission to the transferring unit at the same time. the nurse manager is engaged in what process? Answer: root cost analysis
QUESTION
the nurse manager tells a newly hired nurse that the unit practices functional nursing. what should the new nurse expect? Answer: one nurse has responsibility for all the medication on the unit
QUESTION
A successful nurse manager is mentoring a newly promoted nurse manager. Which comment by the mentor reflects the most important consideration of all nurse managers? Answer: your most important role is to ensure client care accountability
QUESTION
The surgical team arrives in the operating room and one member states, "Everyone stop. Let's identify the patient and operative site. Now does anyone have any questions or concerns?" This process is known as: Answer: time out
QUESTION
a nurse manager is aware that medication errors at the hospital are much higher than it should be, and that is possible to reduce this incidence. which intervention carries the greatest protentional to reduce medication errors Answer: reducing distraction to nurses while they are administering medication
QUESTION
insulin drip infusing at 21 ml/hr drip is mixed at the strength of 150 U in 500 Ml NS
Answer: process mapping
QUESTION
leader wants to implement a new evidence-based practice that reduces hospital aquired infections. however, the staff is reluctant. what is the best way for the leader to get acceptance Answer: discuss the benefits of quality improvement to the unit
QUESTION
which of the following best defines a patient care system that establishes specific milestones throughout the course of the patients hospital stay Answer: clinical pathways
QUESTION
which of the following scenarios is classifies as a sentinel event? Answer: incorrect infant twin undergoes surgery for a heart defect
QUESTION
which of the following competencies are included in the quality and saftey for nursing qsen Answer:
- patient centered care
- quality improvement
- safety
QUESTION
In the care of clients with pain and discomfort, which task is most appropriate to delegate to the UAP? Answer:
- assisting the client with preparation of sitz bath
QUESTION
the national database of nursing quality indicators identifies what clients focused events as outcome indicators? SATA Answer:
- a patient develops a catheter associated UTI
- a patient develops pneumonia related to ventilator use
- a patient develops bilateral pressure ulcers on their heels
- a patient falls and fractures hip
QUESTION
the charge nurse is reviewing the records of client who were assigned to a newly graduate RN. The has correctly documented dose and time of medication, but there is no documentation regarding nonpharmaceutical measure. what action should the charge nurse take first Answer: give praise for documenting dose and time and discuss documentation deficits
QUESTION
the nurse is caring for a client with an open draining leg ulcer that is infected with MRSA which of the following nursing actions can be assigned to an LPN/LVN? SATA Answer:
- collecting wound cultures from the site
- performing dressing changes as ordered
Answer: Process mapping (a type of flow chart)
QUESTION
a step by step instruction for completing specific nursing processes. Answer: top-down flow chart
QUESTION
deployment flowchart Answer: a chart that shows the steps in a process and identifies the people or groups involved in each step; sometimes called a cross-functional flowchart
QUESTION
Run chart (also called a time plot) Answer: measuring data over time to evaluate patterns in process variation
QUESTION
clinical pathway Answer: optimal sequencing (dr should do this initially, nurse should do this initially, etc)
QUESTION
quality improvement- BREAKTHROUGH THINKING Answer: as an agent of change we must ensure that change improves patient outcomes.
QUESTION
the nurses first action when implementing change should be to research Answer: which options work best for staff and facility (using evidenced based practice)
QUESTION
this greatly reduces the potential of creating medication errors Answer: reducing distraction
QUESTION
a sentinel event Answer: an unexpected occurrence that could result in serious injury, including the returning to surgery
QUESTION
a root cause analysis Answer: lists any contributory factors in performance that may lead to the occurrence of a sentinel event
