40 notecards = 10 pages (4 cards per page)
The nurse is assessing a client with a suspected thyroid disorder. Which diagnostic studies will be most appropriate to confirm that the thyroid disorder is autoimmune in origin? Select all that apply.
B. Thyroglobulin antibody
C. Thyroid peroxidase antibody
D. Thyroid-stimulating antibody
A nurse is caring for a client after a thyroidectomy. Which symptoms indicating thyroid storm should the nurse monitor the client for? Select all that apply.
A. Increased heart rate
B. Increased temperature
A nurse is caring for a client with a history of hyperthyroidism who is now experiencing thyroid crisis (thyroid storm). What does the nurse consider to be the mostlikely precipitating factor in the client's current health problem?
C. High levels of the hormone triiodothyronine
Which clinical manifestations in a client indicate hyperfunctional thyroid gland? Select all that apply.
C. Weight loss
A client is admitted to the hospital with the diagnosis of cancer of the thyroid, and a thyroidectomy is scheduled. What is important for the nurse to consider when caring for this client during the postoperative period?
D. Hoarseness and airway obstruction may result from laryngeal nerve damage.
The primary healthcare provider instructs the client to increase their intake of seafood and protein in the diet. What could be the reason for this instruction?
B. The client has hypothyroidism.
What is the cause of this condition in the client?
A. Hypofunction of adrenal gland
An elderly adult with Parkinson’s disease falls while going to the bathroom and gets injured. The nurse taking care of the client informs the primary healthcare provider. What step should the nurse take to alert the risk management system?
A. The nurse should document the incident in the occurrence report tool.
A registered nurse is educating a nursing student about the importance of nursing documentation for performing risk management. What information should the nurse give? Select all that apply.
A. "A nurse’s documentation is the evidence of care that a client receives."
C. "The nurse should note down assessments and significant changes in the client’s health."
E. "Nurses should always document the primary healthcare providers’ responses whenever they are contacted.
A nursing student is examining different scenarios to understand Quality and Safety Education for Nurses (QSEN) competencies. Which scenarios are examples of the QSEN competency called quality improvement? Select all that apply.
B. A nurse prepares a graph to compare the effectiveness of regular nursing practice with traditional healthcare practices.
D. A nurse designs a new method for ensuring surgical asepsis on the basis of information obtained from facility administrators.
E. A nurse prepares a flow chart to show the decline in client injuries after implementing a weekly client education program on the use of nurse call lights.
What are the roles and responsibilities of a senior nurse leader while implementing strategies for improving the quality of the organization? Select all that apply.
B. Setting priorities for staff effectiveness and client health outcomes
C. Providing support systems for staff who have been involved in a sentinel event
D. Building infrastructure, providing resources, and removing barriers for improvement
A registered nurse is educating a nursing student about quality and performance improvement measures. Which activity mentioned by the nurse is an example of a performance improvement?
D. Analyzing the new technique for counting sponges and instruments in the operating room
A registered nurse is informing a nursing student that nurses play an important role in helping hospitals to meet requirements for quality, efficiency, and client satisfaction. Which points mentioned by the registered nurse are accurate? Select all that apply.
A. "Pay for performance programs promote quality, effectiveness, and safe client care."
B. "Six Sigma is used to analyze the collected data and to identify unnecessary steps in the processes."
C. "Balanced scorecards are used to report data on the key performance indicators and are published publicly."
A group of nurses is preparing strategies to improve the quality of health care provided by the nursing team in the hospital. Which points should the nurse consider while preparing the strategies? Select all that apply.
A. The nurse should determine the root causes of the adverse events.
C. The nurses should ensure that all adverse events are well documented.
D. The nurses should be prepared to deal with events that may cause harm to a client.
The quality analysis team has implemented the root cause analysis (RCA) tool in the hospital. The nurse recognizes that the tool will be useful in which case?
B. A client died due to nosocomial infection.
A client who underwent open heart surgery died 2 days after the surgery due to septicemia. Which tool will the nurse use to determine the cause of the client’s death?
B. Root cause analysis (RCA)
A nurse is heading a performance improvement team. The nurse collects records of needlestick injuries due to improper needle recapping techniques used during medicine administration. What is the next step to be followed by the nurse, if he or she is using the "plan, do, study, act (PDSA)" model?
D. Facilitate a training program for all nurses to teach the proper technique of recapping needles
Which system is used by a health care facility to determine certain aspects of client satisfaction?
D. The Hospital Consumer of Assessment of Healthcare Providers and Systems (HCAHPS)
A registered nurse is teaching a student nurse about quality improvement processes to improve client outcomes and efficiency of health systems. Which statement of the student nurse indicates effective learning? Select all that apply.
B. "Quality improvement processes sometimes require institutional review board (IRB) approval."
C. "Quality improvement processes measure the effects of practice on a specific client population."
D. "Quality improvement processes store data from client records or clients who are in a specific area."
The Magnet Recognition Program for health care organizations is based on fourteen forces of magnetism related to five magnet model components. Which force of magnetism is assessed to review the structural empowerment of the organization?
D. Personnel policies and programs
A nurse is working in a health care organization that has Magnet status. What specific responsibility does the nurse have in this organization?
C. The nurse must collect data for comparison against a national level.
Which nursing intervention helps to prevent medication errors in children? Select all that apply.
C. Minimizing the use of verbal and telephone orders
D. Carefully reading all labels for accuracy and checking expiration dates
E. Recording the client’s weight before carrying out the medication order
The nurse is caring for a client who got discharged from the hospital. The nurse finds that the client is having difficulty in determining which medications to take. What would be the best nursing intervention in this situation?
C. The nurse recommends the client’s pharmacy to re-label the medication in large letters.
The registered nurse is teaching a nursing student about the process of medication reconciliation for a client who was admitted in a healthcare setting. Which statement made by the nursing student indicates a need for further education?
A. "I should check the new medication order against the current list of medicines."
A nurse is assessing two clients. One client has ulcerative colitis, and the other client has Crohn disease. Which is more likely to be identified in the client with ulcerative colitis than in the client with Crohn disease?
D. Involvement starting distally with rectal bleeding that spreads continuously up the colon
A client is admitted to the hospital with a diagnosis of Crohn disease. What is mostimportant for the nurse to include in the teaching plan for this client?
B. Meeting nutritional needs
After many years of coping with ulcerative colitis, a client makes the decision to have a colectomy as advised by the primary healthcare provider. Which is mostlikely the significant factor that impacted on the client's decision?
B. Surgical treatment cures ulcerative colitis.
A nurse is assessing a client with Crohn disease who is to have an upper gastrointestinal series. Which condition necessitates the cancellation of the upper gastrointestinal series?
D. Colon perforation
A client, experiencing an exacerbation of Crohn disease, is admitted to the hospital for intravenous steroid therapy. The nurse should not assign this client to a room with a roommate who has which illness?
C. Bacterial meningitis
A nurse is performing the physical assessment of a client admitted to the hospital with a diagnosis of cirrhosis. The nurse expects to observe what skin conditions? Select all that apply.
A nurse is taking care of a client with cirrhosis of the liver. Which clinical manifestations should the nurse assess in the client? Select all that apply.
A nurse is providing discharge instructions to a client diagnosed with cirrhosis and varices. Which information should the nurse include in the teaching session? Select all that apply.
B. Avoiding aspirin and aspirin-containing products
D. Avoiding acetaminophen and products containing acetaminophen
E. Avoiding coughing, sneezing, and straining to have a bowel movement
A client with cirrhosis of the liver has a prolonged prothrombin time and a low platelet count. A regular diet is prescribed. What should the nurse instruct the client to do considering the client's condition?
D. Report signs of bleeding no matter how slight.
The registered nurse determines that the new graduate understands the type(s) of hepatitis that generally develop into a chronic hepatitis infection if the graduate identifies which disease(s)? Select all that apply.
B. Hepatitis B
C. Hepatitis C
D. Hepatitis D
A nurse is teaching a client about prophylactic measures that minimize the risk of contracting hepatitis B. Which actions should be included in this teaching plan? Select all that apply.
B. Screening of blood donors
E. Maintaining a monogamous sexual relationship
A client is about to have a blood transfusion and asks the nurse which type of hepatitis is most frequently transmitted through food. Which type of hepatitis should the nurse teach the client about being most associated with food?
A nurse educator of a college health course is discussing tattoos with the class. Which type of hepatitis associated with tattoos should the nurse include in the teaching plan?
A child is born to a mother whose hepatitis B status is negative. While assessing the newborn, the nurse finds that the birth weight is 1.8 kg. Which action by the nurse is appropriate in this situation?
A. Administer HepB vaccine to the newborn 1 month after birth.
A school nurse is teaching a health class of 12-year-olds about hepatitis C. Which statement by a student indicates an understanding of the origin of the disease?
A. "You can catch it while you're getting a tattoo."
A client who experiences anorexia and fatigue develops jaundice. A diagnosis of hepatitis A is made. The client's spouse and adult children who still live at home ask whether they should receive gamma globulin. Which is the mostappropriate response by the nurse?
C. "You should call your primary health care provider immediately about getting gamma globulin."