(1) What is the term that is used to describe a healthcare related incident or accident that may

(1) What is the term that is used to describe a healthcare related incident or accident that may have possibly led to client harm?An adverse eventA root causeA healthcare acquired eventA sentinel event (2) A nurse recognizes that an adverse event requiring a root cause analysis is:A near miss error that almost happenedHarm, injury or a complication that occurred to a patientAn injury that is caused by diseaseA disaster that caused negative consequences to a hospital (3) The purpose of a root cause analysis (RCA) is to:Discover a process flawDiscover who erredDiscover environmental hazardsDetermine basic client needs (4) A nurse is receiving a patient’s critical lab result of a hematocrit of 22% over the lab. Which of the following actions should the nurse take first?Give the patient a glass of orange juice and bananaEnsure the the physician is made aware of the resultsWrite down the results, then read back the results to the lab personnelRequest another nurse to listen and verify the lab results (5) A nurse participates in quality improvement to decrease hospital admissions for clients who have heart failure. Which of the following should the nurse expect to teach the patient before discharge?Low protein, low fat dietWeigh themselves dailyTest the blood glucose dailyLimit the amount of exercise (6) A nurse discovers that a non-hypertensive client was administered an antihypertensive medication in error. Which of the following should the nurse do first?)b. check vital signs.e. instruct the client to remain in bed until further notice.a. call the provider. (Notify the risk manager.)d. complete an incident report. (7) Which type of nursing leadership is most effective when a mass shooting occurs near the hospital and many patients are expected to arrive?DemocraticLaissez-faireAutocraticReferent (8) The nurse knows to use the Rights of Delegation to properly delegate duties. In addition to the right task and the right supervision, what are the other Rights of Delegation?Right direction/communicationRight personRight timeRight circumstanceRight patient(9) At the beginning of the shift, an RN on a medical-surgical unit is making assignments. Which of the following tasks should be delegated to the LPN? (Select all that apply).Obtain vital signs for a client who is 30 minutes post-op after an appendectomyAdminister an antihypertensive medication to a client whose B/P is 150/90.Reinforce the teaching of a client who is scheduled for discharge about his wound care.Assess the client’s neurological status after receiving tissue plasminogen activator (tPA)Perform tracheostomy care (10) A nurse who is licensed in New York and moves to Florida:Will automatically be grandfathered in as a licensed registered nurse.May request certification in Florida rather than licensure, so as not to have to retake the NCLEX-RNMust check Florida’s nurse practice act related to licensure for endorsementShould contact the American Nurses Credentialing Center to determine whether he or she is eligible to practice in an another state.(11) A nurse with 2 year’s experience announces, “I just passed my medical-surgical nursing certification examination.” Certification in medical-surgical:Is granted by the state board of nursingDenotes that the nurse has passed NCLEXRecognizes achievement of advanced skills and knowledgeAllows independent nursing practice, often in primary care(12) A nurse knows that the state board of nursing has the following duty:Grants certificationConstructs the licensure examinationAssigns disciplinary action when the nurse acts in a manner that results in harm to patient.Members are elected(13) A nurse stops to help in an emergency at the scene of an accident. If the injured party files a low suit, the nurse would probably be covered by:The nurse’s homeowner’s insurance His/her automobile insuranceThe Good Samaritan laws, which grant immunity from suit if there is no gross negligenceThe Patient Care Partnership, which may grant immunity from suit if the injured party consents(14) A nurse is concerned with increasing a patient’s knowledge about medications and the patient’s response to the medications on the HCAHPS survey. Which actions will support the patient’s education? (Select all that apply)Repeat the name & reason for the medication every time it is givenTell the patient the name & reason for the medication only when it is first givenGive patient professional medication literatureGive patient medication literature written at 5h grade levelHave the patient “teach-back” their knowledge about the medication(15) A nurse is admitting a patient who is suspected of having tuberculosis. The nurse knows that the appropriate precautions for this patient is:AirborneDropletStandardContact(16) A nurse is admitting a patient who is has Clostridium difficile (C-diff). The nurse knows that the appropriate for this patient is:AirborneDropletStandardContact(17) A nurse is admitting a patient who has myocardial infarction. The nurse knows that the appropriate precautions for this patient is:AirborneDropletStandardContact(18) What should the nurse do first after they notice an impaired coworker caring for patients?Report to the supervisorAdvise the co-worker to seek counseling immediatelyAdvise them to never come to work impaired againChange their assignment to one that does not involve patient care (19) The current focus of performance improvement activities is to facilitate and address?Sound structures like policies and proceduresProcesses and how they are being doneOptimal client outcomesOptimal staff performance (20) When admitting a patient onto a telemetry unit, the nurse adjusts the alarm limits for the patient’s heart rate on the cardiac monitor. The action represent the issues addressed by which agency?Centers for Medicare and Medicaid Never EventsThe Joint Commission’s National Patient Safety Goals (NPSGs)Department of Health’s Safety CompetencyThe Joint Commission’s Sentinel Alert Standard. 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