WorksheetsLevel 4 PNC 1 Fall 2021
Total questions: 14
Worksheet time: 8mins
A nursing supervisor overhears one of the staff nurses say, "I only document vital signs when they are out of the normal range." What action by the nursing supervisor should be implemented first?
Discuss with the staff nurse that the recording of all client data, even when normal, is important in providing and evaluating care.
Obtain copies of the hospital's policy on documentation and post it on the unit.
Develop an inservice, highlighting the legal aspects of documentation along with hospital and accreditation requirements.
Review the staff nurses' documentation on assigned clients.
A 75-year-old woman had surgery for her hip fracture yesterday. The nurse caring for her implements a proactive approach to pain management, including hourly pain assessments. In addition to improved patient outcomes, how else might the hospital benefit from the nurse’s actions?
Additional funding from the Institute for Healthcare Improvement (IHI).
Continued accreditation from The Joint Commission.
Improved Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey scores.
Improved Quality and Safety Education for Nurses (QSEN) survey scores.
A nurse, when documenting the health details of a client in an acute care agency, fills out all the details under assessment, diagnosis, planning, and implementation. What did the nurse miss as per the Joint Commission on Accreditation of Healthcare Organizations (Joint Commission) standards?
Client's past medical history
Health Care Provider’s feedback
Client's diet chart
Evaluation of outcomes
As the nurse prepares to administer a medication to a preschooler, the nurse realizes that the child appears extremely underweight for age. What action would the nurse take first?
Give the child one-half the prescribed dose.
Give the child the prescribed dose, because dose is determined by nomogram, not weight.
Measure the child's height and weight, and check whether the dose is correct for the child.
Call the child's health care provider and alert the provider to the dosage error.
A nurse is assessing a client with bizarre and aggressive behavior in the emergency department. Upon questioning, the client's partner discloses that the client had been smoking PCP. The client continues to exhibit signs of PCP-induced psychosis and has required physical restraints. What nursing outcome should the nurse prioritize in the care of this client?
The client will be physically safe and without injury.
The client will demonstrate appropriate social skills.
The client will establish a balance of rest, sleep, and activity.
The client will verbalize acceptance of responsibility for the behavior.
A nurse is assessing a patient who has just been admitted to the postsurgical unit following surgical resection for the treatment of oropharyngeal cancer. What assessment should the nurse prioritize?
Assess ability to clear oral secretions.
Assess for signs of infection.
Assess for a patent airway.
Assess for ability to communicate.
The nurse educator is planning a teaching session for nursing students related to treatment and management of gestational diabetes. The nurse educator arranges for a dietitian, pharmacist, and physician assistant to participate. Which professional nurse competency is the nurse educator demonstrating?
Interdisciplinary teamwork.
Patient-centered care.
Evidence-based practice.
Quality improvement measures.
Which of the following is the best example of the nurse implementing QSEN competencies?
Including the client in the morning rounds.
Keeping up four side rails for a confused client.
Sharing in the physician's notes.
Discussing a client's care with his wife.
Which of the following occupational nursing actions supports the primary goal of Occupational Safety & Health Administration (OSHA)?
Providing ACLS certification to shift supervisors.
Negotiating cost-effective health insurance.
Attending continuing education related to occupational health nursing.
Evaluating health promotion needs of employees.
A 70-year-old client has been prescribed an antimicrobial drug for the treatment of a urinary tract infection (UTI). What teaching point should the nurse prioritize when providing client education?
“Make sure that you take all the pills that you're prescribed, even if your infection gets better.”
“Try to avoid over-the-counter medications until you've finished your antibiotics.”
“Make sure that you don't miss a dose of your medication, because you'll then have to begin the cycle from the beginning.”
“Increase the dose of your antibiotics if you aren't feeling better within 48 hours.”
A nurse is assessing a client with bizarre and aggressive behavior in the emergency department. Upon questioning, the client's partner discloses that the client had been smoking PCP. While in the emergency department, the client continues to exhibit signs of PCP-induced psychosis and has required physical restraints. What nursing outcome should the nurse prioritize in the care of this client?
The client will be physically safe and without injury.
The client will demonstrate appropriate social skills.
The client will establish a balance of rest, sleep, and activity.
The client will verbalize acceptance of responsibility for the behavior.
The nurse works on a unit with elderly clients. Which of the following clients would the nurse visit first?
"I have a headache. I think my blood pressure is up."
"My bladder feels full after going to the bathroom."
"It itches down there" (points to her genital area).
"It feels like I have food stuck in my throat."
The nurse manager has noticed a sharp increase in medication errors associated with IV antibiotic administration over the past 2 months. The nurse manager should discuss the situation with each nurse involved and then do which of the following?
Document it on their evaluations.
Ask them to attend in-service training for administration of
IV medications.
Report them to the supervisor.
Report the incidents to the hospital attorney.
A nurse has committed to quality improvement in her nursing care. She knows that quality improvement will require her to do which of the following?
(Select all that Apply)
Leadership commitment
Continuous improvement
Maintain total client care by the nursing unit
Focus on data collection
Focus on the mission of the organization
