The nurse recognizes that national patient safety goals (NPSGs)

Address specific safety issues to improve patient outcomes

A nurse is caring for a patient with impaired mobility. Which intervention is most effective in reducing the risk ?

Placing the bed in the lowest position with side rails up

Which of the following is the best way to conduct a holistic nursing assessment?

Gather both subjective & objective data, considering cultural variations

A nurse finds a patient lying on the floor next to the bed. What should the nurse do first?

Assess the patient for injuries

Primary prevention focuses on?

Preventing disease or injury before it occurs

Which of the following tasks is most appropriate to delegate to a CNA?

Measuring & recording a patient’s intake and output

Which of the following is an example of a nurse-initiated intervention?

Assisting a patient with a bath to promote hygiene and comfort

Which of the following tasks would be inappropriate for the RN to delegate to a CNA?

Feeding a patient at risk for aspiration

A patient with stable vital signs requires wound care for a chronic pressure ulcer. Which task can the rn delegate LPN?

Changing the dressing using sterile technique

What action by a nurse best demonstrates a commitment to a “culture of safety”?

Participating in a root cause analysis after a medication error

A nurse is reviewing the medication administration record for a patient. Which action demonstrates the priority safety?

Verifying the patient’s allergies before administering a medication

Information obtained from sources other than the patient such as family m

A nurse is preparing to administer medications to a patient. Which situation is an example of a prescribing error?

Receiving an incomplete or incorrect order from the healthcare provider

Which of the following factors most significantly influences a nurses decision to delegate a task?

The nurse’s knowledge and experience with the task

A nurse is creating a care plan for a patient with pneumonia. Which is an example of a correctly written outcome?

The patient will demonstrate improved oxygenation by the end of the shift

Which action by the nurse reduces the risk of a healthcare associated infection (HAI)?

Washing hands with soap and water for at least 20secs before patient care

A nurse observes that a patient iv infusion is running behind schedule. What is the nurses best action?

Assess the patient for signs of fluid overload

A nurse makes a medication error and notices no harm to patient. Which action shows the nurses role in improving system

Completing an incident report to identify system weaknesses

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Fundamentals 100

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Questions 30

Answers

1
According to maslows hierarchy of needs, which patient concern would take priority?
Imbalanced nutrition
Disturbed body image
2
What is the first step in maslows hierarchy?
Self actualization
Physiologic
Self esteem
Love and belonging
3
The nurse recognizes that national patient safety goals (NPSGs)
Standardize care delivery for all hospitals nationwide
Mandate nurse-to-patient ratios for safety and care
Improve healthcare technology systems to prevent medication errors
Address specific safety issues to improve patient outcomes
4
After assessing a client’s condition, what is the next step in the CJMM?
Generating solutions
Prioritizing interventions
Evaluating outcomes
Planning care
5
A nurse is caring for a patient with impaired mobility. Which intervention is most effective in reducing the risk ?
Keeping the call light out of reach to encourage patient independence
Placing the bed in the lowest position with side rails up
Using physical restraints to prevent falls
Instructing the patient to remain in bed at all times
6
Which of the following is the best way to conduct a holistic nursing assessment?
Use only a standardized form without considering cultural differences
Gather both subjective & objective data, considering cultural variations
Focus on objective data while avoiding subjective reports from the patient
Rely on secondary sources for information to avoid biases in patient reply
7
A nurse finds a patient lying on the floor next to the bed. What should the nurse do first?
Call for assistance to help lift the patient
Complete an incident report
Assess the patient for injuries
Notify the healthcare provider about the fall
8
Primary prevention focuses on?
Halt or slow progression
Preventing disease or injury before it occurs
Aims to detect & treat diseases early, often before symptoms appear
Managing and minimizing the impact of chronic illnesses or injuries
9
Which of the following tasks is most appropriate to delegate to a CNA?
Measuring & recording a patient’s intake and output
Providing initial discharge teaching to a post op patient
Assisting with oral feedings for a patient with swallowing difficulties
Administering a subcutaneous injection of heparin
10
Planning is which step in the nursing process?
Step three
Step one
Step five
Step four
11
Which of the following is an example of a nurse-initiated intervention?
Assisting a patient with a bath to promote hygiene and comfort
Administering prescribed antibiotics to a patient with bacterial infection
Consulting provider for medication adjustment for a patient w/ severe pain
Coordinating care w/ a physical therapist to initiate rehab exercises
12
Which of the following tasks would be inappropriate for the RN to delegate to a CNA?
Assisting with a patient’s morning hygiene
Transporting a stable patient to a diagnostic test
Feeding a patient at risk for aspiration
Collecting a routine urine specimen
13
What is considered to be a collection of patient data?
Subjective data
Assessment
Holistic assessment
Secondary data
14
A patient with stable vital signs requires wound care for a chronic pressure ulcer. Which task can the rn delegate LPN?
Educating the patient about preventing future pressure ulcers
Changing the dressing using sterile technique
Documenting the patients pain level before the dressing change
Performing the initial assessment of the wound
15
What action by a nurse best demonstrates a commitment to a “culture of safety”?
Using personal judgment instead of standard protocols for high-alert drugs
Participating in a root cause analysis after a medication error
Avoiding reporting near misses to prevent disciplinary action
Refusing to speak up when a team member performs unsafe practices
16
Clinical judgment is the process of observation,prioritizing, planning,action and evaluation in making decisions
True
False
17
What does clinical judgment help nurses prioritize in patient care?
Generating S.M.A.R.T goals
Outcome evaluation
Administering interventions
Patient problems
18
A nurse is reviewing the medication administration record for a patient. Which action demonstrates the priority safety?
Documenting the medication after it had been administered
Ensuring the patient has a full glass of water oral medications
Explaining the purpose of each medication to the patient
Verifying the patient’s allergies before administering a medication
19
Secondary data is…
Information based on the patient’s personal accounts, feelings
Information obtained from sources other than the patient such as family m
Information directly collected from the patient including symptoms
Factual and measurable information observed during examination
20
A nurse is preparing to administer medications to a patient. Which situation is an example of a prescribing error?
Receiving an incomplete or incorrect order from the healthcare provider
Preparing the wrong dose due to a calculation mistake
Administering the medication through the wrong route
Documenting the administration in the wrong patient chart
21
which step of the nursing process does the nurse prioritize hypotheses and generate solutions to the patient’s problem?
Analyze
Assess
Implementation
Plan
22
Which of the following factors most significantly influences a nurses decision to delegate a task?
The patient’s preferences and values
The nurse’s knowledge and experience with the task
The amount of time available for the nurse to complete the task
The nurses comfort level with asking others to assist
23
A nurse is creating a care plan for a patient with pneumonia. Which is an example of a correctly written outcome?
The patient will demonstrate improved oxygenation by the end of the shift
The patient will take all prescribed medications as directed
The patient will report feeling better in two days
The patient will breathe easier
24
Which of the following is an example of a physiological need in maslows hierarchy of needs?
The need for shelter
The need for food and water
The need for belonging
The need for recognition
25
A patient with a history of seizures is admitted to the hospital. What is the priority safety intervention for this ?
Place the patient on a low bed with the call light within reach
Pad the side rails of the bed
Ensure the patient is on a soft diet to prevent choking
Assign the patient to a room near the nurses station
26
Which action by the nurse reduces the risk of a healthcare associated infection (HAI)?
Using sterile gloves when administering oral medications
Wearing a mask while providing routine patient care
Disinfecting the patient’s bedside table weekly
Washing hands with soap and water for at least 20secs before patient care
27
A nurse observes that a patient iv infusion is running behind schedule. What is the nurses best action?
Document the delay in the medical record
Increase the IV infusion rate to catch up
Contact the healthcare provider for new orders
Assess the patient for signs of fluid overload
28
A patient is concerned about losing their job due to their illness. Which need is the patients primary focus (Maslow)
Self-actualization
Esteem need
Safety needs
Physiological needs
29
In the clinical judgement measurement model what is the first step?
Analyzing cues
Evaluating outcomes
Generating solutions
Recognizing cues
30
A nurse makes a medication error and notices no harm to patient. Which action shows the nurses role in improving system
Documenting the error in the patients medical record as a mistake
Completing an incident report to identify system weaknesses
Keeping the error confidential to avoid unnecessary reporting
Relying on memory to avoid making the same mistake in the future

Fundamentals 100 Flashcards | StudBud