1. A nurse is working on a quality improvement team that is assessing an increase in clients

falls at the facility after problem identification which of the following actions should the

nurse plan to take first as part of a quality improvement process

a. Notify staff of increase fall rate

b. review current literature regarding clientsfall

c. identify clientswho are atrisk for falls

d. implemented A fall prevention plan

2. A client who is febrile is admitted to the hospital for the treatment of pneumonia. In

accordance with the care pathway antibiotic therapy is prescribed which of the following

situations require the nurse to complete a variance report with regards to the care

pathway?

a. The route of antibiotic therapy on the care pathway was from IV to PO

b. A blood culturewas obtained after antibiotic therapy had been initiated

c. An allergy to penicillin requires an alternative antibiotic to be prescribed

d. antibiotic therapy wasinitiated 2 hours after implementation of the care pathway

3. A nurse is caring for a client who has cancer the client and her partner are asking the

nurse about Hospice care which of the following statements by the nurse is appropriate

a. Hospital is no longer available for clients who are in Hospice care

b. Hospice care will prolong the life expectancy of the client who are terminally ill

c. Hospice care is a multi-disciplinary program for clientswho are

terminally ill

d. hospice care is helpful for clients are very stages of chronic

4. A nurse manager discovers there is conflict between nurses working the day shift and

the nurses working nightshift. Which of the following actionsshould the nurse manager

take first?

a. Meet with a committee of nursesfrom each shift to discussissuesrelated to the

conflict

b. Gathering information regarding the situation

c. Acknowledge the conflict and encourage the nursesto focus on working as a

team

d. Encourage the nursesto resolve the conflict autonomously

5. A nurse working in the emergency Department is assessing several clients which of the

following clients is the highest priority

a. A client who reportsrightsided flank pain and diaphoretic

b. A client who has active bleeding from a puncture wound of the left groin area

c. A client who hasraised skin rash on his arm neck and face

d. a clientwho reportsshortness of breath and left neck and shoulder pain