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 clients fall

c. identify clients who are at risk 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 culture was obtained after antibiotic therapy had been initiated

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

d. antibiotic therapy was initiated 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 clients who 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 night shift. Which of the following actions should the nurse managertake

first?

a. Meet with a committee of nurses from each shift to discuss issues related to the

conflict

b. Gathering information regarding the situation

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

team

d. Encourage the nurses to 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 reports right sided flank pain and diaphoretic

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

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

d. a client who reports shortness of breath and left neck and shoulder pain

6. A nurse is providing change your shift report to an oncoming nurse which of the