NUR275 ATI Capstone Leadership & Community Health Ultimate Exam | Questions and Answers | Verified Solutions | 2026 Edition | Pass Guaranteed

A charge nurse allows two nurses who are arguing about who gets to go to lunch first to go together. The charge nurse agrees to take care of both of the nurses' clients while they are at lunch. The charge nurse is demonstrating which of the following types of conflict management?

Avoiding

Competing

Compromising

Cooperating

Cooperating;

The charge nurse displayed cooperating, which is the resolution of the conflict by sacrificing. In this situation, it allowed both staff nurses to get what they wanted.

Nurse educator is discussing community mental health with a group of nursing students. Secondary prevention?

Day care center

Outpatient rehabilitation center

Community recreational center

Crisis center

Crisis center;

A crisis center, which has the goal of early detection and treatment of mental health disorders, is an example of secondary public health prevention.

A nurse is reviewing the guidelines for reporting nationally notifiable infectious diseases. Which of the following diseases should the nurse plan to report to the Centers for Disease Control and Prevention (CDC)?

Lyme disease

Cytomegalovirus

Streptococcus pharyngitis

Toxoplasmosis

Lyme disease;

Lyme disease is a nationally notifiable infectious disease.

A nurse is teaching a class on torts. The nurse should include which of the following situations as an example of negligence?

A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to the provider in the early afternoon.

A client who is competent refuses an antidepressant medication. The nurse dissolves the medication in food and administers it to her without her knowledge.

A client who is alert and oriented makes an informed decision to leave the hospital against medical advice. The nurse applies restraints to the client to prevent him from leaving.

A nurse finds a client who is on a low-sodium diet eating salted potato chips. The nurse tells the client that she will apply wrist restraints if he does not stop eating the potato chips.

A nurse identifies the absence of peripheral pulsation in a casted extremity in the early morning and reports it to the provider in the early afternoon;

Professional negligence is performing practice below the expected standard of care. It can be an act of omission, which is the failure to perform an act that a reasonable prudent person, under similar circumstances, would do. A reasonably prudent nurse would notify the provider of the neurovascular finding immediately.

A nurse in the emergency department is caring for a client who has extensive partial and full-thickness burns of the head, neck and chest. While planning the client's care, the nurse should identify which of the following risks as the priority for assessment and intervention?

Airway obstruction

Infection

Fluid imbalance

Paralytic ileus

Airway obstruction;

When using the airway, breathing, circulation approach to client care, the nurse determines that the priority risk is airway obstruction. Burns of the head, neck, and chest often involve damage to the pulmonary tree due to heat as well as smoke and soot inhalation. This can result in severe respiratory difficulty. Nursing measures to maintain a patent airway should take priority in this client's care.

A nurse is among the first responders to a mass-casualty incident and does not know what type of personal protective equipment (PPE) is needed. Which of the following actions should the nurse take?

Wait until the type of equipment needed is known.

Decontaminate victims before intervening.

Choose the highest level of protection equipment available.

Use a dosimeter to measure the level of radiation in the area before intervening.

Choose the highest level of protection equipment available;

When the level or type of PPE is unknown, the nurse should wear the highest level of protection.

A community health nurse is reviewing the levels of disease prevention. Which of the following activities is an example of tertiary prevention?

Providing treatment for clients who have chronic obstructive pulmonary disease

Performing screening for sexually transmitted infections

Administering influenza immunizations at a local health fair

Testing new nurses for exposure to tuberculosis.

Providing treatment for clients who have chronic obstructive pulmonary disease;

Tertiary prevention reduces complications and disabilities experienced by clients who already have a medical illness.

A nurse is teaching a newly licensed nurse about methods to reduce costs of client care. Which of the following statements by the newly licensed nurse indicates understanding of the teaching?

"I should wait to empty my client's drainable colostomy until it is three-fourths full."

"I should delegate providing closed irrigation to the assistive personnel (AP)."

"I should encourage clients to receive an annual flu immunization."

"I should recommend that my clients who have an established tracheostomy use sterile technique at home to provide ostomy care."

"I should encourage clients to receive an annual flu immunization.";

Cost containment is the delivery of effective and efficient care. Cost is maintained without loss of quality. The nurse should encourage clients to receive an annual flu immunization to prevent the need for treatment and hospitalization necessary with influenza.

A nurse is planning care for a client who has hepatitis B. Which of the following interventions should the nurse include in the plan?

Administer antibiotics.

Provide a diet high in fat.

Restrict fluids.

Encourage short periods of ambulation.

Encourage short periods of ambulation;

The nurse should encourage a client who has hepatitis B to alternate between activity and rest.

A nurse overhears two assistive personnel (AP) from the medical-surgical unit discussing a hospitalized client while in the cafeteria. Which of the following is the priority nursing action?

Quietly tell the APs that this is not appropriate.

Ask the nurse manager to provide an inservice program about confidentiality to the staff on the unit.

Complete an incident report.

Document the occurrence in a personal log.

Quietly tell the APs that this is not appropriate;

The nurse has a professional duty to protect the client's confidential information. When using the urgent vs. nonurgent approach to client care, the nurse determines the priority is to stop the APs before there is an additional breach of confidentiality.

A nurse is supervising a licensed practical nurse (PN) who is providing care to a client who is postoperative. Which of the following statements by the client requires the nurse to follow up with the PN?

"I do not know how to make the remote control work."

"Do you know when I will be going home?"

"My dressing was changed earlier this morning."

"I have not received any of my medications today."

"I have not received any of my medications today.";

Failure to receive prescribed medications in a timely manner can have a negative effect on client outcomes. The nurse should immediately follow up with the PN to determine if medications have been administered and, if not, to learn why. It is possible that the client does not remember receiving medications or that no medications were been prescribed as of this time. Effective supervision requires that any issue that can negatively impact client care is followed up on immediately.

A charge nurse is preparing an educational session about addictive disorders for nursing staff. Which of the following should the nurse include as an etiological factor of addictive disorders? (select all that apply).

Being female

Low self-esteem

Family history of addiction

Personality disorders

Asian ethnicity

Low self-esteem

Family history of addiction

Personality disorders;

There is a higher rate of addictive disorders in men versus women. Low self-esteem is considered a psychological factor associated with addictive disorders. Family history of addiction is an etiological factor associated with addictive disorders. Research supports the link between personality disorders and addictive disorders. Clients of Asian ethnicity have a lower rate of addictive disorders compared to other ethnicities.

A nurse is planning care for four clients and is assigning tasks to a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following should the nurse assign to the LPN?

Complete an admission assessment for a client who has COPD.

Measure I&O for a client who has an indwelling urinary catheter.

Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty.

Develop a plan of care for a client who has cholecystitis.

Reinforce teaching to a client to begin taking enoxaparin at home following a hip arthroplasty;

Reinforcing teaching with a client is within the scope of practice of a LPN; therefore, the RN should delegate this task to the LPN.

A nurse on a pediatric unit is caring for a child and his family. His parents define family as a husband, wife, and child. This definition is which type of family form?

Extended family

Blended family

Nuclear family

Intergenerational family

Nuclear family;

A nuclear family consists of parents and offspring.

A charge nurse is working with an assistive personnel (AP) who provides excellent care to clients and is an effective team member. Which of the following actions should the nurse take first to recognize the AP's contributions to client care?

Give positive feedback directly to the AP.

Tell other nurses what an effective team member the AP is.

Nominate the AP for the Employee of the Month award.

Detail the AP's contributions to the nurse manager.

Give positive feedback directly to the AP;

Positive reinforcement is one of the most effective ways to recognize an employee's ability and to motivate the employee.

A nurse is caring for four clients who are postoperative from surgery 24 hr ago. At 1200 the nurses assesses the clients. Which of the following clients is the nurse's priority?

A client who has a prescription for insulin and his premeal capillary blood glucose was 110 mg/dL and his post-meal capillary blood glucose is now 160 mg/dL

A client whose wound drainage at 0800 was sanguineous and now it is serosanguineous

A client who reports pain as 4 on a scale of 1 to 10 at 0800 now reports pain as 6

A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg

A client whose blood pressure at 0800 was 138/86 mm Hg and at 1200 is 106/60 mm Hg;

A client who is postoperative is at risk for hemorrhage. A blood pressure decrease of 15 to 20 points is significant. This client is unstable; therefore, this client is the nurse's priority.

A nurse is caring for a group of clients. Which of the following clients should the nurse refer to a social worker? (select all that apply.)

A client who requires placement in an assisted living facility.

A client who requests to secure an emergency notification system in the home.

A client who requests to get school assignments while hospitalized on a pediatric unit.

A client who requests to receive additional instructions on breastfeeding prior to discharge.

A client who requests to obtain information on the adverse effects of antidepressant medication therapy.

A client who requires placement in an assisted living facility.

A client who requests to secure an emergency notification system in the home.

A client who requests to get school assignments while hospitalized on a pediatric unit;

A client who requires placement in an assisted living facility is correct. A social worker can assist in placing a client in an assisted living facility.A client who requests to secure an emergency notification system in the home is correct. It is within the scope of the social worker's expertise to identify community resources to meet client needs after discharge.A client who requests to get school assignments while hospitalized on a pediatric unit is correct. It is within the scope of the social worker's expertise to coordinate with school systems to meet the educational needs of children who are hospitalized.A client who requests to receive additional instruction on breastfeeding prior to discharge is incorrect. Instructions on breastfeeding are within the expertise of the nursing staff to complete, not a social worker.A client who requests to obtain information on the adverse effects of antidepressant medication therapy is incorrect. Antidepressant medications have unpleasant adverse effects which can be addressed by the provider, pharmacist, and nursing staff. This is not within the scope of practice of the social worker.

A nurse in a long-term care facility enters the day room and finds the window curtains on fire. Clients are panicking and the room is filling with smoke. Indicate the emergency actions the nurse must take (Move the steps into the box on the right, placing them in the order of performance. Use all the steps).

Activate the fire alarm.

Extinguish the fire.

Close the door.

Remove the clients from the room.

Remove the clients from the room.

Activate the fire alarm.

Close the door.

Extinguish the fire.

In the event of a fire, it is helpful to recall the mnemonic RACE to prioritize the actions to take: R - Rescue and remove the clients, A - Activate the alarm, C - Confine the fire, and E - Extinguish the fire. The nurse's priority action is to remove the clients from the room. The nurse should then sound the fire alarm and close the door to confine the fire. Finally and if possible, the nurse should extinguish the fire.

A nurse is caring for an older adult client who is disoriented and has a history of falls. Which of the following actions should the nurse take? (Select all that apply.)

Raise all side rails on the client's bed.

Obtain a prescription to restrain the client PRN.

Check on the client hourly.

Instruct the client in the use of the call light.

Apply an ambulation alarm to the client's leg.

Check on the client hourly.

Instruct the client in the use of the call light.

Apply an ambulation alarm to the client's leg;

Raise all side rails on the client's bed is incorrect. Raising all side rails is considered a restraint. For a client who is disoriented, the risk for injury is greater with all side rails of the bed raised. If the client attempts to get out of bed, she may try to climb over the side rail or climb out at the foot of the bed. The nurse should place the bed in the lowest position.Obtain a prescription to restrain the client PRN is incorrect. Restraints are not prescribed PRN. Written restraint prescriptions are for a specific event and must have start and end times. Temporary restraints might be needed for clients who are confused, disoriented, repeatedly fall, or try to remove medical devices.Check on the client hourly is correct. Implementation of hourly rounds facilitates safety by reducing client falls. Hourly nursing actions should include toileting, turning, and ensuring that possessions and call lights are within reach.Instruct the client about the use of the call light is correct. Call lights are used for communication with nursing staff. When clients call for and wait for assistance before getting out of bed, the occurrence of accidents and falls is minimized. Nursing staff should make sure the call light is within the client's reach and should instruct the client frequently about its use.Apply an ambulation alarm to the client's leg is correct. The ambulation alarm signals when the client's leg is in a dependent position, such as over the side rail or on the floor. The signal alerts the staff to check on the client immediately.

A nurse is providing instructions for a 52-year-old client who is schedule for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?

"Don't worry; most clients dislike the prep more than the procedure itself."

"Before the examination, your provider will give you a sedative that will make you sleepy."

"I know you're anxious, but this procedure is recommended for people your age."

"After you have signed the consent form, we can talk more about this."

"Before the examination, your provider will give you a sedative that will make you sleepy.";

This therapeutic response appropriately addresses the client's concerns. The client is seeking information and this response provides the client with accurate information. It can also lead to further discussion about the procedure.

A nurse is reinforcing teaching about self-care with a client who has pelvic inflammatory disease. The client does not speak English. Which of the following actions by the nurse is appropriate?

Ask an assistive personnel (AP) who speaks the client's language to serve as an interpreter.

Ask the client's English-speaking family member to translate.

Seek assistance from a facility-approved interpreter.

Use a translation dictionary to reinforce the teaching.

Seek assistance from a facility-approved interpreter;

The nurse should seek assistance from an interpreter who has knowledge of health care terminology.

A nurse is caring for four clients. After administering morning medications, she realizes that nifedipine prescribed for one client was inadvertently administered to another. Which of the following actions should the nurse take first?

Notify the client's provider.

Check the client's vital signs.

Fill out an occurrence form.

Administer the medication to the correct client.

Check the client's vital signs;

The first action the nurse should take using the nursing process is to assess the client. The nurse should know that the action of nifedipine is to lower blood pressure. Immediately upon realizing the error, the nurse should check the client's vital signs (especially the client's blood pressure) to ensure that the client is not hypotensive as a result. Only after ensuring that the client is safe and has stable vital signs should the nurse take other actions.

A nurse is completing discharge teaching with a client. Of the following barriers to learning the nurse identifies with this client, which should the nurse interpret as a need to postpone the session?

Pain

Hearing loss

The client's culture

Motor impairment

Pain;

If the client reports pain, the nurse should address managing the client's pain and postpone the learning session until the client reports pain relief.

A nurse on a surgical unit is caring for a group of clients. Which of the following is the priority action of the nurse?

Taking a telephone prescription about a client who is to be transferred from PACU

Assessing a client who experiences unilateral calf pain when ambulating

Reinforcing a client's dressing for the surgical site of an above-the-knee amputation

Reassuring the partner of a client who sustained a closed head injury

Assessing a client who experiences unilateral calf pain when ambulating;

When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority action is assessing a client who has manifestations of a deep vein thrombosis, which can lead to pulmonary embolus. The nurse should assess this client and report the findings immediately to the provider.

A nurse is planning a staff education session regarding biological weapons of mass destruction. Which of the following should he plan to include in the session? (Select all that apply).

Sarin

Smallpox

Anthrax

Hydrogen cyanide

Botulism

Smallpox

Anthrax

Botulism;

Sarin is incorrect. Sarin is a chemical - rather than a biological - agent of mass destruction.Smallpox is correct. Smallpox is a biological weapon of mass destruction.Anthrax is correct. Anthrax is a biological weapon of mass destruction.Hydrogen cyanide is incorrect. Hydrogen cyanide is a chemical - rather than a biological - agent of mass destruction.Botulism is correct. Botulism is a biological weapon of mass destruction.

An assistive personnel (AP) reports to the nurse that a client who is 3 days postoperative following an abdominal hysterectomy has a dressing that is saturated with blood. Which of the following tasks should the nurse delegate to the AP?

Change the abdominal dressing.

Obtain vital signs.

Palpate for possible bladder distention.

Observe the incision site.

Obtain vital signs;

Obtaining vital signs is a skill within the scope of practice for an AP; therefore, the nurse can delegate this task to the AP.

A nurse is caring for a client whose family member requests to view the client's medical record. Which of the following responses should the nurse make?

"I will ask the nursing supervisor to obtain the medical records for you."

"The health care provider will share this information with you."

"The ethics committee will need to approve this request for you."

"The client must provide permission to share the records with you."

"The client must provide permission to share the records with you.";

Client information is shared only with individuals involved directly in the client's care. The client must provide permission for the family to access protected health information.

A community health nurse is reviewing information about infectious diseases with the nurses on her team. The nurse should remind the team that which of the following diseases are included in the list of nationally notifiable infectious diseases? (select all that apply).

Trichomonas vaginalis

Chlamydia

Gonorrhea

Chancroid

Candidiasis albicans

Chlamydia

Gonorrhea

Chancroid;

Trichomonas vaginalis is a sexually transmitted infection that occurs in women more often than men, but it is not on the list of nationally notifiable infectious diseases. Chlamydia is a sexually transmitted infection. When a client is diagnosed with chlamydia, the public health department is notified so that sexual partners can be notified and treated. Gonorrhea is a sexually transmitted infection. When a client is diagnosed with gonorrhea, the public health department is notified so that sexual partners can be notified and treated. Chancroid is a sexually transmitted infection. When a client is diagnosed with chancroid, the public health department is notified so that sexual partners can be notified and treated. Candidiasis albicans is a yeast infection which can affect the vagina, but it is not on the list of nationally notifiable infectious diseases.

A nurse is planning to discharge a client who has quadriplegia to his home. The nurse suggests that the family might needed respite care services. When a family member asks how respite care can help, which of the following responses should the nurse provide?

"Respite care allows the primary caregiver time away from day-to-day care responsibilities."

"Respite care provides holistic support and care for a client who is terminally ill."

"Respite care helps relieve pain and promote comfort."

"Respite care is a continuation of psychological support after a family member dies."

"Respite care allows the primary caregiver time away from day-to-day care responsibilities.";

A client who has quadriplegia requires support for many activities of daily living. Primary caregivers need time to meet their own personal needs as well. Respite care allows primary caregivers time away from their day-to-day care responsibilities for the client.

A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to care for first?

A client who needs assistance with a bath

A client requesting a referral for home health services

A client asking about his PCA pump that contains morphine

A client who has questions about his new prescription

A client asking about his PCA pump that contains morphine;

Clients who are administered morphine are at risk for respiratory distress. When using the urgent vs. nonurgent approach to client care, this is the client the nurse should care for first.

A nurse is creating a plan of care for clients who are aged 65 years and older and at risk for experiencing frailty syndrome. Which of the following interventions should the nurse include?

Increase the number of individuals who reside in long-term care.

Decrease the amount of funds spent on education about chronic health issues.

Decrease the use of community-based programs for health services.

Increase the frequency of participation in social and civic activities.

Increase the frequency of participation in social and civic activities;

The nurse should identify that frailty can affect the immune system, metabolism, and psychological abilities. Programs to minimize this complication among the older adult population should include addressing basic needs, improving engagement in social and civic community activities, and addressing mental and physical concerns.

A nurse is performing a community assessment of a region of the county. Which of the following data should the nurse expect to gather during a windshield survey?

Details about how the county's health relates to that of other local counties

A list of safety concerns identified by residents who live in the area

Numerical data about resident income and the economy within the region

Information about the conditions of the most commonly traveled roads

Information about the conditions of the most commonly traveled roads;

A windshield survey is a method of gathering primary data through direct observation by the nurse. The nurse should expect to identify information about area conditions, housing, boundaries, public transportation, and socialization by conducting a windshield survey.

A county health nurse is developing a program to address lead poisoning in infants and toddlers. Which of the following strategies should the nurse include as a secondary level of prevention?

Develop educational infographics for the parents of infants and toddlers about lead poisoning.

Conduct research into the frequency of lead poisoning among infants and toddlers in the county.

Work with landlords and homeowners to decrease the lead levels in the homes of children who have lead poisoning.

Perform blood lead level screening of infants and toddlers during well-child visits and early and periodic screenings.

Perform blood lead level screening of infants and toddlers during well-child visits and early and periodic screenings;

Universal screenings to identify children who are at risk for or have lead poisoning are an example of a secondary prevention strategy.

A nurse in a health department is taking part in a community group working to eliminate local health disparities. Which of the following strategies should the nurse suggest?

Decreasing the number of individuals who regularly visit a provider

Decreasing the use of preventive health care services

Increasing the time spent with individuals who have low health literacy levels

Increasing the proportion of individuals dependent on government assistance programs

Increasing the time spent with individuals who have low health literacy levels;

When caring for individuals who have low health literacy levels, the nurse should ensure that the information provided is understood and that ample time is given for processing the information. Interactions should take place face-to-face when possible and the nurse should follow-up to confirm health-related actions have occurred.

A nurse is leading an interprofessional team to develop a clinical pathway for clients following coronary artery bypass grafting (CABG) surgery. Which of the following tasks should the nurse expect the case manager to complete?

Coordinating cost-effective services for clients scheduled for CABG surgery

Structuring a progressive activity program for clients following CABG surgery

Developing a medication formulary commonly used for clients having CABG surgery

Creating a pulmonary hygiene protocol for clients scheduled for CABG surgery

Coordinating cost-effective services for clients scheduled for CABG surgery;

The case management role is focused on coordinating quality, cost-effective care. Case managers oversee care rather than providing direct care and are involved in assessing to ensure quality outcomes.

A nurse manager is reviewing changes that occurred on a unit during the prior year. Which of the following changes should the nurse identify as a planned change?

Syringes were purchased from a different company because the original syringes were no longer available.

Staff nurses adopted a new system for how to rotate assignments after a demonstration from a newly licensed nurse.

The case manager began calling clients 24 hr after discharge as part of a readmission prevention program.

The average census decreased over recent months when a new facility opened in a neighboring community.

The case manager began calling clients 24 hr after discharge as part of a readmission prevention program;

The nurse manager should classify a change that occurs as the result of deliberate actions as a planned change. Implementing a readmission prevention program is a direct action that includes the step of intervening and required the case manager to adopt a new skill to comply with the planned change.

A nurse is receiving change of shift report on four clients. Which of the following clients should the nurse see first?

A client who has a patient-controlled analgesia (PCA) device that requires medication replacement

A client who was repositioned 3 hr ago

A client who has an increased uric acid level and reports toe pain

A client who is receiving tissue plasminogen activator (tPA) and reports bleeding from the IV site

A client who is receiving tissue plasminogen activator (tPA) and reports bleeding from the IV site;

When using the urgent vs. nonurgent approach to client care, the nurse should identify that the client who is receiving tPA and reports bleeding from the IV site should be seen first.

A charge nurse is meeting with a staff member who is suspected of chemical impairment. Which of the following findings should the nurse identify as an indication of chemical impairment?

Increased attention to meeting deadlines

Emotional lability

Asks others to administer controlled substances for them

Increased socialization

Emotional lability;

The charge nurse should identify emotional lability, or mood swings, as an indication the nurse might be chemically impaired. Other indicators can include telling unusual or exaggerated stories about life events and providing excuses for not performing work.

A nurse is developing a continuous quality improvement program to reduce catheter-associated urinary tract infections (CAUTIS). Which of the following information should the nurse include as part of the structural aspect of the program?

The number of extra inpatient days required to treat a CAUTI

The number of clients who have an indwelling urinary catheter and develop a CAUTI

The facility's procedural guide about how to insert an indwelling urinary catheter

The types of urinary catheter supplies available in the facility

The types of urinary catheter supplies available in the facility;

The types of urinary catheter supplies that are available in the facility is a structural aspect of the program. Other examples of structural aspects include information related to the facility, equipment, staff, or finances.

A nurse is telephoning a provider to speak about a client who is experiencing opioid toxicity. When using the I-SBAR communication tool, which of the following information should the nurse include as part of the background information?

The nurse's name and the name of the client

The client's admitting date and medical diagnosis

The client's most recent vital signs, including oxygen saturation

The nurse's summary about the client's condition

The client's admitting date and medical diagnosis;

The client's background information includes admission information, in addition to treatments or surgeries that have occurred since admission. This information might give the nurse and provider clues about what could be causing the client's condition.

A nurse is educating a group of newly licensed nurses about the core functions of public health. Which of the following interventions should the nurse include as part of the public health assurance?

Develop partnerships with agencies in the community.

Confirm adequate health care services are available in the community.

Investigate health problems and hazards for a specified community.

Educate community members about common health issues.

Confirm adequate health care services are available in the community.;

The core function of public health assurance relates to adequate provision of services. This also includes ensuring the public health workforce is competent, that community members know about and can access the services, and that laws regarding public health safety are enforced.

A public health nurse is teaching an in-service about using partnerships to accomplish public health goals. Which of the following information should the nurse include?

The partnering groups should have shared power in decision making.

Partnerships do not have to involve specific goals to be successful.

Partnerships should be allowed to end naturally without closure.

The partnering groups do not receive individual benefit from interactions.

The partnering groups should have shared power in decision making;

The nurse should inform the participants that shared power is a necessary component of successful community partnerships. Trust and respect is promoted by each group having the power to make decisions and give influence.

A nurse is developing tertiary prevention measures related to physical disabilities. Which of the following interventions should the nurse include?

Media campaigns teaching pregnancy nutrition to promote healthy fetal development

Political legislation that requires folic acid supplements in grain products

School regulations that accommodate the use of assistive devices

Community screening event for arthritis or other musculoskeletal concerns

School regulations that accommodate the use of assistive devices;

The nurse should identify school regulations that accommodate the use of assistive devices as a tertiary prevention measure to reduce disabilities or prevent complications. This can include actions that promote quality of life for individuals who have a physical disability, such as ensuring children can attend school. Other interventions include ensuring continuity of health care access across the client's lifespan.

A nurse in a public health clinic is reviewing statistics from the previous year. Which of the following examples indicates a reduction in disease prevalence?

A decrease in the number of clients who have hepatitis C

A decrease in the number clients who were diagnosed with heart disease

A decrease in the case-fatality rate for septic shock

A decrease in the number of deaths from motor vehicle crashes

A decrease in the number of clients who have hepatitis C;

The nurse should identify this example as indicating a reduction in disease prevalence. Prevalence data examines the number of cases of disease over a period of time. A previous year's prevalence data addressing hepatitis C includes the number of new cases diagnosed, in addition to the number of clients already living with the condition.

An occupational health nurse is reviewing health outcomes for the previous year. Which of the following findings should the nurse identify as a positive patient outcome?

Increased insurance claims for exacerbations of chronic disease

Increased use of sick time

Decreased use of workers' compensation funds

Decreased use of health screening services

Decreased use of workers' compensation funds;

The nurse should identify that a decreased use of workers' compensation funds is a positive outcome for the previous year. Workers' compensation provides reimbursement for lost work time and medical expenses related to a work injury. The nurse should identify this finding as an indication that injuries have decreased.

A charge nurse is receiving report for a group of clients. For which of the following situations should the nurse plan to follow up?

A client who states they do not want resuscitation in an emergency, but does not have a DNR prescription on the medical record

A client who is unconscious, does not have a living will, and whose family consents for limb amputation surgery

An emancipated minor declined chemotherapy and the provider cancelled the prescription

A client designates their adult child to be the health care surrogate rather than their partner

A client who states they do not want resuscitation in an emergency, but does not have a DNR prescription on the medical record;

Clients have a right to choose to decline resuscitation in an emergency and can make the choice to have a DNR prescription after providing informed consent. In this situation, however, the medical record must contain documentation of the discussion and a prescription from the provider to be upheld legally. The nurse should contact the provider to obtain a prescription for the DNR.

A nurse is teaching a group of newly licensed nurses about delegating to assistive personnel (AP). The nurse should emphasize that which of the following criteria must be met prior to the delegation of the task?

The task involves a client experiencing an acute complication.

The task is performed infrequently on the assigned unit.

The task will lead to an obvious expected outcome.

The performance of the task varies depending on the client.

The task will lead to an obvious expected outcome;

The nurse should delegate tasks that have a predictable outcome to an AP. Measuring vital signs or performing capillary blood glucose testing have an expected outcome and follow a sequence of steps. Tasks such as taking a client for their first postoperative walk or performing a complicated dressing change have unknown variables and should not be delegated to the AP.

A nurse manager is developing a plan for improving time management on the unit. Which of the following strategies should the nurse manager include?

Make time for phone calls at the beginning of the day.

Select certain tasks for delegation to other team members.

Make a list of tasks and perform them in that sequence.

Remain available to answer staff questions throughout the day.

Select certain tasks for delegation to other team members;

Selecting tasks for delegation to other team members on the unit is an effective time management strategy. This will give the nurse manager time to complete important tasks for which they are responsible.

A nurse is assisting with the development of a community emergency response plan. Which of the following interventions should the nurse identify as a mitigation strategy?

Create storm shelters.

Train workers on debriefing techniques.

Perform client triage.

Administer tetanus toxoid to injured individuals.

Create storm shelters;

The nurse should include interventions such as the creation of shelters or reinforcement of structures as a mitigation strategy. Disaster mitigation includes interventions that prevent disasters or provide protection during disasters.

A charge nurse is receiving change of shift report. Which of the following situations should the charge nurse identify as needing an incident report?

A constant passive movement (CPM) machine stops working while being used by a client following total knee replacement surgery.

A client whose living will requested no artificial life preservation dies within 4 hr following removal of mechanical ventilation.

A visitor trips exiting the facility door, but does not fall or experience an injury.

A client's family member complains about visits from another family member.

A constant passive movement (CPM) machine stops working while being used by a client following total knee replacement surgery;

The nurse should plan to complete an incident report any time there is a malfunction or failure of a piece of medical equipment being used by a client. Medical equipment should be checked and maintained regularly by the facility's engineering department. Any defects should be reported so that future occurrences are prevented.

A nurse is working with risk management to create an in-service for facility staff. Which of the following situations should the nurse plan to include as an example of a sentinel event?

A nurse avoided administering an iron capsule to the wrong client by checking the medication at the client's bedside.

A client's screening mammogram had to be repeated because the technician could not locate the results of the first test.

Facility security had to remove two visitors from the lobby who were shouting and pushing each other.

A client required intensive care treatment after developing a hemolytic transfusion reaction from whole blood administration.

A client required intensive care treatment after developing a hemolytic transfusion reaction from whole blood administration;

A sentinel event involves a death that was not expected, unintentional injury, or the threat of significant adverse outcomes. This can include blood transfusion reactions, attempted suicide by a client under continuous observation, or infant abduction. Transfusion reactions are a possible outcome of blood administration, but they are not expected because the risk of the complication is significantly reduced by safety checks with type and cross-matching and two-nurse verification of the client and product.

A nurse is performing triage following a community disaster. Which of the following clients should the nurse categorize with a yellow tag?

A client who has a closed upper extremity fracture

A client who has full-thickness burns covering 30% of the body

A client who has a large abdominal laceration with minimal bleeding

A client who was exposed to radiation and is experiencing a seizure

A client who has a large abdominal laceration with minimal bleeding;

The nurse should categorize a client who has an abdominal wound that is not hemorrhaging excessively as urgent and assign them to the second priority by providing them with a yellow tag. Clients in this category have injuries that require treatment within 30 min to 2 hr.

A nurse preceptor is observing a newly licensed nurse who is caring for several clients. Which of the following actions by the newly licensed nurse demonstrates an understanding of infection control practices?

The nurse wears an N95 respirator mask when caring for a client who has pertussis.

The nurse cleans a client's bedside table with chlorhexidine gluconate to remove a blood spill.

The nurse double bags a soiled dressing when the first bag becomes contaminated.

The nurse uses a foam hand sanitizer after caring for a client who has Clostridium difficile.

The nurse double bags a soiled dressing when the first bag becomes contaminated;

Articles contaminated with body secretions should be placed in a non-permeable bag. If the nurse contaminates the outside of the bag, then a second bag is required. This action indicates that the newly licensed nurse understands infection control practices.