Nursing Elites

1. You are preparing a patient for surgery and completing the preoperative checklist. Which of the following is not typically part of the preoperative checklist?

• A. Assessing for allergies
• B. Conducting the Time Out
• C. Ensuring that informed consent is signed
• D. Ensuring that the history and physical examination have been completed

Correct answer: B

Rationale: Conducting the Time Out is a crucial safety step that occurs immediately before the start of the procedure, but it is not usually part of the preoperative checklist. The Time Out involves verifying patient identity, correct procedure, correct site, and addressing any concerns or questions with the surgical team before proceeding. The other options, such as assessing for allergies, ensuring informed consent, and completing the history and physical examination, are typically included in the preoperative checklist to ensure patient safety and readiness for surgery.

2. What is a common challenge in promoting health literacy?

• A. Limited access to health resources
• B. Low literacy levels among patients
• C. Complex medical instructions
• D. Cultural barriers

Correct answer: B

Rationale: Low literacy levels among patients present a common challenge in promoting health literacy. When individuals have low literacy levels, it becomes difficult for them to understand health information, leading to barriers in effectively promoting health literacy.

3. The RN working within the NFP model of care uses the Minnesota Health Wheel to describe what she does in her role to her own family. Which intervention is the RN likely to describe that is consistent with the public health nurse role of delegation:

• A. I administered IV antibiotics every 6 hours when the physician or nurse practitioner prescribed them.
• B. I conducted a full respiratory exam on a mother who might need asthma follow-up.
• C. I collaborated with the social work services team when I noted that my patient was unhoused.
• D. I taught the newly pregnant mom about necessary vaccinations to have at this time.

Correct answer: C

Rationale: Collaborating with social work services is a form of delegation, ensuring that clients receive comprehensive care.

4. Which strategy can improve teamwork in community health settings?

• A. Clearly defining roles and responsibilities
• B. Increasing funding for team activities
• C. Holding regular team meetings
• D. Delegating tasks to appropriate team members

Correct answer: A

Rationale: Clear communication within a team is crucial for effective teamwork. By clearly defining roles and responsibilities, team members have a better understanding of their individual contributions, which can lead to improved collaboration. This clarity helps avoid confusion, reduces duplication of efforts, and enhances overall team performance in community health settings.

5. What is otherwise known as Primary Health Care?

• A. PD 442
• B. PD 996
• C. PD 949
• D. RA 8981

Correct answer: B

Rationale: PD 996 is the legislation that is known as Primary Health Care. It is essential for healthcare providers and students to understand the correct reference for Primary Health Care to ensure proper compliance and understanding of related regulations.

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