Nursing Elites

1. The quality and risk nurse in the local hospital is performing a hospital survey on sentinel events. Which statements would the nurse use to best describe a sentinel event?

• A. Operating room event involving the use of unsafe equipments
• B. Specific events that enable a hospital to maximize reimbursement
• C. An unexpected event involving death or serious physical or psychological injury
• D. An event that can cause serious injury to a client that should never happen in a hospital

Correct answer: C

Rationale:

2. The goal for a client with impaired mobility is to prevent atelectasis. What nursing intervention would best help the client meet this goal?

• A. Assist the client to orthopneic position
• B. Offer a protein rich diet
• C. Offer the client a bedpan for toileting
• D. Turn the client every 4 hours

Correct answer: A

Rationale: The orthopneic position helps improve lung expansion, reducing the risk of atelectasis.

3. A nurse is providing teaching to an older client who has osteoarthritis that is affecting the knees. What statement by the client indicates a correct understanding of the teaching?

• A. I can use either heat or ice to help relieve the discomfort
• B. The purpose of drug therapy is to stop the disease progression.'
• C. I will start a daily running program to get more exercise.'
• D. I should avoid physical activity to prevent further injury.'

Correct answer: A

Rationale:

4. The nurse uses proper body mechanics to move a client up in bed. What action by the nurse will increase their risk of a workplace injury?

• A. Place the bed in the lowest possible position
• B. Use the legs when lifting
• C. Keep feet apart to provide a wide base of support
• D. Face the direction of the movement

Correct answer: A

Rationale: Placing the bed in the lowest possible position increases the risk of injury because it does not support proper body mechanics. When lifting a client, it is important to have the bed at a comfortable height to avoid strain. Using the legs when lifting (choice B) is correct as it reduces the strain on the back. Keeping feet apart to provide a wide base of support (choice C) helps with stability and balance. Facing the direction of the movement (choice D) is essential for maintaining proper alignment and reducing the risk of injury.

5. What statement by the client indicates a correct understanding of the timing of progression of human immunodefiency virus (HIV) to acquired immunodeficiency syndrome?

• A. "Sexually transmitted infections will not make AIDS develop faster"?
• B. "My diet does not influence the progression of HIV to AIDS"?
• C. "If I practice medication, I may develop AIDS faster."?
• D. "IF I am re-exposed to HIV, the progression to AIDS may be faster,"?

Correct answer: D

Rationale:

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