Nursing Elites

1. An RN is working through an ethical dilemma involving a patient on his unit. He has just identified the decision-makers involved. Which step best describes the current stage the RN is working through?

• A. Assessment
• B. Diagnosis
• C. Planning
• D. Implementation

Correct answer: C

Rationale: The correct answer is C: Planning. In the ethical decision-making process, after identifying the decision-makers involved, the next step is typically planning. During the planning stage, the RN will consider the available options, weigh the ethical principles involved, and develop a course of action to address the ethical dilemma. Choice A, Assessment, involves gathering information and data about the situation. Choice B, Diagnosis, involves analyzing the gathered information to identify the ethical issue. Choice D, Implementation, comes after planning and involves putting the chosen course of action into practice.

2. What is the primary focus of the Triple Aim in healthcare?

• A. Improving patient experience
• B. Reducing healthcare costs
• C. Improving population health
• D. Ensuring regulatory compliance

Correct answer: A

Rationale: The primary focus of the Triple Aim in healthcare is indeed improving patient experience. While reducing healthcare costs and improving population health are important components of the Triple Aim framework, the primary goal is to enhance the overall experience of patients. Ensuring regulatory compliance, although important in healthcare, is not one of the primary focuses of the Triple Aim.

3. Which patient action indicates a good understanding of the nurse’s teaching about the use of an insulin pump?

• A. The patient programs the pump for an insulin bolus after eating
• B. The patient changes the location of the insertion site every week
• C. The patient takes the pump off at bedtime and starts it again each morning.
• D. The patient plans for a diet that is less flexible when using the insulin pump.

Correct answer: A

Rationale:

4. A healthcare professional is preparing to delegate client care tasks to an assistive personnel (AP). Which of the following tasks should the healthcare professional delegate?

• A. Confirming that a client's pain has decreased after receiving an analgesic
• B. Ambulating a client who is postoperative
• C. Inserting an indwelling urinary catheter for a client
• D. Demonstrating the use of an incentive spirometer to a client

Correct answer: A

Rationale: The correct answer is option A: 'Confirming that a client's pain has decreased after receiving an analgesic.' This task involves assessing the effectiveness of the medication, which can be delegated to the assistive personnel. Options B, C, and D involve skills that should be performed by licensed healthcare professionals due to their complexity and potential risks if not done correctly. Ambulating a postoperative client requires monitoring for signs of distress or complications, inserting a urinary catheter involves an invasive procedure with infection risks, and demonstrating the use of medical devices like an incentive spirometer requires specialized knowledge to ensure correct usage.

5. What characteristics will you emphasize in a job interview that will positively influence the meeting?

• A. Patient diagnoses that are of greatest interest.
• B. Avoiding challenging patient assignments to minimize the risk of making a mistake.
• C. Number of times you inserted a nasogastric tube.
• D. Your grades on your scholarly papers in nursing school.

Correct answer: D

Rationale: The correct answer is D because emphasizing your grades on scholarly papers in nursing school during a job interview can demonstrate your motivation, interest in achieving, and potential for professional growth and success. This evidence of academic success is often seen as a predictor of how well you may perform in a professional setting. Choices A, B, and C are incorrect. Choice A focuses on patient diagnoses, which may not directly relate to your academic achievements. Choice B suggests avoiding challenging assignments, which does not demonstrate a willingness to learn and grow. Choice C, regarding the number of times you inserted a nasogastric tube, is too specific and does not provide a broad view of your capabilities and potential as a professional.

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