Nursing Elites

1. What is the purpose of a healthcare audit?

• A. To increase paperwork
• B. To assess and improve quality of care
• C. To reduce patient satisfaction
• D. To limit healthcare services

Correct answer: B

Rationale: The correct answer is B: 'To assess and improve quality of care.' Healthcare audits are conducted to evaluate the quality and efficiency of healthcare services provided. Choice A, 'To increase paperwork,' is incorrect as audits aim to streamline processes and reduce unnecessary paperwork. Choice C, 'To reduce patient satisfaction,' is incorrect as audits are meant to identify areas for improvement to enhance patient satisfaction. Choice D, 'To limit healthcare services,' is also incorrect as audits help in optimizing healthcare services rather than limiting them.

2. A nurse caring for a group of clients reviews the electrolyte laboratory results and notes a sodium level of 130 mEq/L on one client's laboratory report. The nurse understands that which client is at highest risk for the development of a sodium value at this level?

• A. The client with renal failure
• B. The client who is taking diuretics
• C. The client with hyperaldosteronism
• D. The client who is taking corticosteroids

Correct answer: B

Rationale: The correct answer is B. Clients taking diuretics are at risk for hyponatremia due to excessive sodium loss. In this scenario, a sodium level of 130 mEq/L indicates hyponatremia, which is commonly associated with diuretic use. Options A, C, and D are not the highest risk factors for developing low sodium levels in this context. Renal failure, hyperaldosteronism, and corticosteroid use are not directly linked to sodium loss as seen with diuretics.

3. Nurses on an inpatient care unit are working to help reduce unit costs. Which of the following actions is appropriate to include in the cost-containment plan?

• A. Store opened bottles of normal saline in a refrigerator for up to 48 hours.
• B. Return unused supplies from the bedside to the unit's supply stock.
• C. Wait to dispose of sharps containers until they are completely full.
• D. Use clean gloves rather than sterile gloves for colostomy care.

Correct answer: D

Rationale: Using clean gloves rather than sterile gloves for colostomy care is a cost-effective measure without compromising care quality. This choice helps in reducing costs without compromising patient safety. Storing opened bottles of normal saline in a refrigerator for up to 48 hours (Choice A) may lead to contamination risks. Returning unused supplies to the unit's supply stock (Choice B) can be inefficient and lead to potential waste. Waiting to dispose of sharps containers until they are completely full (Choice C) may pose safety hazards and not directly impact cost savings.

4. A nurse is preparing to complete an incident report regarding a medication error. Which of the following actions should the nurse plan to take?

• A. Make a copy of the incident report for personal records
• B. Identify the medication name and dosage administered to the client in the report
• C. Obtain an order from the client's provider to complete the report
• D. Include the time the medication error occurred in the report

Correct answer: B

Rationale: The correct answer is to identify the medication name and dosage administered to the client in the incident report. This information is crucial for accurate documentation and investigation of the medication error. Choice A is incorrect because incident reports are usually kept confidential and not for personal keeping. Choice C is incorrect as obtaining an order from the client's provider is not necessary to complete an incident report. Choice D, while important, is not the only essential information needed for the incident report.

5. Which of the following is a nursing issue of concern today?

• A. Safe staffing
• B. Low workloads
• C. Increasing professional autonomy
• D. Improving salaries

Correct answer: A

Rationale: The correct answer is A: Safe staffing. Safe staffing is a critical issue in nursing today due to its impact on patient outcomes and nurse well-being. While low workloads (choice B) may seem beneficial, they can also indicate understaffing, leading to burnout and compromising patient care. Increasing professional autonomy (choice C) is generally viewed positively as it empowers nurses, and improving salaries (choice D) is important but may not directly address patient safety concerns related to staffing levels.

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