Nursing Elites

1. What should be done in order to prevent contamination of the environment when making a bed?

• A. Avoid flinging soiled linens
• B. Strip all linens at the same time
• C. Finish both sides at the same time
• D. Embrace soiled linen

Correct answer: A

Rationale: The correct practice to prevent contamination of the environment when making a bed is to avoid flinging soiled linens. Flinging soiled linens can spread contaminants in the environment, leading to potential health risks. By handling soiled linens properly and avoiding flinging them, the risk of contamination is minimized, ensuring a safer and cleaner environment. Stripping all linens at the same time (choice B) may not necessarily prevent contamination if the soiled linens are flung around. Finishing both sides at the same time (choice C) is unrelated to preventing contamination. Embracing soiled linen (choice D) is not hygienic and can lead to spreading contaminants.

2. A healthcare professional is completing an incident report after a client fall. Which of the following competencies of Quality and Safety Education for Nurses is the professional demonstrating?

• A. Quality improvement
• B. Patient-centered care
• C. Evidence-based practice
• D. Informatics

Correct answer: A

Rationale: Completing an incident report after a client fall aligns with the competency of quality improvement, which focuses on identifying system errors and implementing changes to improve patient outcomes and safety. Patient-centered care emphasizes involving patients in their care decisions, evidence-based practice involves integrating research and clinical expertise, and informatics involves using technology to improve patient care. In this scenario, the emphasis is on the process of improving quality and safety related to the incident.

3. What term is used to describe the process of preparing the bed with a new set of linens?

• A. Bed bath
• B. Bed making
• C. Bed shampoo
• D. Bed lining

Correct answer: B

Rationale: The correct answer is 'Bed making.' Bed making is the term used to describe the process of preparing the bed with a new set of linens. This includes changing the sheets, pillowcases, and adding any additional bedding to make the bed clean, fresh, and comfortable for the next use. 'Bed bath' is typically associated with washing a patient in bed, 'Bed shampoo' is not a common term related to bed preparation, and 'Bed lining' does not accurately describe the process of changing linens on a bed.

4. Which of the following statements about chest X-rays is false?

• A. There are contraindications for this test
• B. Before the procedure, the patient should remove all jewelry, metallic objects, and buttons above the waist
• C. A signed consent is not required
• D. Eating, drinking, and medications are allowed before this test

Correct answer: A

Rationale: The correct answer is A because there are contraindications for chest X-rays, such as pregnancy or concerns about radiation exposure. Patients may need to remove jewelry and metallic objects to prevent interference with the imaging. While a signed consent is typically not required for a routine chest X-ray, there are specific situations where consent may be necessary. It is essential for patients to follow fasting instructions before certain types of chest X-rays to obtain accurate results.

5. When assessing a client with sinusitis, which technique should the nurse use to identify manifestations of this disorder?

• A. Percussion of the frontal sinuses
• B. Auscultation of the trachea
• C. Inspection of the nasal mucosa
• D. Palpation of the orbital areas

Correct answer: D

Rationale: Sinusitis is an inflammation of the sinus cavities, which can cause tenderness and pain around the eyes (orbital areas). Palpation of the orbital areas can help identify tenderness and swelling associated with sinusitis. Auscultation of the trachea and percussion of the frontal sinuses are not relevant assessment techniques for sinusitis. Inspection of the nasal mucosa may reveal signs of inflammation, but palpation of the orbital areas is a more direct method to assess for tenderness and swelling in this specific condition.

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