Nursing Elites

1. Which laboratory value reported to the nurse by the unlicensed assistive personnel (UAP) indicates the most urgent need for the nurse�s assessment of the patient?

• A. Bedtime glucose of 140 mg/dL
• B. Noon blood glucose of 52 mg/dL
• C. Fasting blood glucose of 130 mg/dL
• D. 2-hr postprandial glucose of 220 mg/dL

Correct answer: B

Rationale:

2. There are many ways to ensure that your appraisal system is nondiscriminatory. Which of the following is one way to ensure this?

• A. Giving the appraisal once per year
• B. Having no appeal process
• C. Withholding information from the employee
• D. Not allowing any input from the employee

Correct answer: A

Rationale: To ensure that an appraisal system is nondiscriminatory, one important step is to provide the appraisal once per year. This allows for ongoing evaluation and helps prevent bias. Choice B is incorrect because having no appeal process can lead to unfair treatment without a chance for review. Choice C is incorrect as withholding information from the employee can hinder transparency and objectivity. Choice D is incorrect as not allowing any input from the employee can overlook valuable insights and perspectives that could contribute to a fair evaluation process.

3. A registered nurse (RN) is caring for a patient who is one of Jehovah�s Witnesses and has refused a blood transfusion even though her hemoglobin is dangerously low. After providing information about all the alternatives available and risks and benefits of each, the health-care provider allows the patient to determine which course of treatment she would prefer. The RN knows this is an example of which ethical principle?

• A. Autonomy
• B. Nonmaleficence
• C. Beneficence
• D. Distributive justice

Correct answer: A

Rationale: This is an example of the ethical principle of autonomy.

4. What is a common method used to collect work activity information from an applicant?

• A. Self-report logs
• B. Work sample questions
• C. Motion studies
• D. Interviewing

Correct answer: B

Rationale: Work sample questions are a common method used to collect work activity information from an applicant. This method allows employers to assess an applicant's skills and abilities by having them perform tasks that simulate actual job duties. Self-report logs (Choice A) rely on applicants' self-disclosure, which may not always be accurate. Motion studies (Choice C) involve observing and analyzing work movements to improve efficiency, rather than collecting work activity information directly from applicants. While interviewing (Choice D) is a common method in the selection process, it is more focused on assessing qualifications, experiences, and fit rather than directly collecting work activity information.

5. Which of the following best describes the concept of interprofessional collaboration in healthcare?

• A. The process by which multiple healthcare professionals work together to improve patient outcomes
• B. A method for healthcare professionals to work independently within their scope of practice
• C. The use of standardized protocols to ensure consistent care
• D. A way for healthcare professionals to share patient information electronically

Correct answer: A

Rationale: The correct answer is A. Interprofessional collaboration in healthcare refers to the coordinated efforts of multiple healthcare professionals working together to enhance patient outcomes. This collaborative approach involves professionals from different disciplines contributing their expertise to provide comprehensive care and improve the overall quality of patient treatment. Choice B is incorrect because interprofessional collaboration emphasizes teamwork and collective efforts rather than working independently. Choice C is incorrect as it refers to standardization of care protocols, not collaboration among professionals. Choice D is incorrect as sharing patient information electronically is a component of information exchange but not the primary focus of interprofessional collaboration.

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