Nursing Elites

1. Why is increasing the use of advanced practice nurses encouraged?

• A. A 2010 Institute of Medicine report recommended nurses practice to the full extent of their education.
• B. Advanced practice nurses act as an extension of physicians.
• C. The National League for Nursing advocates for the master of science in nursing (MSN) as the terminal degree for nurse practitioners.
• D. Advanced practice nurses lack the skills to diagnose.

Correct answer: A

Rationale: The correct answer is A because the 2010 Institute of Medicine report recommended that nurses practice to the full extent of their education, which includes utilizing advanced practice nurses. This supports the efficient delivery of healthcare services by leveraging the expertise and skills of advanced practice nurses. Choice B is incorrect as it describes the role of advanced practice nurses rather than providing a reason for increasing their use. Choice C is unrelated to the encouragement of increasing the use of advanced practice nurses as it focuses on the terminal degree for nurse practitioners. Choice D is incorrect as advanced practice nurses do possess the skills necessary to diagnose and provide advanced care, so the statement that they lack diagnostic skills is inaccurate.

2. Which of the following best defines the role of a nurse educator?

• A. Provide direct patient care
• B. Conduct research on nursing practices
• C. Develop and implement educational programs for nursing staff
• D. Supervise nursing staff

Correct answer: C

Rationale: The role of a nurse educator primarily involves developing and implementing educational programs for nursing staff. While providing direct patient care and supervising nursing staff are essential functions in healthcare, these tasks are not the primary responsibilities of a nurse educator. Conducting research on nursing practices is typically associated with the role of a nurse researcher, not a nurse educator.

3. A healthcare professional is admitting a client who has rubella. Which of the following types of transmission-based precautions should the nurse initiate?

• A. Airborne
• B. Protective environment
• C. Contact
• D. Droplet

Correct answer: B

Rationale: The correct answer is 'B: Protective environment.' Rubella requires placing the client in a protective environment due to its airborne precautions. Airborne precautions are typically used for diseases that are spread through tiny droplets that remain in the air for an extended period, like tuberculosis. Contact precautions are used for diseases that are spread by direct or indirect contact, such as MRSA. Droplet precautions are implemented for diseases transmitted through respiratory droplets, like influenza. Therefore, in the case of rubella, airborne precautions in a protective environment are necessary.

4. The nurse manager compares the actual results of the budget with the projected results of the budget. What budgeting process is this?

• A. Variable budgeting
• B. Controlling
• C. Revenue sharing
• D. Incremental budgeting

Correct answer: B

Rationale: The correct answer is B: Controlling. Controlling involves comparing actual results with the projected results in the budget to assess performance and take corrective actions if necessary. Choice A, Variable budgeting, focuses on adjusting the budget based on activity levels. Choice C, Revenue sharing, refers to distributing a portion of revenue among stakeholders. Choice D, Incremental budgeting, involves making minor adjustments to the existing budget for the next period based on previous budgets.

5. A nurse has just inserted a nasogastric (NG) tube for a client. Which of the following findings should the nurse expect to confirm correct tube placement?

• A. The client reports relief of nausea.
• B. The tube aspirate has a pH less than 5.
• C. Bowel sounds are present on auscultation.
• D. An x-ray shows the end of the tube above the pylorus.

Correct answer: A

Rationale: The correct answer is A: The client reports relief of nausea. When the NG tube is correctly placed in the stomach, it can help alleviate feelings of nausea and discomfort. Choice B, a tube aspirate pH less than 5, is incorrect as it indicates gastric placement, not necessarily correct placement. Choice C, bowel sounds on auscultation, and Choice D, visualization of the tube on an x-ray above the pylorus, do not confirm correct NG tube placement; therefore, they are incorrect.

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