Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is preparing an in-service presentation about preventing health care associated infections (HAIs).
The nurse should include which of the following as a common cause of these infections?
A. Urinary catheterization.
Urinary catheterization is a common cause of health care-associated infections (HAIs), which are infections that patients get while receiving medical treatment in a health care facility. Urinary catheterization involves inserting a tube into the bladder to drain urine, which can introduce bacteria into the urinary tract and cause infections.
B. Malnutrition.
Choice B is wrong because malnutrition is not a direct cause of HAIs, although it can weaken the immune system and increase the risk of infections.
C. Multiple caregivers.
Choice C is wrong because multiple caregivers are not a direct cause of HAIs, although they can increase the exposure to different pathogens and cross contamination if they do not follow proper hygiene and infection control practices.
D. Chlorhexidine washes.
Choice D is wrong because chlorhexidine washes are not a cause of HAIs, but rather a preventive measure to reduce the risk of HAIs by disinfecting the skin and mucous membranes.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Custom Sp23 N144 FINAL Proctored Exam. Take the full exam now
Full Explanation
Urinary catheterization is a common cause of health care-associated infections (HAIs), which are infections that patients get while receiving medical treatment in a health care facility. Urinary catheterization involves inserting a tube into the bladder to drain urine, which can introduce bacteria into the urinary tract and cause infections.
Choice B is wrong because malnutrition is not a direct cause of HAIs, although it can weaken the immune system and increase the risk of infections.
Choice C is wrong because multiple caregivers are not a direct cause of HAIs, although they can increase the exposure to different pathogens and cross contamination if they do not follow proper hygiene and infection control practices.
Choice D is wrong because chlorhexidine washes are not a cause of HAIs, but rather a preventive measure to reduce the risk of HAIs by disinfecting the skin and mucous membranes.
Similar Questions
An elderly man fell during his hospitalization and has died from a head injury sustained in the fall.
What is the role of the risk manager in this situation?
A. To find the root cause so that the person who is responsible can be identified.
Choice A is wrong because it implies a punitive approach that does not address the underlying system issues.
B. To protect the nursing staff from litigation.
Choice B is wrong because it suggests a defensive attitude that does not foster a culture of learning and improvement.
C. To find the root cause so preventative measures can be put in place.
The role of the risk manager is to identify and analyze the factors that contributed to the adverse event and to implement strategies to prevent or reduce the likelihood of recurrence. The risk manager is not concerned with assigning blame or protecting the staff from litigation, but rather with improving the quality and safety of care.
D. To determine why the nurses were never told that the patient was a high fall risk.
Choice D is wrong because it assumes that the nurses were not aware of the patient’s fall risk, which may not be the case. The risk manager should investigate all aspects of the situation, including the communication and documentation of the patient’s fall risk assessment and interventions.
Full Explanation
The role of the risk manager is to identify and analyze the factors that contributed to the adverse event and to implement strategies to prevent or reduce the likelihood of recurrence. The risk manager is not concerned with assigning blame or protecting the staff from litigation, but rather with improving the quality and safety of care.
Choice A is wrong because it implies a punitive approach that does not address the underlying system issues.
Choice B is wrong because it suggests a defensive attitude that does not foster a culture of learning and improvement.
Choice D is wrong because it assumes that the nurses were not aware of the patient’s fall risk, which may not be the case.
The risk manager should investigate all aspects of the situation, including the communication and documentation of the patient’s fall risk assessment and interventions.
A nurse is teaching a newly licensed nurse about informed consent.
Which of the following should be included as a responsibility of the nurse in this process?
A. Confirm that the client is competent to sign for the procedure.
Choice A is wrong because confirming that the client is competent to sign for the procedure is not a responsibility of the nurse, but of the health professional who directs the care. The nurse can only obtain consent when initiating care or reviewing consent before providing care ordered by another health professional.
B. Discuss the risks of the procedure with the client.
Choice B is wrong because discussing the risks of the procedure with the client is not a responsibility of the nurse, but of the health professional who directs the care. The nurse can only inform the client about what will occur during the procedure and answer any questions they may have.
C. Inform the client about what will occur during the procedure.
This is a responsibility of the nurse in the process of informed consent, which is the patient’s choice to have a treatment or procedure based on their full understanding of its benefits, risks, and alternatives. The nurse should provide written materials in the client’s spoken language, when possible, and verify that the client comprehends and consents to the care and procedures.
D. Explain alternatives to the procedure to the client.
Choice D is wrong because explaining alternatives to the procedure to the client is not a responsibility of the nurse, but of the health professional who directs the care. The nurse can only inform the client about what will occur during the procedure and answer any questions they may have.
Full Explanation
This is a responsibility of the nurse in the process of informed consent, which is the patient’s choice to have a treatment or procedure based on their full understanding of its benefits, risks, and alternatives. The nurse should provide written materials in the client’s spoken language, when possible, and verify that the client comprehends and consents to the care and procedures.
Choice A is wrong because confirming that the client is competent to sign for the procedure is not a responsibility of the nurse, but of the health professional who directs the care. The nurse can only obtain consent when initiating care or reviewing consent before providing care ordered by another health professional.
Choice B is wrong because discussing the risks of the procedure with the client is not a responsibility of the nurse, but of the health professional who directs the care. The nurse can only inform the client about what will occur during the procedure and answer any questions they may have.
Choice D is wrong because explaining alternatives to the procedure to the client is not a responsibility of the nurse, but of the health professional who directs the care. The nurse can only inform the client about what will occur during the procedure and answer any questions they may have.
A charge nurse is discussing evidence-based practice (EBP) with a newly licensed nurse.
Which of the following information should the nurse include when discussing the hierarchy of evidence?
A. One of the highest levels of evidence are randomized, controlled, double-blind studies.
One of the highest levels of evidence are randomized, controlled, double-blind studies. This is because these studies reduce the risk of bias and confounding factors by randomly assigning participants to intervention or control groups, blinding the participants and researchers to the group allocation, and using a placebo or standard treatment as a comparison.
B. Ideas, editorials, and opinions are highly valued in determining EBP.
Choice B is wrong because ideas, editorials, and opinions are considered low levels of evidence as they are based on personal views and not on rigorous research methods.
C. The purpose of the hierarchy of evidence is to help the nurse compare patient values with research findings.
Choice C is wrong because the purpose of the hierarchy of evidence is to help the nurse evaluate the quality and strength of the research findings, not to compare patient values with research findings. Patient values are important for evidence-based practice, but they are not part of the hierarchy of evidence.
D. All forms of evidence should be considered equally when.
Choice D is wrong because all forms of evidence should not be considered equally when determining evidence-based practice. The hierarchy of evidence ranks different types of research designs according to their validity and applicability, and the nurse should use the highest level of evidence available for their clinical question.
Full Explanation
One of the highest levels of evidence are randomized, controlled, double-blind studies. This is because these studies reduce the risk of bias and confounding factors by randomly assigning participants to intervention or control groups, blinding the participants and researchers to the group allocation, and using a placebo or standard treatment as a comparison.
Choice B is wrong because ideas, editorials, and opinions are considered low levels of evidence as they are based on personal views and not on rigorous research methods.
Choice C is wrong because the purpose of the hierarchy of evidence is to help the nurse evaluate the quality and strength of the research findings, not to compare patient values with research findings.
Patient values are important for evidence-based practice, but they are not part of the hierarchy of evidence.
Choice D is wrong because all forms of evidence should not be considered equally when determining evidence-based practice. The hierarchy of evidence ranks different types of research designs according to their validity and applicability, and the nurse should use the highest level of evidence available for their clinical question.