NACE Management of Care 3

Question 1

A nurse is caring for a patient who speaks limited English. The patient's bilingual child offers to interpret. What is the most appropriate response?

Accepted Answer

Decline and arrange for a certified medical interpreter

Answer

Accept the child's help since they can communicate with the patient

Answer

Use simple English words and speak slowly

Answer

Postpone the discussion until the physician arrives

Question 2

Which situation requires the nurse to initiate the chain of command?

Accepted Answer

A physician orders a medication that the nurse knows is contraindicated for the patient

Answer

A physician disagrees with the nurse's suggestion for a different pain medication

Answer

A patient requests a different meal option

Answer

A family member asks to speak with the physician about treatment

Question 3

A nurse observes that a fellow nurse consistently fails to perform hand hygiene between patients. What is the most appropriate initial action?

Accepted Answer

Discuss the observation privately with the colleague

Answer

Report the nurse to the state board of nursing

Answer

Ignore it since it is not causing visible harm

Answer

Report anonymously to human resources

Question 4

In the event of a fire on a nursing unit, what is the correct sequence of actions?

Accepted Answer

Rescue, Alarm, Contain, Extinguish (RACE)

Answer

Attempt to extinguish, evacuate, activate alarm, contain

Answer

Alarm, Rescue, Extinguish, Contain

Answer

Contain, Alarm, Extinguish, Rescue

Question 5

A charge nurse is making patient assignments. A new graduate nurse is on the unit. Which patient assignment is most appropriate for the new graduate?

Accepted Answer

A stable post-operative patient on day 2 who is preparing for discharge

Answer

A patient returning from cardiac catheterization

Answer

A patient with a chest tube who develops subcutaneous emphysema

Answer

A patient on multiple IV drip titrations in the step-down unit

Question 6

Which quality improvement model uses the cycle of Plan, Do, Study, Act?

Accepted Answer

PDSA cycle

Answer

Six Sigma

Answer

Lean methodology

Answer

Failure Mode and Effects Analysis