Practice and Application Flashcards
7 cards from real RELIAS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Practice and Application flashcards as text
A healthcare worker notices a patient exhibiting sudden confusion, slurred speech, and facial drooping. What is the most appropriate immediate action?
Answer: Activate the stroke protocol and call for emergency assistance immediately
Sudden neurological symptoms such as confusion, slurred speech, and facial drooping are classic stroke signs requiring immediate emergency response via established stroke protocols.
When applying the SBAR communication framework during a patient handoff, which component involves describing the current status of the patient?
Answer: Assessment
The Assessment component of SBAR involves the clinician's interpretation and evaluation of the patient's current condition and status.
A nurse is preparing to administer a high-alert medication. According to best practice, which safety check is most critical before administration?
Answer: Performing an independent double-check with a second qualified clinician
High-alert medications require an independent double-check by a second qualified clinician to reduce the risk of serious harm from medication errors.
In a long-term care setting, a resident refuses to take their prescribed medications. What is the best initial response?
Answer: Respect the refusal, document it, and notify the prescribing provider
Competent adults have the right to refuse treatment; the appropriate response is to document the refusal and inform the provider to determine next steps.
A patient's blood pressure reads 88/52 mmHg after surgery. The nurse should first:
Answer: Notify the surgeon and prepare for a possible fluid challenge
Hypotension post-surgery may indicate hemorrhage or hemodynamic instability, requiring immediate provider notification and preparation for intervention.
Which of the following best describes the purpose of a root cause analysis (RCA) after an adverse event?
Answer: To identify systemic factors contributing to the event and prevent recurrence
RCA is a systems-focused, non-punitive process designed to uncover underlying causes of adverse events to improve safety and prevent future occurrences.
When using motivational interviewing techniques with a patient resistant to lifestyle changes, which approach is most effective?
Answer: Exploring the patient's own reasons for change using open-ended questions
Motivational interviewing uses open-ended questions to elicit the patient's intrinsic motivation for change, which is more effective than provider-directed advice.