Question 1 of 5

The emergency response team responded to a terrorist attack where hundreds of people died following symptoms of chest tightness, palpations, seizures, and finally paralysis. A colorless odorless liquid known as Sarin (GB) was the agent, which is primarily inhaled with limited exposure through the skin. The concentration of Sarin has not been measured. What level is the minimum level of personal protection and safety equipment (PPE) that would be needed?

A. Level A B. Level B C. Level C D. Level D

Correct Answer: B

Rationale: The correct answer is B: Level B. In a scenario involving Sarin, a highly toxic nerve agent primarily inhaled, Level B protective equipment is required. Level B PPE includes a chemical-resistant suit, chemical-resistant gloves, chemical-resistant boots, and a full-face respirator with appropriate filter cartridges. The choice of Level B is based on the fact that Sarin is primarily inhaled, indicating the need for respiratory protection. Level A is typically used for the highest level of protection, including protection against highly toxic chemicals in both the air and on the skin, which is not necessary in this scenario. Level C and D do not provide adequate protection against a highly toxic chemical like Sarin.

Question 2 of 5

When first diagnosed with Parkinson disease, how can the patient and family best avoid future ethical dilemmas concerning the patient's care?

A. Work with the patient and family to create an advanced plan of care. B. Explain to the family that the patient's cognitive function will deteriorate as time passes. C. Discuss the patient's religious and spiritual concerns to identify potential problems. D. Identify which family members will be in control of decision making for the patient.

Correct Answer: A

Rationale: The correct answer is A: Work with the patient and family to create an advanced plan of care. This is the best way to avoid ethical dilemmas because it involves proactive decision-making and communication among all parties involved. By creating an advanced plan of care, the patient and family can outline the patient's preferences, values, and goals for future care, ensuring that decisions align with the patient's wishes. This helps prevent potential conflicts and ensures that everyone is on the same page regarding the patient's care.

Choices B, C, and D are incorrect:
B: Explaining cognitive decline does not directly address how to avoid ethical dilemmas and may cause unnecessary distress.
C: Discussing religious and spiritual concerns is important but may not specifically address future ethical dilemmas related to care decisions.
D: Identifying family members in control of decision-making does not necessarily prevent ethical dilemmas and may overlook the patient's autonomy and preferences.

Question 3 of 5

Which action represents the key management function of strategic planning?

A. Determining that all nurses on the unit understand the current organizational philosophy B. Evaluating the communication process between the pharmacy and the nursing departments C. Monitoring data from the quality management initiative related to the last three orientation programs D. Developing a 5-year plan that will incorporate the clinical nurse leader as a part of all nursing units

Correct Answer: D

Rationale: The correct answer is D because developing a 5-year plan that incorporates the clinical nurse leader aligns with strategic planning, which involves setting long-term goals and outlining strategies to achieve them. This action demonstrates forward-thinking and aligns with the organization's overall vision.

A: Ensuring nurses understand organizational philosophy is important but does not specifically relate to strategic planning.

B: Evaluating communication processes is more operational or tactical in nature, not directly tied to long-term strategic planning.

C: Monitoring data from a quality management initiative is important for quality improvement but does not directly relate to future planning and strategy development.

Question 4 of 5

A nurse develops a new nursing theory related to stress and viability. The nurse determines the theory accounts for historical events in which soldiers suffering from the stress of inadequate clothing to protect them from the cold and lack of correspondence from home had an increased mortality related to gunshot wounds. The theory will predict gunshot victims' need for proper clothing and letters from significant others as they serve in Iraq. Which criterion for theory acceptance is being validated?

A. Inclusiveness B. Consistency C. Accuracy D. Simplicity

Correct Answer: C

Rationale: The correct answer is C: Accuracy. The nurse's theory is being validated based on its ability to accurately predict the need for proper clothing and letters from significant others for soldiers serving in Iraq. This criterion is essential for theory acceptance as it demonstrates the theory's ability to make accurate predictions based on historical events.

Inclusiveness (
A) refers to the theory's ability to encompass a wide range of phenomena, which is not explicitly demonstrated in this scenario. Consistency (
B) refers to the theory's internal coherence and agreement with existing knowledge, which is not the focus of the nurse's validation process in this case. Simplicity (
D) refers to the theory's clarity and parsimony, which is not the primary criterion being validated here.

In summary, accuracy is the most relevant criterion being validated in this scenario as the nurse's theory is being assessed based on its predictive accuracy in relation to the soldiers' needs in Iraq.

Question 5 of 5

Current trends in telecommunications and increased mobility of nurses have led to the approval of a mutual recognition model of nursing regulation, in which nurses are allowed to practice in states that are compact states without obtaining a license in each state. On which website would a nurse find a list of current compact states?

A. National League for Nursing (NLN) B. National Council of State Boards of Nursing (NCSBN) C. American Association of Colleges of Nursing (AACN) D. Commission on Collegiate Nursing Education (CCNE)

Correct Answer: B

Rationale: The correct answer is B: National Council of State Boards of Nursing (NCSBN). NCSBN manages the Nurse Licensure Compact (NL
C), which allows nurses to practice in compact states without obtaining additional licenses. Nurses can find a list of current compact states on the NCSBN website. NLN (
A) focuses on nursing education, not regulation. AACN (
C) is an organization for academic nursing programs. CCNE (
D) accredits nursing education programs, not regulatory information.

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Nurselytic

ATI RN