Question

A nurse is researching data about best practice for reducing medication errors on a surgical unit. Which of the following steps of evidence based practice (EBP) is the nurse taking?

Answer 1

Correct Answers:

Searching for credible sources

Rationale :

🔷 In the evidence-based practice (EBP) process, once a clinical issue or problem is identified, the next step is to search for credible, peer-reviewed, and evidence-based resources that provide data relevant to the problem.

🔷 This involves reviewing research databases, clinical guidelines, and scholarly articles to identify best practices and evidence.

🔷 The scenario states the nurse is researching data—which corresponds with searching for evidence, not yet analyzing or applying it.

🔷 This comes after identifying a problem and before evaluating or implementing recommendations.

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Answer 2

Correct Answers:

"We use an automated dispensing device to track the use of controlled substances."
"You are required to have a second nurse witness disposal of a controlled substance."
"Activities of the automated dispensing machine will be reviewed periodically."
"We count the amount of a controlled substance available before removal from a medication drawer.”

Rationale :

"We use an automated dispensing device to track the use of controlled substances."

🔷 Automated dispensing devices (ADDs), such as Pyxis or Omnicell systems, are designed to improve accountability and tracking of controlled substances.

🔷 These systems require users to log in with a personal ID or fingerprint, creating an electronic record of every transaction.

🔷 This technology reduces the opportunity for diversion and provides a secure audit trail for pharmacy and nursing leadership to review usage patterns.

"You are required to have a second nurse witness disposal of a controlled substance."

🔶 Disposal of unused or wasted portions of controlled medications must be witnessed and documented by a second licensed professional.

🔶 This policy is a safeguard against intentional diversion or inaccurate charting of medication use.

🔶 Witness verification ensures that the disposal is performed correctly and helps maintain legal compliance and ethical accountability.

"Activities of the automated dispensing machine will be reviewed periodically."

🟢 Periodic review of automated dispensing machine activity is a standard risk-reduction strategy to detect misuse, trends, or suspicious behavior.

🟢 Auditing software tracks medication access by time, user, and patient to help identify anomalies or red flags.

🟢 These reviews promote transparency and early intervention, reinforcing a culture of medication safety and regulatory compliance.

"We count the amount of a controlled substance available before removal from a medication drawer.”

🔵 Verifying the count of controlled substances before removal helps ensure the accuracy of medication records and detect discrepancies.

🔵 This process is often done as a double-check between shifts or during medication access to confirm inventory consistency.

🔵 Accurate counting reduces the risk of diversion and protects both the staff and the institution from legal liability.

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Answer 3

Correct Answers:

“I am responsible for ensuring that a delegated task is completed."

Rationale :

🔵 The nurse who delegates a task is still ultimately accountable for ensuring it was completed correctly and safely.

🔵 Effective delegation includes choosing the right task, providing clear instructions, and supervising and evaluating outcomes.

🔵 The 5 rights of delegation guide this process: right task, circumstance, person, communication, and supervision.

🔵 Delegating does not remove responsibility from the licensed nurse—it shares the work, not the accountability.

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Answer 4

Correct Answers:

It is not permissible because there is no nurse-client relationship between the sibling and nurse.

Rationale :

🟢 Accessing a family member’s medical records violates HIPAA unless the nurse is directly involved in their care and has authorization.

🟢 Even with verbal consent, the nurse must follow facility policy and privacy regulations to avoid breaches.

🟢 Being related to the patient does not justify access—there must be a professional relationship and documented need.

🟢 Protecting confidentiality is a core ethical and legal duty in nursing.

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Answer 5

Correct Answers:

Nonmaleficence

Rationale :

🔴 Nonmaleficence means “do no harm,” and it requires nurses to avoid actions that may cause injury, suffering, or risk to clients.

🔴 It includes preventing complications, safeguarding clients from unsafe practices, and minimizing harm in care decisions.

🔴 This principle often works alongside beneficence (doing good) but focuses specifically on avoiding harm.

🔴 It is a fundamental component of ethical clinical decision-making.

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Answer 6

Correct Answers:

Spirituality can increase the quality of life

Rationale :

🌸 Spirituality enhances emotional resilience and offers individuals a sense of meaning, peace, and hope during the end-of-life stage.

🌸 It plays a crucial role in reducing anxiety, fear, and depression by helping clients find comfort and acceptance.

🌸 Spiritual practices, whether religious or personal, often promote healing and strengthen relationships.

🌸 Research shows that spiritual support is associated with improved quality of life, especially in palliative care settings.

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Answer 7

Correct Answers:

Malpractice

Rationale :

❀ Malpractice refers to professional negligence that causes harm due to failure to meet the standard of care.

❀ In this case, the nurse’s medication error led to a severe allergic reaction and prolonged hospitalization.

❀ Even though the error was unintentional, the act still breached nursing responsibility and legal duty.

❀ This makes the nurse legally accountable under malpractice, as the incident resulted in a preventable injury.

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Answer 8

Correct Answers:

Analysis

Rationale :

✾ Analysis is the phase of critical thinking where data is broken down and interpreted for clinical significance.

✾ The nurse evaluates patterns, priorities, and draws conclusions to support decision-making.

✾ Interpreting findings allows differentiation between normal and abnormal data, ensuring safe care planning.

✾ This step supports formulation of nursing diagnoses and prioritization of interventions.

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Answer 9

Correct Answers:

Peer-reviewed articles have been through laborious review by other professionals.

Rationale :

🌺 Peer-reviewed articles are examined by field experts to ensure accuracy, validity, and scholarly merit.

🌺 This process screens for bias, misinformation, and reinforces evidence-based integrity.

🌺 These articles form the backbone of clinical guidelines, unlike non-reviewed editorials.

🌺 Nurses rely on peer-reviewed evidence for safe, informed practice and quality care.

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Answer 10

Correct Answers:

Initiate one-to-one nursing observation.

Rationale :

🌿 A client admitted after a suicide attempt requires immediate one-to-one supervision for safety.

🌿 Clients are most vulnerable to re-attempting suicide within the first 24 hours of admission.

🌿 Direct observation allows for real-time intervention and prevention of self-harm.

🌿 Ensuring continuous monitoring is the highest nursing priority in this critical situation.

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QLexNursing

1 :
A nurse is researching data about best practice for reducing medication errors on a surgical unit. Which of the following steps of evidence based practice (EBP) is the nurse taking?

2 :
A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make?(Select All that Apply.)

3 :
A nurse is reinforcing teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

4 :
A nurse's sibling had a diagnostic test at the nurse's facility. The sibling asks the nurse to look up the result in the computer. The nurse should identify which of the following as the reason for her decision about her sibling's request?

5 :
A nurse is assisting with teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?

6 :
A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

7 :
A nurse's inadvertent medication error results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

8 :
A nurse is assisting with teaching a class about the steps of critical thinking. The nurse should include that interpreting data is included in which of the following steps?

9 :
A nurse is preparing an in-service about evidence-based practice (EBP). Which of the following information should the nurse include about peer-reviewed sources of information?

10 :
A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

QLexNursing

1 : A nurse is researching data about best practice for reducing medication errors on a surgical unit. Which of the following steps of evidence based practice (EBP) is the nurse taking?

2 : A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make?(Select All that Apply.)

3 : A nurse is reinforcing teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

4 : A nurse's sibling had a diagnostic test at the nurse's facility. The sibling asks the nurse to look up the result in the computer. The nurse should identify which of the following as the reason for her decision about her sibling's request?

5 : A nurse is assisting with teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?

6 : A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

7 : A nurse's inadvertent medication error results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

8 : A nurse is assisting with teaching a class about the steps of critical thinking. The nurse should include that interpreting data is included in which of the following steps?

9 : A nurse is preparing an in-service about evidence-based practice (EBP). Which of the following information should the nurse include about peer-reviewed sources of information?

10 : A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?

1 :
A nurse is researching data about best practice for reducing medication errors on a surgical unit. Which of the following steps of evidence based practice (EBP) is the nurse taking?

2 :
A newly hired nurse asks a charge nurse what safety measures are in place to prevent diversion of controlled substances on the unit. Which of the following statements should the charge nurse make?(Select All that Apply.)

3 :
A nurse is reinforcing teaching about delegation with a newly licensed nurse. Which of the following statements if made by the newly licensed nurse indicates understanding?

4 :
A nurse's sibling had a diagnostic test at the nurse's facility. The sibling asks the nurse to look up the result in the computer. The nurse should identify which of the following as the reason for her decision about her sibling's request?

5 :
A nurse is assisting with teaching a class on ethical principles. The nurse should include that protecting a client's safety by not causing harm refers to which of the following ethical principles?

6 :
A nurse is assisting with teaching a class about the effects of spirituality for clients who are near the end of life. Which of the following information should the nurse include?

7 :
A nurse's inadvertent medication error results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?

8 :
A nurse is assisting with teaching a class about the steps of critical thinking. The nurse should include that interpreting data is included in which of the following steps?

9 :
A nurse is preparing an in-service about evidence-based practice (EBP). Which of the following information should the nurse include about peer-reviewed sources of information?

10 :
A nurse is assisting with the admission of a client to an acute mental health unit following a suicide attempt. The client has a history of depression, substance abuse, and anorexia nervosa. Which of the following actions should the nurse take first?