WGU C157 Practice Test 7-key Questions and Answers,100% CORRECT

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WGU C157 Practice Test 7-key Questions and Answers 1. A surgeon’s wound infection rate is 32%. Further examination of which of the following data will provide the MOST useful information in determi... ning the cause of this surgeon’s infection rate? a. mortality rate b. facility infection rate c. use of prophylactic antibiotics d. type of anesthesia used 2. Which of the following monitors provides patient outcome information? a. healthcare-acquired infection rate b. nursing care documentation compliance c. antibiotic therapy discontinuation compliance d. equipment malfunction rate 3. The surgery department's monthly case review revealed twenty-six records meeting the criteria. Six records did not meet the criteria. When calculating the incidence risk, the denominator is a. 6 b. 20 c. 26 d. 32 4. Which of the following requests is likely to obtain the most objective evidence for verification? a. “What kind of information do you receive?” b. “Who provides the information to you?” c. “Describe how you receive information.” d. “Show me the information you have received.” 5. Before selecting a vendor of a particular healthcare equipment or supply, the masters prepared nurse should do which of the following first? a. Conduct vendor surveys. b. Define departmental needs. c. Determine which vendors are industry leaders. d. Get feedback from team members about how various vendors and their supplies are performing. e. Decide which vendor is most cost effective. 6. Based on observation, an NP believes that the rates of smoking and obesity are increasing in their patient population and wants to implement a program to address this issue in the ambulatory clinic. What is the 1st step the NP should take to determine if this belief is, in fact, a trend? a. work with the practice manager to determine rates of smoking and obesity in the practice b. ask the other staff if they are seeing increasing numbers of patients who are smoking and/or obese c. ask patients if they feel that either smoking or obesity is affecting their lifestyle d. work with the staff to counsel each patient on the dangers of smoking and the risk factors of obesity 7. Clinical leadership in a large healthcare system is committed to assisting patients to engage in healthy lifestyle behaviors. The team is determining the need for a weight-loss support program at one of its clinics. What information is required in order to determine the need for such a program? a. the % of pt's who are overweight & have expressed interest in losing weight b. the % of pts who are overweight & have recently attempted to change their diets c. the % of pts who have successfully lost weight & are now struggling to maintain their weight d. the % of pts who are overweight who have requested information on bariatric surgery 8. A pediatrics office is offering a baseline pre-concussion mental exam for their adolescent athletes. Studies have shown that the exam is beneficial in the event of a concussion, as it will show the deviation from baseline when the exam is performed post-concussion. Few patients have heard of this cutting edge exam, and the office is trying to determine the best way to make parents aware of the additional screening. What is the most effective way to help acquaint them with the offering? a. in the waiting room, display a poster that discussed concussion risks & prevention techniques available b. provide written education, in plain language, at all well-child checks ages 12 and up c. have parents complete a form about their child, and offer education to those who have a child in a contact sport d. ask providers to discuss the exam at well-child visits, and let the parents take home a sample. 9. An acute care hospital wants to change their information sharing policy. They currently share the following information with pts only: diagnoses, care planning, medications, activity, & discharge information. They want to change the HIPAA privacy policy to enable personal health information to be shared with any person a patient gives permission to have access. Clinical staff are concerned because expanding access to patient information will cause them additional cross-checking work prior to being able to direct visitors to answer questions about a patient's care. Hospital administration is considering this change as a way to enhance patient-centered care. How should this change be evaluated to determine if it is successful? a. compare quality care metrics of medication reconciliation pre-policy and post-policy change b. compare quality care metrics between the acute hospital and the skilled nurse facility c. compare patient satisfaction metrics between pre-policy and post-policy change d. compare clinical staff satisfaction metrics between pre-policy and post-policy change 10. As supervisor of the Credentials Department, the MSN is being asked for record completion statistics for specific physicians who are being evaluated for reappointment to the medical staff. Which of the following information elements would you report for each physician? a. Physician education and training b. Number of delinquent records c. State licensure expiration date d. Prior physician malpractice claims history 11. In compiling statistics to report the specific cause of death for all open-heart surgery cases, the MSN quality coordinator assists in documenting a. Patient care outcomes b. Utilization of surgery resources c. OR turnover times d. Compliance with OSHA standards 12. What quality indicator would prove useful in tracking customer satisfaction with the release of personal health information? a. The number of medical record personnel required to perform the function b. The amount of overtime necessary to stay current c. The number of charts pulled for correspondence requests d. The turnaround time from the date a request is received to the date the information is provided to the requester 13. This question has 3 parts. Read the scenario and choose the best response for each part. Depending on their aim, teams choose promising changes and use Plan-Do-Study-Act (PDSA) cycles to test a change quickly on a small scale, see how it works, and refine the change as necessary before implementing it on a broader scale. In beginning a new QI initiative, a team identifies a need for change in the medication reconciliation process, and creates a new documentation form that covers all essential elements of the process. The team also develops a way to assess monthly compliance with use of the new form. Using the PDSA model, this is an example of a. Planning a change. b. Pilot testing a change. c. Implementing a tested change. d. Sustaining a change. Three nurses on different shifts use the new medication reconciliation form. Using the PDSA model, this is an example of a. Planning a change. b. Pilot testing a change. c. Implementing a tested change. d. Sustaining a change. All 30 nurses on a unit begin using the new medication reconciliation form. Using the PDSA model, this is an example of a. Planning for a change. b. Pilot testing a change. c. Implementing a tested change. d. Sustaining a change 14. In quality improvement activities, departments are directed to focus on clinical processes that are a. High volume b. High risk c. Problem prone d. All of the above 15. Patient mortality, infection and complication rates, adherence to living will requirements, adequate pain control, and other documentation that describe end results of care or a measurable change in the patient’s health are examples of a. Outcome measures b. Process measures c. Sentinel events d. Incident reports 16. What action would assist the manager of a medical record department in improving customer perception of the quality of services provided by the department? a. Establish a 2-week turnaround time for all dictated reports. b. Refuse to fax patient information to protect confidentiality. c. Have physicians and hospital staff retrieve their own medical records. d. Identify specific customer needs in order to design value-added services 17. In a QI project for medication reconciliation, what processes will be directly impacted by this change? a. Hiring and compensation b. Documentation and training c. Procedures and skill mix d. Staffing and acuity 18. A medication error occurred in an outpatient clinic that resulted in the patient being admitted to the hospital for one week. A root cause analysis was conducted and identified a problem with the patient not wearing an ID band when the medication was given. All patients must wear an ID band according to the clinic policy. What should the MSN do first? a. Implement a process to ensure that all clinic patients wear the ID band b. Post reminders throughout the unit about wearing an ID band. c. Identify the staff member who neglected to put the ID band on the patient. d. Monitor admissions to the clinic to determine a rate of compliance with placement of ID bands. 19. Data over the last 3 months show an average rate of 80% for hand hygiene compliance. The goal is 95%. What should the MSN do next? a. Reward staff who routinely perform hand hygiene. b. Post reminders over the sinks and outside every patient room. c. Observe staff to determine which one are not performing hand hygiene. d. Compare hand hygiene compliance rate with that from the previous 3 months. 20. What measure is best in determining nurse participation in shared governance? a. The number of nurses who participate in staff development. b. The number of nurses who serve on decision making committees in the organization. c. The number of nurses who are employed as administrators in the organization. d. The number of nurses who indicate on a survey that they participate in shared governance. 21. The QI team identified a need to reduce CAUTI on a med-surg unit. What should they do next? a. Determine the evidence for decreasing CAUTI. b. Identify the desired CAUTI rate and date for achieving the goal. c. Determine who will be responsible for implementing the plan. d. Identify the steps that will be taken to reduce CAUTI. 22. An MSN wants to start a new program to reduce CLABSI. What should she do first? a. Review the CDC resources about CLABSI monitoring and prevention. b. Assign a nurse to participate in the organization’s taskforce for CLABSI. c. Access primary source materials and complete a review of literature on CLABSI. d. Attend a national nursing conference and participate in breakout sessions on CLABSI. 23. What is the primary problem with decreasing readmission rates in an urban hospital? a. Urban patients are often non-compliant. b. High admission rates in an urban hospital results in less time for staff to implement interventions designed to reduce readmissions. c. Urban hospitals need Medicare funding so there is less incentive to reduce readmissions. d. Coordination of care is complex due to multiple care settings available to urban patients. 24. How could an MSN justify the implementation of a new mobile healthcare clinic in a rural setting? a. “CMS has identified the need to improve access to care in rural settings.” b. “Parking at our organization is limited and patients are asking for a valet service.” c. “Many of our patients in rural areas do not have reliable transportation.” d. “Our providers want to apply for a grant from a foundation that supports outreach programs in rural areas.” 25. Which of the following measurements would help us decide if we are improving care coordination for patients upon discharge? a. % of patient with comorbidities who had a follow up appointment scheduled within two weeks of discharge b. % of patients who had an extended hospital stay because appropriate discharge placement could not be arranged c. % of patients who had a summary of care and a continuing care plan printed and sent with them or sent to the receiving facility at the time of discharge d. % of patients who were sent home with a referral to homecare or outpatient services [Show More]

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