A staff nurse receives a phone call and is told there is a bomb in a client's room. What is the nurse's priority action?

Signal to staff to close the client's doors.

Put the call on hold and obtain the charge nurse.

Transfer the call to security.

Ask the caller for details about the bomb placement.

Answer and Explanation

The Correct Answer is C

Rationale:
A. Closing doors may be part of general safety protocols in some emergencies, but in the case of a bomb threat, immediate notification of trained personnel is more critical. Staff should follow established evacuation or lockdown procedures as directed by security, not act independently.

B. Involving the charge nurse is reasonable for communication purposes, but the first priority is to alert security or law enforcement, who are trained to handle bomb threats safely. Delaying by putting the call on hold risks safety.

C. Transferring the call to security ensures that trained personnel can manage the bomb threat according to institutional protocols. Security is responsible for evaluating the threat, coordinating evacuation, and involving law enforcement. The nurse’s primary role is to protect clients and staff by ensuring expert intervention.

D. Asking the caller for details may endanger the nurse and others, as it can escalate risk and is not a safe first action. Gathering information is the responsibility of law enforcement and security professionals.

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Free Nursing Study Resources

Correct Answer is ["B","C","D","E"]

Explanation

Rationale:

A. "Mistake-free" mandates during orientation are not appropriate. Expecting new graduate nurses to be mistake-free creates unrealistic pressure, increases anxiety, and can hinder learning. Orientation programs are designed to provide guidance, supervision, and a safe environment for learning, which includes making and learning from mistakes under supervision.

B. Orientation to unit is essential. Introducing new nurses to the unit’s policies, procedures, workflow, and culture helps them integrate into the team, understand patient care expectations, and become familiar with resources. This foundation is crucial for building competence and confidence.

C. Nursing Internship programs are beneficial. Structured internships provide hands-on experience in a supportive environment, allowing new graduates to practice clinical skills under supervision, apply theoretical knowledge, and gradually assume full responsibilities.

D. Mentorship is valuable for ongoing support. Experienced nurses provide guidance, encouragement, and professional development advice, helping new graduates navigate the challenges of early practice and promoting retention and confidence.

E. Preceptorship is critical. One-on-one guidance from an experienced nurse allows new graduates to learn clinical skills, patient care management, and critical thinking in a safe and supervised environment. Preceptors model professional behavior and provide real-time feedback, which enhances learning and competence.

A. Disseminating findings B. Search for the best evidence C. Appraise the evidence D. Integrating evidence into clinical practice E. Asking a research question F. Evaluating outcomes

Correct Answer is {"A":{"answers":"F"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"D"},"E":{"answers":"A"},"F":{"answers":"E"}}

Explanation

Rationale:

Asking a research question: First step—identify the clinical problem (often using PICOT).
Search for the best evidence: Gather relevant research and data.
Appraise the evidence: Critically evaluate quality, validity, and applicability.
Integrating evidence into clinical practice: Apply findings with clinical expertise and patient preferences.
Evaluating outcomes: Assess effectiveness of the intervention.
Disseminating findings: Share results with others to improve practice broadly.

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A staff nurse receives a phone call and is told there is a bomb in a client's room. What is the nurse's priority action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse preceptor is precepting a new graduate nurse. Which strategies should the nurse preceptor utilize to assist in the development and support of new graduate nurses' orientation? Select all that apply.

Correct Answer is ["B","C","D","E"]

Explanation

The nurse is describing the steps of evidence-based practice (EBP) with a nursing student. Indicate the correct order the correct order by clicking on the number of the step. All options must be used.

Correct Answer is {"A":{"answers":"F"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"D"},"E":{"answers":"A"},"F":{"answers":"E"}}

Explanation

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A nurse on a surgical unit is working with a client who is refusing treatment due to a lack of trust in the healthcare team. Which of the following leadership actions should the nurse take to support this client?

The nurse manager has implemented a change in the nursing delivery system from functional to team nursing. An unlicensed assistive personnel (UAP) is resistant to the change and is not actively participating in facilitating the change. Which is the best approach in dealing with the UAP?

The clinic nurse is providing discharge instructions to an older adult client diagnosed with cataracts. Which intervention is most important for the nurse to implement?

The nurse is preparing to educate a group of graduate nurses about events that should be documented in an incident report. Which examples should the nurse include in the teaching? Select all that apply.