NR351 Assignment: Scholarly Scavenger Hunt Quiz — Original Latest Version Study Set

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Sample questions from NR351 Assignment: Scholarly Scavenger Hunt Quiz — Original Latest Version Study Set

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.During a unit-based evidence review, a staff nurse finds a recent systematic review that conflicts with the unit's long-standing wound-care routine. Which action best supports evidence-based practice?

   • A.Dismiss the review because it was not written by the facility
   • B.Appraise the review's quality and applicability, then discuss findings with the team
   • C.Ask the most experienced nurse to decide whether the review is valid
   • D.Replace the routine immediately based on the review

   Rationale: Critical appraisal considers the study's methods, strength of evidence, and fit with the unit's patients before practice changes are proposed. Immediate adoption skips appraisal and implementation safeguards, while dismissing external evidence or relying only on seniority does not establish validity. Evidence-based practice integrates research, clinical expertise, and patient preferences.

2. 2.At change of shift, a charge nurse receives reports on four clients. Which client should the nurse assess first?

   • A.A client with diabetes whose premeal glucose is 178 mg/dL
   • B.A client awaiting discharge who needs medication teaching
   • C.A client 4 hours after thyroidectomy who reports tingling around the mouth
   • D.A client with chronic heart failure who has unchanged 2+ ankle edema

   Rationale: Perioral tingling after thyroid surgery can indicate hypocalcemia and precede life-threatening tetany or laryngospasm. Chronic unchanged edema, discharge teaching, and a glucose of 178 mg/dL are less immediately urgent. Prioritize a new cue that may signal rapid airway compromise.

3. 3.At a community clinic, a 67-year-old client asks how the nurse selected an article for a fall-prevention teaching handout. Which features support using the article as evidence? Select all that apply.

   • A.It was published in a peer-reviewed journal
   • B.It reports limitations and conflicts of interest
   • C.It has a large number of social-media shares
   • D.It describes how participants were selected
   • E.It reports a clearly defined research question

   Rationale: A clear question, transparent participant selection, peer review, and disclosure of limitations and conflicts help the nurse assess credibility and applicability. Social-media popularity does not demonstrate methodological quality. The nurse should appraise the evidence rather than judge it by visibility alone.

4. 4.In a medical-surgical unit, an RN is assigning care for four clients. Which task is appropriate to delegate to an experienced unlicensed assistive personnel (UAP)?

   • A.Obtain routine vital signs for a stable client awaiting discharge
   • B.Evaluate whether pain medication relieved a client's pain
   • C.Assess a new report of shortness of breath
   • D.Teach a client how to use an incentive spirometer

   Answer and rationale are in the full material.

5. 5.A provider prescribes a medication dose that appears to be ten times the usual dose for a 9-year-old client. What should the nurse do first?

   • A.Reduce the dose to the usual pediatric dose without consultation
   • B.Ask the parent whether the child has taken this dose before
   • C.Administer the dose and monitor closely
   • D.Hold the medication and clarify the prescription with the provider

   Answer and rationale are in the full material.