Role Transition for the Registered Nurse Study Guide Questions
Course Introduction
This course examines the process of role transition for the registered nurse, focusing on the progression from student to professional practitioner. It explores the development of clinical judgment, leadership, and decision-making skills required for effective nursing practice. Emphasis is placed on professional accountability, ethical responsibilities, interprofessional collaboration, and strategies for adapting to the dynamic healthcare environment. Through reflective practice and analysis of real-world scenarios, students gain insight into managing the challenges of transitioning into the registered nurse role, enhancing both personal and professional growth.
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Nursing Today Transition and Trends 9th Edition by
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Page 2
JoAnn Zerwekh
Chapter 1: Role Transitions
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Q1) A graduate nurse has been out of school for 3 months and working in a staff nurse position for the past 2 months.What type of transition is the nurse experiencing?
A)A developmental transition
B)An organizational transition
C)A health-oriented transition
D)A situational transition
Answer: D
Q2) A nursing student is nearing the end of his/her clinical experience.The student would like to care for patients who are typically challenging for students in the first year of practice.Which patient would be the best choice for this student?
A)A 62-year-old man with diabetes who needs outpatient care set up
B)A 30-year-old woman with a kidney stone requiring IV pain medications
C)A 45-year-old man with chest tubes recovering from a car accident
D)A 25-year-old woman who received blood yesterday
Answer: C
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3
Chapter 2: Personal Management: Time and Self-Care Strategies
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Q1) Which statement indicates the nurse's understanding of effective time management?
A)"The purpose of effective time management is to save hours,minutes,and seconds."
B)"The purpose of effective time management is to do as much as possible in as short a time as possible."
C)"The purpose of effective time management is to do as little as possible."
D)"The purpose of effective time management is to achieve personal and professional goals."
Answer: D
Q2) Which of the following actions by the nurse helps prevent burnout?
A)Picking up extra shifts each week
B)Staying late to help out at the end of each shift
C)Scheduling a massage on a day off
D)Teaching at the local community college one day a week
Answer: C
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Chapter 3: Mentorship, Preceptorship, and Nurse Residency Programs
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Q1) The "honeymoon" is a specific phase of reality shock.What should the mentor do during this phase?
A)Share personal transition experiences with the mentee.
B)Reinforce the need for the mentee to problem solve.
C)Encourage the mentee to try new things.
D)Act as the intermediary for the mentee with staff members.
Answer: D
Q2) What action can the mentor take to help reduce the impact of reality shock on the mentee during the shock or rejection phase?
A)Withhold personal transition stories.
B)Encourage the mentee to discuss his/her feelings.
C)Encourage mentees to keep their feelings to themselves during work hours.
D)Ignore the feelings caused by reality shock.
Answer: B
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Chapter 4: Employment Considerations: Opportunities,
Resumes, and Interviewing
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Q1) The graduating student is preparing a portfolio prior to a job interview.What documents does the student include?
A)Completed skills checklists
B)Certificates of attendance at conferences
C)Documentation from group projects
D)Transcripts from all courses taken
E)Narrative notes from clinical instructors
Q2) Which of the following assignments should the new nurse question before accepting?
A)A 38-year-old man with cellulitis of the right arm
B)A 25-year-old woman with a left femur fracture
C)A charge nurse over the unit for the day
D)A 50-year-old man with right hip replacement
Q3) The nurse has an adequate understanding of employment benefits.Which of the following is not included in a benefit package?
A)Health insurance
B)Car insurance
C)Pensions
D)Disability coverage
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Chapter 5: Nclex-Rn and the New Graduate
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Q1) What type of nursing position would most likely provide experience in the types of nursing situations upon which the NCLEX questions are based?
A)Home care nurse
B)Psychiatric staff nurse
C)Staff nurse in an ambulatory pediatric clinic
D)Staff nurse in a medical-surgical inpatient unit
Q2) The nurse interprets the role of the individual state boards of nursing in the NCLEX as which of the following?
A)To coordinate with the National Council State Boards of Nursing in administering the examination and licensing candidates to practice in respective states
B)To prepare a licensure examination that is reflective of entry-level practice in their respective states
C)To grade the examination,advise students of the results,and transmit all results to the National Council State Boards of Nursing for their files
D)To supervise and administer the examination to the candidates within their state jurisdictions
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Chapter 6: Historical Perspectives: Influences on the
Present
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Q1) A group of nursing students is discussing the traits of Victorian wives that crossed over to nurses.Which traits would they conclude had an early effect on the nursing profession?
A)Submission,harmony,and hard work
B)Power,peace,and position
C)Paternalism,compliance,and dullness
D)Organized,noble,and good
Q2) A nursing student is correct when identifying which programs as having the distinction of being the first for nursing that were developed from planned research and controlled experimentation?
A)Diploma programs
B)Associate degree programs
C)Baccalaureate programs
D)Master's and doctoral programs
Q3) What was the description of a nurse in the medieval times during the Holy Wars?
A)A woman who had been specially trained by a magician
B)A man who was committed to following his Lord into battle
C)A man who had training to care for a wounded knight
D)A woman who had studied with an older nurse
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Chapter 7: Nursing Education
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Q1) An individual has decided to become a nurse as quickly as possible after having worked in business management for 5 years with a master's degree.The person is married and has 3 young children at home.The individual is motivated and has many resources and a supportive spouse.Select that best nursing program for this person based on this information.
A)Accelerated program
B)Baccalaureate program
C)Associate's program
D)BSN completion program
Q2) A nurse is contemplating the concerns of nursing education in the future.The nurse concludes that the concerns are
A)career mobility.
B)the changing student profile.
C)the aging population.
D)the shift from inpatient to outpatient nursing services.
E)general interest in nursing as a profession.
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Chapter 8: Nursing Theory
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Q1) A nurse would like to improve personal practice by utilizing nursing theory.What action can the nurse take to begin incorporating nursing theory into practice?
A)Learn about nursing theories.
B)Apply for a management position.
C)Transfer to the education department.
D)Enroll in a PhD program at the local university.
Q2) A nurse has been studying theory in class.Which of the following statements indicates that the nurse has an adequate understanding of theory?
A)"A theory can be used to predict something."
B)"A theory can measure outcomes."
C)"Theory can be helpful to formulate a plan of action."
D)"Theory is used to help evaluate interventions."
Q3) A nurse is listening to a nurse manager give a presentation on nursing theory.The nurse identifies which statement as being indicative of nursing theory?
A)"Team nursing to best use resources within the delivery of care"
B)"Managed care focuses on conservation of the economic resources."
C)"A direction as to how an individual nurse can best meet patient needs"
D)"Created by nurses,for nurses,in understanding the nursing process"
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Chapter 9: Image of Nursing: Influences on the Present
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Q1) The nurse interprets which characteristic as the forefront of discussion about nursing's professionalism?
A)Education
B)Altruism
C)Social values
D)Code of ethics
Q2) Which of the following assesses how nursing has relevance to social values?
A)Nurses have professional degrees.
B)Nurses perform community service.
C)Nursing licensure requires a baccalaureate degree.
D)Nurses are teachers of health promotion and wellness.
Q3) Which of the following organizations would the nursing advisor recommend that the nursing student join to best meet the student's current needs?
A)National League for Nursing
B)American Nurses Association
C)International Council of Nurses
D)National Student Nurses Association
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Chapter 10: Nursing Management and Leadership
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Q1) The nurse manager on a surgical unit receives notification that multiple victims of a plane crash will arrive at the hospital momentarily.What is the most appropriate leadership style to adopt in this situation?
A)Autocratic
B)Democratic
C)Laissez-faire
D)Eclectic
Q2) Which statement by the staff nurse shows adequate understanding of the nurse manager role? The nurse manager:
A)"is given information and power through an official position."
B)"coordinates group activities toward a common goal."
C)"is responsible for developing goals to be accomplished."
D)"selects and assumes a role among a group of peers."
Q3) The nurse manager is beginning the process of problem solving.Which action should be taken first?
A)Define the problem.
B)Gather information.
C)Analyze the information.
D)Consider the alternatives.
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Chapter 11: Building Nursing Management Skills
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Q1) The nurse is receiving a phone order from a health care provider.How will the nurse make sure that the provider's order is received without error?
A)Advise the health care provider that the order must be written on the chart within the next 24 hours.
B)Ask the nurse in charge to come to the phone to take the order.
C)Write the order without using any unclear or unapproved abbreviations.
D)Repeat the order,write the order verbatim,and read it back to the provider.
Q2) The charge nurse is determining which activities to delegate to the nursing assistant.Which of the following would not be appropriate for the charge nurse to delegate to the nursing assistant?
A)Changing soiled linen
B)Taking a blood pressure on someone receiving blood
C)Removing a urinary catheter
D)Assessing a patient's lung sounds
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Chapter 12: Effective Communication, Team Building, and
Inter-professional Practice
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Q1) Which statement made the by the nurse indicates understanding of how to control the grapevine?
A)"Grapevine rumors are generally true."
B)"Avoid face-to-face communication."
C)"Avoid spreading rumors."
D)"Keep rumors circulating."
Q2) Your team leader reminds you that you have forgotten to complete an assigned task.What is an assertive response?
A)"Not now;I'm busy."
B)"You're right.I did forget.I'll do it now."
C)"It's not my fault.You should have reminded me sooner."
D)"I'm so sorry I've disappointed you.It won't happen again."
Q3) The clinical instructor interprets the development of mutual goals and guidelines as A)norming.
B)performing.
C)storming.
D)informing.
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Chapter 13: Conflict Management
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Q1) A nurse feels angry over a patient assignment and feels that assignments always include the "bad ones." What is the best way to control this anger?
A)Ignore the negative feelings.
B)Talk about the charge nurse in order to vent.
C)Face this anger and determine what is being felt.
D)Refuse to speak to any coworkers for fear of lashing out.
Q2) The nurse manager is attempting to resolve an interpersonal conflict between two nurses.Which action below should be done first?
A)Determine the facts related to the situation.
B)Schedule a meeting time for resolution.
C)Have an accurate understanding of the problem or conflict.
D)Have the determination to resolve the conflict.
Q3) Which of the following statements by the nurse about unresolved conflict are true?
A)"Conflict makes nursing staff more productive."
B)"Conflict reduces productivity among staff."
C)"Conflict wastes time."
D)"Conflict wastes energy."
E)"Conflict increases teamwork."
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Chapter 14: Delegation in the Clinical Setting
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Q1) Which of the following represents appropriate feedback for an assignment to an LPN?
A)"Did you understand the assignment that you received in the staff report?"
B)"Have you completed the urinary catheterization and care of the new patient?"
C)"The patient in Room 430 looks much better,and you did a good job of making the patient comfortable."
D)"I know you are busy;however,you need to get caught up with your pain medications."
Q2) The charge nurse is determining tasks that can be delegated to keep the unit running smoothly.What factors should the charge nurse consider before delegating?
A)Staff who are working
B)Acuity of patients
C)Unit tasks needing to be done
D)Teaching obligations of the nurses
E)How many patients are waiting for beds on the unit
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Chapter 15: The Health Care Organization and Patterns of
Nursing Care Delivery
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Q1) The nurse is reviewing upcoming discharges.Which patient would a case manager be assigned to?
A)A 55-year-old woman post hysterectomy,who has adequate support from family
B)A 42-year-old man post appendectomy,who is able to change his own dressing
C)A 60-year-old man post sepsis,in need of nursing home placement
D)A 38-year-old woman,post shoulder repair,who needs to follow up with the orthopedic surgeon
Q2) Which of the following statements about evidence-based practice shows that the nurse has an adequate understanding?
A)"Evidence-based practice is the hospital's protocol for providing care."
B)"Evidence-based practice is based on community need."
C)"Evidence-based practice is a set of guidelines determined by each hospital unit."
D)"Evidence-based practice is the use of current best evidence in making decisions about patient care."
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Chapter 16: Economics in the Health Care Delivery System
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Q1) The nurse has an adequate understanding of capital budget when stating
A)"A capital budget is part of the expected expenses of the unit."
B)"A capital budget is used to purchase or replace equipment costing more than $5000."
C)"A capital budget is used to pay for nurses to work in the hospital."
D)"A capital budget is used to purchase lunch for employees."
Q2) A case manager is educating a patient on health care insurance.Which statement by the patient shows that the teaching has been effective?
A)"All health care is covered by insurance."
B)"Insurance does not cover inpatient hospital stays."
C)"All health care coverage is the same."
D)"All health insurance companies have rules about what services will be covered."
Q3) A nurse is educating a group of students about health care economics.Which statement would the students make if the teaching were effective?
A)"Extrinsic factors include the cost of prescription drugs."
B)"Extrinsic factors include the age of the population."
C)"Extrinsic factors include the demand for health care."
D)"Extrinsic factors include employer-paid health insurance."
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Chapter 17: Political Action in Nursing
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Q1) What actions makes up a nurse's political savvy?
A)Analyzing a situation
B)Participating in a constructive way
C)Following directions
D)Voicing an opinion
E)Presenting a possible resolution
Q2) Which statement by the nurse would best represent the purpose of a political action committee (PAC)?
A)A vehicle for nurses across the country to organize collectively to endorse and support candidates for national offices
B)A group of individuals or organizations who share a common interest in a single issue
C)An organizational structure established for the purpose of supporting and fostering changes in the health care system
D)A group that identifies special needs and raises funds to influence politicians to vote in a manner that supports the special needs
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Chapter 18: Collective Bargaining: Traditional Unionand
Nontraditional
Approaches
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Q1) A union nurse is educating a new nurse on common issues faced by nurses today.The union nurse knows that the teaching has been effective when the new nurse states
A)"There are no common issues;nurses faces different issues based on their jobs."
B)"Today,there are no issues because of the advancement of technology."
C)"Hospitals are well staffed so personnel shouldn't be an issue."
D)"Hospitals frequently mandate nurse overtime due to staffing shortages."
Q2) Which statement by the nurse indicates understanding of collective bargaining in the workplace?
A)"Collective bargaining is not useful in the professional workplace."
B)"Collective bargaining is used by nurses to control their practice."
C)"Collective bargaining is used by managers to control nurses."
D)"Collective bargaining is always an adversarial process in the workplace."
Q3) A nurse is educating a new nurse on grievances.The teaching has been effective when the new nurse states
A)"I can file a grievance."
B)"My employer cannot file a grievance."
C)"The nursing union cannot file a grievance."
D)"My coworkers cannot file a grievance."
Page 20
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Chapter 19: Ethical Issues
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Q1) Advance directives such as the health care proxy and living will support what ethical principle?
A)Veracity
B)Advocacy
C)Beneficence
D)Autonomy
Q2) The nurse has an adequate understanding of ethical issues regarding transplantation when stating which of the following?
A)"There are few Americans on the transplantation list."
B)"Everyone on the transplantation list receives the organ he/she needs."
C)"There is an overabundance of organ donors."
D)"Most people on the transplantation list die due to the shortage of organs."
Q3) What element in health care is most responsible for the ethical dilemma of whether health care is a privilege or a right?
A)Cost
B)Technology
C)Consumerism
D)Worker shortage
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Chapter 20: Legal Issues
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Q1) A nurse understands informed consent when making which of the following statements?
A)"Informed consent is a binding agreement."
B)"Informed consent involves filling out a consent form."
C)"Informed consent occurs when the patient receives information about a procedure before giving consent."
D)"Informed consent is a name for a written legal policy."
Q2) Which definition given by the nurse indicates understanding of malpractice?
A)"Malpractice is a criminal act committed against society."
B)"Malpractice means doing something a reasonable person or nurse would not do."
C)"Malpractice is an intentional professional act of negligence."
D)"Malpractice is a professional act or failure to act that leads to injury of a patient."
Q3) What would be the most effective way for a nurse to validate informed consent?
A)Check the chart for a completed and signed consent form.
B)Determine from the physician what was discussed with the patient.
C)Ask the family whether the patient understands the procedure.
D)Ask the patient what he/she understands about the procedure.
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Chapter 21: Cultural and Spiritual Awareness
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Q1) A nurse is gathering data on a patient of a different culture.Which action can the nurse take to enhance communication while gathering cultural data?
A)Ignore the patient's culture and focus on the reason for hospital admission.
B)Use hand gestures to get points across to a patient with poor English.
C)Use closed-ended questions to gather information.
D)Determine the patient's level of fluency in English.
Q2) By asking "How has being sick affected your spiritual practices?" the nurse is trying to determine the need in what spiritual dimension?
A)Sources of hope and strength
B)Spirit-enhancing practices or rituals
C)Involvement in spiritual community
D)Experience of God or transcendence
Q3) Which of the following actions would have little to no impact in helping resolve health care disparities?
A)Research on life stressors
B)Access to basic health care
C)Increasing diversity of health care workers
D)Health promotion and wellness programs
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Chapter 22: Quality Patient Care
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Q1) A nurse is a team member assisting with the define-measure-analyze-improve-control (DMAIC)process.Which action would the nurse take during the define phase?
A)Identify the stakeholders.
B)Agree on the key performance indicators.
C)Identify gaps between performance and goals.
D)Identify those responsible for data collection.
Q2) Which action takes place during the design phase of the DMAIC process?
A)A charter is developed.
B)Key performance indicators are agreed upon.
C)Analyze baseline data.
D)Determine whether measures reflect the true problems.
Q3) A nurse has an adequate understanding of barriers to quality improvement when stating which of the following?
A)"Cost is a barrier in quality improvement."
B)"There are no barriers to quality improvement."
C)"Nurses' loyalty to old practices is a barrier."
D)"Failure to recognize that change is needed is a barrier."
E)"Being unwilling to change is a barrier."
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Page 24
Chapter 23: Nursing Informatics
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Q1) Which statement by the nurse indicates an understanding of the definition of nursing informatics?
A)"Nursing informatics is a specialty area of hospital nursing in which management of patient care is done via computers."
B)"Nursing informatics is the specialty practice of nursing integrating nursing science with multiple information management."
C)"Nursing informatics includes the input and retrieval of a patient's complete medical history via electronic data."
D)"Nursing informatics is an area of computer system design and analysis to provide and retrieve patient health data during the period of hospitalization."
Q2) How can the nurse expect to be impacted by nursing informatics?
A)The nurse would not be directly impacted unless he or she worked in nursing informatics.
B)Nurses at the bedside are minimally impacted.
C)Nurses are impacted by the use of barcode medication administration.
D)Nurse managers are the only hospital staff who are impacted.
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Chapter 24: Using Evidence-Based Practice and Nursing Research
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Q1) What does research utilization on an inpatient unit require?
A)A nursing theoretical framework should be followed.
B)Orem's theory of self-care requisites should be followed.
C)Only the nurses should participate in the implementation.
D)The implementation should be consistent with the nursing framework in the practice context.
Q2) A nursing instructor is educating a group of student on research utilization.The teaching has been effective when a student states which of the following?
A)"Research utilization is using the results of a single study in nursing practice."
B)"Research utilization is the collection of data to answer a research question."
C)"Research utilization is a review of nursing practice."
D)"Research utilization is the process of transferring research findings into clinical practice."
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Chapter 25: Workplace Issues
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Q1) A manager told a nurse to float to another unit.The nurse is nervous about floating.Which of the following actions would be the best to take?
A)Remain calm.
B)Refuse to float.
C)Focus on the patients.
D)Ask for a quick tour of the unit.
E)Inquire about the unit's standards of care.
Q2) A nurse manager is brainstorming creative solutions to mandatory overtime.Which of the following actions would help prevent the occurrence of mandatory overtime?
A)Create an on-call system with one or two extra nurses on per shift.
B)Create an incentives system for part-time nurses to pick up extra shifts.
C)Ask the nurses to take on extra patients during the short shifts.
D)Reward nurses who put forth an extra effort for the organization.
E)Create shifts for high-volume times.
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Chapter 26: Emergency Preparedness
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Q1) The charge nurse is educating a nurse on the process of surveillance for the outbreak of disease in the hospital setting.The charge nurse judges the education to be effective when the nurse states
A)"Surveillance is primarily the responsibility of the safety officer."
B)"Surveillance is primarily the responsibility of the risk manager."
C)"Surveillance is primarily the responsibility of the infection control nurse."
D)"Surveillance is primarily the responsibility of the hospital radiation safety officer."
Q2) Which statement by the nurse indicates the understanding of the biological agents that can be disseminated by airborne release?
A)"Anthrax and plague can be disseminated 50% of the time."
B)"Botulism and anthrax can be disseminated by aerosolization."
C)"Plague and smallpox are airborne illnesses that can be disseminated."
D)"Botulism and smallpox can be disseminated 100% of the time."
Q3) Which of the following represents a Level II disaster?
A)A building collapse that fills the local emergency room with patients
B)A freeway accident that involves multiple vehicles
C)Flooding of a three-state area affecting food and water resources
D)An earthquake that destroys homes and transportation facilities
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