Nokea
The most frequent threat to technological and information security in a healthcare facility is which of the following?
- A. Computer hacking by a foreign country
- B. Computer hacking by a United States citizen for ransom
- C. Failure of employees to log off computer systems and sharing of passwords with others
- D. A major electrical failure in the facility
Correct Answer: C
Rationale: Failure to log off or sharing passwords (C) is the most common security threat, as it allows unauthorized access to protected health information. Hacking (A, B) is less frequent, and electrical failure (D) impacts operations but not information security directly.
You may also like to solve these questions
The nurse is triaging phone calls for the primary healthcare provider (PHCP). Which client situation requires immediate notification to the PHCP?
- A. A client with heart failure that reports an overnight weight gain of three pounds.
- B. A client with peritoneal dialysis who has not had a bowel movement in two days.
- C. A client with irritable bowel syndrome (IBS) that reports frequent diarrhea.
- D. A client with nephrolithiasis that reports bloody urine and flank pain.
Correct Answer: A
Rationale: Rapid weight gain of three pounds overnight in heart failure (A) indicates fluid overload, a potential precursor to acute decompensation, requiring immediate PHCP notification. Constipation in peritoneal dialysis (B), frequent diarrhea in IBS (C), and hematuria with flank pain in nephrolithiasis (D) are concerning but less immediately life-threatening.
The nurse is caring for assigned clients. The nurse should initially
- A. evaluate a client’s Mantoux test for tuberculosis tuberculin skin (TB) test for reactivity 48 hours after it has been administered.
- B. assess a client with atrial fibrillation who has an irregular pulse (P) of 90 beats/minute.
- C. apply the catheter prescribed medication to the lumbar back region of a client with chronic pain.
- D. administer the prescribed antibiotic scheduled for a client with peritonitis.
Correct Answer: D
Rationale: Administering antibiotics for peritonitis (C) is the priority to treat life-threatening intra-abdominal infection. TB test evaluation (D), AF pulse assessment (B), and lidocaine patch application (A) are less urgent, as they address stable or chronic conditions.
During a busy shift, the nurse appropriately delegates tasks to the unlicensed assistive personnel (UAP). Which of the following is the nurse's primary responsibility?
- A. Document the completion of the task.
- B. Make a list of tasks not yet completed to pass on to the next shift.
- C. Observe the UAP for the duration of the task.
- D. Follow-up with the UAP to ensure completion of the task and evaluate the outcome.
Correct Answer: D
Rationale: The nurse’s primary responsibility is to follow up with the UAP (D) to ensure tasks are completed correctly and evaluate outcomes, maintaining accountability for delegated care. Documentation (A), listing incomplete tasks (B), and continuous observation (C) are not primary responsibilities.
The nurse working in the emergency department is caring for a client with carbon monoxide poisoning. Which of the following would be the priority action to treat this condition?
- A. Initiate continuous pulse oximetry monitoring
- B. Administer high-flow oxygen
- C. Insert a peripheral vascular access device
- D. Obtain a 12-lead electrocardiogram (ECG)
Correct Answer: B
Rationale: High-flow oxygen (B) is the priority for carbon monoxide poisoning to displace CO from hemoglobin, per ACLS guidelines. Pulse oximetry (A) is unreliable in CO poisoning, IV access (C) and ECG (D) are secondary to oxygenation.
The nurse administers intravenous levofloxacin instead of the prescribed azithromycin. Which of the following actions should the nurse take first?
- A. Stop the infusion
- B. Complete an incident report
- C. Obtain vital signs
- D. Notify the primary healthcare provider (PHCP)
Correct Answer: A
Rationale: Stopping the infusion (A) is the first action to prevent further harm from the medication error. Notifying the provider (D), obtaining vital signs (C), and completing an incident report (B) follow after halting the incorrect medication.