NCLEX: The nurse reviewing a unit quality dashboard is being evaluated for evidence-based practice and descriptive stati…

Statistics or evidence-based practice Management of Care

Case Study

The nurse reviewing a unit quality dashboard is being evaluated for evidence-based practice and descriptive statistics. Assessment data include fall rates increased from 2.1 to 4.8 per 1,000 patient days after a process change. Which finding requires the nurse to intervene immediately?

Question

A. A stable, long-standing finding that matches the expected care plan.
B. A comfort request with unchanged vital signs and no new symptoms.
C. Routine data unchanged from the prior assessment.
D. The new finding that fall rates increased from 2.1 to 4.8 per 1,000 patient days after a process change.

Rationale

Correct answer: D. The new finding that fall rates increased from 2.1 to 4.8 per 1,000 patient days after a process change.

Rationale: Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.

Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.

Level: Foundational

Difficulty: Easy

Subtopic: Descriptive statistics