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NUR 240 Final Exam Questions &
Answers
The nurse manager reviews the standards of self-care for caregivers during a staff
meeting. Which staff nurse comment indicates that teaching about the standards
has been effective?
1. "I will consider yoga classes."
2. "I will play tennis with my sister at least twice a week."
3. "I do love to read, but at times I review the events of the day and I'm
distracted."
4. "Going to the zoo with my nephew might be a good idea if I'm not needed for
overtime." - correct-answer -2
The nurse identifies a patient in the critical care unit as having "resiliency." What
characteristic has the nurse identified in the patient?
1. Motivation to reduce anxiety through positive self-talk
2. Ability to bounce back quickly after an insult
3. Physical strength to endure extreme physical stressors
4. Ability to return to a state of equilibrium - correct-answer -2
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While caring for a patient in the critical care unit, the nurse realizes that the
patient's care needs must be a balance between the patient's long-term prognosis
and the family's expectations of recovery. Which AACN Synergy Model
characteristic does this situation describe?
1. Complexity
2. Predictability
3. Participation in care
4. Resource availability - correct-answer -1
The nurse realizes that which stressor is one of the primary concerns of critically ill
patients and should be routinely included during assessments?
1. Inability to control elimination
2. Lack of family support
3. Hunger
4. Altered ability to communicate - correct-answer -4
A patient has just completed a preoperative education session prior to undergoing
coronary artery bypass surgery. Which patient statements indicate that teaching
has been effective? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
1. "I understand that I will have to blink my eyes to respond after the breathing
tube is in my throat."
2. "I will be given frequent mouth care to help me when I am thirsty."
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3. "I will be able to move about freely in bed and into the chair without help while
connected to the electronic equipment for monitoring."
4. "I may need something to help me rest due to the unfamiliar lights and sounds
of the ICU unit."
5. "I might not behave like my usual self after the surgery, but it will be because of
the medications and my illness." - correct-answer -1,2,4,5
When providing care to critically ill patients, whether they are responsive or
unresponsive, what should the nurse do?
1. Clearly explain what care is to be done before starting the activity.
2. Perform the activity and then let the patient rest without explaining the care.
3. Make sure the patient always responds and is cooperative before giving care.
4. Explain to the family that the patient will not understand or remember any of
the discomfort associated with care. - correct-answer -1
Which communication strategy should the critical care nurse use when
communicating with a ventilated patient?
1. Use professional terminology and provide the patient with detailed
information.
2. Use simple language and explain in other terms if the patient does not seem to
understand.
3. Provide minimal information so the patient is not overwhelmed.
4. Discuss issues primarily with the family because the patient is unlikely to
understand the information. - correct-answer -2
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During an assessment, a ventilated patient begins to frown and wiggle about in
bed. Which assessment strategy would be most helpful for the nurse to validate
these observations?
1. Glasgow Scale
2. Maslow's hierarchy levels
3. Critical-Care Pain Observation Tool (CPOT)
4. Vital signs trends - correct-answer -3
Which parameter indicates that a patient in the intensive care unit being
mechanically ventilated is ready for an interruption in sedation? Select all that
apply.
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
1. MAP of 75 and heart rate of 76
2. Awakens with verbal stimuli
3. Frowns when turned but otherwise shows no muscular tension
4. Activates the ventilator alarms, but the alarms stopped spontaneously
5. Receives neuromuscular blocking agents to ensure adequate ventilation -
correct-answer -1,2,3,4
NUR 240 Final Exam Questions &
Answers
The nurse manager reviews the standards of self-care for caregivers during a staff
meeting. Which staff nurse comment indicates that teaching about the standards
has been effective?
1. "I will consider yoga classes."
2. "I will play tennis with my sister at least twice a week."
3. "I do love to read, but at times I review the events of the day and I'm
distracted."
4. "Going to the zoo with my nephew might be a good idea if I'm not needed for
overtime." - correct-answer -2
The nurse identifies a patient in the critical care unit as having "resiliency." What
characteristic has the nurse identified in the patient?
1. Motivation to reduce anxiety through positive self-talk
2. Ability to bounce back quickly after an insult
3. Physical strength to endure extreme physical stressors
4. Ability to return to a state of equilibrium - correct-answer -2
,2|Page
While caring for a patient in the critical care unit, the nurse realizes that the
patient's care needs must be a balance between the patient's long-term prognosis
and the family's expectations of recovery. Which AACN Synergy Model
characteristic does this situation describe?
1. Complexity
2. Predictability
3. Participation in care
4. Resource availability - correct-answer -1
The nurse realizes that which stressor is one of the primary concerns of critically ill
patients and should be routinely included during assessments?
1. Inability to control elimination
2. Lack of family support
3. Hunger
4. Altered ability to communicate - correct-answer -4
A patient has just completed a preoperative education session prior to undergoing
coronary artery bypass surgery. Which patient statements indicate that teaching
has been effective? Select all that apply.
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
1. "I understand that I will have to blink my eyes to respond after the breathing
tube is in my throat."
2. "I will be given frequent mouth care to help me when I am thirsty."
,3|Page
3. "I will be able to move about freely in bed and into the chair without help while
connected to the electronic equipment for monitoring."
4. "I may need something to help me rest due to the unfamiliar lights and sounds
of the ICU unit."
5. "I might not behave like my usual self after the surgery, but it will be because of
the medications and my illness." - correct-answer -1,2,4,5
When providing care to critically ill patients, whether they are responsive or
unresponsive, what should the nurse do?
1. Clearly explain what care is to be done before starting the activity.
2. Perform the activity and then let the patient rest without explaining the care.
3. Make sure the patient always responds and is cooperative before giving care.
4. Explain to the family that the patient will not understand or remember any of
the discomfort associated with care. - correct-answer -1
Which communication strategy should the critical care nurse use when
communicating with a ventilated patient?
1. Use professional terminology and provide the patient with detailed
information.
2. Use simple language and explain in other terms if the patient does not seem to
understand.
3. Provide minimal information so the patient is not overwhelmed.
4. Discuss issues primarily with the family because the patient is unlikely to
understand the information. - correct-answer -2
, 4|Page
During an assessment, a ventilated patient begins to frown and wiggle about in
bed. Which assessment strategy would be most helpful for the nurse to validate
these observations?
1. Glasgow Scale
2. Maslow's hierarchy levels
3. Critical-Care Pain Observation Tool (CPOT)
4. Vital signs trends - correct-answer -3
Which parameter indicates that a patient in the intensive care unit being
mechanically ventilated is ready for an interruption in sedation? Select all that
apply.
Note: Credit will be given only if all correct choices and no incorrect choices are
selected.
1. MAP of 75 and heart rate of 76
2. Awakens with verbal stimuli
3. Frowns when turned but otherwise shows no muscular tension
4. Activates the ventilator alarms, but the alarms stopped spontaneously
5. Receives neuromuscular blocking agents to ensure adequate ventilation -
correct-answer -1,2,3,4
