NUR 240 Final Exam Questions With
Correct Answers
The |nurse |reviews |assessment |data |on |a |group |of |patients. |Which |patient |should |the |nurse |
identify |as |experiencing |a |critical |illness?
1. |Chronic |airflow |limitation |with |VS: |BP |110/72, |P |110, |R |16
2. |Acute |bronchospasm |with |VS: |BP |100/60, |P |124, |R |32
3. |Motor |vehicle |crash |with |VS: |BP |124/74, |P |74, |R |18
4. |Chronic |renal |failure |on |hemodialysis |with |no |urine |output |with |VS: |BP |98/50, |P |108, |R |12 |-
|CORRECT |ANSWER✔✔-2
Which |patient |should |the |nurse |expect |to |be |transferred |to |a |critical |care |unit? |Select |all |that |
apply.
Note: |Credit |will |be |given |only |if |all |correct |choices |and |no |incorrect |choices |are |selected.
1. |Experiences |an |acetaminophen |overdose
2. |Diagnosed |with |an |acute |mental |illness
3. |Receiving |treatment |for |chronic |renal |failure
4. |New |onset |of |acute |decompensated |heart |failure
5. |Treatment |for |bacteremia |from |an |infected |foot |wound |- |CORRECT |ANSWER✔✔-1,4,5
The |nurse |employed |in |a |hospital |in |a |small |rural |town |would |expect |to |provide |which |level |of
|care |in |the |critical |care |unit?
1. |Level |I
2. |Level |II
3. |Level |III
,4. |It |is |unlikely |that |the |hospital |would |have |a |critical |care |unit. |- |CORRECT |ANSWER✔✔-3
With |which |individuals |should |the |nurse |expect |to |provide |patient |care |in |an |"open" |ICU?
1. |Multidisciplinary |team |with |physicians |who |are |also |responsible |for |patients |on |other |units
2. |Multidisciplinary |team |that |includes |a |physician |employed |by |the |hospital
3. |Physician |in |charge |of |patient |care |who |is |a |specialist |in |critical |care
4. |Primary |care |physician |who |must |consult |a |critical |care |specialist |- |CORRECT |ANSWER✔✔-1
What |should |the |nurse |who |provides |care |to |patients |in |a |critical |care |unit |realize |the |role |of |
technology |is |on |the |amount |of |errors?
1. |It |relies |heavily |on |human |decision |making.
2. |Devices |are |programmed |to |function |without |double |checks.
3. |It |makes |the |workload |seem |overwhelming |to |health |care |providers.
4. |There |is |uniform |equipment |throughout |each |facility. |- |CORRECT |ANSWER✔✔-2
What |should |the |nurse |identify |as |an |example |of |an |installed |forcing |function |or |a |system-
level |firewall |to |prevent |errors |when |providing |patient |care?
1. |Prior |to |administration |of |insulin, |two |nurses |check |the |dose.
2. |Prior |to |obtaining |a |medication, |height, |weight, |and |allergies |are |recorded.
3. |All |medications |are |checked |by |two |nurses |prior |to |administration.
4. |Undiluted |potassium |chloride |is |not |available |on |critical |care |units. |- |CORRECT |ANSWER✔✔-
4
The |nurse |realizes |that |the |increased |use |of |technology |in |critical |care |units |has |resulted |in |
which |consequence |for |patient |care?
1. |Decreased |risk |of |errors |in |patient |care
2. |Decreased |therapeutic |nurse-patient |communication
,3. |Improved |overall |patient |satisfaction |with |care
4. |Improved |patient |safety |across |the |entire |spectrum |- |CORRECT |ANSWER✔✔-2
The |nurse |in |the |critical |care |area |is |completing |a |preoperative |checklist |before |sending |a |
patient |for |surgery. |This |nurse's |activity |is |an |example |of |which |recommendation |issued |by |the
|Institute |of |Medicine?
1. |Utilizing |constraints
2. |Simplifying |key |processes
3. |Avoiding |reliance |on |vigilance
4. |Standardizing |key |processes |- |CORRECT |ANSWER✔✔-3
Which |actions |should |the |nurse |complete |after |realizing |that |an |incorrect |dose |of |medication |
has |been |administered |to |a |patient? |Select |all |that |apply.
Note: |Credit |will |be |given |only |if |all |correct |choices |and |no |incorrect |choices |are |selected.
1. |Notify |the |patient |and |family.
2. |Notify |the |physician.
3. |Document |the |error.
4. |Prepare |for |an |analysis |of |the |error.
5. |Keep |the |notification |of |the |error |silent. |- |CORRECT |ANSWER✔✔-1,2,3,4
The |nurse |working |within |the |AACN |Synergy |Model |realizes |that |optimal |patient |outcomes |are
|realized |when:
1. |Highly |qualified |nurses |care |for |patients |in |highly |technical |settings.
2. |Nurses |agree |to |work |overtime |to |cover |unit |staffing |needs.
3. |Staff |nurse |competency |is |matched |with |patient |needs.
4. |Patient |care |is |delivered |within |a |"closed |unit" |model. |- |CORRECT |ANSWER✔✔-3
, Which |actions |by |the |critical |care |nurse |demonstrate |an |understanding |of |patient |advocacy? |
Select |all |that |apply.
Note: |Credit |will |be |given |only |if |all |correct |choices |and |no |incorrect |choices |are |selected.
1. |Maintaining |attendance |at |the |bedside |with |the |patient |during |a |physician |visit
2. |Assisting |and |supporting |the |patient |and |family |as |they |reveal |their |needs
3. |Alerting |the |physician |to |concerns |about |client |placement |after |hospitalization
4. |Encouraging |and |supporting |a |patient's |spouse |in |preparing |for |a |family |meeting
5. |Seeing |the |big |picture |when |planning |patient |care |- |CORRECT |ANSWER✔✔-1,2,3,4
A |nurse |is |preparing |to |communicate |an |issue |about |patient |care |to |a |physician |using |the |
SBAR |technique. |Which |phrase |is |an |appropriate |initial |statement?
1. |"I |am |concerned |about..."
2. |"The |patient's |immediate |history |is..."
3. |"I |think |the |problem |is..."
4. |"I |would |like |you |to..." |- |CORRECT |ANSWER✔✔-1
Which |statement |should |the |nurse |include |for |"A-Assessment" |in |the |SBAR |technique |for |
communication?
1. |"I |think |the |problem |is..."
2. |"The |patient's |vital |signs |are..."
3. |"The |patient's |treatments |are..."
4. |"I |would |like |you |to..." |- |CORRECT |ANSWER✔✔-1
Which |statement |should |the |nurse |use |when |concluding |SBAR |communication |about |a |patient
|issue?
1. |"The |patient's |immediate |history |is..."
2. |"The |patient's |physical |findings |are..."
Correct Answers
The |nurse |reviews |assessment |data |on |a |group |of |patients. |Which |patient |should |the |nurse |
identify |as |experiencing |a |critical |illness?
1. |Chronic |airflow |limitation |with |VS: |BP |110/72, |P |110, |R |16
2. |Acute |bronchospasm |with |VS: |BP |100/60, |P |124, |R |32
3. |Motor |vehicle |crash |with |VS: |BP |124/74, |P |74, |R |18
4. |Chronic |renal |failure |on |hemodialysis |with |no |urine |output |with |VS: |BP |98/50, |P |108, |R |12 |-
|CORRECT |ANSWER✔✔-2
Which |patient |should |the |nurse |expect |to |be |transferred |to |a |critical |care |unit? |Select |all |that |
apply.
Note: |Credit |will |be |given |only |if |all |correct |choices |and |no |incorrect |choices |are |selected.
1. |Experiences |an |acetaminophen |overdose
2. |Diagnosed |with |an |acute |mental |illness
3. |Receiving |treatment |for |chronic |renal |failure
4. |New |onset |of |acute |decompensated |heart |failure
5. |Treatment |for |bacteremia |from |an |infected |foot |wound |- |CORRECT |ANSWER✔✔-1,4,5
The |nurse |employed |in |a |hospital |in |a |small |rural |town |would |expect |to |provide |which |level |of
|care |in |the |critical |care |unit?
1. |Level |I
2. |Level |II
3. |Level |III
,4. |It |is |unlikely |that |the |hospital |would |have |a |critical |care |unit. |- |CORRECT |ANSWER✔✔-3
With |which |individuals |should |the |nurse |expect |to |provide |patient |care |in |an |"open" |ICU?
1. |Multidisciplinary |team |with |physicians |who |are |also |responsible |for |patients |on |other |units
2. |Multidisciplinary |team |that |includes |a |physician |employed |by |the |hospital
3. |Physician |in |charge |of |patient |care |who |is |a |specialist |in |critical |care
4. |Primary |care |physician |who |must |consult |a |critical |care |specialist |- |CORRECT |ANSWER✔✔-1
What |should |the |nurse |who |provides |care |to |patients |in |a |critical |care |unit |realize |the |role |of |
technology |is |on |the |amount |of |errors?
1. |It |relies |heavily |on |human |decision |making.
2. |Devices |are |programmed |to |function |without |double |checks.
3. |It |makes |the |workload |seem |overwhelming |to |health |care |providers.
4. |There |is |uniform |equipment |throughout |each |facility. |- |CORRECT |ANSWER✔✔-2
What |should |the |nurse |identify |as |an |example |of |an |installed |forcing |function |or |a |system-
level |firewall |to |prevent |errors |when |providing |patient |care?
1. |Prior |to |administration |of |insulin, |two |nurses |check |the |dose.
2. |Prior |to |obtaining |a |medication, |height, |weight, |and |allergies |are |recorded.
3. |All |medications |are |checked |by |two |nurses |prior |to |administration.
4. |Undiluted |potassium |chloride |is |not |available |on |critical |care |units. |- |CORRECT |ANSWER✔✔-
4
The |nurse |realizes |that |the |increased |use |of |technology |in |critical |care |units |has |resulted |in |
which |consequence |for |patient |care?
1. |Decreased |risk |of |errors |in |patient |care
2. |Decreased |therapeutic |nurse-patient |communication
,3. |Improved |overall |patient |satisfaction |with |care
4. |Improved |patient |safety |across |the |entire |spectrum |- |CORRECT |ANSWER✔✔-2
The |nurse |in |the |critical |care |area |is |completing |a |preoperative |checklist |before |sending |a |
patient |for |surgery. |This |nurse's |activity |is |an |example |of |which |recommendation |issued |by |the
|Institute |of |Medicine?
1. |Utilizing |constraints
2. |Simplifying |key |processes
3. |Avoiding |reliance |on |vigilance
4. |Standardizing |key |processes |- |CORRECT |ANSWER✔✔-3
Which |actions |should |the |nurse |complete |after |realizing |that |an |incorrect |dose |of |medication |
has |been |administered |to |a |patient? |Select |all |that |apply.
Note: |Credit |will |be |given |only |if |all |correct |choices |and |no |incorrect |choices |are |selected.
1. |Notify |the |patient |and |family.
2. |Notify |the |physician.
3. |Document |the |error.
4. |Prepare |for |an |analysis |of |the |error.
5. |Keep |the |notification |of |the |error |silent. |- |CORRECT |ANSWER✔✔-1,2,3,4
The |nurse |working |within |the |AACN |Synergy |Model |realizes |that |optimal |patient |outcomes |are
|realized |when:
1. |Highly |qualified |nurses |care |for |patients |in |highly |technical |settings.
2. |Nurses |agree |to |work |overtime |to |cover |unit |staffing |needs.
3. |Staff |nurse |competency |is |matched |with |patient |needs.
4. |Patient |care |is |delivered |within |a |"closed |unit" |model. |- |CORRECT |ANSWER✔✔-3
, Which |actions |by |the |critical |care |nurse |demonstrate |an |understanding |of |patient |advocacy? |
Select |all |that |apply.
Note: |Credit |will |be |given |only |if |all |correct |choices |and |no |incorrect |choices |are |selected.
1. |Maintaining |attendance |at |the |bedside |with |the |patient |during |a |physician |visit
2. |Assisting |and |supporting |the |patient |and |family |as |they |reveal |their |needs
3. |Alerting |the |physician |to |concerns |about |client |placement |after |hospitalization
4. |Encouraging |and |supporting |a |patient's |spouse |in |preparing |for |a |family |meeting
5. |Seeing |the |big |picture |when |planning |patient |care |- |CORRECT |ANSWER✔✔-1,2,3,4
A |nurse |is |preparing |to |communicate |an |issue |about |patient |care |to |a |physician |using |the |
SBAR |technique. |Which |phrase |is |an |appropriate |initial |statement?
1. |"I |am |concerned |about..."
2. |"The |patient's |immediate |history |is..."
3. |"I |think |the |problem |is..."
4. |"I |would |like |you |to..." |- |CORRECT |ANSWER✔✔-1
Which |statement |should |the |nurse |include |for |"A-Assessment" |in |the |SBAR |technique |for |
communication?
1. |"I |think |the |problem |is..."
2. |"The |patient's |vital |signs |are..."
3. |"The |patient's |treatments |are..."
4. |"I |would |like |you |to..." |- |CORRECT |ANSWER✔✔-1
Which |statement |should |the |nurse |use |when |concluding |SBAR |communication |about |a |patient
|issue?
1. |"The |patient's |immediate |history |is..."
2. |"The |patient's |physical |findings |are..."
