NUR 382 EXAM QUESTIONS WITH
CORRECT ANSWERS
The family of a critically ill patient tells the nurse that they have not
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spoken with the physician in over 12 hours and that they have some
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questions they want clarified. During morning rounds, the nurse
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conveys this concern to the attending intensivist and arranges a meeting
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with the family at 4:00 PM. Which competency of critical care nursing
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does this represent?
| |
A. Advocation in solving ethical issues
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B. Demonstration of clinical judgement skills
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C. Collaboration with patients, families, and team members
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Facilitation of learning for patients, families and team members -
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CORRECT ANSWER✔✔-CollaborationCollarboration with patients,
| | | |
families, and team members
| | |
Comparing the patient's current (home) medications with those ordered
| | | | | | | |
during hospitalization and communicating a complete list of
| | | | | | | | |
medications to the next provider when the patient is transferred to
| | | | | | | | | | |
another setting are strategies to:
| | | |
A. prevent wasteful spending of underutilized medications
| | | | | |
B. improve accuracy of patient identification
| | | | | |
,C. reduce harms associated with the administration of potent
| | | | | | | | |
medications such as anticoagulants | | | |
D. Reconcile medications across the continuum of care - CORRECT
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ANSWER✔✔-D. Reconcile medications across the continuum of care | | | | | | |
The intensive care nurse is working on a committee to increase safety in
| | | | | | | | | | | | |
the unit. Which recommendation should the nurse propose first?
| | | | | | | |
A. Invest in call lights that age the nursing staff instead of turn on a light
| | | | | | | | | | | | | | | |
outside of the rom | | |
B.change telephones to blinking lights instead of audible ringtones
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C. Ensure alarms at the bedside are not silenced
| | | | | | | | |
D. Recommend that nurses turn off cardiac monitors on stable patients -
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CORRECT ANSWER✔✔-C. Ensure alarms at the bedside are not silenced
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Which nursing intervention would best support the family of a critically
| | | | | | | | | | |
ill patient?
|
A. Limit visitation of children in the critical care unit
| | | | | | | | |
B. Give condition update each morning and whenever changes occur
| | | | | | | | |
C. Encourage family members to stay all night in care the patient needs
| | | | | | | | | | | | |
them
D. Provide beverages and snacks in the waiting room - CORRECT
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ANSWER✔✔-B. Give condition update each morning and whenever | | | | | | | |
changes occur |
, The nurse is caring for a patient whose condition has deteriorated and
| | | | | | | | | | | |
who is not responding to standard treatment. The physician calls for an
| | | | | | | | | | | |
ethical consultation with the family to discuss potential withdrawal of
| | | | | | | | | |
treatment versus aggressive treatment. The nurse understands that
| | | | | | | |
applying a model for ethical decision making involves which of the
| | | | | | | | | | |
following? (Select all that apply) | | | |
A. Organizational cost savings
| | |
B. Burden VS benefit
| | | |
C. Potential outcomes of treatment options
| | | | |
D. Patients wishes - CORRECT ANSWER✔✔-B. Burden VS benefit
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C. Potential outcomes of treatment options
| | | | |
D. Patients wishes
| |
The nurse is caring for a patient who is not responding to medical
| | | | | | | | | | | | |
treatment. The intensivist holds a conference with the family and a
| | | | | | | | | | |
decision is made to withdraw life support. The nurse's religious beliefs
| | | | | | | | | | |
are not in agreement with the withdrawal of life support. However, the
| | | | | | | | | | | |
nurse assists with the process to avoid confronting the charge nurse.
| | | | | | | | | | |
Afterward the nurse feels guilty for "killing the patient." This scenario is
| | | | | | | | | | | |
likely to cause: | |
A. moral distress.
| |
B. abandonment.
|
C. family stress.
| |
D. negligence. - CORRECT ANSWER✔✔-A. Moral distress
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CORRECT ANSWERS
The family of a critically ill patient tells the nurse that they have not
| | | | | | | | | | | | | |
spoken with the physician in over 12 hours and that they have some
| | | | | | | | | | | | |
questions they want clarified. During morning rounds, the nurse
| | | | | | | | |
conveys this concern to the attending intensivist and arranges a meeting
| | | | | | | | | |
with the family at 4:00 PM. Which competency of critical care nursing
| | | | | | | | | | | | |
does this represent?
| |
A. Advocation in solving ethical issues
| | | | |
B. Demonstration of clinical judgement skills
| | | | |
C. Collaboration with patients, families, and team members
| | | | | | |
Facilitation of learning for patients, families and team members -
| | | | | | | | | |
CORRECT ANSWER✔✔-CollaborationCollarboration with patients,
| | | |
families, and team members
| | |
Comparing the patient's current (home) medications with those ordered
| | | | | | | |
during hospitalization and communicating a complete list of
| | | | | | | | |
medications to the next provider when the patient is transferred to
| | | | | | | | | | |
another setting are strategies to:
| | | |
A. prevent wasteful spending of underutilized medications
| | | | | |
B. improve accuracy of patient identification
| | | | | |
,C. reduce harms associated with the administration of potent
| | | | | | | | |
medications such as anticoagulants | | | |
D. Reconcile medications across the continuum of care - CORRECT
| | | | | | | | | |
ANSWER✔✔-D. Reconcile medications across the continuum of care | | | | | | |
The intensive care nurse is working on a committee to increase safety in
| | | | | | | | | | | | |
the unit. Which recommendation should the nurse propose first?
| | | | | | | |
A. Invest in call lights that age the nursing staff instead of turn on a light
| | | | | | | | | | | | | | | |
outside of the rom | | |
B.change telephones to blinking lights instead of audible ringtones
| | | | | | | |
C. Ensure alarms at the bedside are not silenced
| | | | | | | | |
D. Recommend that nurses turn off cardiac monitors on stable patients -
| | | | | | | | | | |
CORRECT ANSWER✔✔-C. Ensure alarms at the bedside are not silenced
| | | | | | | | | |
Which nursing intervention would best support the family of a critically
| | | | | | | | | | |
ill patient?
|
A. Limit visitation of children in the critical care unit
| | | | | | | | |
B. Give condition update each morning and whenever changes occur
| | | | | | | | |
C. Encourage family members to stay all night in care the patient needs
| | | | | | | | | | | | |
them
D. Provide beverages and snacks in the waiting room - CORRECT
| | | | | | | | | | |
ANSWER✔✔-B. Give condition update each morning and whenever | | | | | | | |
changes occur |
, The nurse is caring for a patient whose condition has deteriorated and
| | | | | | | | | | | |
who is not responding to standard treatment. The physician calls for an
| | | | | | | | | | | |
ethical consultation with the family to discuss potential withdrawal of
| | | | | | | | | |
treatment versus aggressive treatment. The nurse understands that
| | | | | | | |
applying a model for ethical decision making involves which of the
| | | | | | | | | | |
following? (Select all that apply) | | | |
A. Organizational cost savings
| | |
B. Burden VS benefit
| | | |
C. Potential outcomes of treatment options
| | | | |
D. Patients wishes - CORRECT ANSWER✔✔-B. Burden VS benefit
| | | | | | | | |
C. Potential outcomes of treatment options
| | | | |
D. Patients wishes
| |
The nurse is caring for a patient who is not responding to medical
| | | | | | | | | | | | |
treatment. The intensivist holds a conference with the family and a
| | | | | | | | | | |
decision is made to withdraw life support. The nurse's religious beliefs
| | | | | | | | | | |
are not in agreement with the withdrawal of life support. However, the
| | | | | | | | | | | |
nurse assists with the process to avoid confronting the charge nurse.
| | | | | | | | | | |
Afterward the nurse feels guilty for "killing the patient." This scenario is
| | | | | | | | | | | |
likely to cause: | |
A. moral distress.
| |
B. abandonment.
|
C. family stress.
| |
D. negligence. - CORRECT ANSWER✔✔-A. Moral distress
| | | | | |
