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Portage Learning
PN School of Nursing
EST. 2009
FLEXIBLE. AFFORDABLE. ACCREDITED.
NUR 231 Exam 1 — Comprehensive Review
N U RS I N G F U N DA M E N TA LS , P R E O P E RAT I V E C A R E , & C R I T I C A L CO N C E PTS
INSTITUTION Portage Learning COURSE CODE NUR 231
PROGRAM Nursing ACADEMIC YEAR
EXAM TITLE NUR 231 Exam 1 — TOTAL QUESTIONS 138 Questions
Comprehensive Review
COURSE TITLE Nursing Fundamentals FORMAT Multiple Choice — Select the
Single Best Answer
EXAMINATION INSTRUCTIONS
▸ Select the single best answer for each question.
▸ Questions cover restorative care, preop/postop care, cardiac conduction, asepsis, anesthesia, shock,
and fluid/electrolytes.
▸ Correct answers and detailed rationales appear below each question.
▸ Use these rationales to reinforce key nursing concepts for clinical practice.
, SECTION I — NURSING FUNDAMENTALS &
Questions 1 – 138
PREOPERATIVE CARE
1. What is restorative care?
A. Involves intermediate follow-up care for restoring health and promoting self-care, home
health care
B. Emergency care for life-threatening conditions
C. Primary prevention and health promotion
D. End-of-life care and palliation
CORRECT ANSWER A — Involves intermediate follow-up care for restoring health and
promoting self-care, home health care
RATIONALE Restorative care involves intermediate follow-up care for restoring health and
promoting self-care, including home health care. It helps patients regain their
health, strength, and independence after an acute illness or injury.
2. What is hotspotting?
A. Identifies patients who use a disproportionately high amount of healthcare resources
B. A method of tracking infectious diseases
C. A quality improvement tool for medication errors
D. A technique for managing chronic pain
CORRECT ANSWER A — Identifies patients who use a disproportionately high amount of
healthcare resources
RATIONALE Hotspotting identifies patients who use a disproportionately high amount of
healthcare resources. This strategy helps healthcare providers target
interventions for high-utilizers to improve outcomes and reduce costs.
,3. What is the purpose of safety with accreditation?
A. Helps prevent errors, creates a culture of safety, tries to reduce "never" and "sentinel"
events, encourages core measures
B. Increases hospital revenue
C. Reduces staffing requirements
D. Eliminates the need for quality improvement
CORRECT ANSWER A — Helps prevent errors, creates a culture of safety, tries to reduce "never"
and "sentinel" events, encourages core measures
RATIONALE Safety with accreditation helps prevent errors, creates a culture of safety, tries to
reduce "never" and "sentinel" events, and encourages core measures such as
CAUTI and CLABSI rates. Accreditation standards promote patient safety and
quality improvement.
4. What is the correct order of prioritization in nursing?
A. Airway, Breathing, Circulation, Safety, Infection, Nutrition, Psychosocial
B. Safety, Airway, Breathing, Circulation, Infection, Nutrition, Psychosocial
C. Circulation, Airway, Breathing, Safety, Infection, Nutrition, Psychosocial
D. Psychosocial, Nutrition, Infection, Safety, Circulation, Breathing, Airway
CORRECT ANSWER A — Airway, Breathing, Circulation, Safety, Infection, Nutrition,
Psychosocial
RATIONALE The correct order of prioritization is: Airway, Breathing, Circulation, Safety,
Infection, Nutrition, Psychosocial. This follows the ABCs and Maslow's hierarchy
of needs, ensuring life-threatening issues are addressed first.
, 5. Which of the following are intradisciplinary nursing team members?
A. Direct care provider, nurse manager, administrator, clinical nurse specialist, educator,
researcher
B. Lab tech, spiritual care, PT/OT/RT/ST, pharmacy staff
C. Physicians, PAs, social workers
D. Dieticians, radiology techs, care managers
CORRECT ANSWER A — Direct care provider, nurse manager, administrator, clinical nurse
specialist, educator, researcher
RATIONALE Intradisciplinary nursing team members include nurses in various roles within the
nursing profession: direct care provider, nurse manager, administrator, clinical
nurse specialist, educator, and researcher. These are all members of the nursing
discipline.
6. Which of the following are interdisciplinary nursing team members?
A. Lab tech, spiritual care, PT/OT/RT/ST, pharmacy staff, dietician, PA/physician, radiology
tech, social work/care manager
B. Direct care provider, nurse manager, administrator
C. Clinical nurse specialist, educator, researcher
D. Only physicians and nurses
CORRECT ANSWER A — Lab tech, spiritual care, PT/OT/RT/ST, pharmacy staff, dietician,
PA/physician, radiology tech, social work/care manager
RATIONALE Interdisciplinary team members come from different healthcare disciplines and
include lab techs, spiritual care providers,
physical/occupational/respiratory/speech therapists, pharmacy staff, dietitians,
PAs/physicians, radiology techs, and social workers/care managers.