Sentinel U Nursing Simulations Exam 2 - Questions with
Correct Answers (Verified Update)
50 questions
1. Why is reflection during debriefing essential for transferring simulation learning to clinical
practice?
A. It shortens the simulation
B. It helps learners examine their reasoning, identify gaps and plan how to act differently with real
patients
C. It replaces assessment
D. It provides a grade only
Correct Answer: B. It helps learners examine their reasoning, identify gaps and plan how to
act differently with real patients
Rationale: Reflective practice links experience to future performance.
2. A learner repeats a simulation several times until the score is perfect without reviewing
feedback. The main limitation is that:
A. Repetition is never useful
B. Scores are always inaccurate
C. Simulation cannot teach anything
D. The learner may learn the scenario rather than the underlying clinical reasoning
Correct Answer: D. The learner may learn the scenario rather than the underlying clinical
reasoning
Rationale: Deliberate practice requires reflection on feedback.
3. Which QSEN competency is shown when a nurse reports a near miss to the safety reporting
system?
A. Informatics only
B. Patient-centered care
C. Evidence-based practice
D. Safety
Correct Answer: D. Safety
Rationale: Reporting near misses helps prevent future harm.
4. A nurse uses trended unit fall data to design a new prevention approach. This reflects:
A. Teamwork only
B. Patient-centered care only
C. Quality improvement
D. Informatics only
Correct Answer: C. Quality improvement
Rationale: QI uses data to improve care.
5. Why should a windshield survey be done at different times of day and days of the week?
A. It is required by law
B. Community activity, safety and services can vary by time
C. Data are only valid at night
D. It is easier to complete
Correct Answer: B. Community activity, safety and services can vary by time
Rationale: A single snapshot may miss important patterns.
, 6. A neighborhood has many check-cashing stores and pawn shops but no banks. This most
likely indicates:
A. High household wealth
B. A strong health care system
C. Economic disadvantage and limited financial services
D. Good public transportation
Correct Answer: C. Economic disadvantage and limited financial services
Rationale: Observations reflect economic conditions.
7. A nurse observes elderly residents sitting on porches with no nearby clinic or pharmacy.
Which further data would best clarify the community's needs?
A. The color of the houses
B. Key informant interviews and data on age distribution and chronic disease
C. The number of cars parked
D. Weather reports
Correct Answer: B. Key informant interviews and data on age distribution and chronic
disease
Rationale: Combining sources strengthens conclusions.
8. Which is the best reason to include community assets in an assessment?
A. Assets are easier to measure than needs
B. Needs are unimportant
C. Funding agencies require photos
D. Interventions are more sustainable when they build on existing strengths
Correct Answer: D. Interventions are more sustainable when they build on existing strengths
Rationale: Asset-based approaches increase community ownership.
9. In the Community-as-Partner model, a lack of after-school programs would be assessed under
which subsystem?
A. Education and recreation
B. Economy
C. Politics and government
D. Physical environment
Correct Answer: A. Education and recreation
Rationale: Recreation and education resources affect youth health.
10. Two neighborhoods: A has 40 asthma ED visits among 4,000 children; B has 60 among
12,000. Which statement is correct?
A. B has the higher rate
B. A's rate (10 per 1,000) is twice B's (5 per 1,000)
C. The rates are equal
D. Rates cannot be compared
Correct Answer: B. A's rate (10 per 1,000) is twice B's (5 per 1,000)
Rationale: Rates adjust for population size.
Correct Answers (Verified Update)
50 questions
1. Why is reflection during debriefing essential for transferring simulation learning to clinical
practice?
A. It shortens the simulation
B. It helps learners examine their reasoning, identify gaps and plan how to act differently with real
patients
C. It replaces assessment
D. It provides a grade only
Correct Answer: B. It helps learners examine their reasoning, identify gaps and plan how to
act differently with real patients
Rationale: Reflective practice links experience to future performance.
2. A learner repeats a simulation several times until the score is perfect without reviewing
feedback. The main limitation is that:
A. Repetition is never useful
B. Scores are always inaccurate
C. Simulation cannot teach anything
D. The learner may learn the scenario rather than the underlying clinical reasoning
Correct Answer: D. The learner may learn the scenario rather than the underlying clinical
reasoning
Rationale: Deliberate practice requires reflection on feedback.
3. Which QSEN competency is shown when a nurse reports a near miss to the safety reporting
system?
A. Informatics only
B. Patient-centered care
C. Evidence-based practice
D. Safety
Correct Answer: D. Safety
Rationale: Reporting near misses helps prevent future harm.
4. A nurse uses trended unit fall data to design a new prevention approach. This reflects:
A. Teamwork only
B. Patient-centered care only
C. Quality improvement
D. Informatics only
Correct Answer: C. Quality improvement
Rationale: QI uses data to improve care.
5. Why should a windshield survey be done at different times of day and days of the week?
A. It is required by law
B. Community activity, safety and services can vary by time
C. Data are only valid at night
D. It is easier to complete
Correct Answer: B. Community activity, safety and services can vary by time
Rationale: A single snapshot may miss important patterns.
, 6. A neighborhood has many check-cashing stores and pawn shops but no banks. This most
likely indicates:
A. High household wealth
B. A strong health care system
C. Economic disadvantage and limited financial services
D. Good public transportation
Correct Answer: C. Economic disadvantage and limited financial services
Rationale: Observations reflect economic conditions.
7. A nurse observes elderly residents sitting on porches with no nearby clinic or pharmacy.
Which further data would best clarify the community's needs?
A. The color of the houses
B. Key informant interviews and data on age distribution and chronic disease
C. The number of cars parked
D. Weather reports
Correct Answer: B. Key informant interviews and data on age distribution and chronic
disease
Rationale: Combining sources strengthens conclusions.
8. Which is the best reason to include community assets in an assessment?
A. Assets are easier to measure than needs
B. Needs are unimportant
C. Funding agencies require photos
D. Interventions are more sustainable when they build on existing strengths
Correct Answer: D. Interventions are more sustainable when they build on existing strengths
Rationale: Asset-based approaches increase community ownership.
9. In the Community-as-Partner model, a lack of after-school programs would be assessed under
which subsystem?
A. Education and recreation
B. Economy
C. Politics and government
D. Physical environment
Correct Answer: A. Education and recreation
Rationale: Recreation and education resources affect youth health.
10. Two neighborhoods: A has 40 asthma ED visits among 4,000 children; B has 60 among
12,000. Which statement is correct?
A. B has the higher rate
B. A's rate (10 per 1,000) is twice B's (5 per 1,000)
C. The rates are equal
D. Rates cannot be compared
Correct Answer: B. A's rate (10 per 1,000) is twice B's (5 per 1,000)
Rationale: Rates adjust for population size.
