Jefferson State Nursing NUR 115 final exam Questions With
Complete Solutions
"An unexpected occurrence involving death or serious injury or
risk thereof" describes what?
A. Failure mode
B. Effects analysis
C. Sentinel event
D. Root cause Correct Answer A. Failure mode
B. Effects analysis
C. Sentinel event
D. Root cause
1. True or False: Nurses must report a conviction for Driving
under the Influence (DUI)/Driving While Intoxicated (DWI) to
the Board of Nursing. Correct Answer True
1. Which patient is best to assign to an RN who floated from the
oncology unit?
A. A 57-year-old with full-thickness burns on both arms who
needs assistance in positioning hand splints.
B. A 36-year-old who requires discharge teaching about
nutrition and wound care after skin grafts.
C. A 45-year-old with partial-thickness back burns who needs a
dressing change.
D. A 23-year-old who has just been admitted with burns over
30% of the body. Correct Answer A. A 57-year-old with full-
thickness burns on both arms who needs assistance in
positioning hand splints.
B. A 36-year-old who requires discharge teaching about
nutrition and wound care after skin grafts.
,C. A 45-year-old with partial-thickness back burns who needs a
dressing change.
D. A 23-year-old who has just been admitted with burns over
30% of the body.
A 19-year-old patient with type 1 diabetes has been brought to
the emergency department. The nurse is performing triage
assessment. The patient is flushed, skin is hot and dry, his lips
are cracked, and his skin is tenting. His respirations are deep and
rapid (32 breaths/min). He states he may have forgotten to take
his insulin for the last few days because he has been studying for
college finals. His fingerstick glucose is 685. What is your
priority action?
A. Take the patient immediately to a treatment room.
B. Obtain the patient's height and weight.
C. Notify the patient's primary physician.
D. Notify the patient's parent for permission to treat. Correct
Answer A. Take the patient immediately to a treatment room.
B. Obtain the patient's height and weight.
C. Notify the patient's primary physician.
D. Notify the patient's parent for permission to treat.
A 60-year-old patient is admitted to the same-day surgery unit
for elective facial dermabrasion. Which information is most
important to report to the plastic surgeon?
A. The patient does not routinely use sunscreen.
B. The patient has a family history of melanoma.
C. The patient has not eaten anything for 8 hours.
D. The patient takes 325 mg of aspirin daily. Correct Answer
A. The patient does not routinely use sunscreen.
B. The patient has a family history of melanoma.
, C. The patient has not eaten anything for 8 hours.
D. The patient takes 325 mg of aspirin daily.
A patient admitted to the emergency department reports itching
of the trunk and groin. The nurse notes multiple reddened
wheals on the chest, back, and groin. Which question is most
appropriate to ask first?
A. "Are you taking any new medications?"
B. "Are you under some unusual stress?"
C. "Have you been using sunscreen regularly?"
D. "Do you have a family history of eczema?" Correct Answer
A. "Are you taking any new medications?"
B. "Are you under some unusual stress?"
C. "Have you been using sunscreen regularly?"
D. "Do you have a family history of eczema?"
A patient has just had a squamous cell carcinoma removed from
the face. Which activity can you delegate to an experienced
LPN?
A. Teaching the patient about risk factors for squamous cell
carcinoma.
B. Monitoring the surgical site for swelling, bleeding, or pain.
C. Discussing the reasons for avoiding aspirin use for a week
after surgery.
D. Showing the patient how to care for the surgical site at home.
Correct Answer A. Teaching the patient about risk factors for
squamous cell carcinoma.
B. Monitoring the surgical site for swelling, bleeding, or pain.
C. Discussing the reasons for avoiding aspirin use for a week
after surgery.
D. Showing the patient how to care for the surgical site at home.
Complete Solutions
"An unexpected occurrence involving death or serious injury or
risk thereof" describes what?
A. Failure mode
B. Effects analysis
C. Sentinel event
D. Root cause Correct Answer A. Failure mode
B. Effects analysis
C. Sentinel event
D. Root cause
1. True or False: Nurses must report a conviction for Driving
under the Influence (DUI)/Driving While Intoxicated (DWI) to
the Board of Nursing. Correct Answer True
1. Which patient is best to assign to an RN who floated from the
oncology unit?
A. A 57-year-old with full-thickness burns on both arms who
needs assistance in positioning hand splints.
B. A 36-year-old who requires discharge teaching about
nutrition and wound care after skin grafts.
C. A 45-year-old with partial-thickness back burns who needs a
dressing change.
D. A 23-year-old who has just been admitted with burns over
30% of the body. Correct Answer A. A 57-year-old with full-
thickness burns on both arms who needs assistance in
positioning hand splints.
B. A 36-year-old who requires discharge teaching about
nutrition and wound care after skin grafts.
,C. A 45-year-old with partial-thickness back burns who needs a
dressing change.
D. A 23-year-old who has just been admitted with burns over
30% of the body.
A 19-year-old patient with type 1 diabetes has been brought to
the emergency department. The nurse is performing triage
assessment. The patient is flushed, skin is hot and dry, his lips
are cracked, and his skin is tenting. His respirations are deep and
rapid (32 breaths/min). He states he may have forgotten to take
his insulin for the last few days because he has been studying for
college finals. His fingerstick glucose is 685. What is your
priority action?
A. Take the patient immediately to a treatment room.
B. Obtain the patient's height and weight.
C. Notify the patient's primary physician.
D. Notify the patient's parent for permission to treat. Correct
Answer A. Take the patient immediately to a treatment room.
B. Obtain the patient's height and weight.
C. Notify the patient's primary physician.
D. Notify the patient's parent for permission to treat.
A 60-year-old patient is admitted to the same-day surgery unit
for elective facial dermabrasion. Which information is most
important to report to the plastic surgeon?
A. The patient does not routinely use sunscreen.
B. The patient has a family history of melanoma.
C. The patient has not eaten anything for 8 hours.
D. The patient takes 325 mg of aspirin daily. Correct Answer
A. The patient does not routinely use sunscreen.
B. The patient has a family history of melanoma.
, C. The patient has not eaten anything for 8 hours.
D. The patient takes 325 mg of aspirin daily.
A patient admitted to the emergency department reports itching
of the trunk and groin. The nurse notes multiple reddened
wheals on the chest, back, and groin. Which question is most
appropriate to ask first?
A. "Are you taking any new medications?"
B. "Are you under some unusual stress?"
C. "Have you been using sunscreen regularly?"
D. "Do you have a family history of eczema?" Correct Answer
A. "Are you taking any new medications?"
B. "Are you under some unusual stress?"
C. "Have you been using sunscreen regularly?"
D. "Do you have a family history of eczema?"
A patient has just had a squamous cell carcinoma removed from
the face. Which activity can you delegate to an experienced
LPN?
A. Teaching the patient about risk factors for squamous cell
carcinoma.
B. Monitoring the surgical site for swelling, bleeding, or pain.
C. Discussing the reasons for avoiding aspirin use for a week
after surgery.
D. Showing the patient how to care for the surgical site at home.
Correct Answer A. Teaching the patient about risk factors for
squamous cell carcinoma.
B. Monitoring the surgical site for swelling, bleeding, or pain.
C. Discussing the reasons for avoiding aspirin use for a week
after surgery.
D. Showing the patient how to care for the surgical site at home.
