NUR 100 EXAM 2 QUESTIONS WITH COMPLETE
SOLUTIONS
9. 9.ID: 11401406145
What are the correct steps to resolve an ethical dilemma on a
clinical unit? Place the steps in correct order.
1. Clarify values.
2. Ask the question, Is this an ethical dilemma?
3. Verbalize the problem.
4. Gather information.
5. Identify course of action.
6. Evaluate the plan.
7. Negotiate a plan. Correct Answer A. 2, 4, 1, 3, 5, 7, 6
A child's immunization may cause discomfort during
administration, but the benefits of protection from disease, both
for the individual and society, outweigh the temporary
discomforts. Which principle is involved in this situation?
Correct Answer Beneficence
A community center is presenting a nurse-led program on the
Patient Protection and Affordable Care Act. Which statement
made by a participant indicates a need for further teaching?
Correct Answer "As long as my son is a full-time student in
College, I will be able to keep him on my health insurance until
he is 26 years old
A community nurse in a diverse community is working with
health care professionals to provide for prenatal care for under
employed and under insured South African women. Which
overall goal of Healthy People 2020 does this represent?
,Correct Answer Increase life expectancy and quality of life and
to eliminate health disparities
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of
Nurses (QSEN) competency? Correct Answer Informatics
A group of nurses have identified that the elderly patients on
their unit have a high incidence of pressure ulcers after they
have a stroke. During a unit meeting, they discuss different
interventions they think may reduce the development of pressure
ulcers. What is the nurses' next step to investigate this clinical
problem further? Correct Answer Create a well-defined PICOT
question.
A group of nurses is discussing the advantages of using
computerized provider order entry (CPOE). Which of the
following statements indicates that the nurses understand the
major advantage of using CPOE? Correct Answer A. "CPOE
reduces transcription errors."
A group of nurses on the research council of a local hospital are
measuring nursing-sensitive outcomes. Which of the following
is a nursing-sensitive outcome that the nurses need to consider
measuring? (Select all that apply.) Correct Answer The number
of patients who develop a urinary tract infection from a Foley
catheter.
Number of patients who fall and experience subsequent injury
on the evening shift.
,A group of staff nurses notice an increased incidence of
medication errors on their unit. After further investigation it is
determined that the nurses are not consistently identifying the
patient correctly. A change is needed quickly. What type of
quality improvement method would be most appropriate?
Correct Answer Rapid-improvement event
A home health nurse notices significant bruising on a 2-year-old
patient's head, arms, abdomen, and legs. The patient's mother
describes the patient's frequent falls. What is the best nursing
action for the home health nurse to take? Correct Answer
Contact a child abuse hotline
A homeless man enters the emergency department seeking
health care. The health care provider indicates that the patient
needs to be transferred to the City Hospital for care. This action
is most likely a violation of which of the following laws?
Correct Answer B. Emergency Medical Treatment and Active
Labor Act (EMTALA) without triage completed
A manager is reviewing the nursing documentation entered by a
staff nurse in a patient's electronic medical record and finds the
following entry, "Patient is difficult to care for, refuses
suggestion for improving appetite." Which of the following
statements is most appropriate for the manager to make to the
staff nurse who entered this information? Correct Answer Enter
only objective and factual information about a patient in the
medical record.
, A new nurse complains to her preceptor that she has no time for
therapeutic communication with her patients. Which of the
following is the best strategy to help the nurse find more time
for this communication? Correct Answer Include
communication while performing tasks such as changing
dressings and checking vital signs.
A new nurse is experiencing lateral violence at work. Which
steps could the nurse take to address this problem? Correct
Answer Talk with the preceptor or manager and ask for
assistance in handling this issue
A nurse ensures that each patient's room is clean, well
ventilated, and free from clutter, excessive noise, and extremes
in temperature. Which theorist's work is the nurse practicing in
this example? Correct Answer Nightingale
A nurse has been gathering physical assessment data on a patient
and is now listening to the patient's concerns. The nurse sets a
goal of care that incorporates the patient's desire to make
treatment decisions. This is an example of the nurse engaged in
which phase of the nurse-patient relationship? Correct Answer
Working phase
A nurse is assigned to care for a patient for the first time and
states, "I don't know a lot about your culture and want to learn
how to better meet your health care needs." Which therapeutic
communication technique did the nurse use in this situation?
Correct Answer D. Humility
SOLUTIONS
9. 9.ID: 11401406145
What are the correct steps to resolve an ethical dilemma on a
clinical unit? Place the steps in correct order.
1. Clarify values.
2. Ask the question, Is this an ethical dilemma?
3. Verbalize the problem.
4. Gather information.
5. Identify course of action.
6. Evaluate the plan.
7. Negotiate a plan. Correct Answer A. 2, 4, 1, 3, 5, 7, 6
A child's immunization may cause discomfort during
administration, but the benefits of protection from disease, both
for the individual and society, outweigh the temporary
discomforts. Which principle is involved in this situation?
Correct Answer Beneficence
A community center is presenting a nurse-led program on the
Patient Protection and Affordable Care Act. Which statement
made by a participant indicates a need for further teaching?
Correct Answer "As long as my son is a full-time student in
College, I will be able to keep him on my health insurance until
he is 26 years old
A community nurse in a diverse community is working with
health care professionals to provide for prenatal care for under
employed and under insured South African women. Which
overall goal of Healthy People 2020 does this represent?
,Correct Answer Increase life expectancy and quality of life and
to eliminate health disparities
A critical care nurse is using a computerized decision support
system to correctly position her ventilated patients to reduce
pneumonia caused by accumulated respiratory secretions. This is
an example of which Quality and Safety in the Education of
Nurses (QSEN) competency? Correct Answer Informatics
A group of nurses have identified that the elderly patients on
their unit have a high incidence of pressure ulcers after they
have a stroke. During a unit meeting, they discuss different
interventions they think may reduce the development of pressure
ulcers. What is the nurses' next step to investigate this clinical
problem further? Correct Answer Create a well-defined PICOT
question.
A group of nurses is discussing the advantages of using
computerized provider order entry (CPOE). Which of the
following statements indicates that the nurses understand the
major advantage of using CPOE? Correct Answer A. "CPOE
reduces transcription errors."
A group of nurses on the research council of a local hospital are
measuring nursing-sensitive outcomes. Which of the following
is a nursing-sensitive outcome that the nurses need to consider
measuring? (Select all that apply.) Correct Answer The number
of patients who develop a urinary tract infection from a Foley
catheter.
Number of patients who fall and experience subsequent injury
on the evening shift.
,A group of staff nurses notice an increased incidence of
medication errors on their unit. After further investigation it is
determined that the nurses are not consistently identifying the
patient correctly. A change is needed quickly. What type of
quality improvement method would be most appropriate?
Correct Answer Rapid-improvement event
A home health nurse notices significant bruising on a 2-year-old
patient's head, arms, abdomen, and legs. The patient's mother
describes the patient's frequent falls. What is the best nursing
action for the home health nurse to take? Correct Answer
Contact a child abuse hotline
A homeless man enters the emergency department seeking
health care. The health care provider indicates that the patient
needs to be transferred to the City Hospital for care. This action
is most likely a violation of which of the following laws?
Correct Answer B. Emergency Medical Treatment and Active
Labor Act (EMTALA) without triage completed
A manager is reviewing the nursing documentation entered by a
staff nurse in a patient's electronic medical record and finds the
following entry, "Patient is difficult to care for, refuses
suggestion for improving appetite." Which of the following
statements is most appropriate for the manager to make to the
staff nurse who entered this information? Correct Answer Enter
only objective and factual information about a patient in the
medical record.
, A new nurse complains to her preceptor that she has no time for
therapeutic communication with her patients. Which of the
following is the best strategy to help the nurse find more time
for this communication? Correct Answer Include
communication while performing tasks such as changing
dressings and checking vital signs.
A new nurse is experiencing lateral violence at work. Which
steps could the nurse take to address this problem? Correct
Answer Talk with the preceptor or manager and ask for
assistance in handling this issue
A nurse ensures that each patient's room is clean, well
ventilated, and free from clutter, excessive noise, and extremes
in temperature. Which theorist's work is the nurse practicing in
this example? Correct Answer Nightingale
A nurse has been gathering physical assessment data on a patient
and is now listening to the patient's concerns. The nurse sets a
goal of care that incorporates the patient's desire to make
treatment decisions. This is an example of the nurse engaged in
which phase of the nurse-patient relationship? Correct Answer
Working phase
A nurse is assigned to care for a patient for the first time and
states, "I don't know a lot about your culture and want to learn
how to better meet your health care needs." Which therapeutic
communication technique did the nurse use in this situation?
Correct Answer D. Humility
