NUR 382 questions with 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
A patient with end-stage heart failure is experiencing considerable
dyspnea. Appropriate palliative management of this symptom during
"comfort care only" includes:
A. an increase in the amount of oxygen being delivered to the patient.
B. administration of midazolam (Versed).
C. aggressive use of inotropic and vasoactive medications to improve
heart function.
D. administration of morphine Correct Answer-D. Administration of
morphine
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
A patient with end-stage heart failure is experiencing considerable
dyspnea. Appropriate palliative management of this symptom during
"comfort care only" includes:
A. an increase in the amount of oxygen being delivered to the patient.
B. administration of midazolam (Versed).
C. aggressive use of inotropic and vasoactive medications to improve
heart function.
D. administration of morphine Correct Answer-D. Administration of
morphine
