NUR 256 Final test with complete solutions
1.National bgPatient bgSafety bgGoals bg(NPSGs): bgProvides bgevidence bgand
bgexpert bgbased bgsolutions bgto bgproblem bgareas bgin bgterms bgof bgpatient
bgsafety
2.What bgare bgthe bggoals bgof bgNational bgPatient bgSafety?: bg~Identify bgpatient
bgcorrectly
~Improve bgStaff bgcommunication
~Medication bgsafety
~Alarm bgsafety
~Prevent bginfection
~Identify bgpatient bgsafety bgrisk bgand bgprevent bgsurgery bgrelated bgmistake
3.What bgdoes bgSBAR bgstand bgfor?: bgS:
bgSituation bgB: bgBackground
A: bgAssessment
R: bgRecommendation
4.When bgwould bga bgnurse bguse bgSBAR bgand bgwhy?: bgThe bgTeamSTEPPS
bgcurriculum bgfeatures bgtools bgthat bgmay bgbe bgused bgby bgteam bgmembers
bgto bgenhance bga bggiven bgcompetency; bga bgcommonly bgused bgexample bgof
bgsuch bga bgtool bgis bgthe bgSBAR bgformat bgfor bgcommunicating bgcritical
bginformation
5.Advanced bgDirective: bga bgwritten bgdocument bgthat bgspecifies bgif
bgextraordinary bgmeasures bgare bgto bgbe bgtaken bgto bgprolong bglife bgif bgthe
bgpatient bgcan bgno bglonger bgmake bghis/her bgown bgdecision
6.Durable bgPower bgof bgAttorney: bga bglegal bgagreement bgthat bgallows bgan
bgagent bgor bgrepresen- bgtative bgof bgthe bgpatient bgto bgact bgon bgbehalf bgof
bgthe bgpatient
7.What bgis bga bgChronic bgcondition?: bga bgmedical bgcondition bgor bghealth
bgproblem bgwith bgassociated bgsymptoms bgthat bgrequires bglong-term bg(3
bgmonths bgor bglonger) bgmanagement
1 bg/
bg20
,8.Ways bgto bgmanage bgpain: bg• bgEffective bgand bgsafe bganalgesia
•Optimal bgrelief
•Comfort bgfunction bggoal
•Responsibility bgof bgall bgmembers bgof bgthe bghealthcare bgteam
•Pharmacologic: bgmultimodal
•Routes bgand bgdosing
•Patient-controlled bganalgesia bg(PCA)
9.abnormally bglow bgabsolute bgneutrophil bgcount: bgneutropenia
10.What bgis bgthe bgdifference bgbetween bgfriction bgand bgshear?: rug
bgfriction bg= bgshear bg= bgforce bgof bggravity bgas bgwell bgas bgtear bgburn
bgin bgskin
11.Preventative bgHealth bgScreening: bgPrimary bgPrevention: bgreducing bgrisk
bgof bgdisease bgthrough bghealth bgpromotion bgand bgrisk bgreduction
bgstrategies
Ex: bgEducation bg(wearing bgsunscreen, bgbike bghelmet)
2 bg/
bg20
, 12.Preventative bgHealth bgScreening: bgSecondary bgPrevention: bgScreening
bgand bgearly bgdetection bgactivities
Ex: bgSelf bgexams bg(breast bgand bgtesticular)
13.Preventative bgHealth bgScreening: bgTertiary bgPrevention: bgAlready bghave
bgdisease bgand bgare bgtrying bgto bgprevent bgrecurrence bgor bgcomorbidity
14.Acute bgPain bgvs. bgChronic bgPain: bgAcute bgpain: bgshort bgterm, bgself-
limiting, bgdissipates bgafter bginjury bgheals, bgfollows bga bgpredictable
bgtrajectory
Chronic bgPain: bgcontinues bg6 bgmonths bgor bglonger, bgtypes bgare bgmalignant
bgand bgnonmalignant, bgdoes bgnot bgstop bgwhen bginjury bgheals
15.What bgare bgthe bgsigns bgthat bgdeath bgis bgimmanent?:
bgSleeping bgMore bgEating bgand bgDrinking bgLess
Withdrawing bgFrom
bgPeople bgChanging
bgVital bgSigns bgChanging
bgWaste bgFunctions
bgDropping bgBody
bgTemperature
bgWeakening bgMuscles
bgBreathing bgTrouble
bgIncreasing bgConfusion
Pain
bgHallucinations
16.Preoperative bgPhase: bgperiod bgof bgtime bgfrom bgwhen bgthe bgdecision
bgfor bgsurgical bginter- bgvention bgis bgmade bgto bgwhen bgthe bgpatient bgis
bgtransferred bgto bgthe bgoperating bgroom bgtable
17.Preoperative bgDocumentation: bgHealth bghistory bgand
bgphysical bgexam bgMedications bgand bgallergies
Nutritional, bgfluid bgstatus
bgDentition
Drug bgor bgalcohol bguse
Respiratory bgand bgcardiovascular
bgstatus bgHepatic, bgrenal bgfunction
18.Intraoperative bgPhase: bgperiod bgof bgtime bgthat bgbegins bgwith
bgtransfer bgof bgthe bgpatient bgto bgthe bgoperating bgroom bgarea bgand
bgcontinues bguntil bgthe bgpatient bgis bgadmitted bgto bgthe bgpostanesthesia
bgcare bgunit
19.Perioperative bgnursing bgmanagement: bgone bggoal bgof bgpreoperative
3 bg/
bg20
1.National bgPatient bgSafety bgGoals bg(NPSGs): bgProvides bgevidence bgand
bgexpert bgbased bgsolutions bgto bgproblem bgareas bgin bgterms bgof bgpatient
bgsafety
2.What bgare bgthe bggoals bgof bgNational bgPatient bgSafety?: bg~Identify bgpatient
bgcorrectly
~Improve bgStaff bgcommunication
~Medication bgsafety
~Alarm bgsafety
~Prevent bginfection
~Identify bgpatient bgsafety bgrisk bgand bgprevent bgsurgery bgrelated bgmistake
3.What bgdoes bgSBAR bgstand bgfor?: bgS:
bgSituation bgB: bgBackground
A: bgAssessment
R: bgRecommendation
4.When bgwould bga bgnurse bguse bgSBAR bgand bgwhy?: bgThe bgTeamSTEPPS
bgcurriculum bgfeatures bgtools bgthat bgmay bgbe bgused bgby bgteam bgmembers
bgto bgenhance bga bggiven bgcompetency; bga bgcommonly bgused bgexample bgof
bgsuch bga bgtool bgis bgthe bgSBAR bgformat bgfor bgcommunicating bgcritical
bginformation
5.Advanced bgDirective: bga bgwritten bgdocument bgthat bgspecifies bgif
bgextraordinary bgmeasures bgare bgto bgbe bgtaken bgto bgprolong bglife bgif bgthe
bgpatient bgcan bgno bglonger bgmake bghis/her bgown bgdecision
6.Durable bgPower bgof bgAttorney: bga bglegal bgagreement bgthat bgallows bgan
bgagent bgor bgrepresen- bgtative bgof bgthe bgpatient bgto bgact bgon bgbehalf bgof
bgthe bgpatient
7.What bgis bga bgChronic bgcondition?: bga bgmedical bgcondition bgor bghealth
bgproblem bgwith bgassociated bgsymptoms bgthat bgrequires bglong-term bg(3
bgmonths bgor bglonger) bgmanagement
1 bg/
bg20
,8.Ways bgto bgmanage bgpain: bg• bgEffective bgand bgsafe bganalgesia
•Optimal bgrelief
•Comfort bgfunction bggoal
•Responsibility bgof bgall bgmembers bgof bgthe bghealthcare bgteam
•Pharmacologic: bgmultimodal
•Routes bgand bgdosing
•Patient-controlled bganalgesia bg(PCA)
9.abnormally bglow bgabsolute bgneutrophil bgcount: bgneutropenia
10.What bgis bgthe bgdifference bgbetween bgfriction bgand bgshear?: rug
bgfriction bg= bgshear bg= bgforce bgof bggravity bgas bgwell bgas bgtear bgburn
bgin bgskin
11.Preventative bgHealth bgScreening: bgPrimary bgPrevention: bgreducing bgrisk
bgof bgdisease bgthrough bghealth bgpromotion bgand bgrisk bgreduction
bgstrategies
Ex: bgEducation bg(wearing bgsunscreen, bgbike bghelmet)
2 bg/
bg20
, 12.Preventative bgHealth bgScreening: bgSecondary bgPrevention: bgScreening
bgand bgearly bgdetection bgactivities
Ex: bgSelf bgexams bg(breast bgand bgtesticular)
13.Preventative bgHealth bgScreening: bgTertiary bgPrevention: bgAlready bghave
bgdisease bgand bgare bgtrying bgto bgprevent bgrecurrence bgor bgcomorbidity
14.Acute bgPain bgvs. bgChronic bgPain: bgAcute bgpain: bgshort bgterm, bgself-
limiting, bgdissipates bgafter bginjury bgheals, bgfollows bga bgpredictable
bgtrajectory
Chronic bgPain: bgcontinues bg6 bgmonths bgor bglonger, bgtypes bgare bgmalignant
bgand bgnonmalignant, bgdoes bgnot bgstop bgwhen bginjury bgheals
15.What bgare bgthe bgsigns bgthat bgdeath bgis bgimmanent?:
bgSleeping bgMore bgEating bgand bgDrinking bgLess
Withdrawing bgFrom
bgPeople bgChanging
bgVital bgSigns bgChanging
bgWaste bgFunctions
bgDropping bgBody
bgTemperature
bgWeakening bgMuscles
bgBreathing bgTrouble
bgIncreasing bgConfusion
Pain
bgHallucinations
16.Preoperative bgPhase: bgperiod bgof bgtime bgfrom bgwhen bgthe bgdecision
bgfor bgsurgical bginter- bgvention bgis bgmade bgto bgwhen bgthe bgpatient bgis
bgtransferred bgto bgthe bgoperating bgroom bgtable
17.Preoperative bgDocumentation: bgHealth bghistory bgand
bgphysical bgexam bgMedications bgand bgallergies
Nutritional, bgfluid bgstatus
bgDentition
Drug bgor bgalcohol bguse
Respiratory bgand bgcardiovascular
bgstatus bgHepatic, bgrenal bgfunction
18.Intraoperative bgPhase: bgperiod bgof bgtime bgthat bgbegins bgwith
bgtransfer bgof bgthe bgpatient bgto bgthe bgoperating bgroom bgarea bgand
bgcontinues bguntil bgthe bgpatient bgis bgadmitted bgto bgthe bgpostanesthesia
bgcare bgunit
19.Perioperative bgnursing bgmanagement: bgone bggoal bgof bgpreoperative
3 bg/
bg20
