NUR 314 (Med Surg) Exam 1 Questions With Complete
Solutions
The medical-surgical nurse notices that many clients return often
for readmission for heart failure. What is the nurse's appropriate
action?
A.Inform the unit manager of the concern.
B.Evaluate trends and develop a plan for improvement.
C.Contact the hospital quality improvement nurse to ask what to
do about readmissions.
D.Give other nurses a journal article that addresses national
readmission rates for heart failure.
B
To meet the quality improvement competency, nurses are
expected to "use data to monitor the outcomes of care processes
and use improvement methods to design and test changes to
continuously improve the quality and safety of health care
systems"
Which nursing statement reflects an awareness of systems
thinking?
A."My client values spirituality when receiving care."
B."I looked at our unit policy to be sure it was evidence-based."
C."The care we provide to prevent pressure injuries should work
,on other units."
D. "Appropriate documentation enhances continuity of care."
C
The nurse who has an awareness of systems thinking looks at
the care given to an individual that generates favorable
outcomes, and translates that into how it could favorably affect
others in a system.
What is the most common reason for new onset confusion and
adverse drug events (ADEs)?
polypharmacy
_________ are transitions that occur in a normal successful
adulthood.
Developmental tasks
T or F Pain is not the leading cause of disability
False
Refers to changes (transitions) or turmoil as individuals struggle
to cope with a sudden life-threatening illness
health/illness situational crisis
health or illness events that require an individual to make
modifications in his/her lifestyle
Transitions
, Is pain subjective or objective?
What is the best way to measure a patient's pain?
Subjective
Self-report/ pain scale
1. How often should you check on a patient in restraints?
2. How often should you release restraints?
Check patient every 30-60 minutes
Release restraint every 1-2 hours
What does SPICES stand for?
S: Sleep disorders.
P: Problems with eating or feeding.
I: Incontinence.
C: Confusion
E: Evidence of falls.
S: Skin breakdown.
Remember - "Go _________, Go __________" for older clients
"Go Low, Go Slow"
What is considered chronic pain?
How does the body react to chronic pain?
Solutions
The medical-surgical nurse notices that many clients return often
for readmission for heart failure. What is the nurse's appropriate
action?
A.Inform the unit manager of the concern.
B.Evaluate trends and develop a plan for improvement.
C.Contact the hospital quality improvement nurse to ask what to
do about readmissions.
D.Give other nurses a journal article that addresses national
readmission rates for heart failure.
B
To meet the quality improvement competency, nurses are
expected to "use data to monitor the outcomes of care processes
and use improvement methods to design and test changes to
continuously improve the quality and safety of health care
systems"
Which nursing statement reflects an awareness of systems
thinking?
A."My client values spirituality when receiving care."
B."I looked at our unit policy to be sure it was evidence-based."
C."The care we provide to prevent pressure injuries should work
,on other units."
D. "Appropriate documentation enhances continuity of care."
C
The nurse who has an awareness of systems thinking looks at
the care given to an individual that generates favorable
outcomes, and translates that into how it could favorably affect
others in a system.
What is the most common reason for new onset confusion and
adverse drug events (ADEs)?
polypharmacy
_________ are transitions that occur in a normal successful
adulthood.
Developmental tasks
T or F Pain is not the leading cause of disability
False
Refers to changes (transitions) or turmoil as individuals struggle
to cope with a sudden life-threatening illness
health/illness situational crisis
health or illness events that require an individual to make
modifications in his/her lifestyle
Transitions
, Is pain subjective or objective?
What is the best way to measure a patient's pain?
Subjective
Self-report/ pain scale
1. How often should you check on a patient in restraints?
2. How often should you release restraints?
Check patient every 30-60 minutes
Release restraint every 1-2 hours
What does SPICES stand for?
S: Sleep disorders.
P: Problems with eating or feeding.
I: Incontinence.
C: Confusion
E: Evidence of falls.
S: Skin breakdown.
Remember - "Go _________, Go __________" for older clients
"Go Low, Go Slow"
What is considered chronic pain?
How does the body react to chronic pain?
