NR 341 CERTIFICATION EVALUATION
COMPLETE QUESTIONS AND SOLUTIONS
GRADED APLUS
●● The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing competency.
d. patients' needs for energy and support.
Answer: c
●● The family of your critically ill patient tells you that they have not
spoken with the physician in over 24 hours and they have some
questions that they want clarified. During morning rounds, you convey
this concern to the attending intensivist and arrange for her to meet with
the family at 4:00 PM in the conference room. Which competency of
critical care nursing does this represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members
Answer: c
,●● The charge nurse is responsible for making the patient assignments
on the critical care unit. She assigns the experienced, certified nurse to
care for the acutely ill patient with sepsis who also requires continuous
renal replacement therapy and mechanical ventilation. She assigns the
nurse with less than 1 year of experience to two patients who are more
stable. This assignment reflects implementation of the:
a. crew resource management model
b. National Patient Safety Goals
c. Quality and Safety Education for Nurses (QSEN) model
d. synergy model of practice
Answer: d
●● The family members of a critically ill, 90-year-old patient bring in a
copy of the patient's living will to the hospital, which identifies the
patient's wishes regarding health care. You discuss contents of the living
will with the patient's physician. This is an example of implementation
of which of the AACN Standards of Professional Performance?
a. Acquires and maintains current knowledge of practice
b. Acts ethically on the behalf of the patient and family
c. Considers factors related to safe patient care
d. Uses clinical inquiry and integrates research findings in practice
Answer: b
●● As part of nursing management of a critically ill patient, orders are
written to keep the head of the bed elevated at 30 degrees, awaken the
,patient from sedation each morning to assess readiness to wean from
mechanical ventilation, and implement oral care protocols every 4 hours.
These interventions are done as a group to reduce the risk of ventilator-
associated pneumonia. This group of evidence-based interventions is
often called a:
a. bundle of care.
b. clinical practice guideline.
c. patient safety goal.
d. quality improvement initiative.
Answer: a
●● Which of the following statements describes the core concept of the
synergy model of practice?
a. All nurses must be certified in order to have the synergy model
implemented.
b. Family members must be included in daily interdisciplinary rounds.
c. Nurses and physicians must work collaboratively and synergistically
to influence care.
d. Unique needs of patients and their families influence nursing
competencies.
Answer: d
●● Which of the following is a National Patient Safety Goal? (Select all
that apply.)
, a. Accurately identify patients.
b. Eliminate use of patient restraints.
c. Reconcile medications across the continuum of care.
d. Reduce risks of healthcare-acquired infection.
Answer: a,c,d
●● Which of the following nursing activities demonstrates
implementation of the AACN Standards of Professional Performance?
(Select all that apply.)
a. Attending a meeting of the local chapter of the American Association
of Critical-Care Nurses in which a continuing education program on
sepsis is being taught
b. Collaborating with a pastoral services colleague to assist in meeting
spiritual needs of the patient and family
c. Participating on the unit's nurse practice council
d. Posting an article from Critical Care Nurse on management of venous
thromboembolism for your colleagues to read
e. Using evidence-based strategies to prevent ventilator-associated
pneumonia
Answer: a,b,c,d,e
●● Which scenarios contribute to effective handoff communication at
change of shift? (Select all that apply.)
COMPLETE QUESTIONS AND SOLUTIONS
GRADED APLUS
●● The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing competency.
d. patients' needs for energy and support.
Answer: c
●● The family of your critically ill patient tells you that they have not
spoken with the physician in over 24 hours and they have some
questions that they want clarified. During morning rounds, you convey
this concern to the attending intensivist and arrange for her to meet with
the family at 4:00 PM in the conference room. Which competency of
critical care nursing does this represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members
Answer: c
,●● The charge nurse is responsible for making the patient assignments
on the critical care unit. She assigns the experienced, certified nurse to
care for the acutely ill patient with sepsis who also requires continuous
renal replacement therapy and mechanical ventilation. She assigns the
nurse with less than 1 year of experience to two patients who are more
stable. This assignment reflects implementation of the:
a. crew resource management model
b. National Patient Safety Goals
c. Quality and Safety Education for Nurses (QSEN) model
d. synergy model of practice
Answer: d
●● The family members of a critically ill, 90-year-old patient bring in a
copy of the patient's living will to the hospital, which identifies the
patient's wishes regarding health care. You discuss contents of the living
will with the patient's physician. This is an example of implementation
of which of the AACN Standards of Professional Performance?
a. Acquires and maintains current knowledge of practice
b. Acts ethically on the behalf of the patient and family
c. Considers factors related to safe patient care
d. Uses clinical inquiry and integrates research findings in practice
Answer: b
●● As part of nursing management of a critically ill patient, orders are
written to keep the head of the bed elevated at 30 degrees, awaken the
,patient from sedation each morning to assess readiness to wean from
mechanical ventilation, and implement oral care protocols every 4 hours.
These interventions are done as a group to reduce the risk of ventilator-
associated pneumonia. This group of evidence-based interventions is
often called a:
a. bundle of care.
b. clinical practice guideline.
c. patient safety goal.
d. quality improvement initiative.
Answer: a
●● Which of the following statements describes the core concept of the
synergy model of practice?
a. All nurses must be certified in order to have the synergy model
implemented.
b. Family members must be included in daily interdisciplinary rounds.
c. Nurses and physicians must work collaboratively and synergistically
to influence care.
d. Unique needs of patients and their families influence nursing
competencies.
Answer: d
●● Which of the following is a National Patient Safety Goal? (Select all
that apply.)
, a. Accurately identify patients.
b. Eliminate use of patient restraints.
c. Reconcile medications across the continuum of care.
d. Reduce risks of healthcare-acquired infection.
Answer: a,c,d
●● Which of the following nursing activities demonstrates
implementation of the AACN Standards of Professional Performance?
(Select all that apply.)
a. Attending a meeting of the local chapter of the American Association
of Critical-Care Nurses in which a continuing education program on
sepsis is being taught
b. Collaborating with a pastoral services colleague to assist in meeting
spiritual needs of the patient and family
c. Participating on the unit's nurse practice council
d. Posting an article from Critical Care Nurse on management of venous
thromboembolism for your colleagues to read
e. Using evidence-based strategies to prevent ventilator-associated
pneumonia
Answer: a,b,c,d,e
●● Which scenarios contribute to effective handoff communication at
change of shift? (Select all that apply.)
