Nursing 155 final hondros Test
Questions with 100% Correct
Answers
Setting priorities - Answer-comparing and sorting through information, ranking it in order
of importance to decide what needs to be done first and what can wait
ex. triage, prioritize who is in greater more emergent need at that time.
pt needs dressing change, bp checked, give bp med, go to toilet
1.toilet- maslow basic need
2.vitals
3. bp med
4. change dressing
Delegating - Answer-asking someone to do part of your job that is not part of their
expected job assignment. delegating to a competent UAP make sure willing and able to
do the task
5 rights of delegation - Answer-right task
right circumstance ex. no rx for UAP
right person ex. competent, experience
right direction ex. exact directions
right supervision ex check if task done an done correctly
1.Evaluating data (Step 4- Reflecting) - Answer-after actions and interventions are
preformed, assessment data is collected again to determine if the interventions were
effective. helps determine what further actions are needed
REFLECTION IN ACTION
ex. pt 8/10 pain Demerol given at 3;30 IM 25mg, check back 45-1hr, check pain level
again and maybe vitals
Evaluating and correcting thinking - Answer-reflecting on what just happened , how the
situation was handled,, what lessons can be learned for use in similar situations in the
future. how were the results, what could be done better.
REFLECTION ON ACTION
ex.code blue, came back to life, sent to icu, reflection on this what could have been
done better, what was done good
Brenners stages of clinical competance - Answer-1. novice
2. advanced beginner
3. competent
4. proficient
, 5. the expert
Novice - Answer-beginner
no experience in situation, lack confidence to demonstrate safe practice and requires
continual verbal and physical cues
Advanced beginner - Answer-demonstrate marginally acceptable performance because
nurse has had prior experience in actual situations, efficient and skillfull in parts of the
practice with occasional supportive cues,, knowledge developing
Competant - Answer-nurse on the job who has been on the same or similar situations
for 2-3 years, demonstrates efficiency and has confidence in her actions
Proficient - Answer-perceives situations as a whole rather than chopped up parts
the expert - Answer-intuitive grasp of each situation , deep understanding of the total
picture, fluid and flexible and highly proficient
Maslow's Hierarchy of Needs - Answer-(level 1) Physiological Needs, (level 2) Safety
and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5)
Self Actualization
physiological needs - Answer-the most basic human needs to be satisfied- water, food,
shelter, and clothing
Safety and security - Answer-security, freedom from harm, and protection
love and belonging - Answer-love, effection and companionship
ex, does pt have support for when leave hospital
Esteem - Answer-respect and recognition
ex. what the pt is doing or can do that will assist them in earning a positive sense of self
Self actualization - Answer-highest level of needs, not everyone attains this level,
maximum realization and fullfillmant
SPICES - Answer-Sleep disorder
Problems with eating or feeding
Incontinence
confusion
evidence of falls
skin breakdown
SPICES-S - Answer-sleep disorders
SPICES-P - Answer-Problems with eating or feeding
Questions with 100% Correct
Answers
Setting priorities - Answer-comparing and sorting through information, ranking it in order
of importance to decide what needs to be done first and what can wait
ex. triage, prioritize who is in greater more emergent need at that time.
pt needs dressing change, bp checked, give bp med, go to toilet
1.toilet- maslow basic need
2.vitals
3. bp med
4. change dressing
Delegating - Answer-asking someone to do part of your job that is not part of their
expected job assignment. delegating to a competent UAP make sure willing and able to
do the task
5 rights of delegation - Answer-right task
right circumstance ex. no rx for UAP
right person ex. competent, experience
right direction ex. exact directions
right supervision ex check if task done an done correctly
1.Evaluating data (Step 4- Reflecting) - Answer-after actions and interventions are
preformed, assessment data is collected again to determine if the interventions were
effective. helps determine what further actions are needed
REFLECTION IN ACTION
ex. pt 8/10 pain Demerol given at 3;30 IM 25mg, check back 45-1hr, check pain level
again and maybe vitals
Evaluating and correcting thinking - Answer-reflecting on what just happened , how the
situation was handled,, what lessons can be learned for use in similar situations in the
future. how were the results, what could be done better.
REFLECTION ON ACTION
ex.code blue, came back to life, sent to icu, reflection on this what could have been
done better, what was done good
Brenners stages of clinical competance - Answer-1. novice
2. advanced beginner
3. competent
4. proficient
, 5. the expert
Novice - Answer-beginner
no experience in situation, lack confidence to demonstrate safe practice and requires
continual verbal and physical cues
Advanced beginner - Answer-demonstrate marginally acceptable performance because
nurse has had prior experience in actual situations, efficient and skillfull in parts of the
practice with occasional supportive cues,, knowledge developing
Competant - Answer-nurse on the job who has been on the same or similar situations
for 2-3 years, demonstrates efficiency and has confidence in her actions
Proficient - Answer-perceives situations as a whole rather than chopped up parts
the expert - Answer-intuitive grasp of each situation , deep understanding of the total
picture, fluid and flexible and highly proficient
Maslow's Hierarchy of Needs - Answer-(level 1) Physiological Needs, (level 2) Safety
and Security, (level 3) Relationships, Love and Affection, (level 4) Self Esteem, (level 5)
Self Actualization
physiological needs - Answer-the most basic human needs to be satisfied- water, food,
shelter, and clothing
Safety and security - Answer-security, freedom from harm, and protection
love and belonging - Answer-love, effection and companionship
ex, does pt have support for when leave hospital
Esteem - Answer-respect and recognition
ex. what the pt is doing or can do that will assist them in earning a positive sense of self
Self actualization - Answer-highest level of needs, not everyone attains this level,
maximum realization and fullfillmant
SPICES - Answer-Sleep disorder
Problems with eating or feeding
Incontinence
confusion
evidence of falls
skin breakdown
SPICES-S - Answer-sleep disorders
SPICES-P - Answer-Problems with eating or feeding
