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NURS 304 Midterm Exam – Questions With Verified Solutions

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NURS 304 Midterm Exam – Questions With Verified Solutions

Institution
NURS 304
Course
NURS 304

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NURS 304 Midterm Exam – Questions With Verified
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A group of emergency department A. Identify an interprofessional group of individuals
nurses are asked to develop an action to help review current performance.
plan to improve the time between
when a patient presents with chest B. Compare current hospital emergency department
pain and when the electrocardiogram data results to benchmark comparison information
is completed. Which of the following reported on a national website.
would be helpful when working on a
QI effort like this? Select all that C. Post current hospital performance data results
apply. openly for staff in the nursing lounge.

2 multiple choice options



A staff nurse is interested in making QI A. Explore the IHI website (www.IHI.org), which
in the overall care of patients with includes white papers, evidence-based protocols,
heart failure. Where would be most blogs, and improvement stories that can be applied
helpful to look for data and to patients with heart failure.
information to begin work for these
3 multiple choice options
improvements?

,An 87-year-old patient was admitted B. Apologize, and assure the family that the attending
to an acute care hospital with an physician and the nurse manager will be notified they
advanced directive that stipulates that have arrived and will be coming to speak with them.
the patient not be resuscitated in the
3 multiple choice options
event of a cardiac or respiratory
arrest. On Day 3 of the patient's
hospitalization, the patient
experiences a cardiac arrest and a
code blue is called. The code blue
lasts for an hour. The patient's heart
rhythm is restored. When notified of
the event, the family is very upset.
When the family arrives at the
hospital, what should the nurse caring
for the patient do?


4. A new graduate nurse is learning Core measures
what it means to have the hospital
accredited by TJC. Which of the Safe practice measures
following are Joint Commission quality
compliance requirements? Select all Process improvement efforts
that apply. 2 multiple choice options




5. Errors in healthcare happen for a A. A patient is misdiagnosed at the time of admission.
multitude of reasons. Which of the
following are possible reasons B. Nurses are working with an infusion pump they are
patients might experience a unfamiliar with.
healthcare error? Select all that
apply. C. The nursing unit is short-staffed for the day.


D. Staff are fatigued nearing the end of a shift.

1 multiple choice option




6. What is a common cause of errors C. Communication between caregivers
within healthcare settings? 3 multiple choice options

, 7. The nurse is participating in a team C. Patient-centered care
meeting with the patient, dietitian, 3 multiple choice options
physician, and social worker. The nurse
recalls that the patient had expressed
that spirituality was important to her. A
pastoral care representative is not
present and the nurse contacts
pastoral care to be included in the
meeting. This inclusion is an example
of implementing which QSEN
competency?


8. The nurse is caring for a patient with A. Explain that hospitals publicly report their quality
heart failure that is relocating to a data associated with caring for heart failure patients
different state. The patient has a on the Hospital Compare website and instruct him
primary care provider in his new state where he can retrieve this information.
and intends to follow up as instructed 3 multiple choice options
upon discharge. He states he would
like to identify an acute care hospital
in his new state that is adept in caring
for heart failure patients, in the event
that he needs to be admitted and asks
for a recommendation. Which would
be the best suggestion to the patient
so that he may make a well-informed,
objective decision?


9. A medical resident enters a patient’s A. Safety
room to complete a physical
assessment. The nurse notices that the B. Quality improvement
resident did not wash her hands
before entering the room. The nurse D. Teamwork and collaboration
gently reminds the resident to use the
2 multiple choice options
hand sanitizer before touching the
patient. This reminder is an example of
meeting which of the following QSEN
competencies? Select all that apply.

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Institution
NURS 304
Course
NURS 304

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