NR 341 Exam 1 – Complex Adult Health (2026/2027
Update) | Verified Questions & Correct Answers
Chamberlain College of Nursing
EXAM OVERVIEW
Component Details
Course NR 341 Complex Adult Health – Chamberlain University
Exam Exam 1
Format Multiple Choice, Select-All-That-Apply, Prioritization
Critical Care Environment, Emergency/Trauma, Respiratory,
Topics
Cardiovascular, Neurological, End-of-Life, Ethics, ABG Interpretation, Shock States
Key Resources AACN Standards, ABCDEF Bundle, Synergy Model
Question 1
The charge nurse assigns the experienced, certified nurse to care for the acutely ill
patient with sepsis requiring continuous renal replacement therapy and mechanical
ventilation. She assigns the less experienced nurse to two more stable patients. 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
Correct Answer: D
,Rationale: The synergy model of practice guides patient assignments by matching
nurse competencies to patient needs . The acutely ill patient with complex needs
requires an experienced, certified nurse, while more stable patients can be assigned to
less experienced nurses. This ensures patient needs drive nursing competency
requirements.
Question 2
Which of the following nursing activities demonstrates implementation of the AACN
Standards of Professional Performance? (Select all that apply.)
A) Attending a continuing education program on sepsis
B) Collaborating with pastoral services to meet spiritual needs
C) Participating on the unit's nurse practice council
D) Posting an article on venous thromboembolism for colleagues
E) Using evidence-based strategies to prevent VAP
Correct Answer: A, B, C, D, E
Rationale: All of these activities demonstrate implementation of AACN Standards of
Professional Performance . These standards include acquiring and maintaining current
knowledge, collaborating with other disciplines, participating in professional
organizations, contributing to professional development of colleagues, and integrating
evidence-based practices into care.
Question 3
The American Association of Critical-Care Nurses (AACN) has identified the AACN
Synergy Model for Patient Care. The Synergy Model's main characteristic is that:
A) The patient's needs should drive the competencies of the nurse
B) The nurse's competencies should be determined by the hospital's needs
C) The physician drives the model of care
D) It emphasizes curative over palliative care
Correct Answer: A
,Rationale: The AACN Synergy Model for Patient Care is based on the premise that "the
patient's needs drive the competencies of the nurse." This model guides patient
assignment and staffing by matching nurse competencies to patient needs, ensuring the
right nurse is caring for the right patient at the right time.
Question 4
Which of the following is a component of the AACN Standards of Practice for critical
care nursing?
A) Assessment
B) Diagnosis
C) Outcomes identification
D) All of the above
Correct Answer: D
Rationale: The AACN Standards of Practice include Assessment, Diagnosis, Outcomes
Identification, Planning, Implementation, and Evaluation. These standards guide the
nursing process in the critical care setting.
Question 5
The nurse is caring for a critically ill patient who is experiencing sensory deprivation.
Which nursing intervention is most appropriate to address this?
A) Increase the volume of the cardiac monitor alarms
B) Cluster care activities to allow for uninterrupted rest periods
C) Keep the room lights on continuously to maintain orientation
D) Limit family visitation to reduce stimulation
Correct Answer: B
Rationale: Clustering care activities allows for uninterrupted rest periods, which can
reduce sensory overload and help prevent sensory deprivation . The critical care
environment can be overwhelming, and providing quiet times (such as in the afternoon)
and speaking calmly in an audible but quiet voice are recommended.
, Question 6
Which of the following is a common source of noise in the ICU that contributes to
sensory overload?
A) Ventilator alarms
B) Telemetry alarms
C) Infusion pump alarms
D) All of the above
Correct Answer: D
Rationale: All of these are common sources of noise in the ICU that contribute to
sensory overload. Alarm fatigue is a significant concern in critical care environments, and
strategies to reduce unnecessary alarms are important for patient safety and staff well-
being.
Question 7
What is the ABCDEF bundle used for in critical care?
A) To manage pain and sedation
B) To prevent delirium and improve outcomes
C) To promote early mobility
D) All of the above
Correct Answer: D
Rationale: The ABCDEF bundle is a comprehensive approach to critical care that
includes all of the above components. It is designed to improve patient outcomes by
reducing delirium, preventing complications, and promoting early mobility.
Question 8
What are the components of the ABCDEF bundle? (Select all that apply.)
A) Assess, prevent, and manage pain
B) Both spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT)
C) Choice of analgesia and sedation
D) Delirium assessment and management
Update) | Verified Questions & Correct Answers
Chamberlain College of Nursing
EXAM OVERVIEW
Component Details
Course NR 341 Complex Adult Health – Chamberlain University
Exam Exam 1
Format Multiple Choice, Select-All-That-Apply, Prioritization
Critical Care Environment, Emergency/Trauma, Respiratory,
Topics
Cardiovascular, Neurological, End-of-Life, Ethics, ABG Interpretation, Shock States
Key Resources AACN Standards, ABCDEF Bundle, Synergy Model
Question 1
The charge nurse assigns the experienced, certified nurse to care for the acutely ill
patient with sepsis requiring continuous renal replacement therapy and mechanical
ventilation. She assigns the less experienced nurse to two more stable patients. 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
Correct Answer: D
,Rationale: The synergy model of practice guides patient assignments by matching
nurse competencies to patient needs . The acutely ill patient with complex needs
requires an experienced, certified nurse, while more stable patients can be assigned to
less experienced nurses. This ensures patient needs drive nursing competency
requirements.
Question 2
Which of the following nursing activities demonstrates implementation of the AACN
Standards of Professional Performance? (Select all that apply.)
A) Attending a continuing education program on sepsis
B) Collaborating with pastoral services to meet spiritual needs
C) Participating on the unit's nurse practice council
D) Posting an article on venous thromboembolism for colleagues
E) Using evidence-based strategies to prevent VAP
Correct Answer: A, B, C, D, E
Rationale: All of these activities demonstrate implementation of AACN Standards of
Professional Performance . These standards include acquiring and maintaining current
knowledge, collaborating with other disciplines, participating in professional
organizations, contributing to professional development of colleagues, and integrating
evidence-based practices into care.
Question 3
The American Association of Critical-Care Nurses (AACN) has identified the AACN
Synergy Model for Patient Care. The Synergy Model's main characteristic is that:
A) The patient's needs should drive the competencies of the nurse
B) The nurse's competencies should be determined by the hospital's needs
C) The physician drives the model of care
D) It emphasizes curative over palliative care
Correct Answer: A
,Rationale: The AACN Synergy Model for Patient Care is based on the premise that "the
patient's needs drive the competencies of the nurse." This model guides patient
assignment and staffing by matching nurse competencies to patient needs, ensuring the
right nurse is caring for the right patient at the right time.
Question 4
Which of the following is a component of the AACN Standards of Practice for critical
care nursing?
A) Assessment
B) Diagnosis
C) Outcomes identification
D) All of the above
Correct Answer: D
Rationale: The AACN Standards of Practice include Assessment, Diagnosis, Outcomes
Identification, Planning, Implementation, and Evaluation. These standards guide the
nursing process in the critical care setting.
Question 5
The nurse is caring for a critically ill patient who is experiencing sensory deprivation.
Which nursing intervention is most appropriate to address this?
A) Increase the volume of the cardiac monitor alarms
B) Cluster care activities to allow for uninterrupted rest periods
C) Keep the room lights on continuously to maintain orientation
D) Limit family visitation to reduce stimulation
Correct Answer: B
Rationale: Clustering care activities allows for uninterrupted rest periods, which can
reduce sensory overload and help prevent sensory deprivation . The critical care
environment can be overwhelming, and providing quiet times (such as in the afternoon)
and speaking calmly in an audible but quiet voice are recommended.
, Question 6
Which of the following is a common source of noise in the ICU that contributes to
sensory overload?
A) Ventilator alarms
B) Telemetry alarms
C) Infusion pump alarms
D) All of the above
Correct Answer: D
Rationale: All of these are common sources of noise in the ICU that contribute to
sensory overload. Alarm fatigue is a significant concern in critical care environments, and
strategies to reduce unnecessary alarms are important for patient safety and staff well-
being.
Question 7
What is the ABCDEF bundle used for in critical care?
A) To manage pain and sedation
B) To prevent delirium and improve outcomes
C) To promote early mobility
D) All of the above
Correct Answer: D
Rationale: The ABCDEF bundle is a comprehensive approach to critical care that
includes all of the above components. It is designed to improve patient outcomes by
reducing delirium, preventing complications, and promoting early mobility.
Question 8
What are the components of the ABCDEF bundle? (Select all that apply.)
A) Assess, prevent, and manage pain
B) Both spontaneous awakening trials (SAT) and spontaneous breathing trials (SBT)
C) Choice of analgesia and sedation
D) Delirium assessment and management
