NURS 1120 FINAL EXAM UPDATED ACTUAL QUESTIONS
AND CORRECT ANSWERS
Question:
1. 1. You have been assigned to lead a team tasked with implementing a standardized nursing terminology
for your hospital. What critical topics would you assign your team for review? What groups would you
connect with to initiate discussions on best practices? What would be the top four activities necessary to
proceed with this task?
Answer:
Question:
2. 2. During the course of documenting an admission assessment, you note that your patient has had a
previous admission to a psychiatric unit. One of your colleagues is a neighbour of the patient and asks you
to confirm whether this patient has a psychiatric history. Your colleague is not providing care to the
patient. How do you respond to this inquiry? What pieces of legislation do you consider in helping you
come to a decision?
Answer:
Question:
3. 1. Changes that occurred in the health care system over the last few decades that have contributed to the
recognition of nursing informatics include which of the following:
1. Decreasing technology in health care and the evolution toward evidenceinformed practice
2. Requests for nursing informatics from administrators and national databases
3. A recognition among nurses that specific nursing data must be documented consistently in order to
create high-quality health data, support evidence-informed decision making, and represent nursing
contributions
4. Competition among professions to lead technology adoption
Answer:
3. A recognition among nurses that specific nursing data must be documented consistently in order to
create high-quality health data, support evidence-informed decision making, and represent nursing
contributions
Question:
4. 2. The factors behind the need for standardized nursing documentation include which of the following?
1. To facilitate aggregation of nursing data and support data analysis
2. To enhance communication among nurses
3. To improve representation regarding nursing contributions
4. All of the above
Answer:
4. All of the above
,Question:
5. 3. Which of the following standardized nursing terminology is being used in Canada?
1. interRAI
2. ICNP
3. SNOMED CT
4. HOBIC
Answer:
2. ICNP
Question:
6. 4. Which of the following privacy legislation influences nursing practice in Canada?
1. PIPEDA and the Privacy Act
2. PIPEDA and SCWGs
3. Standards Collaborative Working Groups (SCWG) and Standards
4. Privacy Act and Code of Ethics
Answer:
1. PIPEDA and the Privacy Act
Question:
7. 5. How can you, as a nurse, enact the e-Nursing Strategy?
1. Buy your own laptop, and design a nursing-related website
2. Complete mandatory education on your hospital information system
3. Support access to technology for all nurses, develop your technology competencies, and participate in
advancing information and communication technology and nursing informatics
4. Work at the Canadian Nurses Association
Answer:
3. Support access to technology for all nurses, develop your technology competencies, and participate in
advancing information and communication technology and nursing informatics
Question:
8. 6. What nursing or health informatics communities are available to nurses?
1. CNIA, IMIA-SIGNI
2. CNA, CMA
3. HOBIC, TTYL
4. CSA, ICD-10
Answer:
1. CNIA, IMIA-SIGNI
Question:
9. 1. John, an RN, is working with Tammy, a UCP, to manage care for five patients. John has completed
morning assessments and rounds on the assigned patients and is giving Tammy directions for what she
needs to do in the next hour. John says to Tammy, "Why don't you go to Room 415 and see what Mr.
Thomas needs, and go to Room 418 to check if Mrs. Landry is doing all right." Based on what you know
about delegation, were these appropriate or inappropriate delegations to Tammy? Provide a rationale for
your answer.
Answer:
,Question:
10. 2. You are a recently graduated RN working in a home care setting. The manager of the nursing
program asks you to assist with the implementation of a collaborative practice model. She asks you to help
her set the agenda for the first meeting to discuss the concept and principles of collaborative practice. What
ideas and resources would you contribute to the agenda?
Answer:
Question:
11. 3. You have just received morning shift reports on your patients. You have been assigned the following
patients:
• A 52-year-old man who was admitted yesterday with a diagnosis of angina. He is scheduled for a cardiac
stress test at 0900.
• A 60-year-old woman who was transferred out of intensive care at 0630 today. She underwent
uncomplicated coronary bypass surgery yesterday.
• A 45-year-old man who experienced a myocardial infarction 3 days ago and is complaining of chest pain,
which he rates as 5 on a scale of 0 to 10.
• A 76-year-old woman who had a permanent pacemaker inserted yesterday and is complaining of incision
pain, which she rates as 7 on a scale of 0 to 10.
Which one of these patients do you need to see first? Explain your answer.
Answer:
Question:
12. 1. Transformation leadership most fundamentally involves (Select all that apply):
1. Developing charismatic and highly influential leaders
2. Envisioning new systems of care to get work done
3. Developing relationships and involving others in change
4. Introducing research and innovation
Answer:
1. Developing charismatic and highly influential leaders
Question:
13. 2. Collaborative practice models most fundamentally aim to
1. Improve delegation between staff
2. Improve communication between staff
3. Place the patient at the centre of care delivery
4. Ensure that health care providers can cover for one another
Answer:
3. Place the patient at the centre of care delivery
Question:
14. 3. Delegation by nurses involves the following (Select all that apply):
1. Communication of the plan of care to the LPN
2. Transferring accountability to another care provider
3. Ensuring that the delegate has the skills and knowledge to perform the function
4. Understanding team members' scopes of practice
Answer:
all of them
, Question:
15. 4. The type of management structure that has a potential for greater collaborative effort, increased
competency of staff, and ultimately a greater sense of professional accomplishment and satisfaction is
1. Empowerment
2. Primary nursing
3. Total patient care
4. Decentralized
Answer:
4. Decentralized
Question:
16. 5. While administering medications, the nurse realizes she has given the wrong dose of medication to a
patient. The nurse acts by completing an incident report and notifying the patient's physician. The nurse is
exercising
1. Authority
2. Responsibility
3. Accountability
4. Decision making
Answer:
3. Accountability
Question:
17. 6. A manager who wishes to promote patient safety in the health care organization should focus on
(Select all that apply):
1. Viewing mistakes as opportunities for learning
2. Staffing models and ratios
3. Systems for detecting mistakes
4. Ensuring shared vision and values of quality and safety in care
Answer:
all of them
Question:
18. 7. A home care nurse is working with three UCPs who were recently hired and are new to their roles.
For the first 2 weeks of their employment, the UCPs have been providing care for patients at home with
complex wounds and caring for families in palliative care situations. The nurse believes in the principles of
collaborative practice and wishes to support the UCPs in their development. An important first step would
be to
1. Provide an opportunity for the UCPs to talk about their experiences, questions, and roles
2. Provide an educational session on palliative care
3. Set up a mentoring system among the UCPs
4. Discuss the role of the RN in home care
Answer:
AND CORRECT ANSWERS
Question:
1. 1. You have been assigned to lead a team tasked with implementing a standardized nursing terminology
for your hospital. What critical topics would you assign your team for review? What groups would you
connect with to initiate discussions on best practices? What would be the top four activities necessary to
proceed with this task?
Answer:
Question:
2. 2. During the course of documenting an admission assessment, you note that your patient has had a
previous admission to a psychiatric unit. One of your colleagues is a neighbour of the patient and asks you
to confirm whether this patient has a psychiatric history. Your colleague is not providing care to the
patient. How do you respond to this inquiry? What pieces of legislation do you consider in helping you
come to a decision?
Answer:
Question:
3. 1. Changes that occurred in the health care system over the last few decades that have contributed to the
recognition of nursing informatics include which of the following:
1. Decreasing technology in health care and the evolution toward evidenceinformed practice
2. Requests for nursing informatics from administrators and national databases
3. A recognition among nurses that specific nursing data must be documented consistently in order to
create high-quality health data, support evidence-informed decision making, and represent nursing
contributions
4. Competition among professions to lead technology adoption
Answer:
3. A recognition among nurses that specific nursing data must be documented consistently in order to
create high-quality health data, support evidence-informed decision making, and represent nursing
contributions
Question:
4. 2. The factors behind the need for standardized nursing documentation include which of the following?
1. To facilitate aggregation of nursing data and support data analysis
2. To enhance communication among nurses
3. To improve representation regarding nursing contributions
4. All of the above
Answer:
4. All of the above
,Question:
5. 3. Which of the following standardized nursing terminology is being used in Canada?
1. interRAI
2. ICNP
3. SNOMED CT
4. HOBIC
Answer:
2. ICNP
Question:
6. 4. Which of the following privacy legislation influences nursing practice in Canada?
1. PIPEDA and the Privacy Act
2. PIPEDA and SCWGs
3. Standards Collaborative Working Groups (SCWG) and Standards
4. Privacy Act and Code of Ethics
Answer:
1. PIPEDA and the Privacy Act
Question:
7. 5. How can you, as a nurse, enact the e-Nursing Strategy?
1. Buy your own laptop, and design a nursing-related website
2. Complete mandatory education on your hospital information system
3. Support access to technology for all nurses, develop your technology competencies, and participate in
advancing information and communication technology and nursing informatics
4. Work at the Canadian Nurses Association
Answer:
3. Support access to technology for all nurses, develop your technology competencies, and participate in
advancing information and communication technology and nursing informatics
Question:
8. 6. What nursing or health informatics communities are available to nurses?
1. CNIA, IMIA-SIGNI
2. CNA, CMA
3. HOBIC, TTYL
4. CSA, ICD-10
Answer:
1. CNIA, IMIA-SIGNI
Question:
9. 1. John, an RN, is working with Tammy, a UCP, to manage care for five patients. John has completed
morning assessments and rounds on the assigned patients and is giving Tammy directions for what she
needs to do in the next hour. John says to Tammy, "Why don't you go to Room 415 and see what Mr.
Thomas needs, and go to Room 418 to check if Mrs. Landry is doing all right." Based on what you know
about delegation, were these appropriate or inappropriate delegations to Tammy? Provide a rationale for
your answer.
Answer:
,Question:
10. 2. You are a recently graduated RN working in a home care setting. The manager of the nursing
program asks you to assist with the implementation of a collaborative practice model. She asks you to help
her set the agenda for the first meeting to discuss the concept and principles of collaborative practice. What
ideas and resources would you contribute to the agenda?
Answer:
Question:
11. 3. You have just received morning shift reports on your patients. You have been assigned the following
patients:
• A 52-year-old man who was admitted yesterday with a diagnosis of angina. He is scheduled for a cardiac
stress test at 0900.
• A 60-year-old woman who was transferred out of intensive care at 0630 today. She underwent
uncomplicated coronary bypass surgery yesterday.
• A 45-year-old man who experienced a myocardial infarction 3 days ago and is complaining of chest pain,
which he rates as 5 on a scale of 0 to 10.
• A 76-year-old woman who had a permanent pacemaker inserted yesterday and is complaining of incision
pain, which she rates as 7 on a scale of 0 to 10.
Which one of these patients do you need to see first? Explain your answer.
Answer:
Question:
12. 1. Transformation leadership most fundamentally involves (Select all that apply):
1. Developing charismatic and highly influential leaders
2. Envisioning new systems of care to get work done
3. Developing relationships and involving others in change
4. Introducing research and innovation
Answer:
1. Developing charismatic and highly influential leaders
Question:
13. 2. Collaborative practice models most fundamentally aim to
1. Improve delegation between staff
2. Improve communication between staff
3. Place the patient at the centre of care delivery
4. Ensure that health care providers can cover for one another
Answer:
3. Place the patient at the centre of care delivery
Question:
14. 3. Delegation by nurses involves the following (Select all that apply):
1. Communication of the plan of care to the LPN
2. Transferring accountability to another care provider
3. Ensuring that the delegate has the skills and knowledge to perform the function
4. Understanding team members' scopes of practice
Answer:
all of them
, Question:
15. 4. The type of management structure that has a potential for greater collaborative effort, increased
competency of staff, and ultimately a greater sense of professional accomplishment and satisfaction is
1. Empowerment
2. Primary nursing
3. Total patient care
4. Decentralized
Answer:
4. Decentralized
Question:
16. 5. While administering medications, the nurse realizes she has given the wrong dose of medication to a
patient. The nurse acts by completing an incident report and notifying the patient's physician. The nurse is
exercising
1. Authority
2. Responsibility
3. Accountability
4. Decision making
Answer:
3. Accountability
Question:
17. 6. A manager who wishes to promote patient safety in the health care organization should focus on
(Select all that apply):
1. Viewing mistakes as opportunities for learning
2. Staffing models and ratios
3. Systems for detecting mistakes
4. Ensuring shared vision and values of quality and safety in care
Answer:
all of them
Question:
18. 7. A home care nurse is working with three UCPs who were recently hired and are new to their roles.
For the first 2 weeks of their employment, the UCPs have been providing care for patients at home with
complex wounds and caring for families in palliative care situations. The nurse believes in the principles of
collaborative practice and wishes to support the UCPs in their development. An important first step would
be to
1. Provide an opportunity for the UCPs to talk about their experiences, questions, and roles
2. Provide an educational session on palliative care
3. Set up a mentoring system among the UCPs
4. Discuss the role of the RN in home care
Answer:
