Intro to Nursing Test 2 UTMB UPDATED
Exam Questions and CORRECT Answers
NPSG 01.01.01 Identify patients correctly: - CORRECT ANSWER - The "right patient" of
the 7 rights, use at least 2 ways to identify (patients name, date of birth, and patients hospital
number), scan barcode
Why is the NPSG Identify patients correctly important? - CORRECT ANSWER - This
stops the issue of confusion with patients that have the same name
NPSG 02.03.01 Improve staff communication: - CORRECT ANSWER - Report critical
results if tests and diagnostic procedures in a timely manner
Regarding the NPSG Improve staff communication, the hospital should have written procedures
regarding: - CORRECT ANSWER - The definition of critical results, by whom and to
whom results should be reported, and an acceptable length of time between availability and
reporting of results
What does the SBAR consist of? - CORRECT ANSWER - Situation, Background,
Assessment, and Recommendation
The "S" in SBAR should include: - CORRECT ANSWER - Introducing yourself, some
facilities have ISBAR ("I" stands for introduction), explain what is happening with the patient,
and why you contacted the health care provider
The "B" in SBAR should include: - CORRECT ANSWER - Reason admitted, and medical
history
The "A" in SBAR should include: - CORRECT ANSWER - Physical assessment related to
the reason you called, lab values, and diagnostic test results
, The "R" in SBAR should include: - CORRECT ANSWER - Ask the HCP to assess the
patient, ask to have labs drawn or diagnostic tests ordered, ask to transfer to ICU, ask for a
referral, and think about the reason you called HPC regarding recommendation
NPSG 03.04-6.01 Improve the safety of using medications: - CORRECT ANSWER - label
all medicines, medicine containers, and other solutions before a procedure, use precaution with
patients who take medicine to thin their blood (PO, subq, IV)
When verifying doses with another nurse: - CORRECT ANSWER - 2 licensed (RN or
LVN/LPN) nurses should be present for administration of sub q blood thinners and insulin
When documenting what medications a patient is taking: - CORRECT ANSWER -
Compare new medications to medications the patient is taking now, patient education regarding
medicines the patient should take at home, and patient education regarding bringing up to date
medicines at their visit
NPSG 06.01.01 Use of alarm safety is for: - CORRECT ANSWER - Blood pressure,
telemetry, SpO2, IV pumps, ventilatory, bed alarms, chair alarms, floor alarms
The joint commission guidelines for alarm systems: - CORRECT ANSWER - Reducing
the harm associated with clinical alarm systems continues to be a national patient safety goal.
The Joint Commission continues to encourage healthcare systems to put policies in place to
decrease the burden of unnecessary alarms on staff.
Establish policies and procedures for managing the alarms identified that, at a minimum, address
the following: - CORRECT ANSWER - Clinically appropriate settings for alarm signals,
when alarm signals can be disabled, when alarm parameters can be changed, who in the
organization has the authority to set alarm parameters (nurses!), checking individual alarm
signals for accurate settings, proper operation, and detectability
Contributing factors to alarm fatigue: - CORRECT ANSWER - Alarm parameters
thresholds were set too tight, alarm settings not set to individual patients needs, poor EKG
electrode practices resulting in frequent false alarms, inability of staff to hear alarms or detect
Exam Questions and CORRECT Answers
NPSG 01.01.01 Identify patients correctly: - CORRECT ANSWER - The "right patient" of
the 7 rights, use at least 2 ways to identify (patients name, date of birth, and patients hospital
number), scan barcode
Why is the NPSG Identify patients correctly important? - CORRECT ANSWER - This
stops the issue of confusion with patients that have the same name
NPSG 02.03.01 Improve staff communication: - CORRECT ANSWER - Report critical
results if tests and diagnostic procedures in a timely manner
Regarding the NPSG Improve staff communication, the hospital should have written procedures
regarding: - CORRECT ANSWER - The definition of critical results, by whom and to
whom results should be reported, and an acceptable length of time between availability and
reporting of results
What does the SBAR consist of? - CORRECT ANSWER - Situation, Background,
Assessment, and Recommendation
The "S" in SBAR should include: - CORRECT ANSWER - Introducing yourself, some
facilities have ISBAR ("I" stands for introduction), explain what is happening with the patient,
and why you contacted the health care provider
The "B" in SBAR should include: - CORRECT ANSWER - Reason admitted, and medical
history
The "A" in SBAR should include: - CORRECT ANSWER - Physical assessment related to
the reason you called, lab values, and diagnostic test results
, The "R" in SBAR should include: - CORRECT ANSWER - Ask the HCP to assess the
patient, ask to have labs drawn or diagnostic tests ordered, ask to transfer to ICU, ask for a
referral, and think about the reason you called HPC regarding recommendation
NPSG 03.04-6.01 Improve the safety of using medications: - CORRECT ANSWER - label
all medicines, medicine containers, and other solutions before a procedure, use precaution with
patients who take medicine to thin their blood (PO, subq, IV)
When verifying doses with another nurse: - CORRECT ANSWER - 2 licensed (RN or
LVN/LPN) nurses should be present for administration of sub q blood thinners and insulin
When documenting what medications a patient is taking: - CORRECT ANSWER -
Compare new medications to medications the patient is taking now, patient education regarding
medicines the patient should take at home, and patient education regarding bringing up to date
medicines at their visit
NPSG 06.01.01 Use of alarm safety is for: - CORRECT ANSWER - Blood pressure,
telemetry, SpO2, IV pumps, ventilatory, bed alarms, chair alarms, floor alarms
The joint commission guidelines for alarm systems: - CORRECT ANSWER - Reducing
the harm associated with clinical alarm systems continues to be a national patient safety goal.
The Joint Commission continues to encourage healthcare systems to put policies in place to
decrease the burden of unnecessary alarms on staff.
Establish policies and procedures for managing the alarms identified that, at a minimum, address
the following: - CORRECT ANSWER - Clinically appropriate settings for alarm signals,
when alarm signals can be disabled, when alarm parameters can be changed, who in the
organization has the authority to set alarm parameters (nurses!), checking individual alarm
signals for accurate settings, proper operation, and detectability
Contributing factors to alarm fatigue: - CORRECT ANSWER - Alarm parameters
thresholds were set too tight, alarm settings not set to individual patients needs, poor EKG
electrode practices resulting in frequent false alarms, inability of staff to hear alarms or detect
