NUR 118 Final Exam Questions With
Correct Answers
You |are |a |member |of |a |clinical |practice |interprofessional |team |that |is |looking |at |the |best |
available |evidence |to |reduce |hospital-acquired |pressure |ulcers |on |the |medical-surgical |unit. |
Which |of |the |following |actions |by |the |team |demonstrate |actions |to |locate |the |best |available |
evidence? |Select |all |that |apply. |- |CORRECT |ANSWER✔✔-Searching |all |nursing |databases |for |
evidence |on |the |care |of |hospital-acquired |pressure |ulcers
Conducting |a |thorough |search |of |the |literature |using |CINAHL |and |Medline
Using |an |article |based |on |guidelines |from |the |medical-surgical |nursing |professional |
organization.
Locating |information |from |Up-To-Date
The |nurse |is |giving |a |presentation |to |coworkers |regarding |the |patient |benefits |of |adopting |
policies |based |on |evidence-based |practice |(EBP). |Which |of |the |following |benefits |of |EBP |
should |be |included |in |the |presentation? |Select |all |that |apply. |- |CORRECT |ANSWER✔✔-
Improved |quality |of |care
Improved |cost |savings
Decreased |lengths |of |stay
Improved |patient |outcomes
The |nurse |cares |for |a |patient |who |has |been |diagnosed |with |recurrent |lung |cancer. |The |
oncology |unit |has |a |nurse-led |support |group |for |improving |quality |of |life |for |cancer |patients. |
The |patient |declines |participation |stating |that |he |is |a |private |person |and |he |is |not |interested |
in |participating |in |a |group. |Which |of |the |following |is |the |best |response |by |the |nurse? |- |
CORRECT |ANSWER✔✔-"What |types |of |support |have |you |found |helpful |in |dealing |with |trying |
situations |in |the |past?"
The |nurse |is |gathering |evidence |on |interventions |to |reduce |the |risk |for |falls |for |patients |who |
are |at |high |risk |for |falls. |The |nurse |finds |a |variety |of |types |of |evidence. |All |evidence |types |are |
appraised |using |the |appropriate |tool |and |found |to |be |high |quality. |Which |of |the |following |are |
,inappropriate |types |of |evidence |to |use |considering |all |listed |types |of |evidence |are |found? |
Select |all |that |apply. |- |CORRECT |ANSWER✔✔-Editorial
Case |studies
Qualitative |study
The |nurse |is |gathering |the |best |available |evidence |on |interventions |to |reduce |hospital-
acquired |pressure |ulcers. |Which |of |the |following |would |be |considered |the |highest |level |of |
evidence? |- |CORRECT |ANSWER✔✔-Meta-analysis |systematic |review
The |nurse |is |involved |in |a |task |force |to |design |patient |care |plans |using |the |best |available |
evidence. |Which |of |the |following |statements |is |true |regarding |EBP? |Select |all |that |apply. |- |
CORRECT |ANSWER✔✔-Patient |values |are |a |key |component |of |EBP
Given |the |ease |of |access |to |scientific |data, |EBP |can |be |quickly |incorporated |into |care |plan |
design
The |nurse |wants |to |implement |EBP |in |the |care |of |patients |on |the |unit. |Identify |the |correct |
order |to |implement |EBP. |- |CORRECT |ANSWER✔✔-Identify |a |clinical |problem
Ask |a |searchable |question.
Locate |the |best |available |evidence.
Appraise |the |evidence.
Determine |the |level |of |evidence
Create |a |change |based |on |the |evidence
Incorporate |the |change |into |practice
Measure |outcomes |from |the |change
Sustain |the |change
A |nurse |is |leading |an |interprofessional |team |working |on |strategies |to |improve |patient |
satisfaction |in |the |emergency |department |(ED). |A |social |worker |is |part |of |the |team |and |asks |
the |nurse, |"Why |do |we |have |to |appraise |all |the |research |articles |we |found, |isn't |it |good |
, enough |to |use |the |findings |from |the |articles |since |they |are |all |research?" |What |would |be |the |
most |appropriate |way |for |the |nurse |to |respond? |- |CORRECT |ANSWER✔✔-"Appraisal |helps |us |
determine |the |quality |of |the |evidence."
The |ED |nurse |reads |an |article |stating |that |patient |morbidity |and |mortality |are |increased |when |
patients |are |given |plasma |volume |expanders |in |the |initial |treatment |of |hypovolemic |shock. |
The |nurse |is |concerned |about |patient |outcomes |in |the |ED |as |plasma |volume |expanders |are |
often |prescribed. |What |is |the |best |action |by |the |nurse? |- |CORRECT |ANSWER✔✔-Contact |the |
chief |of |emergency |medicine |and |nurse |manager |to |request |creating |an |interprofessional |
team |to |investigate |the |clinical |problem.
Before |conducting |a |literature |search |in |Medline, |PubMed |or |CINAHL, |it |is |important |to |
remember |which |of |the |following? |- |CORRECT |ANSWER✔✔-In |most |cases, |it |is |preferable |to |
search |using |the |electronic |database's |system |of |controlled |vocabulary |subject |headings.
During |a |staff |meeting, |the |nurse |manager |says |the |rate |of |patient |falls |has |increased. |Which |
of |the |following |would |help |identify |potential |reasons |for |the |increase? |Select |all |that |apply. |- |
CORRECT |ANSWER✔✔-Fishbone |diagram
Healthcare |mode |failure |and |effect |assessment
Aggregate |root |cause |analysis
Comparison |and |analysis |of |staffing |and |falls
A |patient |is |being |treated |for |a |late-stage |lung |cancer. |The |patient |says |to |the |nurse, |"I |don't |
think |I |would |do |it |but |sometimes, |like |now, |I |think |about |ways |to |kill |myself." |Of |the |
following, |which |should |be |the |nurse's |priority |safety |action? |- |CORRECT |ANSWER✔✔-Remove
|the |patient's |access |to |means |of |self-harm.
The |nurse |overrode |the |hospital's |electronic |prescribing |cabinets, |which |allowed |a |search |for |
medicines |by |name |through |a |computer |system. |Instead |of |selecting |the |prescribed |
medication, |the |nurse |selected |and |administered |the |first |medication |having |the |prescribed |
medication's |first |two |letters. |The |patient |died. |This |is |classified |as |which |of |the |following? |- |
CORRECT |ANSWER✔✔-Adverse |event
Correct Answers
You |are |a |member |of |a |clinical |practice |interprofessional |team |that |is |looking |at |the |best |
available |evidence |to |reduce |hospital-acquired |pressure |ulcers |on |the |medical-surgical |unit. |
Which |of |the |following |actions |by |the |team |demonstrate |actions |to |locate |the |best |available |
evidence? |Select |all |that |apply. |- |CORRECT |ANSWER✔✔-Searching |all |nursing |databases |for |
evidence |on |the |care |of |hospital-acquired |pressure |ulcers
Conducting |a |thorough |search |of |the |literature |using |CINAHL |and |Medline
Using |an |article |based |on |guidelines |from |the |medical-surgical |nursing |professional |
organization.
Locating |information |from |Up-To-Date
The |nurse |is |giving |a |presentation |to |coworkers |regarding |the |patient |benefits |of |adopting |
policies |based |on |evidence-based |practice |(EBP). |Which |of |the |following |benefits |of |EBP |
should |be |included |in |the |presentation? |Select |all |that |apply. |- |CORRECT |ANSWER✔✔-
Improved |quality |of |care
Improved |cost |savings
Decreased |lengths |of |stay
Improved |patient |outcomes
The |nurse |cares |for |a |patient |who |has |been |diagnosed |with |recurrent |lung |cancer. |The |
oncology |unit |has |a |nurse-led |support |group |for |improving |quality |of |life |for |cancer |patients. |
The |patient |declines |participation |stating |that |he |is |a |private |person |and |he |is |not |interested |
in |participating |in |a |group. |Which |of |the |following |is |the |best |response |by |the |nurse? |- |
CORRECT |ANSWER✔✔-"What |types |of |support |have |you |found |helpful |in |dealing |with |trying |
situations |in |the |past?"
The |nurse |is |gathering |evidence |on |interventions |to |reduce |the |risk |for |falls |for |patients |who |
are |at |high |risk |for |falls. |The |nurse |finds |a |variety |of |types |of |evidence. |All |evidence |types |are |
appraised |using |the |appropriate |tool |and |found |to |be |high |quality. |Which |of |the |following |are |
,inappropriate |types |of |evidence |to |use |considering |all |listed |types |of |evidence |are |found? |
Select |all |that |apply. |- |CORRECT |ANSWER✔✔-Editorial
Case |studies
Qualitative |study
The |nurse |is |gathering |the |best |available |evidence |on |interventions |to |reduce |hospital-
acquired |pressure |ulcers. |Which |of |the |following |would |be |considered |the |highest |level |of |
evidence? |- |CORRECT |ANSWER✔✔-Meta-analysis |systematic |review
The |nurse |is |involved |in |a |task |force |to |design |patient |care |plans |using |the |best |available |
evidence. |Which |of |the |following |statements |is |true |regarding |EBP? |Select |all |that |apply. |- |
CORRECT |ANSWER✔✔-Patient |values |are |a |key |component |of |EBP
Given |the |ease |of |access |to |scientific |data, |EBP |can |be |quickly |incorporated |into |care |plan |
design
The |nurse |wants |to |implement |EBP |in |the |care |of |patients |on |the |unit. |Identify |the |correct |
order |to |implement |EBP. |- |CORRECT |ANSWER✔✔-Identify |a |clinical |problem
Ask |a |searchable |question.
Locate |the |best |available |evidence.
Appraise |the |evidence.
Determine |the |level |of |evidence
Create |a |change |based |on |the |evidence
Incorporate |the |change |into |practice
Measure |outcomes |from |the |change
Sustain |the |change
A |nurse |is |leading |an |interprofessional |team |working |on |strategies |to |improve |patient |
satisfaction |in |the |emergency |department |(ED). |A |social |worker |is |part |of |the |team |and |asks |
the |nurse, |"Why |do |we |have |to |appraise |all |the |research |articles |we |found, |isn't |it |good |
, enough |to |use |the |findings |from |the |articles |since |they |are |all |research?" |What |would |be |the |
most |appropriate |way |for |the |nurse |to |respond? |- |CORRECT |ANSWER✔✔-"Appraisal |helps |us |
determine |the |quality |of |the |evidence."
The |ED |nurse |reads |an |article |stating |that |patient |morbidity |and |mortality |are |increased |when |
patients |are |given |plasma |volume |expanders |in |the |initial |treatment |of |hypovolemic |shock. |
The |nurse |is |concerned |about |patient |outcomes |in |the |ED |as |plasma |volume |expanders |are |
often |prescribed. |What |is |the |best |action |by |the |nurse? |- |CORRECT |ANSWER✔✔-Contact |the |
chief |of |emergency |medicine |and |nurse |manager |to |request |creating |an |interprofessional |
team |to |investigate |the |clinical |problem.
Before |conducting |a |literature |search |in |Medline, |PubMed |or |CINAHL, |it |is |important |to |
remember |which |of |the |following? |- |CORRECT |ANSWER✔✔-In |most |cases, |it |is |preferable |to |
search |using |the |electronic |database's |system |of |controlled |vocabulary |subject |headings.
During |a |staff |meeting, |the |nurse |manager |says |the |rate |of |patient |falls |has |increased. |Which |
of |the |following |would |help |identify |potential |reasons |for |the |increase? |Select |all |that |apply. |- |
CORRECT |ANSWER✔✔-Fishbone |diagram
Healthcare |mode |failure |and |effect |assessment
Aggregate |root |cause |analysis
Comparison |and |analysis |of |staffing |and |falls
A |patient |is |being |treated |for |a |late-stage |lung |cancer. |The |patient |says |to |the |nurse, |"I |don't |
think |I |would |do |it |but |sometimes, |like |now, |I |think |about |ways |to |kill |myself." |Of |the |
following, |which |should |be |the |nurse's |priority |safety |action? |- |CORRECT |ANSWER✔✔-Remove
|the |patient's |access |to |means |of |self-harm.
The |nurse |overrode |the |hospital's |electronic |prescribing |cabinets, |which |allowed |a |search |for |
medicines |by |name |through |a |computer |system. |Instead |of |selecting |the |prescribed |
medication, |the |nurse |selected |and |administered |the |first |medication |having |the |prescribed |
medication's |first |two |letters. |The |patient |died. |This |is |classified |as |which |of |the |following? |- |
CORRECT |ANSWER✔✔-Adverse |event
