NUR 406 MIDTERM PRACTICE QUESTIONS AND CORRECT ANSWERS 2025

NUR 406 MIDTERM PRACTICE QUESTIONS AND CORRECT ANSWERS 2025 In a team nursing delivery model, the nurse would have the following assignment: A. Total care for select group of pts B. Responsibility for a particular function, such as meds C. An oversight role for care delivered by self and staff D. Combination role integrating financial and insurance decision - ans-c Type of pt care in which the nurse caring for the pt makes most decisions is: A. Functional B. Team C. Case management D. Total pt care - ans-d Most flexible model of pt care, which can include a variety of skill mixes is: A. Team B. Functional C. Case management D. Primary - ans-d You are a nurse working during a snow storm. Staff has been cut in half. Best method of health care delivery: A. Case management B. Team nursing C. Modular nursing D. Functional nursing - ans-d Sbar stands for.. - ans-situation Background Assessment Recommendations What is included under the situation criteria? A. Pt's ethnicity and religious affiliation B. Problem, what it is, when it started, and severity C. Pts roommates D. Pts mental status - ans-b What is included under the background criteria? NURS 406 NURS 406 A. Socioeconomic status of family B. Current meds, allergies, iv fluids, lab results C. Pt's dietary needs before hospitalization D. Family history of disease - ans-b Do's regarding change of shift report: A. Essential background info about pt B. Id pt's discharge plan C. Significant info about family friends D. Pts orders in detail - ans-a Don'ts regarding report A. Significant info about family B. Significant changes in the way therapies are given C. Continuously review ongoing discharge plan D. Review all routine care procedures - ans-d In the pcio framework for developing the question of concern, "i" stands for what: A. Intervention B. Interdisciplinary C. Interrelational D. Integrity - ans-a You have just read about a change in iv insertion practice that sounds like it would work on your unity. Before suggesting such a change in practice, you need to: - ans-review of literature Race stands for: - ans-rescue Alarm Contain Extinguish Example of the need for an incident report is: A. Med error B. Pt fall C. Injury to employee D. All of the above - ans-d Medicare part b coverage plan pays for: A. Prescription meds B. New ramp for wheelchair C. Surgical procedures D. Durable medical equipment - ans-d Chronic hemodialysis pt would have his or her bills paid for by: A. Medicare part a NURS 406 NURS 406 B. Medicare part b C. Parts a and b D. Part c - ans-b A benefit of accreditation by the joint commission is that it: A. Leads to improved pt care and demonstrates the organizations commitment to safety and quality B. Allows for increased financial gain through medicare and medicaid reimbursement C. Influences the improved design of care processes D. Offers educational off site survey experience - ans-a Documentation of pt pain assessment will be reviewed for jacho standard compliance. Under this standard, organizations are required to provide proof that nurses: - ans recognize pts right to assessment and management of pain You are the nurse for a pt who is brain dead and ventilator dependent. Best interest=dc vent. Example of is a need for an ethics committee decision would be if this comatose pt: A. Does not have advance directives B. As a living will C. Cannot breathe without vent D. Has advance directive and next of kin - ans-a Element that is the same in nursing process and management: A. Id of needs B. Id of resources C. Planning D. Control - ans-c Middle level director: A. Makes hospital wide decisions B. Supervises number of upper level managers C. Responsible for ppl and activities 24/7 D. Responsible for his or her specific shift only - ans-c Not middle level managers responsibility: A. Ppl within departments they supervise B. Liasison between upper management and first level management C. Establishment of organizational goals D. Activities within the departments they supervise - ans-c A sentinel event: A. Basis of all pi B. Must be reported to tjc C. Evidences poor pt care D. Medical error - ans-b NURS 406 Example of an outcome: A. Admission process B. Pressure ulcer rate C. Nursing satisfaction D. Standard of care E. Both b and c - ans-e All of the following are uses of pt record except: A. Documentation B. Provision of data for research C. Provision of legal and financial records D. An area to place incident - ans-d The electronic pt health record may include: A. Pt stats B. Med order entry C. Incident report D. Pt census data - ans-b Primary use for electronic health info is: A. Education B. Pt care management C. Regulation D. Research - ans-b Secondary use for electronic health info? A. Education B. Pt care delivery C. Pt care management D. Pt care support - ans-a Nursing data fall into 4 domains: - ans-client care Billing Administrative Research One driving force for increasing pt satisfaction is: A. Community benefits B. Clinical benefits C. Classification benefits D. Management benefits - ans-b Mission of an organization: A. Sets competitive tone B. States what is done by organization NURS 406 NURS 406 NURS 406 C. Measures performance of a unit D. Defines philosophy of an institution - ans-b Vision of organization: A. Statement defining purpose B. Future-oriented statement of where they see themselves C. Philosophy or behaviors determined to be vital D. Analysis of the political, demographic, and social environment of organization - ans-b Example of direct cost would be: A. Telephone costs for entire facility B. Copy paper for specific unit C. Room use for hospital event D. Housekeeping staff - ans-b Indirect cost: A. Housekeeping staff B. Uniform allowance for lpns C. Ink for printer on unit D. Rn salary - ans-a Model of pt care delivery consists of an rn who provides complete pt care to a pt or group of pts? - ans-total pt care Medicaid vs. Medicare - ans-medicaid--aid for poor Medicare--care for elderly Critical components of change of shift report: - ans-meds, labs, allergies, change in pt status, admit dx, current dx, pending procedures, eval of new meds on shift Only part of nursing process that can be delegated to lpn but still supervised by rn? - ans-implementation, but only standard unchanging procedures Benefit to having electronic medical records? (sata) - ans-doctors orders, less med errors, better communication btw facilities/providers, immediate access Rn makes pt care assignments based on what? - ans-acuity of pts and needs of pts Skill/staff mix (rn vs lpn) 4 domains of nursing data - ans-research Staffing Client care Administration Main benefit of being accredited by jacho? - ans-noted commitment of quality care and safety NURS 406 NURS 406 Mission defines what? - ans-purpose of organization 5 rights to delegation - ans-task Circumstance Person Direction Supervision 2 skills uap can do we did not know before this class? - ans-soap suds enema Pick up blood from bank Nurse renewing acls certification as she works in icu. Which ethical principal is she displaying? - ans-nonmalificence Better ways to care for pts being mechanically vented. Rn looks up articles about best practice. What is this? - ans-review of literature What types of incidents require occurrence reporting (sata) - ans-falls, med errors, needle sticks, loss of property Variable cost? - ans-something that changes--staffing, utilities, supply costs, maintenance costs 5 functions of management (sata) - ans-(can be a manager without being a leader) Staffing Planning Organizing Controlling Directing Ways health care organization work toward quality improvement (sata) - ans-jacho accreditation Magnet status Risk management/quality management Pt satisfaction surveys According to maslow, what needs must be met first? - ans-physical Prioritization acronym - ans-airway Breathing Circulation You are delegating assignments to your staff this morning. You have several lpn's and not enough rn's. You know that you should not delegate which of the following to an lpn. NURS 406 NURS 406 A. Ms. Jones, an 82 year-old that was admitted with copd. She is confused and requires supervision because of her potential for falls B. Mr. Jones, a 49 year old that was admitted with cerebral palsy and requires suctioning C. Mrs. Smith, a 90 year old admitted with end-stage renal failure and her family is contemplating end of life issues, possibly a dnr. D. Mr. Green, a 26 year old admitted status post mva with multiple abrasions requiring bandage changes related to road rash. - ans-c You are the manager of a step-down cardiac unit. Susan, is a nursing assistant who has ten years experience on your unit. You observe her changing the rate on the iv pump. You question her and she states that the rn in charge of the patient is not doing her job. What is your first action? A. Ask susan to continue monitoring the rn's performance B. Reassign the rn C. Ask the rn to talk with you in private D. Discuss with susan her scope of practice - ans-d A patient has just fallen out of bed on your unit. You assess the patient, and you determine that there are no injuries you know that you must report the incident. What is the correct avenue of reporting? A. Notify the physician immediately, notify the charge nurse, write the incident in the chart B. Notify the charge nurse, fill out an occurrence report and document your assessment findings in the chart C. Document your assessment noting that an occurrence report has been filled out and place in the patient's chart D. Notify the family and ask that they come and stay with the patient - ans-b You are an rn for a home health agency and have 4 clients to see this morning. As you look over your assignment, which client would you see first? A. A client who is on peritoneal dialysis and is complaining of abdominal pain and has reported a fever B. A client who is receiving chemotherapy and needs labs drawn for a cbc C. A client with copd and his 02 sat is reported at 94% D. A client with a recent mi who needs an initial assessment - ans-a You have a home health aide to assist you with your clients. You know she is visiting a client with several decubitus ulcers. Which of the following can be delegated to the aide? A. Changing the bandages B. Cleansing the stage 2-3 areas C. Reinforcing the bandages D. Reporting changes in the staging of the ulcers - ans-c Of the following clients, which of these should be assigned to an lpn? NURS 406 NURS 406 A. A client with a potassium level of 4.1 and is having continuous chest pain B. A client with a hemoglobin of 12 and is complaining of phantom limb pain C. A client with a recent head injury and has a possible active hemorrhage D. A client with unstable angina in which the cause is unknown at this time - ans-b You are the manager of the neuro unit and have a patient on a ventilator that has been diagnosed with ards. Which nurse would you assign this patient? A. An experienced float rn B. An experienced rn from the cardiac unit C. An rn with 6 months experience on the neuro unit D. An rn from the neuro floor with 1 other patient - ans-a A family member comes to the nursing desk and begins to yell at the nurses that her father is not getting the best of care. You are a witness to the interaction and realize that the daughter is very irate. What should you do next? A. Attempt to remove the daughter from the environment and state that two nursing assistants had called out that day B. Calmly approach her and walk her to an area where she can express her concerns C. Ask her to lower her voice and that someone will be with her in a minute D. Ask her to state what she is upset about so all the employees are aware of her concerns - ans-b As an rn delegating assignments you are responsible for A. A physician's assistant who inadequately assesses a patient B. An lpn with six months experience who is having difficulty catherizing a client and causes injury C. A nursing assistant who leaves the floor for an hour and you discover her vs have not been done D. An rn who makes a medication error - ans-b You are an rn receiving a report from the night nurse. You notice that she is slurring her words and her eyes are very red. She also stumbles when getting up to go to her locker. You would A. Just think she is tired from working nights B. Ignore the behavior, for she is your friend C. Confront her D. Tell your manager what you observed - ans-d Which patient would be your first priority given the following information? A. Aaa repair 12 hours ago, vs normal, family at the bedside, pt. Resting B. Cva 48 hours ago, at risk for falls, b/p 150/60, c/o of a severe headache C. Pneumonia, unproductive cough, elevated temp, 02 sat 98% D. Dehydration, potassium 3.9, sodium 143, iv fluids running at 80cc/hr, not eating - ans-b NURS 406 NURS 406 A nursing assistant on your floor is graduating in a month with her bsn degree. She is precepting on another unit and tells you about all tasks she has performed. When delegating you would A. Give her a little bit more responsibility B. Assign her one client to assess C. Let her perform some rn duties under the supervision of another rn D. Remind her of her scope of practice while working as an employee - ans-d Ms. Smith, a cna, realizes that she must complete her morning vital signs on all of her clients, she is demonstrating A. Authority B. Autonomy C. Responsibility D. Accountability - ans-c The right to act or command an action from others is A. Delegation B. Authority C. Responsibility D. Accountability - ans-b Ms. Green, an rn, has assigned her cna to perform morning care on five patients. Ms. Green asks the cna at noon if she has completed her tasks and checks for documentation. She also makes rounds, observes the appearance of her patients, and asks about the baths. Ms. Green is demonstrating A. Accountability B. Responsibility C. Authority D. Autonomy - ans-a According to the national council of state boards of nursing, there are five rights to delegation, some of these right include the following A. Right task, right person, right route B. Right circumstance, right direction, right task C. Right person, right supervision, right dose D. Right patient, right task, right task - ans-b You arrive to work this morning and two nurses have not reported to work. Ms. Green rn, who is your team leader, delegates assignments to all team members. Her decision to delegate assignments is based on A. The number of staff members willing to work B. The desires of the team members C. The need to do the job quickly D. The condition and the needs of each client - ans-d In order to delegate effectively, one must NURS 406 NURS 406 A. Be authoritative B. Be a leader C. Be aggressive D. Know their delegates - ans-d When delegating to others it is important that you A. Ask the delegate to summarize the duty to clarify their understanding B. Ask the delegate if they want some assistance with the task C. Determine if the delegate is happy with the task D. Assist the delegate throughout the entire process - ans-a You are the rn in charge of a surgical unit. A new client has just been admitted to your unit and needs to have a heart monitor in place for continuous monitoring post surgery. You are busy with another client who has spiked a fever and possibly has developed an infection post surgery. What can you delegate to the lpn? A. Placing heart monitor leads on the new client and analyzing the rhythm B. Placing the heart monitor on the new client and notifying the family that he is now in his room C. Giving ancef 2g over 1 hour iv D. Initiating a plan of care on the new client - ans-b You are an rn for a home health agency and have 4 clients to see this morning. As you look over your assignment, which client would you see first? A. A client who is on peritoneal dialysis and needs an epogen injection, due to low hemoglobin values B. A client who is receiving chemotherapy and needs labs drawn for a cbc C. A client with chf and increased shortness of breath D. A client with a recent mi who needs an initial assessment - ans-c You have a home health aide to assist you with your clients. You know she is visiting a client with chf. Which of the following can be delegated to the aide? A. Checking for edema B. Auscultation heart and lung soun