NR341 ACTUAL EXAM 1 | QUESTIONS AND VERIFIED ANSWERS |
EXAM ALREADY GRADED A+ | LATEST EXAM UPDATE
Which of the following professional organizations best supports critical care
nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine - CORRECT ANSWERS - a
The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing competency.
d. patients' needs for energy and support. - CORRECT ANSWERS - c
The family of your critically ill patient tells you that they have not spoken with
the physician in over 24 hours and they have some questions that they want
clarified. During morning rounds, you convey this concern to the attending
intensivist and arrange for her to meet with the family at 4:00 PM in the
conference room. Which competency of critical care nursing does this
represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members -
CORRECT ANSWERS - c
,The charge nurse is responsible for making the patient assignments on the
critical care unit. She assigns the experienced, certified nurse to care for the
acutely ill patient with sepsis who also requires continuous renal replacement
therapy and mechanical ventilation. She assigns the nurse with less than 1 year
of experience to two patients who are more stable. 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 ANSWERS - d
The family members of a critically ill, 90-year-old patient bring in a copy of the
patient's living will to the hospital, which identifies the patient's wishes
regarding health care. You discuss contents of the living will with the patient's
physician. This is an example of implementation of which of the AACN
Standards of Professional Performance?
a. Acquires and maintains current knowledge of practice
b. Acts ethically on the behalf of the patient and family
c. Considers factors related to safe patient care
d. Uses clinical inquiry and integrates research findings in practice -
CORRECT ANSWERS - b
As part of nursing management of a critically ill patient, orders are written to
keep the head of the bed elevated at 30 degrees, awaken the patient from
sedation each morning to assess readiness to wean from mechanical ventilation,
and implement oral care protocols every 4 hours. These interventions are done
as a group to reduce the risk of ventilator-associated pneumonia. This group of
evidence-based interventions is often called a:
a. bundle of care.
b. clinical practice guideline.
c. patient safety goal.
d. quality improvement initiative. - CORRECT ANSWERS - a
,Which of the following statements describes the core concept of the synergy
model of practice?
a. All nurses must be certified in order to have the synergy model implemented.
b. Family members must be included in daily interdisciplinary rounds.
c. Nurses and physicians must work collaboratively and synergistically to
influence care.
d. Unique needs of patients and their families influence nursing competencies. -
CORRECT ANSWERS - d
Which of the following is a National Patient Safety Goal? (Select all that apply.)
a. Accurately identify patients.
b. Eliminate use of patient restraints.
c. Reconcile medications across the continuum of care.
d. Reduce risks of healthcare-acquired infection. - CORRECT ANSWERS -
a,c,d
Which of the following nursing activities demonstrates implementation of the
AACN Standards of Professional Performance? (Select all that apply.)
a. Attending a meeting of the local chapter of the American Association of
Critical-Care Nurses in which a continuing education program on sepsis is
being taught
b. Collaborating with a pastoral services colleague to assist in meeting spiritual
needs of the patient and family
c. Participating on the unit's nurse practice council
d. Posting an article from Critical Care Nurse on management of venous
thromboembolism for your colleagues to read
e. Using evidence-based strategies to prevent ventilator-associated pneumonia -
CORRECT ANSWERS - a,b,c,d,e
, Which scenarios contribute to effective handoff communication at change of
shift? (Select all that apply.)
a. The nephrology consultant physician is making rounds and asks you to update
her on the patient's status and assist in placing a central line for hemodialysis.
b. The noise level is high because twice as many staff members are present and
everyone is giving report in the nurse's station.
c. The unit has decided to use a standardized checklist/tool for change-of-shift
reports and patient transfers.
d. You and the oncoming nurse conduct a standardized report at the patient's
bedside and review key assessment findings. - CORRECT ANSWERS - c,d
Which strategy is important to addressing issues associated with the aging
workforce? (Select all that apply.)
a. Allowing nurses to work flexible shift durations
b. Encouraging older nurses to transfer to an outpatient setting that is less
stressful
c. Hiring nurse technicians that are available to assist with patient care, such as
turning the patient
d. Remodeling patient care rooms to include devices to assist in patient lifting -
CORRECT ANSWERS - a,c,d
Which of the following strategies will assist in creating a healthy work
environment for the critical care nurse? (Select all that apply.)
a. Celebrating improved outcomes from a nurse-driven protocol with a pizza
party
b. Implementing a medication safety program designed by pharmacists
c. Modifying the staffing pattern to ensure a 1:1 nurse/patient ratio
d. Offering quarterly joint nurse-physician workshops to discuss unit issues
e. Using the Situation-Background-Assessment-Recommendation (SBAR)
technique for handoff communication - CORRECT ANSWERS - a,d,e
EXAM ALREADY GRADED A+ | LATEST EXAM UPDATE
Which of the following professional organizations best supports critical care
nursing practice?
a. American Association of Critical-Care Nurses
b. American Heart Association
c. American Nurses Association
d. Society of Critical Care Medicine - CORRECT ANSWERS - a
The synergy model of practice focuses on:
a. allowing unrestricted visiting for the patient 24 hours each day.
b. holistic and alternative therapies.
c. needs of patients and their families, which drives nursing competency.
d. patients' needs for energy and support. - CORRECT ANSWERS - c
The family of your critically ill patient tells you that they have not spoken with
the physician in over 24 hours and they have some questions that they want
clarified. During morning rounds, you convey this concern to the attending
intensivist and arrange for her to meet with the family at 4:00 PM in the
conference room. Which competency of critical care nursing does this
represent?
a. Advocacy and moral agency in solving ethical issues
b. Clinical judgment and clinical reasoning skills
c. Collaboration with patients, families, and team members
d. Facilitation of learning for patients, families, and team members -
CORRECT ANSWERS - c
,The charge nurse is responsible for making the patient assignments on the
critical care unit. She assigns the experienced, certified nurse to care for the
acutely ill patient with sepsis who also requires continuous renal replacement
therapy and mechanical ventilation. She assigns the nurse with less than 1 year
of experience to two patients who are more stable. 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 ANSWERS - d
The family members of a critically ill, 90-year-old patient bring in a copy of the
patient's living will to the hospital, which identifies the patient's wishes
regarding health care. You discuss contents of the living will with the patient's
physician. This is an example of implementation of which of the AACN
Standards of Professional Performance?
a. Acquires and maintains current knowledge of practice
b. Acts ethically on the behalf of the patient and family
c. Considers factors related to safe patient care
d. Uses clinical inquiry and integrates research findings in practice -
CORRECT ANSWERS - b
As part of nursing management of a critically ill patient, orders are written to
keep the head of the bed elevated at 30 degrees, awaken the patient from
sedation each morning to assess readiness to wean from mechanical ventilation,
and implement oral care protocols every 4 hours. These interventions are done
as a group to reduce the risk of ventilator-associated pneumonia. This group of
evidence-based interventions is often called a:
a. bundle of care.
b. clinical practice guideline.
c. patient safety goal.
d. quality improvement initiative. - CORRECT ANSWERS - a
,Which of the following statements describes the core concept of the synergy
model of practice?
a. All nurses must be certified in order to have the synergy model implemented.
b. Family members must be included in daily interdisciplinary rounds.
c. Nurses and physicians must work collaboratively and synergistically to
influence care.
d. Unique needs of patients and their families influence nursing competencies. -
CORRECT ANSWERS - d
Which of the following is a National Patient Safety Goal? (Select all that apply.)
a. Accurately identify patients.
b. Eliminate use of patient restraints.
c. Reconcile medications across the continuum of care.
d. Reduce risks of healthcare-acquired infection. - CORRECT ANSWERS -
a,c,d
Which of the following nursing activities demonstrates implementation of the
AACN Standards of Professional Performance? (Select all that apply.)
a. Attending a meeting of the local chapter of the American Association of
Critical-Care Nurses in which a continuing education program on sepsis is
being taught
b. Collaborating with a pastoral services colleague to assist in meeting spiritual
needs of the patient and family
c. Participating on the unit's nurse practice council
d. Posting an article from Critical Care Nurse on management of venous
thromboembolism for your colleagues to read
e. Using evidence-based strategies to prevent ventilator-associated pneumonia -
CORRECT ANSWERS - a,b,c,d,e
, Which scenarios contribute to effective handoff communication at change of
shift? (Select all that apply.)
a. The nephrology consultant physician is making rounds and asks you to update
her on the patient's status and assist in placing a central line for hemodialysis.
b. The noise level is high because twice as many staff members are present and
everyone is giving report in the nurse's station.
c. The unit has decided to use a standardized checklist/tool for change-of-shift
reports and patient transfers.
d. You and the oncoming nurse conduct a standardized report at the patient's
bedside and review key assessment findings. - CORRECT ANSWERS - c,d
Which strategy is important to addressing issues associated with the aging
workforce? (Select all that apply.)
a. Allowing nurses to work flexible shift durations
b. Encouraging older nurses to transfer to an outpatient setting that is less
stressful
c. Hiring nurse technicians that are available to assist with patient care, such as
turning the patient
d. Remodeling patient care rooms to include devices to assist in patient lifting -
CORRECT ANSWERS - a,c,d
Which of the following strategies will assist in creating a healthy work
environment for the critical care nurse? (Select all that apply.)
a. Celebrating improved outcomes from a nurse-driven protocol with a pizza
party
b. Implementing a medication safety program designed by pharmacists
c. Modifying the staffing pattern to ensure a 1:1 nurse/patient ratio
d. Offering quarterly joint nurse-physician workshops to discuss unit issues
e. Using the Situation-Background-Assessment-Recommendation (SBAR)
technique for handoff communication - CORRECT ANSWERS - a,d,e
