FCCA 274C Exam_FCCA 274C Nursing Exam Questions and Answers (Answered fully)

FCCA 274C Exam 1. A patient recovering from a motor vehicle accident is scheduled for transfer to an extended care facility. The patient states to the RN “I’m a little bit nervous about this transfer.” Which intervention by the RN will foster a smooth transition to the next level of care? Explore the option of family accompanying the patient during transport. Inform the patient that anxiety about a new facility is normal and everything will be fine. Encourage the patient to perform relaxation techniques taught by the social worker. Collaborate with the health care provider about an anti-anxiety medication for the patient. 2. The RN contacts the health care provider to report a change in a patient’s condition. Which is an appropriate introduction to the patient report by the RN? “I am calling because Mr. Smith in room 21 doesn’t look good.” “This is Ann the nurse caring for Mr. Smith. Sorry to bother you.” “I am the RN caring for Mr. Smith whose condition has deteriorated.” “This is Ann Jones, RN at ECHO Hospital, calling about Mr. Smith.” 3. During interdisciplinary rounds, a patient reports frequent nightmares that is interfering with restorative rest. What would be an appropriate short term goal agreed to by the patient and the team? The patient will resume regular activities of daily living. The patient will have no “flashbacks” or disturbing thoughts. The patient will be able to discuss the event without feeling anxious. The patient will be able to sleep without medication. 4. A patient has chronic myalgia related to Lyme disease. Which members of the team would contribute to the patient’s plan of care? Select all that apply. Registered Nurse Physical therapist Respiratory Therapist Infectious disease physician Clinical Pharmacist 5. The Unlicensed Assistive Personnel (UAP) reports to the RN “Mr. Jones seems different, a little vague and slightly confused.” What is the appropriate response by the RN? “I did not notice any changes, but I will do a more in-depth assessment.” “I am busy with another patient. Can you keep an eye on Mr. Jones?” “Many elderly people get confused when in the hospital.” “There were no changes in his vital signs from baseline an hour ago.” 6. An RN caring for a pregnant woman in labor states to the obstetrician “The fetal heart rate is 80 beats per minute.” The obstetrician replies “Yes, thanks.” What is an appropriate initial response by the RN? “The fetal heart rate is 80.” “I will continue to monitor and report the findings.” “We need to notify the surgical team now.” “The baby seems to be in distress.” 7. The RN manager is coordinating the implementation of patient centered rounds for the nursing unit. Which action facilitates quality, cost-effective use of the team members’ time during patient-centered rounds? Encourage physician orders be entered once rounds are completed. Have a standardized system when conducting patient rounds. Delay visiting hours until after daily rounds are complete. Incorporate teaching of various disease states during rounds. 8. The healthcare provider requests the RN’s presence when delivering “bad news” about a patient’s condition to a family member. The family member immediately begins to voice expletives and punches the wall. What is the most appropriate action by the RN? Initiate the institution’s safety protocol. State the behavior is not helping the patient. Offer to contact spiritual care for the family. Reassure the family member everything will work out. 9. The RN is caring for a client who is having a bedside procedure. The health care provider verbally tells the RN: “Give 4 mg of morphine sulfate intravenously to the client now.” Based on TEAMSTEPPS, what is the RN response? “Do you want the client to receive morphine now?” “The medication was administered as ordered.” “Are you sure you want that amount of morphine to be given?” “4 mg of morphine sulfate intravenously to be given now.” 10. Which outcome evaluates the effectiveness of the interprofessional team’s plan to empower a patient with heart failure to manage this personal illness? The patient verbalizes methods to identify and manage stress. The patient is discharged home within the expected length of time. The patient reports overall satisfaction with health care providers. The patient contacts primary provider with early signs of a potential problem. 11. During interprofessional rounds, one team member consistently interrupts other members of the team. What is the appropriate action by the RN to resolve the issue? Privately speak with that person to convey the impact of the behavior. Suggest the nurse manager attend rounds to help address the behavior. Encourage team members to provide essential information when asked. Tell that member to stop interrupting and listen to all team members. 12. When an RN enters a patient room to perform a dressing change, the case manager is discussing discharge plans with the patient. What is the most appropriate action by the RN? Summarize the discussion about discharge for the patient. Arrange with the patient a later time to complete the task. Request the case manager return after the dressing change to complete the plan. Proceed with the dressing change during the discharge plan discussion. 13. A patient tells the RN “I have not spoken with my family in years. I know I am dying and would like the chance to see them again.” What is the appropriate reply by the RN? “Would you like us to facilitate a family meeting?" “It is good to let go of past differences.” “I can pray with you for inner peace if you’d like.” “Do you think your past actions caused family disagreement?” 14. A nursing student comments to the RN: “I am a little behind in my patient care. Does it matter if I abstain from interprofessional rounds today?” How would the RN respond? “You do not need to participate. Your patients are able to speak for themselves.” “It is more important to provide the patient care that was assigned.” “As the patient’s nurse, you do need to contribute to the discussion.” “It’s OK not to present If your documentation is current.” 15. An RN is working in an acute care setting when there is an activation of the emergency operation plan. What is an appropriate response when a colleague asks the RN why an interdisciplinary team meeting is necessary prior to the casualties’ arrival? “We need to plan for potential security concerns, including breaches.” “To set up the method for the evaluation our response to this disaster.” “It clarifies the role of each team member for this specific event.” “There may be ethical concerns so we have to determine who can be on the team.” 16. An adolescent with uncontrolled asthma is admitted to the hospital. Which statement by the RN is the most appropriate to achieve optimal asthma control? “More education is required so this patient is compliant with the treatment plan.” “The adolescent needs counseling on how to adjust to a chronic illness.” “The adolescent and the health team need to review and revise the treatment plan.” “There are many environmental triggers which cannot be controlled for this patient.” 17. A patient receiving enteral nutrition requests to have the gastric tube removed. “I feel this feeding tube is burdensome to me; I don’t want to be fed this way anymore.” The family and several members of the health team voice concern about withdrawing treatment. What is the most appropriate course of action by the RN?