NURS101 Final Exam – Questions & Correct Solutions
What does a patient's O2 sat need to be above normally in hospital? Right
Ans - 95%
What would be the ideal findings in your 19-year-old female patient admitted
with pneumonia? Right Ans - 98% oxygen saturation, respiratory rate of
16, symmetrical chest expansion with air entry equal and adequate to the
bases bilaterally
What are the 3 types of risk in the delivery of healthcare Right Ans -
disease risk, medical decision risk, selected therapy risk
What is system thinking? Right Ans - using what is known about how
systems work to improve performance - Impacts adverse event/safety/risk,
quality improvement, performance, economy satisfaction and comfort, health,
quality of care provided
What elements are involved in errors? Right Ans - poor decisions, designs,
supervision; inadequate tools, equipment, actions before adverse event
What is an active failure? Right Ans - person who made error is in direct
contact with other person, equipment, system; 'tip of error'
What is the swiss cheese model? Right Ans - - passing through all 'holes' of
the model leads to error
E.g. broken medication fax system => nurse borrows medications from
another patient => broken tube medication system => allergic reaction to
medication => ICU short-staffed ==> PATIENT DEATH
What 5 criteria does the Canada Health Act have to meet to obtain funding?
Right Ans - 1. Public Administration
2. Comprehensivness
3. Universality
4. Portability
5. Accessibility
What is the Indian Act? Right Ans - defines who is a 'status Indian' and thus
whether they are eligible for provincial/federal coverage
, Who is the federal gov responsible for in funding? Right Ans - ·Canadian
Forces personnel, federal inmates, eligible Indigenous people, veterans,
certain groups of refugees
What are the roles of the provincial/territorial gov? Right Ans - ·Setting
policy priorities, administration of health insurance plans (e.g. OHIP),
planning and funding in healthcare agencies, planning and implementation of
health promotion & public health initiatives, regulation of services by health
professions (e.g. CNO), negotiates fees schedules with HCPs
What is primary care? Right Ans - first point of contact with health system;
becoming increasingly comprehensive to avoid hospital influx
· E.g. solo PCPs, family health teams, community health centres, NP-led clinics
with consulting MDs
What is secondary care? Right Ans - more specialized care provided in
home/institution often referred by PCP
What is tertiary/quaternary care? Right Ans - more specialized services
other than general/community care
· E.g. pediatrics, transplant, cancer centres, psychiatric hospitals, etc.
What are the 5 roles of a nursing union? Right Ans - 1. Collective bargaining
2. Administer collective agreements
3. Professional practice
4. Occupational health and safety
5. Advocacy
What does RNAO do? Right Ans - advocates for healthy public policy by
advancing interest of profession, promoting nursing excellence at provincial
level
What is the CNO? Right Ans - Regulatory body in Ontario that establishes
entry-to-practice requirements, articulates and promotes standards,
administers QA programs, enforces practice and conduct
How many acts are nurses allowed to perform out of 13? Right Ans - 4
What does a patient's O2 sat need to be above normally in hospital? Right
Ans - 95%
What would be the ideal findings in your 19-year-old female patient admitted
with pneumonia? Right Ans - 98% oxygen saturation, respiratory rate of
16, symmetrical chest expansion with air entry equal and adequate to the
bases bilaterally
What are the 3 types of risk in the delivery of healthcare Right Ans -
disease risk, medical decision risk, selected therapy risk
What is system thinking? Right Ans - using what is known about how
systems work to improve performance - Impacts adverse event/safety/risk,
quality improvement, performance, economy satisfaction and comfort, health,
quality of care provided
What elements are involved in errors? Right Ans - poor decisions, designs,
supervision; inadequate tools, equipment, actions before adverse event
What is an active failure? Right Ans - person who made error is in direct
contact with other person, equipment, system; 'tip of error'
What is the swiss cheese model? Right Ans - - passing through all 'holes' of
the model leads to error
E.g. broken medication fax system => nurse borrows medications from
another patient => broken tube medication system => allergic reaction to
medication => ICU short-staffed ==> PATIENT DEATH
What 5 criteria does the Canada Health Act have to meet to obtain funding?
Right Ans - 1. Public Administration
2. Comprehensivness
3. Universality
4. Portability
5. Accessibility
What is the Indian Act? Right Ans - defines who is a 'status Indian' and thus
whether they are eligible for provincial/federal coverage
, Who is the federal gov responsible for in funding? Right Ans - ·Canadian
Forces personnel, federal inmates, eligible Indigenous people, veterans,
certain groups of refugees
What are the roles of the provincial/territorial gov? Right Ans - ·Setting
policy priorities, administration of health insurance plans (e.g. OHIP),
planning and funding in healthcare agencies, planning and implementation of
health promotion & public health initiatives, regulation of services by health
professions (e.g. CNO), negotiates fees schedules with HCPs
What is primary care? Right Ans - first point of contact with health system;
becoming increasingly comprehensive to avoid hospital influx
· E.g. solo PCPs, family health teams, community health centres, NP-led clinics
with consulting MDs
What is secondary care? Right Ans - more specialized care provided in
home/institution often referred by PCP
What is tertiary/quaternary care? Right Ans - more specialized services
other than general/community care
· E.g. pediatrics, transplant, cancer centres, psychiatric hospitals, etc.
What are the 5 roles of a nursing union? Right Ans - 1. Collective bargaining
2. Administer collective agreements
3. Professional practice
4. Occupational health and safety
5. Advocacy
What does RNAO do? Right Ans - advocates for healthy public policy by
advancing interest of profession, promoting nursing excellence at provincial
level
What is the CNO? Right Ans - Regulatory body in Ontario that establishes
entry-to-practice requirements, articulates and promotes standards,
administers QA programs, enforces practice and conduct
How many acts are nurses allowed to perform out of 13? Right Ans - 4
