NUR 256 Final Exam Questions with Verified
Solutions 2025
National Patient Safety Goals (NPSGs)
Provides evidence and expert based solutions to problem areas in terms of patient
safety
What are the goals of National Patient Safety?
~Identify patient correctly
~Improve Staff communication
~Medication safety
~Alarm safety
~Prevent infection
~Identify patient safety risk and prevent surgery related mistakes
What does SBAR stand for?
S: Situation
B: Background
A: Assessment
R: Recommendation
When would a nurse use SBAR and why?
The TeamSTEPPS curriculum features tools that may be used by team members to
enhance a given competency; a commonly used example of such a tool is the
SBAR format for communicating critical information
Advanced Directive
a written document that specifies if extraordinary measures are to be taken to
prolong life if the patient can no longer make his/her own decision
Durable Power of Attorney
a legal agreement that allows an agent or representative of the patient to act on
behalf of the patient
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What is a Chronic condition?
a medical condition or health problem with associated symptoms that requires
long-term (3 months or longer) management
Ways to manage pain
• Effective and safe analgesia
• Optimal relief
• Comfort function goal
• Responsibility of all members of the healthcare team
• Pharmacologic: multimodal
• Routes and dosing
• Patient-controlled analgesia (PCA)
abnormally low absolute neutrophil count
neutropenia
What is the difference between friction and shear?
friction = rug burn
shear = force of gravity as well as tear in skin
Preventative Health Screening: Primary Prevention
reducing risk of disease through health promotion and risk reduction strategies
Ex: Education (wearing sunscreen, bike helmet)
Preventative Health Screening: Secondary Prevention
Screening and early detection activities
Ex: Self exams (breast and testicular)
Preventative Health Screening: Tertiary Prevention
Already have disease and are trying to prevent recurrence or comorbidity
Acute Pain vs. Chronic Pain
Acute pain: short term, self-limiting, dissipates after injury heals, follows a
predictable trajectory
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Chronic Pain: continues 6 months or longer, types are malignant and
nonmalignant, does not stop when injury heals
What are the signs that death is immanent?
Sleeping More
Eating and Drinking Less
Withdrawing From People
Changing Vital Signs
Changing Waste Functions
Dropping Body Temperature
Weakening Muscles
Breathing Trouble
Increasing Confusion
Pain
Hallucinations
Preoperative Phase
period of time from when the decision for surgical intervention is made to when
the patient is transferred to the operating room table
Preoperative Documentation
Health history and physical exam
Medications and allergies
Nutritional, fluid status
Dentition
Drug or alcohol use
Respiratory and cardiovascular status
Hepatic, renal function
Intraoperative Phase
period of time that begins with transfer of the patient to the operating room area
and continues until the patient is admitted to the postanesthesia care unit
Perioperative nursing management
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