NU 311: Exam 1 Questions With Complete Solutions
(HIPAA) of 2003-what are the key concepts? Correct Answer
(1) agencies are required to inform patients of the privacy rights
they have and how the agency will handle their PHI;
(2) the agency and the health care providers are to use or
disclose a patient's PHI only for the purposes of treatment,
payment, or health care operations; and
(3) health care providers disclose only the minimum amount of
PHI necessary, on a need-to-know basis, to accomplish the
purpose of the use.
In addition to existing laws, new proposals include allowing
patients to know who has accessed their information (USDHHS,
2011). Know your agency-specific policies and procedures
related to HIPAA.
5 P's Correct Answer Pain
Potty
Possession
Pathway
Pumps
A common type of inpatient health problem affecting from
700,000 to 1,000,000 patients each year is from: Correct
Answer Falls
A nurse encourages a patient to prevent venous stasis by:
Correct Answer increasing early ambulation
A nursing assistive personnel (NAP) arrives to assist the nurse
with a dressing change by opening sterile packages. The NAP
,states that she does not need to perform hand hygiene before
assisting the nurse because she is not going to touch the patient.
Is the NAP correct? Correct Answer No.
A problem solving approach to the delivery of health care
integrating the best evidence from scientific studies and patient
care data along with clinician's expertise and patient values and
preferences is known as: Correct Answer EBP
A pt. develop a DVT for many reasons common risk factors are:
Correct Answer Injury to a vein from a fracture or surgery
immobility caused by prolonged sitting
inherited clotting disorders
Obesity
smoking
family history
accountability Correct Answer The individual delegating the
task retains for the outcome.
Admission Delegation and Collaboration Correct Answer The
skill of completing the nursing assessment during admission to a
health care agency cannot be delegated to nursing assistive
personnel (NAP). The nurse directs the NAP to:
• Prepare the patient's room with equipment needed before
admission.
• Gather and secure the patient's personal care items.
• Escort and orient the patient and family to the nursing unit.
• Collect ordered specimens.
,airbone precautions Correct Answer Airborne pathogens are
smaller than 5 microns and can travel longer dinstances than
droplets (larger particles)
ex.) chicken pox and TB
require negative room pressure
require N-95 respirator masks that filter smaller particles
An appropriate procedure for the nurse to use when applying an
elastic stocking is to: Correct Answer turn the stocking inside
out to apply from the toes up
An appropriate technique for the nurse to use when performing
range of motion (ROM) exercises is to: Correct Answer
repeat each action 5 times during the exercise
ANA Code of Ethics 1 Correct Answer The nurse practices
with compassion and respect for inherent dignity, worth and
unique attributes of every person.
ANA Code of Ethics 2 Correct Answer The nurse's primary
commitment is to the patient, whether an individual, family
group, community or population
ANA Code of Ethics 4 Correct Answer The nurse has
authority, accountability, and responsibility for nursing practice:
makes decisions; and takes action consistent with the obligation
to promote health and to provide optimal care.
Antiembolic stocking (TEDs) are prescribed for the pt. on bed
rest after surgery. The nurse explains to the pt. that the primary
, purpose for the elastic stocking is to: Correct Answer apply
external pressure
Before exiting the room of a client on transmission based
isolation precaution requiring the use of all protective barriers,
the nurse first removes the: Correct Answer Gloves
best practice interventions to prevent VAP Correct Answer
Once intubated, an endotracheal tube causes a bypass of normal
airway defenses, which also causes a rapid change in the normal
oral flora. Some patients require mouth care as often as every 1
to 2 hours until the mucosa returns to normal. Proper hygiene
requires keeping the mucosa moist and removing secretions as
they accumulate in the back of the throat. The Institute for
Healthcare Improvement and the American Academy of Critical
Care Nursing have recommended use of 0.12% chlorhexidine
gluconate as part of daily oral care in critically ill patients. Many
hospitals use an oral care bundle to reduce incidence of VAP,
including toothbrushing every 12 hours before the application of
CHG; CHG 0.12% rinse every 12 hours; and keeping the head
of bed elevated 30 to 45 degrees or more unless contraindicated
to prevent aspiration of oral secretions. Recently, however,
research has shown that routine oral care with CHG prevents
nosocomial pneumonia in cardiac surgery patients but may not
decrease VAP in noncardiac surgery patients. Check agency
policy regarding use of CHG in oral care.
Care of Dentures Correct Answer Identify patient using at
least two identifiers (e.g., name and birthday or name and
medical record number) according to agency policy (TJC, 2016).
(HIPAA) of 2003-what are the key concepts? Correct Answer
(1) agencies are required to inform patients of the privacy rights
they have and how the agency will handle their PHI;
(2) the agency and the health care providers are to use or
disclose a patient's PHI only for the purposes of treatment,
payment, or health care operations; and
(3) health care providers disclose only the minimum amount of
PHI necessary, on a need-to-know basis, to accomplish the
purpose of the use.
In addition to existing laws, new proposals include allowing
patients to know who has accessed their information (USDHHS,
2011). Know your agency-specific policies and procedures
related to HIPAA.
5 P's Correct Answer Pain
Potty
Possession
Pathway
Pumps
A common type of inpatient health problem affecting from
700,000 to 1,000,000 patients each year is from: Correct
Answer Falls
A nurse encourages a patient to prevent venous stasis by:
Correct Answer increasing early ambulation
A nursing assistive personnel (NAP) arrives to assist the nurse
with a dressing change by opening sterile packages. The NAP
,states that she does not need to perform hand hygiene before
assisting the nurse because she is not going to touch the patient.
Is the NAP correct? Correct Answer No.
A problem solving approach to the delivery of health care
integrating the best evidence from scientific studies and patient
care data along with clinician's expertise and patient values and
preferences is known as: Correct Answer EBP
A pt. develop a DVT for many reasons common risk factors are:
Correct Answer Injury to a vein from a fracture or surgery
immobility caused by prolonged sitting
inherited clotting disorders
Obesity
smoking
family history
accountability Correct Answer The individual delegating the
task retains for the outcome.
Admission Delegation and Collaboration Correct Answer The
skill of completing the nursing assessment during admission to a
health care agency cannot be delegated to nursing assistive
personnel (NAP). The nurse directs the NAP to:
• Prepare the patient's room with equipment needed before
admission.
• Gather and secure the patient's personal care items.
• Escort and orient the patient and family to the nursing unit.
• Collect ordered specimens.
,airbone precautions Correct Answer Airborne pathogens are
smaller than 5 microns and can travel longer dinstances than
droplets (larger particles)
ex.) chicken pox and TB
require negative room pressure
require N-95 respirator masks that filter smaller particles
An appropriate procedure for the nurse to use when applying an
elastic stocking is to: Correct Answer turn the stocking inside
out to apply from the toes up
An appropriate technique for the nurse to use when performing
range of motion (ROM) exercises is to: Correct Answer
repeat each action 5 times during the exercise
ANA Code of Ethics 1 Correct Answer The nurse practices
with compassion and respect for inherent dignity, worth and
unique attributes of every person.
ANA Code of Ethics 2 Correct Answer The nurse's primary
commitment is to the patient, whether an individual, family
group, community or population
ANA Code of Ethics 4 Correct Answer The nurse has
authority, accountability, and responsibility for nursing practice:
makes decisions; and takes action consistent with the obligation
to promote health and to provide optimal care.
Antiembolic stocking (TEDs) are prescribed for the pt. on bed
rest after surgery. The nurse explains to the pt. that the primary
, purpose for the elastic stocking is to: Correct Answer apply
external pressure
Before exiting the room of a client on transmission based
isolation precaution requiring the use of all protective barriers,
the nurse first removes the: Correct Answer Gloves
best practice interventions to prevent VAP Correct Answer
Once intubated, an endotracheal tube causes a bypass of normal
airway defenses, which also causes a rapid change in the normal
oral flora. Some patients require mouth care as often as every 1
to 2 hours until the mucosa returns to normal. Proper hygiene
requires keeping the mucosa moist and removing secretions as
they accumulate in the back of the throat. The Institute for
Healthcare Improvement and the American Academy of Critical
Care Nursing have recommended use of 0.12% chlorhexidine
gluconate as part of daily oral care in critically ill patients. Many
hospitals use an oral care bundle to reduce incidence of VAP,
including toothbrushing every 12 hours before the application of
CHG; CHG 0.12% rinse every 12 hours; and keeping the head
of bed elevated 30 to 45 degrees or more unless contraindicated
to prevent aspiration of oral secretions. Recently, however,
research has shown that routine oral care with CHG prevents
nosocomial pneumonia in cardiac surgery patients but may not
decrease VAP in noncardiac surgery patients. Check agency
policy regarding use of CHG in oral care.
Care of Dentures Correct Answer Identify patient using at
least two identifiers (e.g., name and birthday or name and
medical record number) according to agency policy (TJC, 2016).
