NUR2392 MDCII Examination Blue Print Exam 1
Questions and Answers 2024/2025
Nursing Process - CORRECT ANSWER-Assessment, diagnosis, Planning, implementation, Evaluation
NANDA - CORRECT ANSWER-§ standard classification systems for nursing diagnoses that provide the
basis for selecting nursing interventions to achieve pt outcomes for which nursing is accountable
Nursing Outcome Classification (NOC) - CORRECT ANSWER-§ a list of pt outcomes developed to evaluate
the effects of interventions
Nursing Interventions Classifications (NIC) - CORRECT ANSWER-independent and collaborative
interventions that you carry out or direct others to carry out, on behalf of patients
Independent action example - CORRECT ANSWER-o raising the bed rails, turning pt over every 2 hours
(w/o Dr. orders)
· Dependent: - CORRECT ANSWER-o Carrying out medical roles, schedule surgery (under Dr. order)
• Collaborative: - CORRECT ANSWER-o (nx and Dr. work on together)
· SBAR (Situation-Background-Assessment-Recommendation) - CORRECT ANSWER-o technique that
provides a way to talk about a patient's condition among members of the health care team in a
predictable, structured manner.
Situation - CORRECT ANSWER-Identify self, unit, who you're calling about, patient, room number and
why you're concern
Background - CORRECT ANSWER-§ what happened leading up to the current circumstance, admitting dx,
admission date, most recent vitals, lab test and results, code status
Assessment - CORRECT ANSWER-§ what you think the problem is, changes from prior assessments,
patient condition unstable or worsening
Recommendation/Request - CORRECT ANSWER-what should we do to correct the problem or state your
request: specific treatments, test needed or patient needs to be seen now.
· Quality and Safety Education for Nurses (QSEN) - CORRECT ANSWER-o 1. Pt centered care
2. Informatics and technology
3. EBP
4. Quality improvement
5. Safety
6. Teamwork and collaboration
Evidence-based Practice (EBP) - CORRECT ANSWER-o a problem-solving approach to clinical decision
making, Using the best available evidence (e.g. research findings, QI data), combined with your expertise
,and the patient's unique circumstance and preferences, leads to better clinical decisions and improved
patient outcomes.
EBP Process: - CORRECT ANSWER-i. Accrediting bodies require documentation of outcome measures to
show pt improvement
ii. Ask the clinical question using PICOT format.
i. Search for the best evidence based on the clinical question
ii. Implement the evidence in practice; how valuable is your information
iii. Recommendations based on strong evidence
iv. Evaluated the practice decision or change
v. Share the outcomes of the decision or change.
PICOT - CORRECT ANSWER-Patients/Population, Intervention, Comparison or comparison group,
Outcome(s), Time (as applicable).
PICOT example - CORRECT ANSWER-In adult abdominal surgery patients (P) is splinting w/ an elasticized
abdominal binder (I) or pillow (C) more effective in reducing pain associated w/ ambulation (O) on the
first postoperative day (T)
Definition of Nursing: - CORRECT ANSWER-the diagnosis and treatment of human responses to actual
and potential health problems"
AVA revised definition of nursing - CORRECT ANSWER-Nursing is the protection, promotion, and
optimization of health and abilities... families, communities, and population."
ANA is the primary - CORRECT ANSWER-professional nursing organization to advance/ protect the
profession of nursing
Scope of nursing - CORRECT ANSWER-- generalist
- certification
- advanced practice nurse ( APN)
- clinical nurse leader
Generalist - CORRECT ANSWER-a beginner nurse/ i.e. me when I graduate
Certification - CORRECT ANSWER-requires a certain amount of clinical experience and successful
completion of an examination
Ex: med surge floor work has to get certified
Advanced Practice Nurse (APN) - CORRECT ANSWER-o has went back to school for advanced practice and
gets a masters or doctorate.
Clinical Nurse Leader - CORRECT ANSWER-advance knowledge in administration
,Health disparities - CORRECT ANSWER-Differences in the incidence, prevalence, mortality rate, and
burden of diseases that exist among specific population groups in the U.S. because of social, economic or
environmental disadvantages
Ex of health disparities - CORRECT ANSWER-Income, Education, Occupation, Health Care Provider
Attitudes, Gender, Disability status, Language barrier, Age, Sexual orientation
Culture - CORRECT ANSWER-a way of life for a group of people
Culture includes - CORRECT ANSWER-Behaviors, beliefs, values, traditions, and symbols that the group
accepts
Culture is passed along by - CORRECT ANSWER-communication and imitation from one generation to the
next
Basic characteristics of culture - CORRECT ANSWER-· (1) Dynamic and ever-changing
· (2) Not always shared by all members of a cultural group
· (3) Adapted to specific conditions such as environmental factors
· (4) Learned through oral and written histories, as well as socialization
Values - CORRECT ANSWER-o The sets of rules by which individuals, families, groups, and communities
live.
o They are principles and standards that serve as the basis for beliefs, attitudes, and behaviors.
Acculturation - CORRECT ANSWER-o The process of social, psychological, and cultural change that stems
from blending between cultures. Changes may be in attitudes, behaviors, and values
Acculturation ex - CORRECT ANSWER-o A sedentary person who loves to cook may change his/her
attitude toward exercise when living w/ athletic roommate, who in turn also change as they begin to
appreciate cooking
Stereotyping - CORRECT ANSWER-o An overgeneralized viewpoint that members of a specific culture,
race, or ethnic group are alike and share the same values and beliefs
· Ethnocentrism - CORRECT ANSWER-o The belief that one's own culture and worldview are superior to
others.
Cultural impositions - CORRECT ANSWER-One's own culture is forced upon someone else
Cultural Safety - CORRECT ANSWER-Describes care and advocacy for a person of another culture
determined by that person or family
Transcultural nursing: - CORRECT ANSWER-o A specialty that focuses on the comparative study and
analysis of cultures and subcultures
o Discover culturally relevant facts to guide culturally competent care
, Cultural Competence - CORRECT ANSWER-o the ability to understand, appreciate, and work with
individuals from cultures other than your own. It involves awareness and acceptance of cultural
differences, self awareness, knowledge of patients culture
o Culture awareness, knowledge, skills, and encounter
Culture Bound Syndrome - CORRECT ANSWER-Illness that are recognized only within a culture group
· Symptom Investigation - CORRECT ANSWER-o Symptoms experience by the pt are not observed, use
PQRST
§ P - Precipitating/Palliative (Causing - Were there any events that came before symptom? /Soothing -
what makes it better?); Q - Quality (What does it feel like?); R - Radiation (Where is it?); S - Severity (On a
scale 1-10); T - Time (When did it start?)
Types of assessment - CORRECT ANSWER-emergency
comprehensive
focused assessment
Emergency - CORRECT ANSWER-a rapid history and examination of a patient while maintaining vital
functions
Comprehensive - CORRECT ANSWER-§ includes a detailed health history and physical exam of all body
systems. Usually done on admission to a hospital.
Focused assessment - CORRECT ANSWER-a abbreviated health history and exam. Focuses on one or
more body system that are the focus of care.
Using Assessment Approaches - CORRECT ANSWER-§ As you provide ongoing care for a patient, you will
be constantly refining your mental image of the patient. As you gain experience you will form a mental
image of a patients status from a few basic details.
§ After your exam and history you will analyze the data to develop a list of nursing dx and collaborative
problems.
· Living will: - CORRECT ANSWER-o document w/ instructions of future medical care/treatments, wish to
be allowed to die w/out extreme or heroic measures who should make the decisions if unable to
communicate
• Medical power of attorney: - CORRECT ANSWER-o document listing persons to make decisions if
unstable or unable to make informed decisions
DNR: - CORRECT ANSWER-o instructs not to initiate CPR, MUST BE SIGNED BY PHYSICIAN TO BE VALID*
Need to know- principles/ teaching - CORRECT ANSWER-Pt needs to know why they should learn
something new, what they're learning and how they'll benefit.
Ask them "what do you think you need to know about this topic?"
Readiness to learn- nurse teaching - CORRECT ANSWER-Motivation high when faced with new task
