Exam (elaborations)
NUR 240 Final Exam Questions And Answers With Correct Solutions 2024
NUR 240 Final Exam Questions And Answers With Correct Solutions 2024
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nur 240 final exam questions and answers
the nurse reviews assessment data on a group of pa
which patient should the nurse expect to be transf
the nurse employed in a hospital in a small rural
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NUR 240 Final Exam Questions And
Answers With Correct Solutions 2024
The .nurse .reviews .assessment .data .on .a .group .of .patients. .Which .patient .should .the
.nurse .identify .as .experiencing .a .critical .illness?
1. .Chronic .airflow .limitation .with .VS: .BP .110/72, .P .110, .R .16
2. .Acute .bronchospasm .with .VS: .BP .100/60, .P .124, .R .32
3. .Motor .vehicle .crash .with .VS: .BP .124/74, .P .74, .R .18
4. .Chronic .renal .failure .on .hemodialysis .with .no .urine .output .with .VS: .BP .98/50, .P .108, .R
.12 .- .correct .answer.2
Which .patient .should .the .nurse .expect .to .be .transferred .to .a .critical .care .unit? .Select .all
.that .apply.
Note: .Credit .will .be .given .only .if .all .correct .choices .and .no .incorrect .choices .are .selected.
1. .Experiences .an .acetaminophen .overdose
2. .Diagnosed .with .an .acute .mental .illness
3. .Receiving .treatment .for .chronic .renal .failure
4. .New .onset .of .acute .decompensated .heart .failure
5. .Treatment .for .bacteremia .from .an .infected .foot .wound .- .correct .answer.1,4,5
The .nurse .employed .in .a .hospital .in .a .small .rural .town .would .expect .to .provide .which
.level .of .care .in .the .critical .care .unit?
1. .Level .I
2. .Level .II
3. .Level .III
4. .It .is .unlikely .that .the .hospital .would .have .a .critical .care .unit. .- .correct .answer.3
With .which .individuals .should .the .nurse .expect .to .provide .patient .care .in .an ."open" .ICU?
1. .Multidisciplinary .team .with .physicians .who .are .also .responsible .for .patients .on .other
.units
2. .Multidisciplinary .team .that .includes .a .physician .employed .by .the .hospital
3. .Physician .in .charge .of .patient .care .who .is .a .specialist .in .critical .care
4. .Primary .care .physician .who .must .consult .a .critical .care .specialist .- .correct .answer.1
What .should .the .nurse .who .provides .care .to .patients .in .a .critical .care .unit .realize .the .role
.of .technology .is .on .the .amount .of .errors?
1. .It .relies .heavily .on .human .decision .making.
,2. .Devices .are .programmed .to .function .without .double .checks.
3. .It .makes .the .workload .seem .overwhelming .to .health .care .providers.
4. .There .is .uniform .equipment .throughout .each .facility. .- .correct .answer.2
What .should .the .nurse .identify .as .an .example .of .an .installed .forcing .function .or .a .system-
level .firewall .to .prevent .errors .when .providing .patient .care?
1. .Prior .to .administration .of .insulin, .two .nurses .check .the .dose.
2. .Prior .to .obtaining .a .medication, .height, .weight, .and .allergies .are .recorded.
3. .All .medications .are .checked .by .two .nurses .prior .to .administration.
4. .Undiluted .potassium .chloride .is .not .available .on .critical .care .units. .- .correct .answer.4
The .nurse .realizes .that .the .increased .use .of .technology .in .critical .care .units .has .resulted
.in .which .consequence .for .patient .care?
1. .Decreased .risk .of .errors .in .patient .care
2. .Decreased .therapeutic .nurse-patient .communication
3. .Improved .overall .patient .satisfaction .with .care
4. .Improved .patient .safety .across .the .entire .spectrum .- .correct .answer.2
The .nurse .in .the .critical .care .area .is .completing .a .preoperative .checklist .before .sending .a
.patient .for .surgery. .This .nurse's .activity .is .an .example .of .which .recommendation .issued
.by .the .Institute .of .Medicine?
1. .Utilizing .constraints
2. .Simplifying .key .processes
3. .Avoiding .reliance .on .vigilance
4. .Standardizing .key .processes .- .correct .answer.3
Which .actions .should .the .nurse .complete .after .realizing .that .an .incorrect .dose .of
.medication .has .been .administered .to .a .patient? .Select .all .that .apply.
Note: .Credit .will .be .given .only .if .all .correct .choices .and .no .incorrect .choices .are .selected.
1. .Notify .the .patient .and .family.
2. .Notify .the .physician.
3. .Document .the .error.
4. .Prepare .for .an .analysis .of .the .error.
5. .Keep .the .notification .of .the .error .silent. .- .correct .answer.1,2,3,4
The .nurse .working .within .the .AACN .Synergy .Model .realizes .that .optimal .patient
.outcomes .are .realized .when:
1. .Highly .qualified .nurses .care .for .patients .in .highly .technical .settings.
2. .Nurses .agree .to .work .overtime .to .cover .unit .staffing .needs.
3. .Staff .nurse .competency .is .matched .with .patient .needs.
4. .Patient .care .is .delivered .within .a ."closed .unit" .model. .- .correct .answer.3
Which .actions .by .the .critical .care .nurse .demonstrate .an .understanding .of .patient
.advocacy? .Select .all .that .apply.
Note: .Credit .will .be .given .only .if .all .correct .choices .and .no .incorrect .choices .are .selected.
1. .Maintaining .attendance .at .the .bedside .with .the .patient .during .a .physician .visit
,2. .Assisting .and .supporting .the .patient .and .family .as .they .reveal .their .needs
3. .Alerting .the .physician .to .concerns .about .client .placement .after .hospitalization
4. .Encouraging .and .supporting .a .patient's .spouse .in .preparing .for .a .family .meeting
5. .Seeing .the .big .picture .when .planning .patient .care .- .correct .answer.1,2,3,4
A .nurse .is .preparing .to .communicate .an .issue .about .patient .care .to .a .physician .using .the
.SBAR .technique. .Which .phrase .is .an .appropriate .initial .statement?
1. ."I .am .concerned .about..."
2. ."The .patient's .immediate .history .is..."
3. ."I .think .the .problem .is..."
4. ."I .would .like .you .to..." .- .correct .answer.1
Which .statement .should .the .nurse .include .for ."A-Assessment" .in .the .SBAR .technique .for
.communication?
1. ."I .think .the .problem .is..."
2. ."The .patient's .vital .signs .are..."
3. ."The .patient's .treatments .are..."
4. ."I .would .like .you .to..." .- .correct .answer.1
Which .statement .should .the .nurse .use .when .concluding .SBAR .communication .about .a
.patient .issue?
1. ."The .patient's .immediate .history .is..."
2. ."The .patient's .physical .findings .are..."
3. ."I .am .requesting .that .you..."
4. ."I .have .assessed .the .patient .personally." .- .correct .answer.3
The .nurse .collaborates .with .other .members .of .the .health .care .team .to .effect .optimal
.outcomes .in .patient .care. .Which .characteristics .of .emotional .maturity .is .the .nurse .using?
.Select .all .that .apply.
Note: .Credit .will .be .given .only .if .all .correct .choices .and .no .incorrect .choices .are .selected.
1. .Maintaining .current .skills
2. .Being .a .lifelong .learner
3. .Actively .identifying .best .practices
4. .Overlooking .one's .own .shortcomings
5. .Willing .to .take .responsibility .for .failures .- .correct .answer.1,2,3,5
Which .informal .power .bases .should .the .nurse .use .in .the .health .care .setting? .Select .all
.that .apply.
Note: .Credit .will .be .given .only .if .all .correct .choices .and .no .incorrect .choices .are .selected.
1. .Expertise
2. .Goodwill
3. .Information
4. .Observation
5. .Collaboration .- .correct .answer.1,2,3
Which .action .ensures .that .a .patient .has .consented .to .care?
, 1. .Provide .a .consent .form .to .sign .to .receive .medications.
2. .Ask .the .patient .to .sign .a .consent .form .to .have .dressings .changed.
3. .Discuss .a .consent .form .to .sign .to .be .turned .in .bed.
4. .Explain .how .a .dressing .is .to .be .changed. .- .correct .answer.4
For .what .can .the .nurse .be .held .liable .if .forcibly .inserting .a .nasogastric .tube .against .a
.patient's .wishes?
1. .Negligence
2. .Malpractice
3. .Damages
4. .Battery .- .correct .answer.4
For .which .patient .would .decision-making .capacity .likely .be .impaired? .Select .all .that
.apply.
Note: .Credit .will .be .given .only .if .all .correct .choices .and .no .incorrect .choices .are .selected.
1. .Being .medicated .for .severe .pain
2. .Does .not .understand .the .medical .condition
3. .Diagnosed .with .septic .shock
4. .Is .depressed
5. .Asks .questions .about .identified .treatments .- .correct .answer.1,2,3,4
Which .condition .is .most .likely .to .occur .when .a .patient .is .restrained?
1. .Pulling .out .an .endotracheal .tube
2. .Pulling .out .an .intravenous .line
3. .Disconnecting .ventilator .tubing
4. .Developing .a .nosocomial .infection .- .correct .answer.4
What .must .the .patient .demonstrate .for .a .nurse .to .be .found .guilty .of .negligence?
1. .Was .assaulted
2. .Incurred .damages
3. .Suffered .a .wrongful .death
4. .Was .not .consulted .before .being .touched .- .correct .answer.2
What .is .associated .with .moral .distress .in .critical .care .nurses? .Select .all .that .apply.
Note: .Credit .will .be .given .only .if .all .correct .choices .and .no .incorrect .choices .are .selected.
1. .Having .no .voice .in .clinical .decision .making
2. .Providing .aggressive .care .to .patients .who .cannot .benefit
3. .Realizing .that .nurses .maintain .power .in .bedside .decision .making
4. .Knowing .the .right .thing .to .do .but .not .being .able .to .do .it
5. .Leaving .employment .as .a .critical .care .nurse .- .correct .answer.1,2,4,5
What .might .occur .when .a .nurse .employs .conscientious .refusal .to .participate? .Select .all
.that .apply.
Note: .Credit .will .be .given .only .if .all .correct .choices .and .no .incorrect .choices .are .selected.
1. .Dismissal .from .a .nursing .position
2. .Employer .sanctions