NUR 3050 Final Exam Questions and
Answers
Identify Patient correctly - Answer-i. Use a least 2 identifiers
ii. Every patient should always wear a name band while in a hospital setting
Improve staff communication - Answer-i. ISBARR
1. Identity: Introduce yourself and where you are calling from.
2. Situation: Patient name and age, admitting diagnosis, and chief complaint or urgent
need for the rapid response to be called.
3. Background: Medical history including current medications and advanced directives
4. Assessment: General patient impression and significant through assessment,
diagnostic tests, lab work, and vital signs.
5. Recommendation: Treatment provided and the patient's response to the treatment.
6. Read back: Read back the message or prescription from the provider, which allows
for clarification of any miscommunication.
Use meds safely - Answer-i. Make sure all meds should be labeled
ii. Medication Reconciliation
Prevent Infection - Answer-i. Sources
1. Central line associated bloodstream infection (CLABS)
2. Catheter - associated UTI
3. Surgical site infection
4. Pneumonia
ii. Pathogens
1. MRSA
2. VRE
3. C-Diff
How do each of the following contribute to a culture of safety? - Answer-a. Reporting
errors that reach the patient.
b. Reporting errors that don't reach the patient.
c. Holding yourself accountable.
d. Using ISBARR to communicate with other healthcare providers.
What is a Sentinel Event? What are some examples? - Answer-A Sentinel event is a
patient safety vent that reaches a patient and results in any or the following: Death,
Permanent harm, severe temporary harm and intervention required to sustain life.
What are some common risk factors for falling. - Answer-- The bed is not in the lowest
position
- Regular socks
- water on the floor
, After performing the Morse Fall Scale on a client, they are confirmed to be a high fall
risk. What interventions are you implementing as the nurse? - Answer-a. Bed is at the
lower position
b. Door stays open
c. Right socks
d. Make sure everyone knows that work with the patient
e. Make sure the call light is in reach
f. Label as a fall risk
When is it appropriate to place a patient in restraints? - Answer-a. Risk to self
b. Risk to others
c. Prevent therapy disruption
As the nurse, what can you do to avoid using restraints? - Answer-a. Distract the patient
b. Get them a sitter
c. Talk to them
d. Put them at the nursing station
Deborah, your client, has soft wrist restrains ordered and applied correctly. She remains
agitated towards staff. What are your nursing responsibilities and assessments while
the restraints are in place? - Answer-a. Assess skin integrity and provide skin care per
protocol, usually every 2 hours
b. Offer food and fluid
c. Provide with means for hygiene and elimination
d. Monitor vital signs
e. Offer range of motion exercise
You as the nurse can delegate tasks like applying restraints. What must you do after the
nursing assistive personnel (NAP) applies the restraints? - Answer-a. Check that you
can fit two fingers under the restraint
b. That they are not tie to the bed rale
c. That they are the correct size
How can nurses practice good body mechanics? - Answer-a. Proper alignment
b. Wide base of support
c. Stand close to the object
d. Squat to lift
e. Lift with your legs, not your back.
f. Don't twist your torso.
g. Raise beds to waist level when working with pt.
h. Smooth and even movements
i. Push vs. Lift
j. Always use assistive devices!
k. Get help
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