NUR 240 Final Exam: Questions

NUR 240 Final Exam: Questions &

Answers

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

(Ans- 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.

• Experiences an acetaminophen overdose
• Diagnosed with an acute mental illness
• Receiving treatment for chronic renal failure
• New onset of acute decompensated heart failure
• Treatment for bacteremia from an infected foot wound

(Ans- 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?

• Level I
• Level II
• Level III
• It is unlikely that the hospital would have a critical care unit.

(Ans- 3

• / 4

With which individuals should the nurse expect to provide patient care in an "open" ICU?

• Multidisciplinary team with physicians who are also responsible for

patients on other units

• Multidisciplinary team that includes a physician employed by the hospital
• Physician in charge of patient care who is a specialist in critical care
• Primary care physician who must consult a critical care specialist

(Ans- 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?

• It relies heavily on human decision making.
• Devices are programmed to function without double checks.
• It makes the workload seem overwhelming to health care providers.
• There is uniform equipment throughout each facility.

(Ans- 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?

• Prior to administration of insulin, two nurses check the dose.
• Prior to obtaining a medication, height, weight, and allergies are

recorded.

• All medications are checked by two nurses prior to administration.
• Undiluted potassium chloride is not available on critical care units.

(Ans- 4

The nurse realizes that the increased use of technology in critical care units has resulted in which consequence for patient care?

• Decreased risk of errors in patient care
• Decreased therapeutic nurse-patient communication
• Improved overall patient satisfaction with care
• Improved patient safety across the entire spectrum

(Ans- 2

• / 4

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?

• Utilizing constraints
• Simplifying key processes
• Avoiding reliance on vigilance
• Standardizing key processes

(Ans- 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.

• Notify the patient and family.
• Notify the physician.
• Document the error.
• Prepare for an analysis of the error.
• Keep the notification of the error silent.

(Ans- 1,2,3,4

The nurse working within the AACN Synergy Model realizes that optimal

patient outcomes are realized when:

• Highly qualified nurses care for patients in highly technical settings.
• Nurses agree to work overtime to cover unit staffing needs.
• Staff nurse competency is matched with patient needs.
• Patient care is delivered within a "closed unit" model.

(Ans- 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.

• Maintaining attendance at the bedside with the patient during a physician

visit 3 / 4

• Assisting and supporting the patient and family as they reveal their

needs

• Alerting the physician to concerns about client placement after

hospitalization

• Encouraging and supporting a patient's spouse in preparing for a family

meeting

• Seeing the big picture when planning patient care

(Ans- 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?

• "I am concerned about..."
• "The patient's immediate history is..."
• "I think the problem is..."
• "I would like you to..."

(Ans- 1

Which statement should the nurse include for "A-Assessment" in the SBAR technique for communication?

• "I think the problem is..."
• "The patient's vital signs are..."
• "The patient's treatments are..."
• "I would like you to..."

(Ans- 1

Which statement should the nurse use when concluding SBAR communication about a patient issue?

• "The patient's immediate history is..."
• "The patient's physical findings are..."
• "I am requesting that you..."
• "I have assessed the patient personally."

(Ans- 3

• / 4