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NURSING 108 FINAL EXAM QUESTIONS WITH ANSWERS TESTED AND VERIFIED SOLUTIONS RATED A+, Exams of Nursing

NURSING 108 FINAL EXAM QUESTIONS WITH ANSWERS TESTED AND VERIFIED SOLUTIONS RATED A+

Typology: Exams

2022/2023

Available from 05/23/2023

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NURSING 108 FINAL EXAM QUESTIONS WITH

ANSWERS TESTED AND VERIFIED

SOLUTIONS RATED A+

Question 1

The RN is caring for an older adult patient admitted with frequent falls at home. Which initial strategy is most effective to improve patient outcomes? a. Coordination of care with an interdisciplinary team. b. Maintain bedrest with close supervision. c. Prepare for transfer to skilled nursing facility. d. Frequent hospitalizations help to manage illness effectively. 1.25 points

Question 2

Which of the following collaboratives has the mission to work with federal and state agencies to strengthen policies and practices with the outcome of making people healthier? a. Quality and Safety Education for Nurses b. Healthy People 2020 c. The Institute of Medicine d. American Association of Retired People 1.25 points

Question 3

What is a fundamental component in Dorothy Johnson’s model of nursing? a. The role of adaptation in nursing care provided to the patient. b. The interpersonal aspect of nursing, the relationship between patients and nurses. c. The relationship between cultural factors and nursing practice. d. The behavior of the client is key to preventing illness and restoring health. 1.25 points

Question 4

What is a benefit of the Affordable Care Act? a. Eliminates co-pays for preventative services. b. Increases administrative costs for insurance companies. c. Decreases Medicaid payments to primary care physicians. d. Financially rewards technology driven acute hospital based services. 1.25 points

Question 5

A patient is preparing to sign an informed consent document to participate in nursing research. Which statement by the patient indicates additional teaching is necessary?

a. “This consent indicates I understand the risks and benefits of this study.” b. “Signing this form protects the researcher from liability.” c. “I have the right to end my participation whenever I desire.” d. “Informed consent allows me to choose if I will participate.” 1.25 points

Question 6

The RN is providing care for a hospitalized patient who states,”I don’t know what to do, I will never be able to manage my medications and appointments with all of these doctors. How will I ever do this?” The RN can consult with a nurse in which of the following roles to help this patient? a. Nurse coder b. Nurse navigator c. Forensic psychiatric nurse d. Nurse safety officer 1.25 points

Question 7

An older adult patient with a newly diagnosed illness tells the RN, “It looks like I need to make peace with God.” What is the RN’s best initial response?

a. “I can contact your family and friends who can support you during this time.” b. “The clergy is much better trained to address your concerns.” c. “I believe in the power of prayer. Do you want me to pray with you?” d. “Are you distressed about your condition? Please tell me more.” 1.25 points

Question 8

The RN who speaks up when a health care worker does not perform hand hygiene is upholding which ethical principle? a. Nonmaleficence b. Veracity c. Autonomy d. Justice 1.25 points

Question 9

Which statement reflects the ethical principle of justice? a. Patients should be able to go to the physician of their choice.

b. Competent care is a patient’s right and a provider’s obligation. c. If a health care provider agrees to care for a patient, there is an obligation to follow through. d. Patients should be treated equally regardless of socioeconomic status. 1.25 points

Question 10

The RN sees a coworker enter a patient’s room without wearing the necessary personal protective equipment (PPE) for transmission-based precautions.Which is the best response by the RN? a. “Not wearing the correct PPE is bad nursing practice.” b. “Appropriate PPE is essential to reduce the risk of health care infections.” c. “Your behavior is why we have so many infections on this nursing unit.” d. “I wear all the PPE if I am not touching the patient.” 1.25 points

Question 11

Why are all health care workers who interact with the patient expected to participate in a patient centered team meeting? a. To provide the leader an opportunity to display expertise.

b. To instruct the team about the pre-determined decisions. c. To promote personal relationships with the team. d. To seek each member’s contribution to the plan of care. 1.25 points

Question 12

The hospital is planning to implement a new bar code system for medication administration. Which statement describes the role of the RN to decrease medical errors? a. “I will ask to participate on the committee for bar code system design.” b. “A bar code system will eliminate the need for the RN to review medications.” c. “Training sessions should be optional for experienced nurses.” d. “I will learn to bypass the system during patient care emergencies.” 1.25 points

Question 13

Which action by a health care worker demonstrates a potential violation of patient privacy information when using a computerized medical record? a. Posting a personal computer password in the nursing station. b. Using a privacy filter on computers that can be seen by others.

c. Logging out of the computer screen when finished with documentation. d. Using institutional communication devices for work related issues. 1.25 points

Question 14

The student nurse asks the RN the purpose of the patient satisfaction instrument called Hospital Consumer Assessment of Healthcare Providers and System (HCAHPS). Which is the best response by the RN? a. Reward the physicians with the lowest mortality rates. b. Establish preventative services. c. Identify staff who need remediation. d. Measure quality of care. 1.25 points

Question 15

The RN is assembling a health care team to help coordinate care for a homeless adult who has a leg ulcer. Which team member must the RN include? a. Occupational therapist b. Physical therapist c. Social worker

d. Client safety nurse 1.25 points

Question 16

Which statement made during a meeting of a hospital’s ethics committee is based on the ethical principle of autonomy? a. The nurse agreed to be present when the patient talked to family about surgical treatment, however the nurse did not show up. b. This treatment is not appropriate for this patient because the danger of destroying the liver is greater than any potential beneficial effect. c. Patients have a right to refuse pain medication even when they admit to having severe pain. d. Costly treatment measures should not be prohibited for the elderly based on age. 1.25 points

Question 17

A patient who is considering enrolling in a clinical research trial asks the RN “What would you do?” How does the RN respond in an ethical manner? a. “It is a difficult decision, we will support you in whatever you chose.” b. “The study offers you a hope of a cure, it would be worth a try.”

c. “I prefer to be treated with the medications that other people have used.” d. “I would agree to be enrolled because the study will also help other people.” 1.25 points

Question 18

Which statement by the RN reflects cultural sensitivity? a. “I treat people as I would want to be treated.” b. “I learned to speak another language.” c. “I am familiar with many different cultures.” d. “I ask each patient about practices to promote wellness.” 1.25 points

Question 19

A patient awaiting surgery states “I chose the hospital for my surgery because it received high ratings on the internet.” What is the most appropriate response by the RN? a. “Tell me about the internet source you used for decision making.” b. “Make sure you always choose a recently updated website for this information.” c. “Social media sites are a good source of information about local hospitals.”

d. “The internet is what I use to check hospital ratings.” 1.25 points

Question 20

Which statement by the RN reflects an aggressive approach to conflict resolution? a. “It is not what I want, it is what the patient needs.” b. “I want to understand your position but it is still not clear to me.” c. “You need to follow my instructions exactly as I explained to you.” d. “We need to find a solution to this problem so that patient care doesn’t suffer.” 1.25 points

Question 21

Which is an example of assertive communication by the RN during the interdisciplinary team patient care meeting? a. “The patient fell because he did not ask for help.” b. “We are here to seek ways to improve care.” c. “The intervention you are suggesting is wrong for this patient.” d. “The pharmacist needs to be reprimanded for delivering the meds late.”

1.25 points

Question 22

The RN is meeting with a staff member to discuss recurrent late arrival for scheduled shifts. The staff member is highly animated and begins to explain multiple reasons for lateness. Which is the RN’s best response? a. “This behavior will not avoid the conversation. You need to be quiet and listen.” b. “You seem very upset. If you are on time in the future we can forget about this.” c. “You are lucky I am talking to you. Recurring lateness is grounds for dismissal.” d. “Please sit down and take a deep breath. We need to resolve this issue.” 1.25 points

Question 23

The nurse manager solicits support from the nursing staff when preparing the unit budget. Which activities by the nursing staff assist with positive management of resources? Select all that apply. a. Promote self-care activities for all team members. b. Keep extra supplies in the patient’s room to save time. c. Delegate tasks to the appropriate health care worker. d. Prevent interruptions when administering medications. e. Use “down time” to have social conversations with peers.

1.25 points

Question 24

The RN assisting with a sterile dressing change sees a colleague contaminate sterile gloves. What action should the RN take? a. Quietly tell the colleague that another break in sterile technique will be reported. b. State the problem immediately and provide another pair of sterile gloves. c. Say nothing because the patient is receiving antibiotics. d. Ask the nurse manager to provide education about sterile technique for the unit. 1.25 points

Question 25

An RN worked with a team of individuals to design a discharge process for patients, resulting in an improved discharge system. This is an example of which approach to problem-solving? a. Rapid response process b. Root cause analysis c. Leapfrog process d. Lean six sigma

1.25 points

Question 26

The RN is teaching the student nurse about the ANA Standards of Ethical Practice. Which statement by the student nurse indicates additional teaching is necessary regarding patient protection and impaired practice? a. Report all concerns regarding an impaired co-worker to the nursing supervisor. b. Assistance is available for impaired nurses from professional associations. c. Nurses who report impaired colleagues risk retaliation from the institution. d. Impaired nurses may return to practice after recovery. 1.25 points

Question 27

Which is the primary reason that incivility among healthcare professionals presents a threat to patients? a. Incivility begins with impoliteness and leads to violence. b. Incivility creates additional stress in the health care environment. c. Incivility is linked to lower staff productivity. d. Incivility is associated with an increase in medical errors.

1.25 points

Question 28

A team of interdisciplinary personnel reviewed data regarding a sentinel event for surgery done on the wrong patient. The team was interested in looking at the events and systems that were related to this incident. Which approach is focused on identifying faulty systems and processes? a. Life-long learning culture b. Use of informatics c. Root cause analysis d. Benchmarking 1.25 points

Question 29

The nurse manager asks clinic employees to participate in a nurse-led committee. The goal of the committee is to design and implement a plan addressing patient dissatisfaction with long wait times. What type of leadership is the nurse manager displaying? a. Democratic b. Laissez-faire c. Autocratic

d. Authoritarian 1.25 points

Question 30

What information does the RN include when explaining to a nursing student the advantages of being employed at a magnet hospital? a. The preferred leadership style in a magnet hospital is authoritative. b. Magnet hospitals have better benefit packages than non-magnet hospitals. c. Non-magnet hospitals always have low patient satisfaction scores. d. Magnet hospitals undergo an external review to document standards of nursing excellence. 1.25 points

Question 31

Which statement by the RN demonstrates an understanding of the benefit of The Joint Commission accreditation? a. “Accreditation certifies increased staffing levels on the nursing units.” b. “Accreditation signifies the organization will be the best choice for clients to receive care.” c. “Accreditation validates efforts on quality improvement for client outcomes.”

d. "Accreditation provides a competitive edge in the healthcare marketplace.” 1.25 points

Question 32

A student nurse asks the RN about the legal authority to delegate tasks. Which statement describes why RNs have the legal right to delegate? a. American Nurses’ Association Standards of Practice allow legal delegation by the RN. b. Employment by an institution approved for operation by the state provides legal authority to delegate. c. RNs are licensed and governed by a statutory practice act which allows legal delegation. d. Completion of a specialized program of professional study allows the RN to legally delegate. 1.25 points

Question 33

An RN on the quality improvement (QI) team at a healthcare institution recognizes which data is associated with The Joint Commission National Patient Safety Goals (NPSGs)? a. “One NPSG focuses on the number of health provider consultations.” b. “Patient satisfaction is one of the NPSGs.” c. “NPSGs include recommendations for unit staffing ratios.”

d. “Types of medication errors are included in the NPSGs.” 1.25 points

Question 34

A student nurse tells the RN “My patient’s blood pressure is 120/80, and blood pressure medications were administered one (1) hour ago.” This is an example of which component of informatics? a. Data b. Skill c. Information d. Knowledge 1.25 points

Question 35

Which task can the RN delegate to an unlicensed assistive personnel (UAP)? a. Measuring oral intake and output for a geriatric patient. b. Obtaining a blood pressure on a patient experiencing dizziness. c. Showing a patient how to empty a wound drainage device.

d. Checking a patient’s ankles for swelling after sitting in a chair. 1.25 points

Question 36

Which organization provides hospitals with accreditation for the promotion of quality evidence-based measures to maximize health benefits? a. The Hospital Care Quality Information from the Comsumer Perspective (HCAHPS) b. The Leapfrog Group c. The Joint Commission (TJC) d. The Agency for Health Care Research and Quality (AHRQ) 1.25 points

Question 37

The RN notices a new packaging for a medication resembles another medication that is commonly used. The RN calls the pharmacy and informs them of her findings. Which aspect of the patient safety program is the RN demonstrating? a. Continuous quality improvement b. Clinical pathway c. Quality indicator

d. Benchmark 1.25 points

Question 38

A nursing student is discussing the benefits of nursing research with an instructor. Which statement indicates the student needs additional teaching? a. Research differentiates nursing as a profession through the use of a unique body of knowledge. b. Research provides empirical evidence to support nursing actions. c. Research enables quicker decision making by nurses. d. Research provides a means to implement improved ways to promote and maintain health. 1.25 points

Question 39

What is one of the initiatives of The Leapfrog Group? a. Reward hospitals for high valued performance. b. Document medical errors not reported by organizations. c. Report nurses who deviate from standards of practice. d. Provide data to support hospitals from closing beds.

1.25 points

Question 40

A nurse manager is fostering assertive behavior in the nursing staff. What is the best response by the nurse manager to an RN who states that an unlicensed assistive personnel (UAP) consistently leaves patient units untidy? a. "Plan to meet with me and the UAP; I will get back to you with the details by the end of the day.” b. “I will speak to the UAP but I need you to put the problem in writing.” c. “Please plan to bring up environmental clutter concerns at the next unit meeting.” d. “Discuss the issue with the UAP and see if the two of you can come up with a solution.” 1.25 points

Question 41

During a unit meeting, nursing staff identifies a concern with the process of shift report. The nurse manager says “Fine, go ahead and do something else.” Which style of leadership is the nurse manager using? a. Laissez-faire b. Transformational c. Democratic

d. Authoritarian 1.25 points

Question 42

Which ethical principle is the nurse violating when the nurse tells a crying child, “If you don’t swallow this pill, I am going to give you a shot into your leg.”? a. Nonmaleficence b. Fidelity c. Obligation d. Justice 1.25 points

Question 43

The RN is teaching a group of graduate nurses about clinical pathways. Which statement indicates additional teaching is needed? a. Clinical pathways allow monitoring of variances from prescribed plans of care. b. Clinical pathways encourage multidisciplinary documentation. c. Clinical pathways streamline the charting process.

d. Clinical pathways eliminate the need for quality control activities. 1.25 points

Question 44

Which nursing theory model helps direct nursing care for a patient at the end of life who is seeking inner harmony and spiritual meaning? a. Watson Model of Human Caring b. Roy Adaptation Model c. Orem Self Care Model d. King Model of Goal Attainment 1.25 points

Question 45

An RN states, “I feel emotionally drained and physically sick after caring for some patients who receive aggressive treatments. It seems like we are only prolonging their dying process.” What is this RN experiencing? a. Work overload b. Disillusionment in nursing c. Moral distress d. Cultural shock

1.25 points

Question 46

Which factors influence the number of RNs assigned to a patient care unit? Select all that apply. a. The type of management structure. b. Acuity of the patients. c. The access to resources by staff. d. The physical layout of the unit. e. Availability of ancillary support. 1.25 points

Question 47

A 16-year-old with a chronic disease disagrees with parents regarding aggressive or palliative care treatment options. Which is the best response by the RN? a. “Your parents are ultimately responsible for making this decision.” b. “The ethics committee can assist with the decision-making process.” c. “It is best to rely on the decision by your healthcare provider.”

d. “In my experience, aggressive care has the best results.” 1.25 points

Question 48

A terminally ill patient who is considering withdrawal of treatment asks the RN if the family should be told. What is the next step in ethical decision making for the RN? a. Consult with a member of the ethics committee. b. Identify a physician who can write the necessary prescriptions. c. Discuss the patient’s feelings and concerns. d. Review the possible options of disclosure. 1.25 points

Question 49

Which statement describes The Joint Commission (TJC)? a. Creates a national agenda to eliminate health disparities. b. Develops program outcomes for quality nursing education. c. Identifies elements to attract and retain professional nurses. d. Accredits an organization that provides high-quality service.

1.25 points

Question 50

Which ethical principle is implicit in the statement “Provision of safe, competent care without patient harm is a healthcare provider’s duty.”? a. Nonmaleficence b. Veracity c. Autonomy d. Justice 1.25 points

Question 51

Which patient would be most appropriate for the RN to assign to the LPN/LVN? a. A patient with a hip fracture who requires a blood transfusion. b. A newly admitted patient with pneumonia who needs a care plan developed. c. A patient who had a stroke and is awaiting transfer to a subacute facility. d. A patient with newly diagnosed diabetes mellitus who needs a home care referral. 1.25 points

Question 52