NURS 450 EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
# 1 reason why nurses aren't happy with their jobs Correct
Answers Dissatisfaction with the care they provide
2015 OSHA memo Correct Answers inpatient healthcare
settings consistently have exposure to safety and health hazards
3 ANA LEADERSHIP COMPETECIES Correct Answers 1.
Leading yourself
2. Leading others
3. Leading the organization
32% of nursing malpractice cases involve 1 or more
________________ Correct Answers communication errors
4 PARTS OF EMOTIONAL INTELLIGENCE FRAMEWORK
Correct Answers Self-Awareness
Self-Regulation
Social Awareness
Social Skills
A culture of safety is a foundational element of building
healthcare systems that deliver safe and reliable patient care.
Which of the following is NOT a component of a culture of
safety? Correct Answers Accountability culture
A fishbone diagram: Correct Answers is a quality improvement
tool to identify relationships among possible factors.
,OR
is commonly used to determine definitive cause and effect
relationships.
A group of emergency room (ER) nurses are asked to develop
an action plan to improve the time before patients who present
with chest pain receive an ECG. Which of the following would
NOT be helpful when working on a quality improvement (QI)
effort like this? Correct Answers Identify whose fault it is that
results are not very good.
A group of nurses on a medical-surgical unit noted their
readmission rates were higher than other units. With further
investigation, the nurses identify that patients were readmitted to
the hospital based on a lack of understanding of discharge
instructions. As a team, they decide to look at how they could
assess every patient's health literacy level (understanding of
health information) because health literacy was identified as a
contributing factor to increased readmissions. The team
identifies three tools commonly found in the literature. They
decide on one tool that is appropriate for their medical-surgical
population of patients. To implement the tool, they teach the
staff how to use it, document the patient's literacy level score in
the electronic medical record (EMR), and brief the rest of the
patient's care team on use of that health literacy information
during interactions with the patient. Readmissions are Correct
Answers It is quality improvement since the nurses used data
and identified an intervention to improve their readmission
outcome.
, A healthcare provider has issued a Do Not Attempt to
Resuscitate (DNAR) order for your patient, a 55-year-old man
with cancer. You spoke with the patient this morning and he
clearly wishes to be resuscitated in the event that he stops
breathing. What is the most appropriate course of action?
Correct Answers Consult your hospital's policies and
procedures, speak to the healthcare provider, and discuss the
matter with your nurse manager.
A healthcare provider has ordered you to discharge Mr. Jones
from the hospital despite a new temperature of 38.8°C. The
provider refuses to talk with you about the patient. In this
situation, which of the following is an appropriate nursing
action? Correct Answers Do not discharge the patient until you
have discussed the matter with your nursing manager and are
satisfied regarding patient safety.
A medical resident walks into a patient's room to complete a
physical assessment. The nurse notices that the resident did not
wash her hands before entering the room. The nurse gently
reminds the resident to use the hand sanitizer before touching
the patient. This reminder is an example of using which of the
following QSEN competencies? Correct Answers Safety
A new graduate nurse has submitted an application, letter of
interest, and résumé to the human resources department of a
hospital and has an interview scheduled for next week. How
should the nurse prepare for this interview? Correct Answers
Review the organization's website.
SOLUTIONS
# 1 reason why nurses aren't happy with their jobs Correct
Answers Dissatisfaction with the care they provide
2015 OSHA memo Correct Answers inpatient healthcare
settings consistently have exposure to safety and health hazards
3 ANA LEADERSHIP COMPETECIES Correct Answers 1.
Leading yourself
2. Leading others
3. Leading the organization
32% of nursing malpractice cases involve 1 or more
________________ Correct Answers communication errors
4 PARTS OF EMOTIONAL INTELLIGENCE FRAMEWORK
Correct Answers Self-Awareness
Self-Regulation
Social Awareness
Social Skills
A culture of safety is a foundational element of building
healthcare systems that deliver safe and reliable patient care.
Which of the following is NOT a component of a culture of
safety? Correct Answers Accountability culture
A fishbone diagram: Correct Answers is a quality improvement
tool to identify relationships among possible factors.
,OR
is commonly used to determine definitive cause and effect
relationships.
A group of emergency room (ER) nurses are asked to develop
an action plan to improve the time before patients who present
with chest pain receive an ECG. Which of the following would
NOT be helpful when working on a quality improvement (QI)
effort like this? Correct Answers Identify whose fault it is that
results are not very good.
A group of nurses on a medical-surgical unit noted their
readmission rates were higher than other units. With further
investigation, the nurses identify that patients were readmitted to
the hospital based on a lack of understanding of discharge
instructions. As a team, they decide to look at how they could
assess every patient's health literacy level (understanding of
health information) because health literacy was identified as a
contributing factor to increased readmissions. The team
identifies three tools commonly found in the literature. They
decide on one tool that is appropriate for their medical-surgical
population of patients. To implement the tool, they teach the
staff how to use it, document the patient's literacy level score in
the electronic medical record (EMR), and brief the rest of the
patient's care team on use of that health literacy information
during interactions with the patient. Readmissions are Correct
Answers It is quality improvement since the nurses used data
and identified an intervention to improve their readmission
outcome.
, A healthcare provider has issued a Do Not Attempt to
Resuscitate (DNAR) order for your patient, a 55-year-old man
with cancer. You spoke with the patient this morning and he
clearly wishes to be resuscitated in the event that he stops
breathing. What is the most appropriate course of action?
Correct Answers Consult your hospital's policies and
procedures, speak to the healthcare provider, and discuss the
matter with your nurse manager.
A healthcare provider has ordered you to discharge Mr. Jones
from the hospital despite a new temperature of 38.8°C. The
provider refuses to talk with you about the patient. In this
situation, which of the following is an appropriate nursing
action? Correct Answers Do not discharge the patient until you
have discussed the matter with your nursing manager and are
satisfied regarding patient safety.
A medical resident walks into a patient's room to complete a
physical assessment. The nurse notices that the resident did not
wash her hands before entering the room. The nurse gently
reminds the resident to use the hand sanitizer before touching
the patient. This reminder is an example of using which of the
following QSEN competencies? Correct Answers Safety
A new graduate nurse has submitted an application, letter of
interest, and résumé to the human resources department of a
hospital and has an interview scheduled for next week. How
should the nurse prepare for this interview? Correct Answers
Review the organization's website.
