NURS 640 EXAM 1 EXAM SCRIPT 2026
COMPREHENSIVE QUESTIONS AND
SOLUTIONS FROM AVERIFIED SOURCE
GRADED A+
Chronic care model - CORRECT ANSWER-focuses on improving care for
chronic diseases. 1. Delivery of high quality care requires a range of
strategies that must closely involve and engage the patient. 2. Team care is
essential.
Transitional Care Model (TCM) - CORRECT ANSWER-APN provides
comprehensive in hospital planning and home follow up care coordination,
including training and support for nurses by a multidisciplinary HF team.
Care plans developed by nurses in collaboration with pt physicians that
reflect pt and caregiver goals and evidence based guidelines; pt and
caregiver education; coordination of care across settings; and nurse
delivered clinical services including medication management.
,Care Transitions Intervention (CTI) - CORRECT ANSWER-A transition
coach (RN or APN) provides tools and teaches self-management and
communication skills to pt and caregivers so they can coordinate their care
and follows up with home visit and telephone calls. CTI focuses on
medication self-management; pt assembled personal health recorded,
primary care and specialist follow up and teaching the pt how to recognize
and follow up on ref flag symptoms.
Re-Engineered Discharge (project RED) - CORRECT ANSWER-nurse
discharge advocate provides; pt education, medication reconciliation and
education; instruction about red flags; teach back learning process;
coordination of physician appointments and follow up testing; EBP written
discharge plan shared with pt and all providers. A clinical pharmacist
follows up by telephone to reinforce discharge plan, review medications
and solve problems.
Enhanced Discharge Planning program (EDPP) - CORRECT ANSWER-
master prepared workers with experience in geriatric and community based
practice provide a phone based intervention to supplement the existing
discharge process; pre discharge review of pt chart and consultation with pt
,providers about potential barriers to successful transition; follow up phone
call to assess pt ability to adhere to discharge plan and to determine if
medical and social services specified in the discharge plan have been
received; to identify medication problems and adherence, ensure
knowledge of red flags. The EDPP model emphasizes addressing
psychosocial and medical issues that emerge after discharge.
Medical decision making - CORRECT ANSWER-making is a process that
you are continuously evaluating and refining based on new data you obtain.
To be particularly skilled in this, you must be cognizant of the biases you
may bring to your evaluation of the patient's case and the human errors
that can occur during the course of evaluation management. A good
clinician looks at both for their own errors and the errors of colleagues and
make the necessary corrections to avoid harm to the patient.
full compensated - CORRECT ANSWER-Is pH normal? PaCO2 and HCO3
abnormal
uncompensated. - CORRECT ANSWER-pH abnormal? PaCO2 or HCO3
abnormal
, Mild PAO2 - CORRECT ANSWER-60-79 mmHg
Moderate PaO2 - CORRECT ANSWER-40-59mmHg
Severe PaO2 - CORRECT ANSWER-< 40mmHg
Metabolic Acidosis - CORRECT ANSWER-Lactic acidosis, ketoacidosis
(diabetic, alcoholic, starvation), toxins (methanol, salicylates) renal failure
(acute or chronic)
Respiratory alkalosis - CORRECT ANSWER-§ hypoxia (decreased
inspired oxygen, high altitude, ventilation, hypotension, severe anemia)
§ CNS-mediated disorders (hyperventilation, anxiety, neurologic disease,
CVA, infection, trauma, tumor, drugs, heat, hepatic failure)
§ Pulmonary disease (interstitial lung disease, pneumonia, PE, pulmonary
edema)
§ Mechanical overventilation
COMPREHENSIVE QUESTIONS AND
SOLUTIONS FROM AVERIFIED SOURCE
GRADED A+
Chronic care model - CORRECT ANSWER-focuses on improving care for
chronic diseases. 1. Delivery of high quality care requires a range of
strategies that must closely involve and engage the patient. 2. Team care is
essential.
Transitional Care Model (TCM) - CORRECT ANSWER-APN provides
comprehensive in hospital planning and home follow up care coordination,
including training and support for nurses by a multidisciplinary HF team.
Care plans developed by nurses in collaboration with pt physicians that
reflect pt and caregiver goals and evidence based guidelines; pt and
caregiver education; coordination of care across settings; and nurse
delivered clinical services including medication management.
,Care Transitions Intervention (CTI) - CORRECT ANSWER-A transition
coach (RN or APN) provides tools and teaches self-management and
communication skills to pt and caregivers so they can coordinate their care
and follows up with home visit and telephone calls. CTI focuses on
medication self-management; pt assembled personal health recorded,
primary care and specialist follow up and teaching the pt how to recognize
and follow up on ref flag symptoms.
Re-Engineered Discharge (project RED) - CORRECT ANSWER-nurse
discharge advocate provides; pt education, medication reconciliation and
education; instruction about red flags; teach back learning process;
coordination of physician appointments and follow up testing; EBP written
discharge plan shared with pt and all providers. A clinical pharmacist
follows up by telephone to reinforce discharge plan, review medications
and solve problems.
Enhanced Discharge Planning program (EDPP) - CORRECT ANSWER-
master prepared workers with experience in geriatric and community based
practice provide a phone based intervention to supplement the existing
discharge process; pre discharge review of pt chart and consultation with pt
,providers about potential barriers to successful transition; follow up phone
call to assess pt ability to adhere to discharge plan and to determine if
medical and social services specified in the discharge plan have been
received; to identify medication problems and adherence, ensure
knowledge of red flags. The EDPP model emphasizes addressing
psychosocial and medical issues that emerge after discharge.
Medical decision making - CORRECT ANSWER-making is a process that
you are continuously evaluating and refining based on new data you obtain.
To be particularly skilled in this, you must be cognizant of the biases you
may bring to your evaluation of the patient's case and the human errors
that can occur during the course of evaluation management. A good
clinician looks at both for their own errors and the errors of colleagues and
make the necessary corrections to avoid harm to the patient.
full compensated - CORRECT ANSWER-Is pH normal? PaCO2 and HCO3
abnormal
uncompensated. - CORRECT ANSWER-pH abnormal? PaCO2 or HCO3
abnormal
, Mild PAO2 - CORRECT ANSWER-60-79 mmHg
Moderate PaO2 - CORRECT ANSWER-40-59mmHg
Severe PaO2 - CORRECT ANSWER-< 40mmHg
Metabolic Acidosis - CORRECT ANSWER-Lactic acidosis, ketoacidosis
(diabetic, alcoholic, starvation), toxins (methanol, salicylates) renal failure
(acute or chronic)
Respiratory alkalosis - CORRECT ANSWER-§ hypoxia (decreased
inspired oxygen, high altitude, ventilation, hypotension, severe anemia)
§ CNS-mediated disorders (hyperventilation, anxiety, neurologic disease,
CVA, infection, trauma, tumor, drugs, heat, hepatic failure)
§ Pulmonary disease (interstitial lung disease, pneumonia, PE, pulmonary
edema)
§ Mechanical overventilation
