NRS204 Ticket to Class Quizzes Week 5-9 Questions With
Complete Solutions
A basilar auditory evoked response (BAER) test is routinely
performed on newborn babies. Which of the following types of
hearing impairments does this test detect?
a. presbycusis
b. Congenital hearing loss
c. Developmental delay
d. Traumatic hearing loss Correct Answers B
Rationale :
The word "congenital" describes something that an individual is
born with. Since an infant cannot formulate a verbal response to
a stimulus that they hear, the only way for us to determine
whether their ears work is through a neurological test that
measures whether an impulse moves from the receptors in the
cochlea toward the brain. The BAER test measures exactly this.
Presbycusis is a gradual hearing loss that occurs with aging.
Traumatic hearing loss happens as a result of exposure to a
sudden, loud noise. Developmental delay is a failure of a child
to reach typical developmental milestones. Developmental
delays can occur as a result of inadequate hearing (this, for
instance, is a common cause of speech delay) but a stimulus-
response test like the BAER cannot measure this.
A nurse is assigned to supervise a certified nurse's aide (CNA).
Which of the following statements correctly describes the
nurse's accountability in this scenario?
,a. The nurse bears no responsibility for the CNA's actions
because the CNA practices independently.
b. The unit's manager is responsible for all aspects of overseeing
and supervising unlicensed personnel such as CNAs.
c. Because they are not licensed, the CNA is not accountable for
their actions at work.
d. The nurse is accountable for knowing the CNA's skills and for
clearly articulating instructions. Correct Answers D
Rationale:
As an unlicensed individual, a certified nurse's aide (CNA) must
be supervised by a licensed person, typically a registered nurse.
All of the people involved in the CNA's work share
responsibility for training, supervision, and outcomes. As the
person who works most closely with the CNA, the RN is
directly responsible for training, supervision, and delegation,
though training responsibility is shared with nursing
management. Additionally, the CNA is responsible for their own
actions much line an RN is- they must be careful only to do
tasks that fall within their skill set.
A nurse is preparing to give a dose of medication when a
colleague intervenes and says "I believe you're about to give the
wrong dose." The nurse double-checks the dose and finds out
that the colleague was correct, and that they nearly gave the
wrong dose. How should the first nurse respond to this incident?
Select all that apply.
a. Thank their colleague.
b. Reflect on the circumstances that led them to nearly make an
error.
, c. Tell their colleague that this is none of their concern.
d. Report the near miss using the institution's error reporting
system.
e.Restart the medication administration process. Correct
Answers A, B, D, E
Rationale :
Medication safety is the responsibility of everybody who is
involved in medication administration and management in the
nursing unit, so calling out the error is the colleague's ethical
responsibility. Restarting the medication administration process
allows the nurse to check for further errors. Thanking the
colleague reinforces the culture of safety. Reporting the incident
allows the hospital unit to examine causes of error before they
turn into incidents that actually reach and harm the patient.
Reflecting on the circumstances helps the nurse to improve their
own practice.
A nurse manager is investigating an incident in which a patient
received an incorrect dose of medication. Which of the
following statements best indicates that this manager embraces a
culture of safety?
a. "The pharmacy should take a bigger role in ensuring
medication safety."
b. "Accidents happen from time to time. As long as the patient
was not harmed, it is ok."
c. "The nurse who gave the incorrect dose should be disciplined
so that this does not happen again."
d. "I need to spend some time to understand all of the factors
that contributed to this mistake." Correct Answers D
Complete Solutions
A basilar auditory evoked response (BAER) test is routinely
performed on newborn babies. Which of the following types of
hearing impairments does this test detect?
a. presbycusis
b. Congenital hearing loss
c. Developmental delay
d. Traumatic hearing loss Correct Answers B
Rationale :
The word "congenital" describes something that an individual is
born with. Since an infant cannot formulate a verbal response to
a stimulus that they hear, the only way for us to determine
whether their ears work is through a neurological test that
measures whether an impulse moves from the receptors in the
cochlea toward the brain. The BAER test measures exactly this.
Presbycusis is a gradual hearing loss that occurs with aging.
Traumatic hearing loss happens as a result of exposure to a
sudden, loud noise. Developmental delay is a failure of a child
to reach typical developmental milestones. Developmental
delays can occur as a result of inadequate hearing (this, for
instance, is a common cause of speech delay) but a stimulus-
response test like the BAER cannot measure this.
A nurse is assigned to supervise a certified nurse's aide (CNA).
Which of the following statements correctly describes the
nurse's accountability in this scenario?
,a. The nurse bears no responsibility for the CNA's actions
because the CNA practices independently.
b. The unit's manager is responsible for all aspects of overseeing
and supervising unlicensed personnel such as CNAs.
c. Because they are not licensed, the CNA is not accountable for
their actions at work.
d. The nurse is accountable for knowing the CNA's skills and for
clearly articulating instructions. Correct Answers D
Rationale:
As an unlicensed individual, a certified nurse's aide (CNA) must
be supervised by a licensed person, typically a registered nurse.
All of the people involved in the CNA's work share
responsibility for training, supervision, and outcomes. As the
person who works most closely with the CNA, the RN is
directly responsible for training, supervision, and delegation,
though training responsibility is shared with nursing
management. Additionally, the CNA is responsible for their own
actions much line an RN is- they must be careful only to do
tasks that fall within their skill set.
A nurse is preparing to give a dose of medication when a
colleague intervenes and says "I believe you're about to give the
wrong dose." The nurse double-checks the dose and finds out
that the colleague was correct, and that they nearly gave the
wrong dose. How should the first nurse respond to this incident?
Select all that apply.
a. Thank their colleague.
b. Reflect on the circumstances that led them to nearly make an
error.
, c. Tell their colleague that this is none of their concern.
d. Report the near miss using the institution's error reporting
system.
e.Restart the medication administration process. Correct
Answers A, B, D, E
Rationale :
Medication safety is the responsibility of everybody who is
involved in medication administration and management in the
nursing unit, so calling out the error is the colleague's ethical
responsibility. Restarting the medication administration process
allows the nurse to check for further errors. Thanking the
colleague reinforces the culture of safety. Reporting the incident
allows the hospital unit to examine causes of error before they
turn into incidents that actually reach and harm the patient.
Reflecting on the circumstances helps the nurse to improve their
own practice.
A nurse manager is investigating an incident in which a patient
received an incorrect dose of medication. Which of the
following statements best indicates that this manager embraces a
culture of safety?
a. "The pharmacy should take a bigger role in ensuring
medication safety."
b. "Accidents happen from time to time. As long as the patient
was not harmed, it is ok."
c. "The nurse who gave the incorrect dose should be disciplined
so that this does not happen again."
d. "I need to spend some time to understand all of the factors
that contributed to this mistake." Correct Answers D
