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RNSG 1137 FINAL EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS

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RNSG 1137 FINAL EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS

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1



RNSG 1137 FINAL EXAM WITH COMPLETE
QUESTIONS AND CORRECT ANSWERS
2026-27 VERSION

An industrial site has experienced a radiation leak and workers who
have been potentially affected are en route to the hospital. To
minimize the risks of contaminating the hospital, managers should
perform what action?
A) Place all potential victims on reverse isolation.
B) Establish a triage outside the hospital.
C) Have hospital staff put on personal protective equipment.
D) Place hospital staff on abbreviated shifts of no more than 4 hours.
--ANS--B) Establish a triage outside the hospital.

Medicare uses a prospective payment plan based on diagnosis-
related groups (DRGs). What are DRGs?
A) Locally supported health care financing, usually by donations
B) A public assistance program for low-income individuals
C) Predetermined payment for services based on medical diagnoses
D) A private insurance plan for subscribers who pay a copayment --
ANS--C) Predetermined payment for services based on medical
diagnoses

-Medicare, based on DRGs, pays a hospital a fixed amount that is
predetermined by the medical diagnosis or specific treatment rather
than by the actual cost of hospitalization and care. This plan was put
into effect in an effort to control rising health care costs. It is not
supported by donations; it is not a public assistance program or a
private insurance plan.

What is a Prospective Payment System? --ANS--A payment system for
care given based upon the DRG classification system (predetermined
payment for services based on medical diagnosis)

,2



Nursing continues to recognize and participate in collaboration with
other health care disciplines to meet the complex needs of the
patient. Which of the following is the best example of a collaborative
practice model?
A) The nurse and the physician jointly making clinical decisions.
B) The nurse accompanying the physician on rounds.
C) The nurse making a referral on behalf of the patient.
D) The nurse attending an appointment with the patient. --ANS--A)
The nurse and the physician jointly making clinical decisions.

-The collaborative model, or a variation of it, promotes shared
participation, responsibility, and accountability in a health care
environment that is striving to meet the complex health care needs
of the public. The other answers are incorrect because they are not
examples of a collaborative practice model.

With the changing population of health care consumers, it has
become necessary for nurses to work more closely with other nurses,
as when acute care nurses collaborate with public health and home
health nurses. What nursing function has increased in importance
because of this phenomenon?
A) Prescribing medication
B) Performing discharge planning
C) Promoting family involvement
D) Forming collegial relationships --ANS--B) Performing discharge
planning

The IOM Report Health Professions Education: A Bridge to Quality
issued a number of challenges to the educational programs that
teach nurses and members of other health professions. According to
this report, what activity should educational institutions prioritize?
A) More clearly delineate each profession's scope of practice during
education
B) Move toward developing a single health curriculum that can be
adapted for any health profession

,3



C) Include interdisciplinary core competencies into curricula
D) Elicit input from patients and families into health care curricula --
ANS--C) Include interdisciplinary core competencies into curricula

Teamwork Collaboration Collaborative practice involves..... --ANS--
employing multiple health professionals to work together with
patients, families, and communities to deliver best practices, which
assures best patient outcomes.

-INTERPROFESSIONAL TEAMWORK is central to the model

Which of the following are core skill areas that are needed of any
effective team member of an interdisciplinary team? Select all that
apply.
A) Interpersonal skills
B) Teamwork skills
C) Communication skills
D) The ability to work independently
E) Risk assessment and risk management skills --ANS--A)
Interpersonal skills
B) Teamwork skills
C) Communication skills
E) risk assessment and risk management skills

What are the INTERPROFESSIONAL collaboration core skills a team
member must possess? Select all that apply. --ANS---Interpersonal
skills (tolerance, patience, understanding)
-Humanity (warmth, acceptance, empathy, genuineness, and
nonjudgmental attitude)
-Knowledge about disorders, symptoms, and behavior
-Communication skills
-Personal qualities (consistency, assertiveness, and problem-solving
abilities)
-Teamwork skills (collaborating, sharing, integrating)
-Risk assessment and risk management skills

, 4




The Joint Commission and the Centers for Medicare and Medicaid
Services (CMS) are evaluating a large, university medical center
according to core measures. Evaluators should perform this
evaluation in what way?
A) By auditing the medical center's electronic health records
B) By performing focus groups and interviews with care providers
from numerous disciplines
C) By performing statistical analysis of patient satisfaction surveys
D) By comparing the center's patient outcomes to best practice
indicators --ANS--D) By comparing the center's patient outcomes to
best practice indicators

The IOM Report Health Professions Education: A Bridge to Quality
issued a number of challenges to the educational programs that
teach nurses and members of other health professions. According to
this report, what activity should educational institutions prioritize?
A) More clearly delineate each profession's scope of practice during
education
B) Move toward developing a single health curriculum that can be
adapted for any health profession
C) Include interdisciplinary core competencies into curricula
D) Elicit input from patients and families into health care curricula --
ANS--C) Include interdisciplinary core competencies into curricula

Core measures --ANS--benchmark standards of best practices used to
gauge how well a hospital gives care to its patients who are admitted
to seek treatment for a specific disease (e.g., heart failure) or who
need a specific treatment (e.g., an immunization)

Team STEPPS --ANS--Team Strategies and Tools to Enhance
Performance and Patient Safety

-evidence-based curriculum that trains health care professionals to
achieve improved teamwork skills and communication, based upon

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