NRS 204 Ticket To class Questions (ALL)
Exam With Complete Solutions
Which of the following vital signs remain relatively stable from infancy to
adulthood? Select all that apply.
A. Temperature
B. Blood pressure
C. Respiratory rate
D. Oxygen saturation
E. Heart rate - ANSWER A. Temperature
D. Oxygen saturation
Which of the following is a properly formatted SMART goal?
A. The patient will take their medications as ordered.
B. Following pain meds, the patient will sleep tonight at their normal time of 10
pm.
C. Within two hours, the patient's pain will have decreased.
D. The patient's heart rate will return to baseline.
E. The patient will feel better by bedtime tonight. - ANSWER B. Following pain
meds, the patient will sleep tonight at their normal time of 10 pm.
A patient has just run into the clinic because they are late for their appointment.
The nurse checks their blood pressure and finds it to be 135/90. Which of the
following is the most appropriate response?
A. Call the provider immediately and report a high blood pressure
B. Record the blood pressure in the chart and hand the patient a brochure about
hypertension
C. Record a blood pressure of 120/80 to correct for the patient's recent activity.
D. Have the patient breathe into a paper bag.E. Wait 10 minutes and retake the
blood pressure. - ANSWER A. Acute Pain related to injury to the chest as
evidenced by patient states pain 8/10 with inhalation and acceptable level of
pain is 2/10
You are taking care of a patient in a hospital who has recently developed a
cough. It is a busy evening and the physician has not written isolation orders yet.
What equipment should you consider wearing when going in to examine the
patient? Select all that apply.
A. Waterproof gown
, B. N-95 mask
C. Sterile gloves
D. Safety glasses
E. Clean gloves - ANSWER A. Waterproof gown
B. N-95 mask
D. Safety glasses
E. Clean gloves
A nurse asks a colleague to double-check a medication they are about to give.
The colleague discovers that the nurse has inadvertently prepared a dose that is
twice what the patient should receive. How should the nurse respond to this
incident? Select all that apply.
A. Restart the medication administration process with the correct dose of
medication.
B. Argue with their colleague about who is right.
C. Thank their colleague
D. Report the near miss using the institution's error reporting system.
E. Briefly reflect on the circumstances that led them to nearly make an error. -
ANSWER A. Restart the medication administration process with the correct
dose of medication.
C. Thank their colleague
D. Report the near miss using the institution's error reporting system.
E. Briefly reflect on the circumstances that led them to nearly make an error.
A nurse perceives their own practices to be an integral part of system-wide
safety initiatives. Which of the following outcomes is a result of this attitude?
A. The nurse can deflect responsibility for any errors that they make because of
a bad system.
B. The nurse doesn't need to report any errors or near-misses that occur.
C. Patient outcomes improve incrementally across the system.
D. Nurses in every setting practice exactly the same way. - ANSWER C. Patient
outcomes improve incrementally across the system.
A nurse needs to teach a cancer patient about their upcoming chemotherapy,
but waits until their family has left the room, turns off the TV, and pulls a chair up
to the bedside. Which of the following attributes of communication is the nurse
paying attention to in this scenario?
A. Just culture
B. Humor
C. Message
D. Context - ANSWER D. Context
Exam With Complete Solutions
Which of the following vital signs remain relatively stable from infancy to
adulthood? Select all that apply.
A. Temperature
B. Blood pressure
C. Respiratory rate
D. Oxygen saturation
E. Heart rate - ANSWER A. Temperature
D. Oxygen saturation
Which of the following is a properly formatted SMART goal?
A. The patient will take their medications as ordered.
B. Following pain meds, the patient will sleep tonight at their normal time of 10
pm.
C. Within two hours, the patient's pain will have decreased.
D. The patient's heart rate will return to baseline.
E. The patient will feel better by bedtime tonight. - ANSWER B. Following pain
meds, the patient will sleep tonight at their normal time of 10 pm.
A patient has just run into the clinic because they are late for their appointment.
The nurse checks their blood pressure and finds it to be 135/90. Which of the
following is the most appropriate response?
A. Call the provider immediately and report a high blood pressure
B. Record the blood pressure in the chart and hand the patient a brochure about
hypertension
C. Record a blood pressure of 120/80 to correct for the patient's recent activity.
D. Have the patient breathe into a paper bag.E. Wait 10 minutes and retake the
blood pressure. - ANSWER A. Acute Pain related to injury to the chest as
evidenced by patient states pain 8/10 with inhalation and acceptable level of
pain is 2/10
You are taking care of a patient in a hospital who has recently developed a
cough. It is a busy evening and the physician has not written isolation orders yet.
What equipment should you consider wearing when going in to examine the
patient? Select all that apply.
A. Waterproof gown
, B. N-95 mask
C. Sterile gloves
D. Safety glasses
E. Clean gloves - ANSWER A. Waterproof gown
B. N-95 mask
D. Safety glasses
E. Clean gloves
A nurse asks a colleague to double-check a medication they are about to give.
The colleague discovers that the nurse has inadvertently prepared a dose that is
twice what the patient should receive. How should the nurse respond to this
incident? Select all that apply.
A. Restart the medication administration process with the correct dose of
medication.
B. Argue with their colleague about who is right.
C. Thank their colleague
D. Report the near miss using the institution's error reporting system.
E. Briefly reflect on the circumstances that led them to nearly make an error. -
ANSWER A. Restart the medication administration process with the correct
dose of medication.
C. Thank their colleague
D. Report the near miss using the institution's error reporting system.
E. Briefly reflect on the circumstances that led them to nearly make an error.
A nurse perceives their own practices to be an integral part of system-wide
safety initiatives. Which of the following outcomes is a result of this attitude?
A. The nurse can deflect responsibility for any errors that they make because of
a bad system.
B. The nurse doesn't need to report any errors or near-misses that occur.
C. Patient outcomes improve incrementally across the system.
D. Nurses in every setting practice exactly the same way. - ANSWER C. Patient
outcomes improve incrementally across the system.
A nurse needs to teach a cancer patient about their upcoming chemotherapy,
but waits until their family has left the room, turns off the TV, and pulls a chair up
to the bedside. Which of the following attributes of communication is the nurse
paying attention to in this scenario?
A. Just culture
B. Humor
C. Message
D. Context - ANSWER D. Context
