NURS 641E ACTUAL EXAM QUESTIONS AND
VERIFIED ANSWERS 2026
▶ The nurse is teaching a client about metformin SA. When the client asks,
"What does the SA mean?" what is the appropriate nursing response?
A. "sustained action"
B. "extended release"
C. "sustained release"
D. "continuous release". Answer: A. "sustained action"
▶ nursing aims. Answer: promote health
prevent illness
restore health
facilitate coping with death
▶ health. Answer: a subjective state of being healthy
▶ clinical nurse leader. Answer: A nurse with an advanced degree who is
a clinical expert in the care of a distinct group of patients, and who may
provide direct patient care
▶ Nurse Entrepreneur. Answer: A nurse, usually with an advanced
degree, who may manage a clinic or health-related business, conduct
research, provide education, or serve as an adviser or consultant to
institutions, political agencies, or businesses
▶ 5 rights of delegation. Answer: right task
right circumstance
right person
right directions and communication
right supervision and evaluation
▶ patient protection and affordable care act (PPACA). Answer: 2010
federal legislation designed for comprehensive health reform, with an intent
, to expand coverage, control health care costs, and improve the health care
delivery system
▶ primary health care. Answer: treatment of common health problems
▶ secondary health care. Answer: treatment of problems requiring more
specialized clinical expertise
ex specialists like cardiologist
▶ tertiary health care. Answer: Management of rare and complex
disorders
▶ continuity of care. Answer: Continuation of care smoothly from one
provider to another, so that the patient receives the most benefit and no
interruption in care.
SBAR or ISBARQ
▶ ISBARQ. Answer: Introduction
Situation
Background
Assessment
Recommendation
Question and answer
▶ SBAR. Answer: Situation
Background
Assessment
Recommendation
▶ nurse navigator. Answer: Attempts to eliminate barriers.
Serves as an advocate for the client.
makes moving through the treatment phase easier.
Similar to a case manager.
Focuses on one specialty, like cancer.
Helps reduce the client's anxiety and depression.
▶ patient navigator. Answer: person without a clinical background (e.g., a
lay person or a social worker) who assists the patient with scheduling,
financial assistance, psychosocial support, and community support
VERIFIED ANSWERS 2026
▶ The nurse is teaching a client about metformin SA. When the client asks,
"What does the SA mean?" what is the appropriate nursing response?
A. "sustained action"
B. "extended release"
C. "sustained release"
D. "continuous release". Answer: A. "sustained action"
▶ nursing aims. Answer: promote health
prevent illness
restore health
facilitate coping with death
▶ health. Answer: a subjective state of being healthy
▶ clinical nurse leader. Answer: A nurse with an advanced degree who is
a clinical expert in the care of a distinct group of patients, and who may
provide direct patient care
▶ Nurse Entrepreneur. Answer: A nurse, usually with an advanced
degree, who may manage a clinic or health-related business, conduct
research, provide education, or serve as an adviser or consultant to
institutions, political agencies, or businesses
▶ 5 rights of delegation. Answer: right task
right circumstance
right person
right directions and communication
right supervision and evaluation
▶ patient protection and affordable care act (PPACA). Answer: 2010
federal legislation designed for comprehensive health reform, with an intent
, to expand coverage, control health care costs, and improve the health care
delivery system
▶ primary health care. Answer: treatment of common health problems
▶ secondary health care. Answer: treatment of problems requiring more
specialized clinical expertise
ex specialists like cardiologist
▶ tertiary health care. Answer: Management of rare and complex
disorders
▶ continuity of care. Answer: Continuation of care smoothly from one
provider to another, so that the patient receives the most benefit and no
interruption in care.
SBAR or ISBARQ
▶ ISBARQ. Answer: Introduction
Situation
Background
Assessment
Recommendation
Question and answer
▶ SBAR. Answer: Situation
Background
Assessment
Recommendation
▶ nurse navigator. Answer: Attempts to eliminate barriers.
Serves as an advocate for the client.
makes moving through the treatment phase easier.
Similar to a case manager.
Focuses on one specialty, like cancer.
Helps reduce the client's anxiety and depression.
▶ patient navigator. Answer: person without a clinical background (e.g., a
lay person or a social worker) who assists the patient with scheduling,
financial assistance, psychosocial support, and community support
