NUR 382 QUESTIONS WITH VERIFIED ANSWERS
The family of a critically ill patient tells the nurse that they have not spoken with the
physician in over 12 hours and that they have some questions they want clarified.
During morning rounds, the nurse conveys this concern to the attending intensivist and
arranges a meeting with the family at 4:00 PM. Which competency of critical care
nursing does this represent?
A. Advocation in solving ethical issues
B. Demonstration of clinical judgement skills
C. Collaboration with patients, families, and team members
Facilitation of learning for patients, families and team members - Answers -
CollaborationCollarboration with patients, families, and team members
Comparing the patient's current (home) medications with those ordered during
hospitalization and communicating a complete list of medications to the next provider
when the patient is transferred to another setting are strategies to:
A. prevent wasteful spending of underutilized medications
B. improve accuracy of patient identification
C. reduce harms associated with the administration of potent medications such as
anticoagulants
D. Reconcile medications across the continuum of care - Answers - D. Reconcile
medications across the continuum of care
The intensive care nurse is working on a committee to increase safety in the unit. Which
recommendation should the nurse propose first?
A. Invest in call lights that age the nursing staff instead of turn on a light outside of the
rom
B.change telephones to blinking lights instead of audible ringtones
C. Ensure alarms at the bedside are not silenced
D. Recommend that nurses turn off cardiac monitors on stable patients - Answers - C.
Ensure alarms at the bedside are not silenced
Which nursing intervention would best support the family of a critically ill patient?
A. Limit visitation of children in the critical care unit
B. Give condition update each morning and whenever changes occur
C. Encourage family members to stay all night in care the patient needs them
D. Provide beverages and snacks in the waiting room - Answers - B. Give condition
update each morning and whenever changes occur
The nurse is caring for a patient whose condition has deteriorated and who is not
responding to standard treatment. The physician calls for an ethical consultation with
the family to discuss potential withdrawal of treatment versus aggressive treatment. The
nurse understands that applying a model for ethical decision making involves which of
the following? (Select all that apply)
, A. Organizational cost savings
B. Burden VS benefit
C. Potential outcomes of treatment options
D. Patients wishes - Answers - B. Burden VS benefit
C. Potential outcomes of treatment options
D. Patients wishes
The nurse is caring for a patient who is not responding to medical treatment. The
intensivist holds a conference with the family and a decision is made to withdraw life
support. The nurse's religious beliefs are not in agreement with the withdrawal of life
support. However, the nurse assists with the process to avoid confronting the charge
nurse. Afterward the nurse feels guilty for "killing the patient." This scenario is likely to
cause:
A. moral distress.
B. abandonment.
C. family stress.
D. negligence. - Answers - A. Moral distress
A patient with end-stage heart failure is experiencing considerable dyspnea. Appropriate
palliative management of this symptom during "comfort care only" includes:
A. an increase in the amount of oxygen being delivered to the patient.
B. administration of midazolam (Versed).
C. aggressive use of inotropic and vasoactive medications to improve heart function.
D. administration of morphine - Answers - D. Administration of morphine
The most critical element of effective early end-of-life decision making is:
A.control of distressing symptoms, such as nausea, anxiety, and pain.
B. The relocation of the dying patient from the critical care unit to a lower level of care.
C. effective communication among the patient, family, and health care team throughout
the course of the illness.
D. organizational support of palliative care principles. - Answers - C.effective
communication among the patient, family, and health care team throughout the course
of the illness.
When planning the delegation of tasks to a CNA, which of the following should the
nurse consider when using one of the five rights of delegation?
A.The CNA's ability to complete the task with assistance
B. The CNA's rapport with the patients
C. The CNA has the knowledge and skill to perform the task
D. The CNA's ability to prioritize - Answers - C. The CNA has the knowledge and skill to
perform the task
Factors in the critical care unit that may predispose the patient to increased pain and
anxiety include: (Select all that apply)
A. Room temperature
B. Monitor alarms
The family of a critically ill patient tells the nurse that they have not spoken with the
physician in over 12 hours and that they have some questions they want clarified.
During morning rounds, the nurse conveys this concern to the attending intensivist and
arranges a meeting with the family at 4:00 PM. Which competency of critical care
nursing does this represent?
A. Advocation in solving ethical issues
B. Demonstration of clinical judgement skills
C. Collaboration with patients, families, and team members
Facilitation of learning for patients, families and team members - Answers -
CollaborationCollarboration with patients, families, and team members
Comparing the patient's current (home) medications with those ordered during
hospitalization and communicating a complete list of medications to the next provider
when the patient is transferred to another setting are strategies to:
A. prevent wasteful spending of underutilized medications
B. improve accuracy of patient identification
C. reduce harms associated with the administration of potent medications such as
anticoagulants
D. Reconcile medications across the continuum of care - Answers - D. Reconcile
medications across the continuum of care
The intensive care nurse is working on a committee to increase safety in the unit. Which
recommendation should the nurse propose first?
A. Invest in call lights that age the nursing staff instead of turn on a light outside of the
rom
B.change telephones to blinking lights instead of audible ringtones
C. Ensure alarms at the bedside are not silenced
D. Recommend that nurses turn off cardiac monitors on stable patients - Answers - C.
Ensure alarms at the bedside are not silenced
Which nursing intervention would best support the family of a critically ill patient?
A. Limit visitation of children in the critical care unit
B. Give condition update each morning and whenever changes occur
C. Encourage family members to stay all night in care the patient needs them
D. Provide beverages and snacks in the waiting room - Answers - B. Give condition
update each morning and whenever changes occur
The nurse is caring for a patient whose condition has deteriorated and who is not
responding to standard treatment. The physician calls for an ethical consultation with
the family to discuss potential withdrawal of treatment versus aggressive treatment. The
nurse understands that applying a model for ethical decision making involves which of
the following? (Select all that apply)
, A. Organizational cost savings
B. Burden VS benefit
C. Potential outcomes of treatment options
D. Patients wishes - Answers - B. Burden VS benefit
C. Potential outcomes of treatment options
D. Patients wishes
The nurse is caring for a patient who is not responding to medical treatment. The
intensivist holds a conference with the family and a decision is made to withdraw life
support. The nurse's religious beliefs are not in agreement with the withdrawal of life
support. However, the nurse assists with the process to avoid confronting the charge
nurse. Afterward the nurse feels guilty for "killing the patient." This scenario is likely to
cause:
A. moral distress.
B. abandonment.
C. family stress.
D. negligence. - Answers - A. Moral distress
A patient with end-stage heart failure is experiencing considerable dyspnea. Appropriate
palliative management of this symptom during "comfort care only" includes:
A. an increase in the amount of oxygen being delivered to the patient.
B. administration of midazolam (Versed).
C. aggressive use of inotropic and vasoactive medications to improve heart function.
D. administration of morphine - Answers - D. Administration of morphine
The most critical element of effective early end-of-life decision making is:
A.control of distressing symptoms, such as nausea, anxiety, and pain.
B. The relocation of the dying patient from the critical care unit to a lower level of care.
C. effective communication among the patient, family, and health care team throughout
the course of the illness.
D. organizational support of palliative care principles. - Answers - C.effective
communication among the patient, family, and health care team throughout the course
of the illness.
When planning the delegation of tasks to a CNA, which of the following should the
nurse consider when using one of the five rights of delegation?
A.The CNA's ability to complete the task with assistance
B. The CNA's rapport with the patients
C. The CNA has the knowledge and skill to perform the task
D. The CNA's ability to prioritize - Answers - C. The CNA has the knowledge and skill to
perform the task
Factors in the critical care unit that may predispose the patient to increased pain and
anxiety include: (Select all that apply)
A. Room temperature
B. Monitor alarms
