EXAM
Exam Solution
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final exam nursing 230 2026 A+ GRADE ASSURED COM
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PLETE SOLUTIONS AND VERIFIED ANSWERS (DEF12)
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QUESTION 1 zm
Before delagating what should you consider
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ANSWER
◦ skill and education of UAP ◦ predictability of outcome ◦ harm potential ◦ complexity of the car
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e ◦ need for problem solving
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QUESTION 2 zm
Do nto delagate
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ANSWER
EAT, judgement calls like first time moving after surgery, need for problem solving
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QUESTION 3 zm
8 prioritization frameworks
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ANSWER
maslows, least to most restrictive, ABC, nursing process, safety and risk reduction, acute vs chronic,
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expected vs unexpected, urgent vs non urgent
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QUESTION 4 zm
maslows hierarchy zm
ANSWER
physiological, safety, love/belonging, esteem, self-actualization
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,QUESTION 5 zm
principles to remember zm zm
ANSWER
ensure privacy, allow patient preference when possible
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QUESTION 6 zm
• What are the risk factors for falls?
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ANSWER
‣ History of falls ‣ 65+ ‣ reduced vision ‣ hypotension ‣ dizzy ‣ LE weakness ‣ gait/balance pro
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blems ‣ improper use walking aids ‣ pain ‣ alcohol ‣ medications (ex: diuretics) ‣ cognitive impai
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rment
QUESTION 7 zm
home hazard risk factor falls
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ANSWER
lighting, barrier along paths, loose rugs cord, lack of safety devices, icy sidewalks, wet floors
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QUESTION 8 zm
HEALTH CARE HAZARDS for falls
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ANSWER
‣ high bed, poor lighting, improper equipment like walker to size, obstacles ‣ personal behaviors (c
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all bell use)
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QUESTION 9 zm
• What interventions minimize fall risks? in general, at home, in health care
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ANSWER
◦ non skid footwear, proper lighting, remove hazards, adaptive equipment, patient/family eduction
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◦ Home: exercise ◦ Health care: culture of safety, fall risk assessments, call bell, sings, rounding, fr
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equent toileting, reorienting, items in reach, room placement, bed alarm, bed low, brakes on, side rai
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ls up (3)
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QUESTION 10 zm
When should restraints be used?
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, ANSWER
‣ for protection of patient, staff, others ‣ only if restrictive measures did not work ‣ types: physica
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l, chemical, seclusion ‣ can apply in ER but need order
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QUESTION 11 zm
◦ What nursing interventions are important for someone who is restrained?
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ANSWER
‣ 2 fingers, assess skin every 2 hours, offer food fluid, provide hygiene and elimination needs, moni
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tor vitals, offer ROM, patient and family teaching, documenting
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QUESTION 12 zm
hand hygiene zm
ANSWER
hand hygiene, rub 15-20s, dry finger to wrist, use when visibly contaminated; alcohol base
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QUESTION 13 zm
Nosocomial infections zm
ANSWER
‣ infection in healthcare, longer stays, disability, death, delayed recovery, ‣ costly ‣ common site=u
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rinary tract, wounds, respiratory tract, bloodstream • Surgical asepsis
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QUESTION 14 zm
What are the different types of isolation?
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ANSWER
‣ Contact, droplet, airbone
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QUESTION 15 zm
What diseases are they used with?
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ANSWER
‣ Contact: known or suspected MDROS -
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draining, enteric (MRSA, VRE, C DIFF) ‣ Droplet: large particles -
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influenza, rubella, mumps RIM ‣ Airborne: TB, varicella, measles
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Exam Solution
zm
final exam nursing 230 2026 A+ GRADE ASSURED COM
zm zm zm zm zm zm zm zm
PLETE SOLUTIONS AND VERIFIED ANSWERS (DEF12)
zm zm zm zm zm
QUESTION 1 zm
Before delagating what should you consider
zm zm zm zm zm
ANSWER
◦ skill and education of UAP ◦ predictability of outcome ◦ harm potential ◦ complexity of the car
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
e ◦ need for problem solving
zm zm zm zm zm
QUESTION 2 zm
Do nto delagate
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ANSWER
EAT, judgement calls like first time moving after surgery, need for problem solving
zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 3 zm
8 prioritization frameworks
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ANSWER
maslows, least to most restrictive, ABC, nursing process, safety and risk reduction, acute vs chronic,
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
expected vs unexpected, urgent vs non urgent
zm zm zm zm zm zm
QUESTION 4 zm
maslows hierarchy zm
ANSWER
physiological, safety, love/belonging, esteem, self-actualization
zm zm zm zm
,QUESTION 5 zm
principles to remember zm zm
ANSWER
ensure privacy, allow patient preference when possible
zm zm zm zm zm zm
QUESTION 6 zm
• What are the risk factors for falls?
zm zm zm zm zm zm zm
ANSWER
‣ History of falls ‣ 65+ ‣ reduced vision ‣ hypotension ‣ dizzy ‣ LE weakness ‣ gait/balance pro
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
blems ‣ improper use walking aids ‣ pain ‣ alcohol ‣ medications (ex: diuretics) ‣ cognitive impai
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rment
QUESTION 7 zm
home hazard risk factor falls
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ANSWER
lighting, barrier along paths, loose rugs cord, lack of safety devices, icy sidewalks, wet floors
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 8 zm
HEALTH CARE HAZARDS for falls
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ANSWER
‣ high bed, poor lighting, improper equipment like walker to size, obstacles ‣ personal behaviors (c
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
all bell use)
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QUESTION 9 zm
• What interventions minimize fall risks? in general, at home, in health care
zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
◦ non skid footwear, proper lighting, remove hazards, adaptive equipment, patient/family eduction
zm zm zm zm zm zm zm zm zm zm zm zm
◦ Home: exercise ◦ Health care: culture of safety, fall risk assessments, call bell, sings, rounding, fr
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
equent toileting, reorienting, items in reach, room placement, bed alarm, bed low, brakes on, side rai
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ls up (3)
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QUESTION 10 zm
When should restraints be used?
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, ANSWER
‣ for protection of patient, staff, others ‣ only if restrictive measures did not work ‣ types: physica
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
l, chemical, seclusion ‣ can apply in ER but need order
zm zm zm zm zm zm zm zm zm zm
QUESTION 11 zm
◦ What nursing interventions are important for someone who is restrained?
zm zm zm zm zm zm zm zm zm zm
ANSWER
‣ 2 fingers, assess skin every 2 hours, offer food fluid, provide hygiene and elimination needs, moni
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
tor vitals, offer ROM, patient and family teaching, documenting
zm zm zm zm zm zm zm zm
QUESTION 12 zm
hand hygiene zm
ANSWER
hand hygiene, rub 15-20s, dry finger to wrist, use when visibly contaminated; alcohol base
zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 13 zm
Nosocomial infections zm
ANSWER
‣ infection in healthcare, longer stays, disability, death, delayed recovery, ‣ costly ‣ common site=u
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
rinary tract, wounds, respiratory tract, bloodstream • Surgical asepsis
zm zm zm zm zm zm zm zm
QUESTION 14 zm
What are the different types of isolation?
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ANSWER
‣ Contact, droplet, airbone
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QUESTION 15 zm
What diseases are they used with?
zm zm zm zm zm
ANSWER
‣ Contact: known or suspected MDROS -
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draining, enteric (MRSA, VRE, C DIFF) ‣ Droplet: large particles -
zm zm zm zm zm zm zm zm zm zm zm
influenza, rubella, mumps RIM ‣ Airborne: TB, varicella, measles
zm zm zm zm zm zm zm zm zm