Nurs 230 Midterm Exam Questions With
100% Correct Answers
What would be a good assignment for an experienced nursing assistant?
Obtain a clean-catch urine specimen from a patient.
What are critical points to communicate during a shift report or hand-off communication?
Physician orders for past 24 hours, patient name and date of birth, medical and social history prior to
hospitalization, review of health problems since hospitalization
The nurse receives report on her assigned group of patients. Which patient would the nurse assess
first?
A hypertensive patient complaining of severe midsternum pain
What did The Joint Commission identify as the primary cause of untoward events that occurred in the
hospital?
Unclear, ineffective communication
What initiated the development of the team Strategies and Tools to Enhance Performance and
Patient Safety (STEPPS)?
Department of Defense (DoD) Patient Safety Program
A nurse is assigned to care for five patients. The nurse is concerned about her ability to care for this
many patients. The nurse needs to:
Prioritize the needs of the patients and determine the sickest patient.
In the 1950s, belonging to a professional organization was popular. What has contributed to the
decline in membership of the American Nurses Association?
The increase in popularity of specialty organizations representing specific needs of members has led
to a decline in nurses joining the ANA.
What did the Employment Retirement Income Act (ERISA) of 1974 (which regulated the Taft-Hartley
Act of 1947) do for nursing?
It allowed professional nursing organizations to act as unions on behalf of member nurses.
What national nursing organization should a nurse join to represent nursing in legislative activities?
American Nurses Association
What one characteristic of Pavalko continues to be in the forefront of discussion about nursing's
professionalism?
Education
A middle-aged man has experienced a myocardial infarction that has significantly limited his activities
and lifestyle. He is exercising and working with a nurse in the cardiac rehabilitation program. This is an
example of the implementation of what nursing theory?
Dorothy Orem and the interwoven theories of self-care, self-care deficit, and nursing care
, A nurse is working in an Asian neighborhood of a large metropolitan city. In attempting to meet the
cultural needs of this segment of the population, the nurse could apply whose nursing theory to the
organization of nursing care required by these residents?
Madeline Leininger
Madeline Leininger's theory focuses on the overall impact of culture on a person's health and caring
practices.
...
The nursing assistant can be assigned activities that involve standard, unchanging procedures such as
helping to obtain a clean-catch urine specimen from a patient. Charting, teaching, and assessing are
not assigned to the nursing assistant.
...
According to the I-SBAR-R tool—Identification, Situation, Background, Assessment, Recommendation,
Readback or Response—these are critical areas. All of the other options contain items that are not
critical to a shift report.
...
The patient with chest pain is at greatest risk of experiencing urgent problems and needs to be
evaluated immediately. This does not mean that the nurse will not address the needs of the other
patients, but the safety of the hypertensive patient is at risk if the nurse does not see him first.
...
The nurse is receiving a phone order from a health care provider. How will the nurse make sure that
the provider's order is received without error?
Repeat the order, write the order verbatim, and read it back to the provider.
These are the steps recommended to confirm that the order was understood correctly, as well as
communicated correctly. The question is in regard to the receiving of the order, not specifically how it
is written.
Ineffective communication was identified as the root cause for nearly 70% of all sentinel events
reported. The majority of those untoward events involved communication failure.
...
The Department of Defense (DoD) Patient Safety Program, in collaboration with the Agency for
Healthcare Research and Quality (AHRQ), developed an evidence-based teamwork system focused on
improving communication and teamwork skills in the health care industry to improve patient
outcomes.
...
It is important to determine the least stable patient when planning care for multiple patients. Plan
and complete the care for the patient who requires multiple treatments or complex nursing care. This
patient is most likely to suffer physiological problems if the nurse does not address his or her needs.
The others are cared for in the priority order determined by their stability and needs.
...
100% Correct Answers
What would be a good assignment for an experienced nursing assistant?
Obtain a clean-catch urine specimen from a patient.
What are critical points to communicate during a shift report or hand-off communication?
Physician orders for past 24 hours, patient name and date of birth, medical and social history prior to
hospitalization, review of health problems since hospitalization
The nurse receives report on her assigned group of patients. Which patient would the nurse assess
first?
A hypertensive patient complaining of severe midsternum pain
What did The Joint Commission identify as the primary cause of untoward events that occurred in the
hospital?
Unclear, ineffective communication
What initiated the development of the team Strategies and Tools to Enhance Performance and
Patient Safety (STEPPS)?
Department of Defense (DoD) Patient Safety Program
A nurse is assigned to care for five patients. The nurse is concerned about her ability to care for this
many patients. The nurse needs to:
Prioritize the needs of the patients and determine the sickest patient.
In the 1950s, belonging to a professional organization was popular. What has contributed to the
decline in membership of the American Nurses Association?
The increase in popularity of specialty organizations representing specific needs of members has led
to a decline in nurses joining the ANA.
What did the Employment Retirement Income Act (ERISA) of 1974 (which regulated the Taft-Hartley
Act of 1947) do for nursing?
It allowed professional nursing organizations to act as unions on behalf of member nurses.
What national nursing organization should a nurse join to represent nursing in legislative activities?
American Nurses Association
What one characteristic of Pavalko continues to be in the forefront of discussion about nursing's
professionalism?
Education
A middle-aged man has experienced a myocardial infarction that has significantly limited his activities
and lifestyle. He is exercising and working with a nurse in the cardiac rehabilitation program. This is an
example of the implementation of what nursing theory?
Dorothy Orem and the interwoven theories of self-care, self-care deficit, and nursing care
, A nurse is working in an Asian neighborhood of a large metropolitan city. In attempting to meet the
cultural needs of this segment of the population, the nurse could apply whose nursing theory to the
organization of nursing care required by these residents?
Madeline Leininger
Madeline Leininger's theory focuses on the overall impact of culture on a person's health and caring
practices.
...
The nursing assistant can be assigned activities that involve standard, unchanging procedures such as
helping to obtain a clean-catch urine specimen from a patient. Charting, teaching, and assessing are
not assigned to the nursing assistant.
...
According to the I-SBAR-R tool—Identification, Situation, Background, Assessment, Recommendation,
Readback or Response—these are critical areas. All of the other options contain items that are not
critical to a shift report.
...
The patient with chest pain is at greatest risk of experiencing urgent problems and needs to be
evaluated immediately. This does not mean that the nurse will not address the needs of the other
patients, but the safety of the hypertensive patient is at risk if the nurse does not see him first.
...
The nurse is receiving a phone order from a health care provider. How will the nurse make sure that
the provider's order is received without error?
Repeat the order, write the order verbatim, and read it back to the provider.
These are the steps recommended to confirm that the order was understood correctly, as well as
communicated correctly. The question is in regard to the receiving of the order, not specifically how it
is written.
Ineffective communication was identified as the root cause for nearly 70% of all sentinel events
reported. The majority of those untoward events involved communication failure.
...
The Department of Defense (DoD) Patient Safety Program, in collaboration with the Agency for
Healthcare Research and Quality (AHRQ), developed an evidence-based teamwork system focused on
improving communication and teamwork skills in the health care industry to improve patient
outcomes.
...
It is important to determine the least stable patient when planning care for multiple patients. Plan
and complete the care for the patient who requires multiple treatments or complex nursing care. This
patient is most likely to suffer physiological problems if the nurse does not address his or her needs.
The others are cared for in the priority order determined by their stability and needs.
...
