NUR 112 Final Exam Review Questions With
All Correct & Verified Answers
1.) Gown
2.) Mask
3.) Goggles / face shield
4.) Gloves Correct answer-Donning PPE order:
1.) Gloves
2.) Goggles / face shield
3.) Gown
4.) Mask Correct answer-Doffing PPE:
*P*ull pin
*A*im nozzle
*S*queeze handle
*S*weep towards base of fire Correct answer-What is the correct sequence for using a fire
extinguisher?
RACE:
*R*escue and remove clients in immediate danger
*A*ctivate alarm
*C*ontain fire
*E*xtinguish fire Correct answer-What do you do if a fire occurs?
Assault Correct answer-- An *intentional threat* toward another person that places them in
*reasonable fear of harmful, imminent, or unwelcome contact*.
- *NO actual contact is necessary*
- Ex: A threat to tie a patient or to give an injection to quiet a patient when they have refused
consent.
Battery Correct answer-- *Intentional offensive touching without consent or lawful jurisdiction*.
- May be harmful or merely offensive to the client (giving the injection or tying the client)
Negligence Correct answer-Conduct that *deviates from what a reasonable person would do in a
particular circumstance*.
- *Client must be owed a duty*
- *Breach of that duty*
- *Element of foreseeability*
- *Injury must have resulted as a direct result of breach of duty- causation* Correct answer-
Unintentional tort, *4 elements necessary for malpractice*:
- *Witnessing a patient's signature*
- Validating that the consent is *voluntary, that risks, benefits, & alternatives & right to refuse the
procedure were discussed with the patient by the health care provider*.
- * The patient should be competent*
- Informed consent is *accurately & appropriately filled out with date, time, & appropriate
signatures* - On the patient's chart before transporting the patient to the procedure area.
,- If pt *refuses procedure then obtain written, signed, and witnessed documentation of refusal*.
Correct answer-*Nurse's role in informed consent is limited to*:
- *Diagnosis or condition that requires treatment*
- *Purpose* of treatment
- What the client can *expect to feel or experience*
- *Intended benefits*
- *Possible risks or negative outcomes*
- *Advantages/disadvantages of possible alternatives* (including no treatment) Correct answer-
*Informed consent indicates that the client has received the following info*:
*Grey Turner's or Cullen's Sign* Correct answer-Indicates peritoneal hemorrhage / intra-abdominal
bleeding. Mark it to determine borders.
Florence Nightingale (1820-1910) Correct answer-"Lady with the Lamp"; wrote Notes on Nursing:
What It Is, and What it is Not. Was a nurse during the *Crimean War*.
Clara Barton (1812-1912) Correct answer-Organized nursing services during the American Civil
War; established the American Red Cross.
Linda Richards (1841-1926) Correct answer-Introduced nurse's notes & doctor's orders; initiated
the practice of wearing uniforms.
Lillian Wald (1867-1940) Correct answer-The founder of public health nursing; established the
Henry Street Settlement.
*Case Method (Total Care)* Correct answer-One-to-one care; one nurse provides all aspects of
care for one patient during a single shift.
*Advantages*: The nurse and patient work closely together, patients needs are readily met, nurses
have greater autonomy.
*Disadvantages*: High costs
*Uses*: Intensive care, L&D, private duty care
*Functional Nursing* Correct answer-- Task-oriented approach to care delivery.
- Implemented when inadequate staff
- Head nurse delegates task to team members who complete specific tasks rather than caring for
specific clients.
- Example: One nurse administers medication & changes dressings while another monitors orders &
communicates with physicians.
- Unlicensed assistive personnel (UAP)—Critical component; provide basic care (feeding, bathing, etc)
- *Advantage*: Cost effective
- *Disadvantage*: Care may be fragmented
*Team Nursing* Correct answer-The RN leads a team composed of other RNs, LPNs/LVNs, and
nursing assistant personnel or technicians. The team members provide care to patients under
supervision of the RN. Hierarchal communication.
*Advantage: Collaborative* style encourages each member of the team to help the other members.
, *Disadvantages*: Lack of continuity of care, may see an RN infrequently, *team leader does not
spend enough time with patient*. Ineffective if team leader has poor leadership skills.
*Primary Nursing* Correct answer-The RN assumes responsibility for a caseload of patients at the
bedside, and cares for the same clients during his/her shift from the time of admission to discharge.
- Responsible for assessing patients, developing care plans, & providing direct care.
*Advantages*: Flexible, maintains continuity of care, increases nursing autonomy and promotes
collaboration between nurses and HCPs, improves patient-nurse relationship, reduces errors in
communication of orders.
*Disadvantages*: RN works with limited number of patients, other nurses must consult primary
nurse before changing care plan(s)
*Differentiated Practice* Correct answer-Practice that recognizes that education & experience lead
to differences in nursing care; each unit identifies expertise needed for the patients & competencies
required to deliver that care; nurses must put together a portfolio; patients are assigned accordingly.
*Medicare* Correct answer-- *Health insurance program for:*
. People 65 or older
. People under 65 with certain disabilities
. People of all ages with ESRD (end stage renal disease)
- Part A Hospital Insurance- most pay no premium d/t payroll taxes
- Part B Medical Insurance- monthly premium
- Part C Medicare advantage plan
- Part D Prescription drug coverage- monthly premium- provided by insurance companies
*Medicaid* Correct answer-- Joint federal and state program with limited income and resources.
- Also offers benefits not normally covered by Medicare.
- Spend down- some states offer program
- Dual eligibility for Medicare & Medicaid
*Affordable Care Act* Correct answer-- Protected people's choice of doctors.
- *Put an end to lifetime limits on the care a person could receive.*
-*Now children with pre-existing conditions acquire and keep coverage.*
* Affordable Care Act Facts* Correct answer-- Bundled payments
- Insurance reforms:
Prohibit cancellation for illness
Eliminate preexisting condition clauses
Prohibit lifetime limits
State health insurance exchanges
Health insurance marketplace
Standardized report of their health insurance coverage
Extended the period from 19 to 26 for young adults
Required insurers to spend 80%
- Support for nursing education & nursing students
- Nurse-managed clinics
- Expansion of school-based health centers
- Support for transitional care and chronic disease management
All Correct & Verified Answers
1.) Gown
2.) Mask
3.) Goggles / face shield
4.) Gloves Correct answer-Donning PPE order:
1.) Gloves
2.) Goggles / face shield
3.) Gown
4.) Mask Correct answer-Doffing PPE:
*P*ull pin
*A*im nozzle
*S*queeze handle
*S*weep towards base of fire Correct answer-What is the correct sequence for using a fire
extinguisher?
RACE:
*R*escue and remove clients in immediate danger
*A*ctivate alarm
*C*ontain fire
*E*xtinguish fire Correct answer-What do you do if a fire occurs?
Assault Correct answer-- An *intentional threat* toward another person that places them in
*reasonable fear of harmful, imminent, or unwelcome contact*.
- *NO actual contact is necessary*
- Ex: A threat to tie a patient or to give an injection to quiet a patient when they have refused
consent.
Battery Correct answer-- *Intentional offensive touching without consent or lawful jurisdiction*.
- May be harmful or merely offensive to the client (giving the injection or tying the client)
Negligence Correct answer-Conduct that *deviates from what a reasonable person would do in a
particular circumstance*.
- *Client must be owed a duty*
- *Breach of that duty*
- *Element of foreseeability*
- *Injury must have resulted as a direct result of breach of duty- causation* Correct answer-
Unintentional tort, *4 elements necessary for malpractice*:
- *Witnessing a patient's signature*
- Validating that the consent is *voluntary, that risks, benefits, & alternatives & right to refuse the
procedure were discussed with the patient by the health care provider*.
- * The patient should be competent*
- Informed consent is *accurately & appropriately filled out with date, time, & appropriate
signatures* - On the patient's chart before transporting the patient to the procedure area.
,- If pt *refuses procedure then obtain written, signed, and witnessed documentation of refusal*.
Correct answer-*Nurse's role in informed consent is limited to*:
- *Diagnosis or condition that requires treatment*
- *Purpose* of treatment
- What the client can *expect to feel or experience*
- *Intended benefits*
- *Possible risks or negative outcomes*
- *Advantages/disadvantages of possible alternatives* (including no treatment) Correct answer-
*Informed consent indicates that the client has received the following info*:
*Grey Turner's or Cullen's Sign* Correct answer-Indicates peritoneal hemorrhage / intra-abdominal
bleeding. Mark it to determine borders.
Florence Nightingale (1820-1910) Correct answer-"Lady with the Lamp"; wrote Notes on Nursing:
What It Is, and What it is Not. Was a nurse during the *Crimean War*.
Clara Barton (1812-1912) Correct answer-Organized nursing services during the American Civil
War; established the American Red Cross.
Linda Richards (1841-1926) Correct answer-Introduced nurse's notes & doctor's orders; initiated
the practice of wearing uniforms.
Lillian Wald (1867-1940) Correct answer-The founder of public health nursing; established the
Henry Street Settlement.
*Case Method (Total Care)* Correct answer-One-to-one care; one nurse provides all aspects of
care for one patient during a single shift.
*Advantages*: The nurse and patient work closely together, patients needs are readily met, nurses
have greater autonomy.
*Disadvantages*: High costs
*Uses*: Intensive care, L&D, private duty care
*Functional Nursing* Correct answer-- Task-oriented approach to care delivery.
- Implemented when inadequate staff
- Head nurse delegates task to team members who complete specific tasks rather than caring for
specific clients.
- Example: One nurse administers medication & changes dressings while another monitors orders &
communicates with physicians.
- Unlicensed assistive personnel (UAP)—Critical component; provide basic care (feeding, bathing, etc)
- *Advantage*: Cost effective
- *Disadvantage*: Care may be fragmented
*Team Nursing* Correct answer-The RN leads a team composed of other RNs, LPNs/LVNs, and
nursing assistant personnel or technicians. The team members provide care to patients under
supervision of the RN. Hierarchal communication.
*Advantage: Collaborative* style encourages each member of the team to help the other members.
, *Disadvantages*: Lack of continuity of care, may see an RN infrequently, *team leader does not
spend enough time with patient*. Ineffective if team leader has poor leadership skills.
*Primary Nursing* Correct answer-The RN assumes responsibility for a caseload of patients at the
bedside, and cares for the same clients during his/her shift from the time of admission to discharge.
- Responsible for assessing patients, developing care plans, & providing direct care.
*Advantages*: Flexible, maintains continuity of care, increases nursing autonomy and promotes
collaboration between nurses and HCPs, improves patient-nurse relationship, reduces errors in
communication of orders.
*Disadvantages*: RN works with limited number of patients, other nurses must consult primary
nurse before changing care plan(s)
*Differentiated Practice* Correct answer-Practice that recognizes that education & experience lead
to differences in nursing care; each unit identifies expertise needed for the patients & competencies
required to deliver that care; nurses must put together a portfolio; patients are assigned accordingly.
*Medicare* Correct answer-- *Health insurance program for:*
. People 65 or older
. People under 65 with certain disabilities
. People of all ages with ESRD (end stage renal disease)
- Part A Hospital Insurance- most pay no premium d/t payroll taxes
- Part B Medical Insurance- monthly premium
- Part C Medicare advantage plan
- Part D Prescription drug coverage- monthly premium- provided by insurance companies
*Medicaid* Correct answer-- Joint federal and state program with limited income and resources.
- Also offers benefits not normally covered by Medicare.
- Spend down- some states offer program
- Dual eligibility for Medicare & Medicaid
*Affordable Care Act* Correct answer-- Protected people's choice of doctors.
- *Put an end to lifetime limits on the care a person could receive.*
-*Now children with pre-existing conditions acquire and keep coverage.*
* Affordable Care Act Facts* Correct answer-- Bundled payments
- Insurance reforms:
Prohibit cancellation for illness
Eliminate preexisting condition clauses
Prohibit lifetime limits
State health insurance exchanges
Health insurance marketplace
Standardized report of their health insurance coverage
Extended the period from 19 to 26 for young adults
Required insurers to spend 80%
- Support for nursing education & nursing students
- Nurse-managed clinics
- Expansion of school-based health centers
- Support for transitional care and chronic disease management
