Mid-Term Exam

Question 1

How many steps are in the nursing process?

Answer 1

5

Question 2

Gather subjective and objective data

Answer 2

Assess

Question 3

Cluster related data and identify problems

Answer 3

Diagnose

Question 4

Plan outcomes and cares

Answer 4

Plan

Question 5

Perform the planned care

Answer 5

Implement

Question 6

Evaluate if outcome was met, assessment changed

Answer 6

Evaluate

Question 7

What is an incident report?

Answer 7

a form that is filled out in order to record details of an unusual event that occurs at the facility, such as an injury to a patient

Question 8

I solemnly pledge myself before God and in the presence of this assembly, to pass my life in purity and to practice my profession faithfully. I will abstain from whatever is deleterious and mischievous, and will not take or knowingly administer any harmful drug. I will do all in my power to maintain and elevate the standard of my profession, and will hold in confidence all personal matters committed to my keeping and all family affairs coming to my knowledge in the practice of my calling. With loyalty will I endeavor to aid the physician in his work, and devote myself to the welfare of those committed to my care

Answer 8

Florence Nightingale Pledge

Question 9

What is the purpose of the National Patient Safety Goals?

Answer 9

Improve Patient Safety – focuses on problems in health care safety and how to solve them

Question 10

7 Safety Goals?

Answer 10

1. Identify patients correctly
2. Improve staff communication
3. Use medicines safely
4. Use alarms safely
5. Prevent infection
6. Identify patient safety risks
7. Prevent mistakes in surgery

Question 11

Florence Nightingale was recruited from a hospital in London to lead nurses in the care of the wounded soldiers in the Crimean war. What did she find when she arrived?

Answer 11

Soldiers lying on soiled linens in unhealthy condition

Question 12

Florence Nightingale observed soldier conditions and decreased soldier’s deaths by 66% in the medical wards by implementing the following:

Answer 12

A)
Nurses went out into the battlefield and transported soldiers to the hospital

B)
Clean water was provided to all soldiers

C)
Emotional needs of the soldiers were met by writing letters and talking with them

D)
Battle wounds were wrapped in clean bandages

E)
Soldiers were given nutritious meals

F)
Supplies from other patients were reused to save money and conserve supplies

Question 13

The Florence Nightingale Pledge was composed in 1893. What was the purpose of its creation?

Answer 13

Guide nursing students in Detroit, Michigan

Question 14

The Florence Nightingale Pledge was named after Florence Nightingale for what reason?

Answer 14

To honor Florence Nightingale as a “Mother of Nursing”

Question 15

During the Civil War Clara Barton was known as an “Angel of the Battlefield”. What did Clara do to gain this title?

Answer 15

She delivered medical supplies to the medical aid stations

Question 16

How did Clara Barton learn about the Red Cross organization?

Answer 16

She saw it when she volunteered in the Franco Prussian War

Question 17

The first nursing school in the world was started by:

Answer 17

Florence Nightingale

Question 18

which of the following is a common stereotype about nurses:

Answer 18

Nursing is not the best career match for everyone

Nursing is a woman’s job

Nurses do what the doctor doesn’t have time or doesn’t want to do

A nurse is the doctor’s assistant

Question 19

By 2020, the national shortage of nurses is projected to increase by

Answer 19

More than one million nurses

Question 20

While placing the name band on a newly admitted patient, the nurse asks for the patients’ name and date of birth to verify the correct information on the ID band. Which National Patient Safety Goal is being practiced in this scenario?

Answer 20

Identifies patients correctly

Question 21

Abnormal test results come in for a patient who is scheduled for surgery this morning. As a nurse you make sure that the surgeon is notified of the results. Which National Patient Safety Goal is being practiced in this scenario?

Answer 21

Improves staff communication

Question 22

A patient is ready to be discharged from the hospital to go home. As a nurse you are doing discharge teaching about a pain medication that the patient is to take while at home. Which National Patient Safety Goal is being practiced in this scenario?

Answer 22

Use medicines safely

Question 23

Before going into a patient’s room, the nurse uses hand sanitizer. Which National Patient Safety Goal is being practiced in this scenario?

Answer 23

Prevent infection

Question 24

The OR nurse makes sure the right knee is marked for a patient scheduled to have a right knee scope, before going into the OR room. Which National Patient Safety Goal is being practiced in this scenario?

Answer 24

Prevents mistakes in surgery

Question 25

The most effective way to break the chain of infection is:

Answer 25

Hand washing

Question 26

Nurses should complete an incident report for which of the following incidents?

Answer 26

The patient fell out of bed, after assessing the patient no injuries were found except a small bruise on their arm.

A patient scratches you while trying to give them their medication.

A Patient reports that a few of their personal items have gone missing.

You accidently gave a patient the wrong does of a medication because it was labeled improperly.

Question 27

Which organization was created to address the challenges of improving quality and safety of the healthcare system and address knowledge, skills and attitudes of nurses?

Answer 27

The Quality and Safety Education in Nursing Project

Question 28

Select all moments of hand hygiene that are correct.

Answer 28

Wash hands before entering a patient’s room

Wash hands before touching bedpan

Wash hands after taking blood pressure

Wash hands when leaving the room

Question 29

What is subjective date?

Answer 29

Based on or influenced by personal feelings, tastes or opinions

What the patient tells you:
How much pain they are in
How long they have been hurting
What makes the pain better or worse

Question 30

Examples of subjective data?

Answer 30

1. Requests that the head of the bed be raised to breathe easier
2. No report or complaint of nausea
3. Appetite has been poor, does not feel like eating

Question 31

What is objective data?

Answer 31

Not influenced by peoples feelings or opinions

Question 32

Examples of objective data?

Answer 32

blood tests, x-rays, vital signs (blood pressure, temp, heart rate) flushed red face, can measure vomit, hear sounds, feel swelling, smell odor of infected wound, etc.

Question 33

5 moments of hand hygiene?

Answer 33

1. Before touching a patient
2. Before clean/aseptic care
3. After body fluid exposure risk
4. After touching a patient
5. After touching patient surroundings

Question 34

Make sure that the correct surgery is done on the correct patient and at the correct place on the patient’s body.

Answer 34

Prevent mistakes in surgery

Question 35

Find out which patients are most likely to try to commit suicide

Answer 35

Identify patient safety risks

Question 36

Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. Set goals for improving hand cleaning. Use the goals to improve hand cleaning.

Answer 36

Prevent Infection

Question 37

Make improvements to ensure that alarms on medical equipment are heard and responded to on time.

Answer 37

Use alarms safely

Question 38

Before a procedure, label medicines that are not labeled. For example, medicines in syringes, cups and basins. Do this in the area where medicines and supplies are set up.

Answer 38

Use medicines safely

Question 39

Get important test results to the right staff person on time

Answer 39

Improve staff communication

Question 40

Use at least two ways to identify patients. For example, use the patient’s name and date of birth. This is done to make sure that each patient gets the correct medicine and treatment.

Answer 40

Identify patients correctly

Question 41

Federal health insurance program for people who are 65 or older?

Answer 41

Medicare

Question 42

Health care program that assists low-income families or individuals in paying for long-term medical and custodial care costs?

Answer 42

Medicaid

Question 43

Process in which people, ideas and goods spread throughout the world, spurring more interaction and integration between the world’s cultures, governments and economic?

Answer 43

Globalization

Question 44

ACA, and generally referred to as Obamacare – is the landmark health reform legislation passed by the 111th Congress and signed into law by President Barack Obama in March 2010?

Answer 44

Affordable Care Act

Question 45

What does the ACA do?

Answer 45

Key provisions are intended to extend coverage to millions of uninsured Americans, to implement measures that will lower health care costs and improve system efficiency, and to eliminate industry practices that include rescission and denial of coverage due topre-existing conditions.

Question 46

A collection of means or methods for enhancing health care, public health, and health education delivery and support using telecommunications technologies?

Answer 46

Telehealth

Question 47

The remote diagnosis and treatment of patients by means of telecommunications technology

Answer 47

Telemedicine

Question 48

1 gram?

Answer 48

1000 mg

Question 49

5 ml?

Answer 49

1 teaspoon

Question 50

1 kilogram?

Answer 50

2.2 lbs