Review Questions
1
.
A 45-year-old male complaining of “heaviness” in his chest and feeling “really tired” would likely need what kind of admission?
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ambulatory care
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observational
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acute care
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long-term care facility
2
.
A nurse in the emergency department is having a busy night and has to triage four patients. Which patient should be prioritized to be seen first?
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89-year-old female with a hip fracture
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55-year-old male who fell and hit his head, briefly losing consciousness
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37-year-old male with a history of diabetes with blurred vision
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18-year-old female who twisted her ankle during track practice and is crying in pain
3
.
A patient needs to go to the operating room for a procedure. Who on the healthcare team is required to obtain informed consent from the patient for this procedure?
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the nurse
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the power of attorney
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the chaplain
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the provider
4
.
What is the term for the phenomenon of older adults becoming confused in the evening?
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sundowning
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dementia
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Alzheimer disease
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sunsetting
5
.
When does discharge planning begin?
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two days before discharge
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after the patient’s procedure
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when the patient is admitted
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one day before discharge
6
.
A nurse works in an intensive care unit in a large metropolitan hospital. What patient information should be first considered when receiving report on a ventilated, unconscious patient transferring from an external acute care facility?
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mobility status
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continence
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latest vital signs and labs
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discharge plan
7
.
A patient has improved greatly and is transferring from the intensive care unit to the step-down unit. What is the least important patient detail to convey in report to the step-down unit nurse taking the patient?
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mobility status
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continence
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latest vital signs and labs
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list of the patient’s belongings they brought with them to the hospital
8
.
What does SBAR stand for?
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Situation, Background, Assessment, Recommendation
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Status, Background, Action, Review
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Situation, Brief history, Action, Response
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Status, Barriers, Assessment, Recommendation
9
.
It is 9 a.m. and a nurse receives a tentative plan that a patient might transfer from the step-down unit to the general medicine floor this evening at 5 p.m. The patient’s family is very involved, but because of work is unable to visit until at least 6 or 7 p.m. What time would be a good time to notify the family of the patient’s transfer?
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as soon as possible
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5 p.m.
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when the definitive transfer order arrives
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whenever they arrive
10
.
What is an example of a well-written SMART goal?
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In two weeks, my blood pressure will be in a healthy range.
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In two months, my blood sugar will be in a healthy range between 120 and 180 before eating meals.
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In six months, I want to eat a healthier diet with fewer processed foods to reduce my blood sugar before meals to consistently read below 180 in order to lead a longer and healthier life.
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In one year, I want to lose thirty pounds by running and exercising three times a week.
11
.
What patient should the nurse recommend have a secondary learner on hand when discharging from home health teaching?
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65-year-old native English speaker with a learning disability
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34-year-old student from China who is fluent in English and attends an American university
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45-year-old native English speaker from a rural area
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75-year-old immigrant from Mexico who cannot read English but speaks English fluently
12
.
A patient is leaving AMA. What is the most important thing to do before they leave?
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obtain prescriptions
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call security
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tell them they are making a mistake
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ensure they sign the AMA form and place it in the patient’s chart