NUR 111 - Final Exam - All Modules Questions With
Complete Solutions
"Just" culture Correct Answer focuses on identifying and
addressing systems issues that lead individuals to engage in
unsafe behaviors, while maintaining individual accountability by
establishing zero tolerance for reckless behavior. It distinguishes
between human error (eg, slips), at-risk behavior (eg, taking
shortcuts), and reckless behavior (eg, ignoring required safety
steps), in contrast to an overarching "no-blame" approach still
favored by some. In a just culture, the response to an error or
near miss is predicated on the type of behavior associated with
the error, and not the severity of the event. For example, reckless
behavior such as refusing to perform a "time-out" prior to
surgery would merit punitive action, even if patients were not
harmed. For human error (inadvertent action, slip, lapse or
mistake) the consequences would be to console, encourage
reporting, redesign & remediate. For at-risk behavior,
consequences would be to coach, remove the incentives for at-
risk behavior and create incentives for healthy behavior,
increase situational awareness & remediate). For reckless
behavior, punishment, disciplinary action & remediation.
0.9% normal saline solution Correct Answer • Isotonic-
expands ECV (vascular and interstitial)
• DOESN'T enter cells
0.9% normal saline solution is used to... Correct Answer o
Expand intravascular volume
o Replace extracellular fluid losses
,o ONLY SOLUTION THAT CAN BE USED WITH BLOOD
PRODUCTS
o May cause intravascular overload (fluid overload =
hypervolemia)
100,000 Lives campaign Correct Answer Began in 2005 with a
goal to eliminate HAI's such as ventilator associated pneumonia,
central line related blood stream infections, surgical site
infections and catheter associated UTI's. The campaign was
updated in 2006 to be the 5 million lives campaign.
1st stage of inflammation - vascular & cellular responses
Correct Answer 1) Vasoconstriction - release histamines, kinins
& prostaglandins - hyperemia (large volume of blood) and 2)
fluid, protein & leukocytes leak into interstitial spaces (edema &
pain); phagocytosis and leukocytosis begins
2nd stage of inflammation - exudate production Correct Answer
Accumulation of fluid & dead tissue
3 components of a nursing diagnosis Correct Answer P - the
diagnostic label from NANDA - the problem
E - the etiology (where did it come from, what is it r/t?)
S - the defining characteristics - the symptoms
3 divisions of ECF Correct Answer 1) Intravascular fluid
(liquid portion of the blood i.e. plasma); approx. 3 liters, 2)
interstitial fluid (located between the cells & outside of blood
vessels); approx. 11 liters, and 3) minor division of transcellular
fluid (cerebrospinal, pleural, peritoneal synovial fluids secreted
by epithelial cells)
,3rd stage of inflammation - tissue repair Correct Answer 1)
Damaged cells replaced by healthy cells and 2) if inflammation
is chronic, tissue defect full with granulation tissue (granulation
tissue not as strong as collagen & may form scarring)
4 important functions of electrolytes Correct Answer 1)
Maintaining fluid balance, 2) acid-base regulation, 3) facilitating
enzyme reactions & 4) transmitting neuromuscular reactions
5 functions of water in the body Correct Answer 1) Transport
nutrients, waste products & other substances, 2) maintaining &
regulating body temperature, 3) insulator & shock absorber, 4)
lubrication of joints & membranes & 5) medium for metabolic
reactions within cells
A change or break in any of theses defenses may increase the
risk of infection Correct Answer - Natural immunity
- Normal flora
- Age
- Hormonal factors
- Phagocytosis
- Protective barriers
- Nutrition
- Environment
- Medical interventions
abnormal Correct Answer inability to grieve is __________.
Accessory muscles Correct Answer Any of the muscles of the
neck, back, and abdomen that may assist the diaphragm and the
, internal and external intercostal muscles in respiration,
especially in some breathing disorders or during exercise. Often
elevated effort of breathing contributes to increased anterior-
posterior diameter of the chest (barrel chest) over time (Mosby's
definition). E.g. scalene, trapezius, etc.
Accountability Correct Answer Being answerable for the
decisions made in the course of one's professional practice.
Accreditation Correct Answer A peer review process that
evaluates the quality of an organization
Acculturation Correct Answer Accepting the majority group's
culture as one's own
Acetaminophen dosing Correct Answer Pediatric Dosage: 10-
15 mg/kg/dose every 4-6 hours. Maximum per day: 60-75 mg/kg
for children < 50 kg. Children > 50 kg take adult doses. Max 4
Gm/day currently; Newer recommendations may be decreasing
to 2.6 Gm per day because of liver damage incidence.
Acquired characteristics of diversity Correct Answer Those
that are developed throughout your life through your individual
life experiences such as education, skills, manner of dress and
personal style, religion, improvement of abilities, political views
and some illnesses (such as lung COPD due to smoking)
Active ROM exercises Correct Answer ROM exercises
performed by the patient