Arizona State University (ASU) NUR 436 Experiential Learning: Advanced Midterm Practice Test

These questions are part of the practice quiz. Start practicing

• What equipment should be available at the bedside for tracheostomy care?
• What is the primary purpose of a chest tube?
• Using the PICO framework for a question on postoperative pain management in adults, which represents P, I, C, and O?
• Which respiratory rate range is normal for a healthy adult?
• What is a primary reason to utilize immunizations and preventive screenings in hospital care?
• In healthy adults, what oxygen saturation is considered normal?
• Which statement correctly differentiates deliberate practice from experiential learning, and explains how reflection contributes to nursing expertise?
• What is the primary purpose of debriefing after a simulation or clinical event, and which elements are essential for an effective debrief?
• Which statement correctly lists the three transmission-based precautions and their general use?
• In chest pain/ STEMI management, which strategy helps reduce oxygen demand?
• During deep tracheostomy suctioning, how long should suction be applied during each pass?
• What does a RASS score of 0 indicate?
• Which set of phases is included in the three-phase debriefing framework for simulation?
• What safety check is required before administering heparin?
• Which statement accurately differentiates incidence and prevalence in hospital-derived data?
• Which of the following is NOT a core principle of high-reliability organizations?
• Which statement is not an effective strategy for patient education across varying health literacy levels?
• When implementing clinical guidelines, which steps are essential?
• In the context of serious illness, how should clinicians approach discussions about goals of care and advance directives with patients and families?
• What are the key elements of a cardiovascular assessment, and how would you interpret a suspected myocardial infarction with an abnormal troponin and ECG?
• Which hospital infection control practice is recommended?
• If ventricular tachycardia presents with no pulse, what is the recommended action?
• During a seizure, which measures are recommended for safety and care?
• If the SDR check shows the prescribed dose is not safe, what should you do?
• If a patient with ventricular tachycardia has a pulse, which interventions are appropriate?
• In hospice and palliative care, which statement is true about goals of care?
• Which of the following is an example of a high-alert medication?
• In pediatric tachyarrhythmia management, what is the first-dose adenosine dose?
• Which tool is recommended to assess delirium in hospitalized older adults?
• Which statement about oxygen targets in COPD and ARDS is most accurate?
• In assessing and managing fluid and electrolyte disturbances in vomiting and diarrhea, which steps are essential?
• Propofol assessment: which parameters should be monitored after administration?
• Which statement about reflective journaling is most accurate for experiential learning?
• Which components are essential in nutrition and hydration assessment for acutely ill patients?
• Which sequence correctly lists the six steps of the nursing process?
• Which statement best describes the patient-centered approach to goal setting in care planning?
• In sepsis management, which step regarding cultures is recommended if possible?
• Which metric is most useful for assessing fluid balance in a patient with congestive heart failure?
• Which statement correctly differentiates POLST/MOLST from advance directives?
• What are the core infection control precautions for airborne, droplet, and contact transmission, and provide diseases typical for each?
• Which action is recommended if a chest tube complication occurs, such as disconnection or breakage?
• What is the first step in a root cause analysis after a sentinel safety event?
• Which of the following is a barrier to reflective practice in clinical settings?
• G-tube feedings: what head-of-bed position is recommended during feeding?
• Which documentation standards are essential for legal defensibility and continuity of care?
• Which item is evaluated in the neuro portion of a head-to-toe assessment?
• Describe a comprehensive assessment approach for a patient presenting with dyspnea, including the primary survey and focused systems assessment. Which sequence is most appropriate?
• In a PDSA cycle, which action corresponds to the Plan phase?
• Which statement correctly differentiates evidence-based practice changes from quality improvement projects?
• A patient with congestive heart failure presents with dyspnea and edema. Which nursing action supports fluid balance and hemodynamics?
• Which steps are included in the swallow screen during airway assessment?
• What actions are part of the nurse's role in adverse drug event reporting?
• In a PICO question, which option correctly identifies the component for population?
• Which sequence represents the ABCDE approach to the primary survey in trauma or deterioration?
• What is the sleeping heart rate range for a preschool child aged 3-6 years?
• In arterial blood gas interpretation, which parameter is assessed first to determine acid-base status?
• Which approach best addresses social determinants of health in nursing practice?
• For children aged 5-12 during medical education, which approach is appropriate?
• Which of the following is included in the five rights of delegation?
• Which combination constitutes a multimodal pain management approach in the inpatient setting?
• Propofol safety: what monitoring is essential due to the risk of respiratory depression?
• In planning discharge for an older adult with multiple comorbidities, which elements ensure safe transition?
• What is required to calculate a pediatric SDR safe dosage?
• Which type of shock is primarily due to systemic vasodilation and typically requires vasopressors?
• In non-shockable rhythms during cardiac arrest, which management step is recommended?
• Which strategy is most effective in ensuring patient understanding for individuals with low health literacy?
• In the rapid assessment for acute dyspnea with hypoxia, which action is prioritized first?
• Which statement accurately distinguishes DNR and DNI orders?
• In discharge planning for patients facing social determinants of health challenges, which factor should be assessed and connected with resources?
• In Type 1 diabetes mellitus care, which statement is accurate regarding hypoglycemia treatment?
• Which parameter is used to evaluate hydration status?
• In the Surviving Sepsis Campaign bundle, what is the recommended timing for administering broad-spectrum antibiotics?
• Which practice aligns with safe home nursing interventions?
• In evaluation and management of suspected sepsis in the ED or on the floor, which step is essential to initiate?
• Which assessments are used to monitor anticoagulation in patients receiving heparin?
• In bronchiolitis/RSV management, how should supplemental oxygen be delivered to an infant when needed?
• When appraising a research article for potential practice change, which factors are essential to evaluate?
• What precautions should be used for a patient with suspected MRSA colonization?
• What is the typical respiratory rate range for a school-age child (6-12 years)?
• How would you design and implement a patient safety culture survey to identify unit-level improvement opportunities?
• Which of the following is a potential cause of a high-pressure alarm on a ventilator?
• Where should the tip of a central venous access device (CVAD) catheter sit?
• Insulin Indication: For which condition is insulin indicated?
• Propofol administration: who may administer it?
• In a Plan-Do-Study-Act (PDSA) cycle, what is the correct sequence for testing a change?
• What safety strategies are used for dose calculations in patients when weight-based dosing data are limited or uncertain?
• Dopamine is primarily used for which condition?
• During adult resuscitation, what is the epinephrine dosing schedule?
• What hand hygiene measure is recommended for C. difficile exposure in home infection prevention?
• What action is essential to ensure safe discharge medication management?
• What ethical considerations apply to genetic testing and patient privacy in nursing practice?
• When applying research findings to a different patient population, which consideration is most important?
• What is the typical target range for the Richmond Agitation Sedation Scale (RASS) in many ICU patients?
• Which tool is commonly used to assess pain in adults?
• How would you develop a care plan for an adult with type 2 diabetes focused on lifestyle modification and medication adherence?
• Which action best indicates progress when implementing a patient safety culture survey?
• Which symptom is commonly associated with dehydration after careful assessment?
• What is the primary purpose of the Evaluation step in the nursing process?
• Which combination of strategies most effectively reduces falls risk for hospitalized patients?
• During insulin therapy, which electrolyte should be monitored due to potential shifts?
• Which safety practice is required for insulin administration?
• According to NCSBN and ANA guidelines, who takes responsibility for delegation?
• Which tool is most appropriate for chronic pain assessment focusing on function and quality of life?
• In a patient with congestive heart failure and hypoxemia, what is essential regarding oxygen therapy?
• Which communication framework is commonly used to frame updates in interprofessional rounds?
• In managing diabetic ketoacidosis (DKA), what does the 2 Bag Protocol involve?
• Which of the following is an example of a high-risk medication that commonly requires double-checking or two-person verification?
• Which action is NOT part of using data to guide quality improvement on a clinical unit?
• Amiodarone is indicated for which condition?
• Which statement accurately reflects the Five Wishes in end-of-life planning?
• What are the stages of wound healing commonly referenced in nursing assessment?
• In a PDSA cycle to redesign a nursing workflow, which step involves measuring wait times and throughput?
• To obtain a weight-based dose, you multiply kilograms by milligrams.
• What is the primary indication for heparin therapy?
• In the nursing process, which step involves identifying measurable patient outcomes to achieve?
• Which statement best distinguishes evidence-based practice (EBP), quality improvement (QI), and translational research with nursing examples?
• In the ABC approach to prioritization, which order is correct for a patient with airway compromise?
• In ABG interpretation, after assessing pH, which data determine the primary acid-base disorder?
• Which statement best describes the nurse's role in informed consent?
• In pediatric fluid maintenance, which line correctly represents maintenance for the first 10 kg?
• Pediatric resuscitation uses which pattern for chest compressions?
• In the ABCDE approach, which component includes assessing neurological status?
• Ventricular fibrillation is best described by which statement?
• Which tool is used to assess pain in nonverbal patients with dementia?
• Which of the following best indicates deteriorating respiratory function requiring escalation?
• Which statement correctly describes Type I and Type II errors?
• What is required before restraining an ICU patient?
• What is the role of reflective journaling in experiential learning for professional development in nursing?
• Which of the following best characterizes interprofessional collaborative practice?
• What is the normal body temperature range for adults?
• Which option describes a strategy that is NOT typically used to prevent medication errors beyond the five rights?
• Which practice best supports safe discharge planning and caregiver readiness for home care?
• Which of the following is a reversible factor commonly addressed to manage delirium in hospitalized older adults?
• In non-shockable rhythms, which statement is correct regarding defibrillation and CPR?
• What are the essential components of SBAR for safe handoffs, and why is this communication model critical?
• How would you conduct a structured reflective practice activity to evaluate learning growth during this experiential practicum?
• When calculating insulin for a meal, which step adds the units to correct high blood sugar and cover carbs?
• Which assessments should be performed for a patient on insulin therapy?
• Distinguish between acute and chronic pain assessment tools and discuss implications for management.
• How should oxygen therapy targets be managed for patients with COPD or ARDS?
• Which outcome improvements are associated with interprofessional collaborative practice?
• During a medication pass for a high-acuity inpatient, which sequence best ensures safety?
• For a shockable rhythm in adult resuscitation, what is the recommended sequence?
• Which PDSA stage involves measuring outcomes after implementing a change?
• What is the purpose of PAINAD scores in nonverbal patients?
• Which range is rounded to 0.5 in the rounding rules?
• How many fingers must be able to fit under an ICU restraint?
• Which of the following describes common psychosocial impacts of chronic illness on families, and supports family-centered care?
• What is a recommended approach to reducing alert fatigue in clinical decision support within electronic health records?
• What is the primary purpose of a root cause analysis (RCA) after a preventable patient safety event?
• What are best practices in health informatics to ensure documentation accuracy, HIPAA privacy, and data security in nursing notes?
• Which statement describes the standard five rights of medication administration?
• Which statement correctly describes arterial line medication administration?
• Which patient education point is essential when starting insulin therapy?
• How do you calculate gravity IV drip rate (gtt/min)?
• What does the Arizona Nurse Practice Act define regarding delegation for RNs?
• Which sequence is recommended for chest pain management in suspected STEMI?
• Explain the nurse as educator role and effective patient education strategies across varying health literacy levels.
• Which is an evidence-based strategy for end-of-life pain management?
• For a toddler aged 1-3 years, what is the awake heart rate range?
• Which measurement is used to assess tissue perfusion in sepsis?
• Which tool is appropriate for assessing pain in a nonverbal child?
• G-tube care: what should be checked before feeding?
• Which approach is most consistent with ethically sound decision-making in end-of-life care?
• How do you convert pounds to kilograms for weight-based dosing?
• Propofol is indicated for which purpose?
• Which activity is commonly used to foster reflective practice among nursing students during clinical rotations?
• Which action best complements the five rights to further ensure safety during a medication pass?
• Which finding would suggest a nonpulmonary cause of dyspnea?
• Which set lists the five rights of medication administration?
• Which action is a safety-focused approach to delirium management in hospitalized patients?
• Which practice demonstrates cultural humility in patient interactions?
• Which taxonomy is used to classify nursing diagnoses?
• When planning discharge for an older adult with multiple comorbidities, which element ensures safe transition of care?
• Which statement best describes interprofessional collaboration in patient care?
• What is the primary purpose of using a Plan-Do-Study-Act cycle in a clinical unit?
• Which statement reflects the cornerstone of informed consent in nursing care?
• In pediatric patients, how should abnormal vital signs be interpreted?
• Which laboratory measurement helps assess severity of suspected sepsis?
• Arterial line placement is typically in which vessels?
• What is the expected diaper output for infants indicating normal hydration?
• In quality improvement, what does the acronym PDSA stand for?
• In insulin-carb counting, which factor is used to calculate units to correct high blood sugar (Step 1)?
• Which framework is commonly used for guided reflection in clinical practice?
• Which ethical principle is primarily about fair distribution of limited healthcare resources?
• Which lab value is not used to monitor heparin anticoagulation?
• How often should endotracheal tube placement be checked?
• In adult CPR, what is the correct pattern for chest compressions and breaths?
• In the SOAP note example for chest pain, which item belongs in the Plan section?
• Which of the following is a classic '6 H' reversible cause of cardiac arrest?
• Post cardiac arrest management should include monitoring which set of parameters?
• What is the standard pediatric fluid bolus volume per kilogram?
• What is the correct order of the Plan-Do-Study-Act cycle?
• Which is a core principle of high-reliability organizations?
• Which step involves forming a team to guide a unit-based evidence-based practice project?
• Debriefing after a clinical event should include which components to be effective?
• What is the role of sediment scales such as RASS, SAS, and PAS in critically ill or ventilated patients, and how are they implemented?
• Propofol education: which risk should be explained to patients?
• In asthma management for control or exacerbations, which intervention is commonly used?
• Which technique is essential to build rapport with an anxious patient in therapeutic communication?
• In evaluating dehydration from vomiting and diarrhea, which of the following is essential during treatment?
• For a toddler, which statement best describes the typical upper limit of systolic BP?
• Which safety checks should be performed when using IV infusion pumps?
• In a unit-based evidence-based practice project, which step focuses on appraising the available evidence?
• In a PICO question about preventing infections after surgery, which component defines the population?
• What adjustment is often necessary in older adults due to changes in pharmacokinetics and pharmacodynamics?
• Which practice supports reliable nursing documentation?
• Which statement best describes strategies to mitigate cognitive biases in nursing judgment?
• Which intervention is most effective in preventing pressure injuries?
• Which approach is most consistent with ethically sound decision-making in end-of-life care?
• Which item is NOT typically included in a comprehensive adult nursing assessment?
• Which item is NOT part of the Five Wishes?
• Which item is listed as an additional check beyond the five rights of medication administration?
• In care planning for patients from diverse backgrounds, cultural humility is enhanced by which framework?
• Which disease is commonly managed with droplet precautions?
• Which components are essential in a cardiovascular assessment?
• For a patient with a tracheostomy, what is the recommended provision of extra tubes and accessories?
• Which item is listed as part of the environmental safety assessment?
• Which statement best describes proper IV site management?
• Epinephrine indications include which of the following?
• What is an appropriate initial management step for pediatric dehydration?
• Which intervention is commonly used to manage SVT/PSVT?
• Albuterol is indicated for which conditions?
• What is the initial essential action in safe medication reconciliation at admission?
• Which steps are included in early sepsis management?
• In nursing diagnoses, what does PES stand for?
• Which finding most strongly indicates IV infiltration?
• Which technique helps verify patient understanding during education?
• Which safety measures reduce risk when administering high-alert medications?
• Which temperature range is considered acceptable for pediatric patients?
• What is a main focus of palliative care education?
• What is the primary purpose of simulation-based debriefing in nursing education?
• Which statement correctly documents the subjective component of a SOAP note for a chest pain complaint?
• Which sequence describes Kolb's experiential learning cycle?
• Which action supports patient understanding and safety after discharge?
• Which tool is used to assess fall risk in hospital and outpatient settings?
• What is the typical resting heart rate range for a healthy adult?
• Which data visualization method is commonly used to monitor trends on a clinical unit during quality improvement?
• Which statement best describes patient education for heparin therapy?
• Which ethical principle is most closely associated with respecting a patient’s right to decide about their own care?