MSN Exit Exam All possible Questions Latest

MSN Exit Exam All possible Questions Latest Update - Sources with Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor

3 Primary goals of ACA - CORRECT ANSWER: Make affordable health insurance

available to more people. The law provides consumers with subsidies ("premium tax credits") that lower costs for households with incomes between 100% and 400% of the federal poverty level.Expand the Medicaid program to cover all adults with income below 138% of the federal poverty level. (Not all states have expanded their Medicaid programs.) Support innovative medical care delivery methods designed to lower the costs of health care generally.

• steps of Rogers change theory are: - CORRECT ANSWER: Knowledge - person

becomes aware of an innovation and has some idea of how it functions, Persuasion - person forms a favorable or unfavorable attitude toward the innovation, Decision - person engages in activities that lead to a choice to adopt or reject the innovation, Implementation - person puts an innovation into use, Confirmation - person evaluates the results of an innovation-decision already made.

80 yo admitted with cough/chills/CP/dyspnea. T-102, R 26, PNA is suspected. What intervention is most appropriate to do FIRST by the CNL? - CORRECT ANSWER: Start antibiotics

A CNL compares the average length of stay for hip replacements between 2 hospitals to

promote quality improvement, what is this an example of? - CORRECT ANSWER:

Benchmarking

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A CNL implements an evidence-based practice project to decrease CVL line infections, the CNL knows in order to gain staff buy-in he/she should disperse information by -

CORRECT ANSWER: Story telling

Story-telling would allow staff to relate and see the need more tangibly. Brings real life example to need and makes it meaningful

A CNL notes patient satisfaction with pain control is in 25th percentile, when investigating what the issue is it would be most appropriate for the CNL to - CORRECT

ANSWER: investigate - perform chart audits to ensure compliance with pain

assessments

A CNL on a cardiac med unit was looking at heart failure and saw and increased 30 day readmission rate, they implemented a post admission 48hr call as a QI to decrease 30 day readmissions: What is the CNLs outcome measure? - CORRECT ANSWER: percent of patient readmissions

A CNL on a cardiac med unit was looking at heart failure and saw and increased 30 day readmission rate, they implemented a post admission 48hr call as a QI to decrease 30

day readmissions: What is the process measure the CNL used to collect readmit

improvements? - CORRECT ANSWER: Reasons for admissions

A CNL on a cardiac med unit was looking at heart failure and saw and increased 30 day readmission rate, they implemented a post admission 48hr call as a QI to decrease 30 day readmissions: Why would a CNL use balancing measures? - CORRECT ANSWER: Ensure other aspects are not damaged as a result of implementing QI project

A new ventricular assist device is beings introduced as a bridge to cardiac transplant.

What is most appropriate action of CNL to ensure safety - CORRECT ANSWER:

Conduct a FMEA prior to use of device

A nursing director asks CNL to facilitate clinical competencies about HAIs, while rounding they overhear RNs complaining stating they don't know why they must have competencies on something they know and have been doing for years. CNL most appropriate action - CORRECT ANSWER: ... Facilitate a meeting so nurses can discuss and opinions valued

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Adjourning - CORRECT ANSWER: Many teams will reach this stage eventually. For

example, project teams exist for only a fixed period, and even permanent teams may be disbanded through organizational restructuring.Team members who like routine, or who have developed close working relationships with colleagues, may find this stage difficult, particularly if their future now looks uncertain.

Affordable healthcare act: - CORRECT ANSWER: The comprehensive health care reform law enacted in March 2010 (sometimes known as ACA, PPACA, or "Obamacare").

Animal Research/Lab Studies - CORRECT ANSWER: Information begins at the bottom

of the pyramid: this is where ideas and laboratory research takes place. Ideas turn into therapies and diagnostic tools, which then are tested with lab models and animals.

Asthma - CORRECT ANSWER: EDUCATE patient number one thing they can do to

prevent asthma attack is to AVOID TRIGGERS, attacks can get worse with each exposure Medication quick relief emergency inhalers, long term inhalers, corticosteroid inhaler The primary problem during an exacerbation of asthma is narrowing of the airway and subsequent diminished air exchange. As the airways begin to dilate, wheezing gets louder because of better air exchange. Vesicular breath sounds will increase with improved respiratory status. After a severe asthma exacerbation, the cough may be productive and stringy. Coughing after aerosol bronchodilators may indicate a problem with the inhaler or its use.

Autonomy - CORRECT ANSWER: self-determination that is free from both controlling interferences by others and personal limitations preventing meaningful choice (such as inadequate understanding or faulty reasoning). Having the capacity to act with autonomy does not guarantee that a person will actually do so with full understanding and without external controlling influences. The agreement to respect another's right to self-determine a course of action; support of independent decision making.

Background Information/Expert Opinion: - CORRECT ANSWER: Handbooks, encyclopedias, and textbooks often provide a good foundation or introduction and often include generalized information about a condition. While background information

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