Exam 1: Critical Thinking and the Nursing Process

While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes serosanguineous drainage on the dressing. Which statement should the nurse use to document this finding?

The nurse is caring for a patient using the nursing process. Which step should the nurse take first?

A patient with a newly fractured femur reports a pain level of 8/10 and analgesic medication is not due for another 50 minutes. Which action should the nurse take first?

The nurse is planning care and setting goals for a newly admitted patient. Who should the nurse include when conducting these nursing actions?

The LPN/LVN is caring for a group of patients. Which patient should the nurse assess first?

The nurse is caring for a patient recovering from a stroke. Place in the order of the nursing process the observations or actions provided while caring for this patient.

The LPN/LVN asks a patient who received 2 mg of Morphine IV 30 minutes ago to rate his or her pain. This describes which step of the nursing process?

An RN delegates a patient care assignment to the LPN/LVN. Which phase of the nursing process should the LPN/LVN perform independently?

While teaching how to apply a topical medication the patient begins to vomit. Which action should the nurse take to meet the patient's human needs?

The nurse is administering morphine to a patient reporting a pain level of 8 on a 0-to-10 scale. This describes which step of the nursing process?

A nurse approaches a person in a restaurant who appears to be experiencing respiratory distress. Which action should the nurse perform first?

After collecting data, the nurse identifies diagnoses to guide the patient's care. Which diagnoses did the nurse document correctly? (Select all that apply.)

After identifying nursing diagnoses the nurse plans outcomes for a patient with gastroesophageal reflux disease. Which outcome should the nurse use to evaluate this patient's care?

The nurse is prioritizing care based on Maslow hierarchy of needs. Which need does the nurse identify as having the highest priority?

The nurse is planning outcomes for a patient with acute pain who is exhibiting tachypnea and hypertension. Which outcomes should be included in the patient's care?

A patient with a family history of diabetes is experiencing high blood glucose levels, confusion, an unsteady gait, and dehydration. Which nursing diagnoses should the nurse identify as appropriate for this patient's care? (Select all that apply.)

The nurse suspects a patient is experiencing adverse effects to a newly prescribed antihypertensive medication. After being informed that the effects are expected, the nurse remains concerned and conducts an Internet search on the patient's manifestations. Which critical thinking behavior did the nurse implement?

The nurse is developing an outcome for a patient with exacerbation of asthma. Which is the most appropriate outcome for this patient?

Which critical thinking trait is demonstrated when the LPN/LVN is unsure of how to perform a dressing change and asks the RN for assistance?

The LPN/LVN enters the room of a patient who is angry and yells, "I asked 5 minutes ago for my pain medication. I'm going to call the CEO of the hospital if you don't get it for me now." Which statement by the nurse demonstrates intellectual empathy?