Exam 1: Critical Thinking and the Nursing Process

The LPN/LVN is reviewing a care plan for a patient who underwent abdominal surgery 2 hours ago and has a priority nursing diagnosis of acute pain. Which intervention should the nurse implement first?

The nurse is identifying outcomes for a patient with fluid volume deficit. Which outcome should the nurse use to guide this patient's care?

The LPN/LVN is assisting the RN in planning interventions for a patient. Which is an example of a collaborative action?

The LPN/LVN is reviewing nursing diagnoses for a patient. Which diagnosis should the nurse report to the RN as incorrect?

The nurse is reviewing nursing diagnoses. Which is an example of a correctly written nursing diagnosis?

The nurse is formulating nursing diagnoses for a patient with chronic obstructive pulmonary disease (COPD). Which diagnosis is of the highest priority?

During morning report, the LPN/LPN is assigned a group of patients. Which patient should the LPN/LPN see first?

The LPN/LVN is caring for a patient who begins to exhibit shortness of breath and chest pain. Which action should the nurse take first?

The nurse identifies the diagnosis potential for ineffective gas exchange as appropriate for a patient with pneumonia. Which independent nursing actions should the nurse plan for this problem? (Select all that apply.)

The nurse is collecting data on a patient. Which data are described as subjective?

The nurse is caring for a group of patients on a medical-surgical unit. Which patient should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?

The nurse is caring for a group of patients. Place in order the patients the nurse should see from highest to lowest priority (1 to 5).