Question 1

Constant nursing assessments and evaluations of the patient will most likely result in:

Accepted Answer

A)  the nursing care plan changing to reflect appropriate priorities. 
B)  small changes in the patient condition being overlooked. 
C)  cluttered and confusing documentation. 
D)  impeded problem solving. 
A)  the nursing care plan changing to reflect appropriate priorities. 
B)  small changes in the patient condition being overlooked. 
C)  cluttered and confusing documentation. 
D)  impeded problem solving. A

Question 2

When a resident in the nursing home complains of constipation, the nurse performs a digital rectal examination and finds a hard fecal mass. This is an example of:

Accepted Answer

A)  implementation. 
B)  nursing diagnosis. 
C)  assessment. 
D)  evaluation. 
A)  implementation. 
B)  nursing diagnosis. 
C)  assessment. 
D)  evaluation. C

Question 3

The nurse who uses the nursing process will:

Accepted Answer

A)  help reduce the obvious signs of discomfort. 
B)  help the patient adhere to the primary care provider's treatment protocol. 
C)  approach the patient's disorder in a step-by-step method. 
D)  make all significant nursing care decisions involving patient care. 
A)  help reduce the obvious signs of discomfort. 
B)  help the patient adhere to the primary care provider's treatment protocol. 
C)  approach the patient's disorder in a step-by-step method. 
D)  make all significant nursing care decisions involving patient care. C

Question 4

The nurse completing morning assessments on a patient who is sitting up in bed is told by the patient, "I'm having trouble breathing-I can't seem to get enough air." The best nursing response is to:

Accepted Answer

A)  notify the doctor as soon as he or she comes in later in the morning. 
B)  finish the vital signs for the assigned patients, and then notify the charge nurse. 
C)  reassure the patient, if his blood pressure and pulse are normal. 
D)  notify the charge nurse immediately of the patient's statement. 
A)  notify the doctor as soon as he or she comes in later in the morning. 
B)  finish the vital signs for the assigned patients, and then notify the charge nurse. 
C)  reassure the patient, if his blood pressure and pulse are normal. 
D)  notify the charge nurse immediately of the patient's statement.

Question 5

Clinical thinking is considered to be the keystone and foundation of the development of _________.

Accepted Answer

clinical judgment
Cl

Question 6

Activities considered to be aspects of the implementation step of the nursing process are: (Select all that apply.)

Accepted Answer

A)  documentation of care given. 
B)  assembly of supplies. 
C)  analysis of data gathered. 
D)  modification of aspects of the plan. 
E)  evaluation of the patient response. 
A)  documentation of care given. 
B)  assembly of supplies. 
C)  analysis of data gathered. 
D)  modification of aspects of the plan. 
E)  evaluation of the patient response.

Question 7

When the nurse constructs a nursing approach after careful judgment and sound reasoning, the nurse has used a system of ___________________.

Accepted Answer

critical thinking
Critical thi

Question 8

A nurse will arrive at a nursing diagnosis through the nursing process step of:

Accepted Answer

A)  planning. 
B)  evaluation. 
C)  research. 
D)  assessment. 
A)  planning. 
B)  evaluation. 
C)  research. 
D)  assessment.

Question 9

A nurse begins rounds on a medical-surgical nursing unit. Review the following patients on her assignment. Prioritize the order in which the patients should be assessed, based on their descriptions.
A) A 22-year-old patient who is awakening from neck surgery.
B) An 82-year-old patient who is blind and needs discharge instructions.
C) A 44-year-old patient with dehydration from vomiting and diarrhea, who was admitted 3 days ago and who has an IV infusion of fluids.
D) A 35-year-old patient admitted for an injury to his left femoral artery, which required surgical repair 8 hours ago following an ice skating accident.

Accepted Answer

A, D, C, B
Nursing priorities need to ad

Question 10

An emergency room nurse will give first priority to the patient with the most critical need, which is the patient who:

Accepted Answer

A)  is bleeding from a chin laceration. 
B)  complains of a productive cough. 
C)  has a fever of 102°F. 
D)  complains of severe chest pain. 
A)  is bleeding from a chin laceration. 
B)  complains of a productive cough. 
C)  has a fever of 102°F. 
D)  complains of severe chest pain.

Question 11

Which of the following items could be the responsibility of the LPN/LVN for a patient's plan of care? (Select all that apply.)

Accepted Answer

A)  Collect data. 
B)  Perform nursing interventions. 
C)  Initiate the plan of care. 
D)  Assist the RN with evaluation of the patient's response to nursing interventions. 
E)  Document nursing care. 
A)  Collect data. 
B)  Perform nursing interventions. 
C)  Initiate the plan of care. 
D)  Assist the RN with evaluation of the patient's response to nursing interventions. 
E)  Document nursing care.

Question 12

Descriptions of the activities involved in the nursing diagnosis step of the nursing process are: (Select all that apply.)

Accepted Answer

A)  determination of potential health problems. 
B)  clustering of related assessments. 
C)  sharing of information with the patient and physician. 
D)  determination of desired outcomes. 
E)  evaluation of probable outcomes. 
A)  determination of potential health problems. 
B)  clustering of related assessments. 
C)  sharing of information with the patient and physician. 
D)  determination of desired outcomes. 
E)  evaluation of probable outcomes.

Question 13

In the collaborative process of delivering care based on the nursing process, the responsibility of the LPN/LVN is to:

Accepted Answer

A)  collect data of health status. 
B)  select a nursing diagnosis. 
C)  organize data to help the RN evaluate patient progress. 
D)  prioritize nursing diagnoses for more effective care. 
A)  collect data of health status. 
B)  select a nursing diagnosis. 
C)  organize data to help the RN evaluate patient progress. 
D)  prioritize nursing diagnoses for more effective care.

Question 14

The participants of the planning stage of the nursing process during which the health goals are defined include:

Accepted Answer

A)  the RN. 
B)  the health team led by the RN. 
C)  the health team, the patient, and the patient's family. 
D)  the health team as directed by the physician. 
A)  the RN. 
B)  the health team led by the RN. 
C)  the health team, the patient, and the patient's family. 
D)  the health team as directed by the physician.

Question 15

When the nurse checks to see whether a patient has had relief 45 minutes after administering pain medication, the nurse is performing a(n):

Accepted Answer

A)  nursing diagnosis. 
B)  implementation. 
C)  assessment. 
D)  evaluation. 
A)  nursing diagnosis. 
B)  implementation. 
C)  assessment. 
D)  evaluation.

Question 16

Once the nursing plan has been initiated, the nursing care plan will:

Accepted Answer

A)  stay in place until all nursing goals have been met. 
B)  change as the patient's condition changes. 
C)  remain on the patient record to show progress. 
D)  be given to the patient for final approval. 
A)  stay in place until all nursing goals have been met. 
B)  change as the patient's condition changes. 
C)  remain on the patient record to show progress. 
D)  be given to the patient for final approval.

Question 17

A student nurse can begin to develop critical thinking skills by means of:

Accepted Answer

A)  working with a more experienced nurse. 
B)  questioning every statement made by instructors to be sure of its correctness. 
C)  memorizing class notes for tests and studying all night for big tests. 
D)  listening attentively and focusing on the speaker's words and meaning. 
A)  working with a more experienced nurse. 
B)  questioning every statement made by instructors to be sure of its correctness. 
C)  memorizing class notes for tests and studying all night for big tests. 
D)  listening attentively and focusing on the speaker's words and meaning.

Question 18

The tasks of synthesizing data and linking nursing interventions with patient health problems are enhanced by the process of ________.

Accepted Answer

concept mapping
Concept mappin

Question 19

The activity that is an implementation in the nursing care is:

Accepted Answer

A)  checking the assigned patient's blood pressure, pulse, and respiration. 
B)  changing the patient's surgical dressing. 
C)  asking the patient to demonstrate how to give himself medication after teaching him. 
D)  discussing the patient with other team members to establish a care plan. 
A)  checking the assigned patient's blood pressure, pulse, and respiration. 
B)  changing the patient's surgical dressing. 
C)  asking the patient to demonstrate how to give himself medication after teaching him. 
D)  discussing the patient with other team members to establish a care plan.

Question 20

When a patient states, "I can't walk very well," the first problem-solving step would be to:

Accepted Answer

A)  consider alternatives such as a wheelchair or walker. 
B)  find out what the problem is, such as weakness or poor balance. 
C)  choose the alternative with the best chance of success. 
D)  consider the outcomes of the choices, such as danger of falling with a walker. 
A)  consider alternatives such as a wheelchair or walker. 
B)  find out what the problem is, such as weakness or poor balance. 
C)  choose the alternative with the best chance of success. 
D)  consider the outcomes of the choices, such as danger of falling with a walker.

Exam 4: The Nursing Process and Critical Thinking

Constant nursing assessments and evaluations of the patient will most likely result in:

When a resident in the nursing home complains of constipation, the nurse performs a digital rectal examination and finds a hard fecal mass. This is an example of:

The nurse who uses the nursing process will:

The nurse completing morning assessments on a patient who is sitting up in bed is told by the patient, "I'm having trouble breathing-I can't seem to get enough air." The best nursing response is to:

Clinical thinking is considered to be the keystone and foundation of the development of _________.

Activities considered to be aspects of the implementation step of the nursing process are: (Select all that apply.)

When the nurse constructs a nursing approach after careful judgment and sound reasoning, the nurse has used a system of ___________________.

A nurse will arrive at a nursing diagnosis through the nursing process step of:

An emergency room nurse will give first priority to the patient with the most critical need, which is the patient who:

Which of the following items could be the responsibility of the LPN/LVN for a patient's plan of care? (Select all that apply.)

Descriptions of the activities involved in the nursing diagnosis step of the nursing process are: (Select all that apply.)

In the collaborative process of delivering care based on the nursing process, the responsibility of the LPN/LVN is to:

The participants of the planning stage of the nursing process during which the health goals are defined include:

When the nurse checks to see whether a patient has had relief 45 minutes after administering pain medication, the nurse is performing a(n):

Once the nursing plan has been initiated, the nursing care plan will:

A student nurse can begin to develop critical thinking skills by means of:

The tasks of synthesizing data and linking nursing interventions with patient health problems are enhanced by the process of ________.

The activity that is an implementation in the nursing care is:

When a patient states, "I can't walk very well," the first problem-solving step would be to:

Nursing and the Health Care System

Concepts of Health, Illness, Stress, and Health Promotion

Legal and Ethical Aspects of Nursing

Assessment, Nursing Diagnosis, and Planning

Implementation and Evaluation

Documentation of Nursing Care

Communication and the Nurse Patient Relationship

Patient Education and Health Promotion

Delegation, Leadership, and Management

Growth and Development: Infancy Through Adolescence

Adulthood and the Family

Promoting Healthy Adaptation to Aging

Cultural and Spiritual Aspects of Patient Care

Loss, Grief, and End-of-Life Care

Infection Prevention and Control: Protective Mechanisms and Asepsis

Infection Prevention and Control in the Hospital and Home

Safe Lifting, Moving, and Positioning of Patients

Assisting with Hygiene Personal Care Skin Care and the Prevention of Pressure Ulcers

Patient Environment and Safety

Measuring Vital Signs

Assessing Health Status

Admitting Transferring and Discharging Patients

Diagnostic Tests and Specimen Collection

Fluid, Electrolyte, and Acid-Base Balance

Concepts of Basic Nutrition and Cultural Considerations

Nutritional Therapy and Assisted Feeding

Assisting with Respiration and Oxygen Delivery

Promoting Urinary Elimination

Promoting Bowel Elimination

Pain Comfort and Sleep

Complementary and Alternative Therapies

Pharmacology and Preparation for Drug Administration

Administering Oral, Topical, and Inhalant Medications

Administering Intradermal, Subcutaneous, and Intramuscular Injections

Administering Intravenous Solutions and Medications

Care of the Surgical Patient

Providing Wound Care and Treating Pressure Ulcers

Promoting Musculoskeletal Function

Common Physical Care Problems of the Older Adult

Common Psychosocial Care Problems of Older Adults

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