Question 1

Expert nurses learn to attend to a pattern of assessment data and act without consciously labelling it.This is referred to as:

Accepted Answer

A) intuition. 
B) the nursing process. 
C) clinical knowledge. 
D) diagnostic reasoning. 
A) intuition. 
B) the nursing process. 
C) clinical knowledge. 
D) diagnostic reasoning. A

Question 2

A nursing diagnosis made by a critical thinker using a dynamic nursing process would identify the actual problem and would also:

Accepted Answer

A) continue to reassess. 
B) predict potential problems. 
C) check the appropriateness of goals. 
D) modify the diagnosis if necessary. 
A) continue to reassess. 
B) predict potential problems. 
C) check the appropriateness of goals. 
D) modify the diagnosis if necessary. B

Question 3

The patient's record,laboratory studies,objective data,and subjective data together form the:

Accepted Answer

A) database. 
B) admitting data. 
C) financial statement. 
D) discharge summary. 
A) database. 
B) admitting data. 
C) financial statement. 
D) discharge summary. A

Question 4

Which of the following situations is most appropriate for an episodic history?

Accepted Answer

A) A patient's admission to a long-term care facility 
B) A patient having sudden,severe shortness of breath 
C) A patient's admission to the hospital for surgery the following day 
D) A patient having cold and flulike symptoms and seen in an outpatient clinic 
A) A patient's admission to a long-term care facility 
B) A patient having sudden,severe shortness of breath 
C) A patient's admission to the hospital for surgery the following day 
D) A patient having cold and flulike symptoms and seen in an outpatient clinic

Question 5

Which of the following statements illustrates the biomedical model of Western traditional views?

Accepted Answer

A) Health is viewed as the absence of disease. 
B) Optimal health is viewed as high-level wellness. 
C) Health and disease are considered parts of a cyclical process. 
D) The treatment of disease is nursing's primary focus. 
A) Health is viewed as the absence of disease. 
B) Optimal health is viewed as high-level wellness. 
C) Health and disease are considered parts of a cyclical process. 
D) The treatment of disease is nursing's primary focus.

Question 6

Critical thinking in the expert nurse is greatly enhanced by opportunities to:

Accepted Answer

A) apply theory in real situations. 
B) work with physicians to provide patient care. 
C) follow physician orders in providing patient care. 
D) develop nursing diagnoses for commonly occurring illnesses. 
A) apply theory in real situations. 
B) work with physicians to provide patient care. 
C) follow physician orders in providing patient care. 
D) develop nursing diagnoses for commonly occurring illnesses.

Question 7

Which of the following is an example of a first-level priority problem?

Accepted Answer

A) A patient with postoperative pain 
B) A patient newly diagnosed with diabetes who needs teaching about diabetes 
C) An individual with a small laceration on the sole of the foot 
D) An individual with shortness of breath and respiratory distress 
A) A patient with postoperative pain 
B) A patient newly diagnosed with diabetes who needs teaching about diabetes 
C) An individual with a small laceration on the sole of the foot 
D) An individual with shortness of breath and respiratory distress

Question 8

The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain.Which of the following would be the next appropriate action?

Accepted Answer

A) Establishing priorities 
B) Identifying expected outcomes 
C) Evaluating the individual's condition and comparing actual outcomes with expected outcomes 
D) Interpreting data,identifying clusters of cues,and making inferences 
A) Establishing priorities 
B) Identifying expected outcomes 
C) Evaluating the individual's condition and comparing actual outcomes with expected outcomes 
D) Interpreting data,identifying clusters of cues,and making inferences

Question 9

Which of the following are considered second-level priority problems?

Accepted Answer

A) Low self-esteem 
B) Lack of knowledge 
C) Abnormal laboratory values 
D) Severely abnormal vital signs 
A) Low self-esteem 
B) Lack of knowledge 
C) Abnormal laboratory values 
D) Severely abnormal vital signs

Question 10

Which of the following best describes a proficient nurse?

Accepted Answer

A) A nurse who has little experience with a specified population and uses rules to guide performance 
B) A nurse who has an intuitive grasp of a clinical situation and quickly identifies the accurate solution 
C) A nurse who sees actions in the context of daily plans for patients 
D) A nurse who sees a patient's situation as a whole,with long-term goals for the patient,rather than as a list of tasks to be performed 
A) A nurse who has little experience with a specified population and uses rules to guide performance 
B) A nurse who has an intuitive grasp of a clinical situation and quickly identifies the accurate solution 
C) A nurse who sees actions in the context of daily plans for patients 
D) A nurse who sees a patient's situation as a whole,with long-term goals for the patient,rather than as a list of tasks to be performed

Question 11

When nursing diagnoses are being classified,which of the following would be considered a risk diagnosis?

Accepted Answer

A) Identifying existing levels of wellness 
B) Evaluating previous problems and goals 
C) Identifying potential problems the individual may develop 
D) Focusing on strengths and reflecting an individual's transition to higher levels of wellness 
A) Identifying existing levels of wellness 
B) Evaluating previous problems and goals 
C) Identifying potential problems the individual may develop 
D) Focusing on strengths and reflecting an individual's transition to higher levels of wellness

Question 12

Which of the following would be included in a total health database for a well person?

Accepted Answer

A) Nursing goals for the patient 
B) Anticipated growth and development patterns 
C) A patient's perception of his or her health status 
D) The nurse's perception of disease as related to this patient 
A) Nursing goals for the patient 
B) Anticipated growth and development patterns 
C) A patient's perception of his or her health status 
D) The nurse's perception of disease as related to this patient

Question 13

Which critical thinking skill helps the nurse recognize relationships among data?

Accepted Answer

A) Validation 
B) Clustering-related cues 
C) Identifying gaps in data 
D) Distinguishing relevant from irrelevant 
A) Validation 
B) Clustering-related cues 
C) Identifying gaps in data 
D) Distinguishing relevant from irrelevant

Question 14

The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the:

Accepted Answer

A) nursing diagnosis. 
B) medical diagnosis. 
C) admission diagnosis. 
D) collaborative diagnosis. 
A) nursing diagnosis. 
B) medical diagnosis. 
C) admission diagnosis. 
D) collaborative diagnosis.

Question 15

Why is the concept of prevention essential in describing health?

Accepted Answer

A) Disease can be prevented by treating the external environment. 
B) Most deaths among Canadians under age 65 are not preventable. 
C) Prevention places emphasis on the link between health and personal behaviour. 
D) The means to prevention is through treatment provided by primary health care practitioners. 
A) Disease can be prevented by treating the external environment. 
B) Most deaths among Canadians under age 65 are not preventable. 
C) Prevention places emphasis on the link between health and personal behaviour. 
D) The means to prevention is through treatment provided by primary health care practitioners.

Question 16

A newly admitted patient is in acute pain,has not been sleeping well lately,and is having difficulty breathing.How should the nurse prioritize these problems?

Accepted Answer

A) Breathing,pain,sleep 
B) Breathing,sleep,pain 
C) Sleep,breathing,pain 
D) Sleep,pain,breathing 
A) Breathing,pain,sleep 
B) Breathing,sleep,pain 
C) Sleep,breathing,pain 
D) Sleep,pain,breathing

Question 17

Novice nurses,without a background of skills and experience to draw from,are more likely to make their decisions using:

Accepted Answer

A) intuition. 
B) a set of rules. 
C) articles in journals. 
D) advice from supervisors. 
A) intuition. 
B) a set of rules. 
C) articles in journals. 
D) advice from supervisors.

Question 18

MATCHING
Prioritize the following patient situations:

-A patient newly diagnosed with type 2 diabetes mellitus who does not know how to check his own blood glucose levels with a glucometer

Accepted Answer

A)  first-level priority problem 
B)  second-level priority problem 
C)  third-level priority problem 
A)  first-level priority problem 
B)  second-level priority problem 
C)  third-level priority problem

Question 19

MATCHING
Prioritize the following patient situations:

-An older adult with urinary tract infection who is showing signs of confusion and agitation

Accepted Answer

A)  first-level priority problem 
B)  second-level priority problem 
C)  third-level priority problem 
A)  first-level priority problem 
B)  second-level priority problem 
C)  third-level priority problem

Question 20

When listening to a patient's breath sounds,the nurse is unsure about a sound that is heard.The nurse should:

Accepted Answer

A) notify the patient's physician immediately. 
B) document the sound exactly as it was heard. 
C) validate the data by asking a colleague to listen to the breath sounds. 
D) assess again in 20 minutes to note whether the sound is still present. 
A) notify the patient's physician immediately. 
B) document the sound exactly as it was heard. 
C) validate the data by asking a colleague to listen to the breath sounds. 
D) assess again in 20 minutes to note whether the sound is still present.

Exam 1: Critical Thinking and Evidence-Informed Assessment

Expert nurses learn to attend to a pattern of assessment data and act without consciously labelling it.This is referred to as:

A nursing diagnosis made by a critical thinker using a dynamic nursing process would identify the actual problem and would also:

The patient's record,laboratory studies,objective data,and subjective data together form the:

Which of the following situations is most appropriate for an episodic history?

Which of the following statements illustrates the biomedical model of Western traditional views?

Critical thinking in the expert nurse is greatly enhanced by opportunities to:

Which of the following is an example of a first-level priority problem?

The nurse has implemented several planned interventions to address the nursing diagnosis of acute pain.Which of the following would be the next appropriate action?

Which of the following are considered second-level priority problems?

Which of the following best describes a proficient nurse?

When nursing diagnoses are being classified,which of the following would be considered a risk diagnosis?

Which of the following would be included in a total health database for a well person?

Which critical thinking skill helps the nurse recognize relationships among data?

The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the:

Why is the concept of prevention essential in describing health?

A newly admitted patient is in acute pain,has not been sleeping well lately,and is having difficulty breathing.How should the nurse prioritize these problems?

Novice nurses,without a background of skills and experience to draw from,are more likely to make their decisions using:

MATCHING Prioritize the following patient situations: -A patient newly diagnosed with type 2 diabetes mellitus who does not know how to check his own blood glucose levels with a glucometer

MATCHING Prioritize the following patient situations: -An older adult with urinary tract infection who is showing signs of confusion and agitation

When listening to a patient's breath sounds,the nurse is unsure about a sound that is heard.The nurse should:

Health Promotion in the Context of Health Assessment

Cultural Competence: Cultural Care and Social Considerations in Health Assessment

The Interview

The Complete Health History

Mental Health Assessment

Substance Use in the Context of Health Assessment

Interpersonal Violence Assessment

Assessment Techniques and the Clinical Setting

General Survey, measurement, and Vital Signs

Pain Assessment

Nutritional Assessment and Nursing Practice

Skin, hair, and Nails

Head and Neck, including Regional Lymphatic System

Eyes

Ears

Nose, mouth, and Throat

Breasts and Regional Lymphatic System

Thorax and Lungs

Heart and Neck Vessels

Peripheral Vascular System and Lymphatic System

Abdomen

Anus,rectum and Prostate

Musculoskeletal System

Neurological System

Male Genitourinary System

Female Genitourinary System

The Complete Health Assessment: Putting It All Together

Bedside Assessment of the Hospitalized Patient

Pregnancy

Functional Assessment of the Older Adult

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