Question 1

The documentation entry that reflects objective data is:

Accepted Answer

A)  An area of erythema is noted on the upper right extremity, measuring approximately 1 ´ 4 inches. 
B)  Patient complains of pain in the right left quadrant (RLQ) of the abdomen and rates it 5 on a pain scale of 1 to 10. 
C)  Family states that the patient does not sleep at night and wanders around the house. 
D)  Medical reveals a history of drug abuse.

Question 2

Examine this goal statement: Patient will walk in the hall unassisted.The two missing components for a correctly stated goal in this example are the descriptors for ____________________ and ____________________.

Accepted Answer

The answer of Examine this goal statement: Patient will walk...

Question 3

The nursing care plan is initiated by the:

Accepted Answer

A)  Primary care provider 
B)  Registered nurse (RN) 
C)  Licensed practical/vocational nurse (LPN/LVN) 
D)  Nurse manager

Question 4

Nursing interventions classifications (NIC)are:

Accepted Answer

A)  Mandated by the North American Nursing Diagnosis Association (NAND
A)  as interventions that are to be used for all patients. 
B)  Currently approved nursing goals. 
C)  Instituted on the basis of individual patient needs. 
D)  Guidelines for goal setting and documentation of nursing care given to patients.

Question 5

The nurse who exhibits an open minded,professionally curious,mature and self confident approach to care would be considered a ________________ ________________

Accepted Answer

The answer of The nurse who exhibits an open minded,professionally...

Question 6

Critical thinking is an integral part of the nursing process because it:

Accepted Answer

A)  Promotes flexibility and individualized care. 
B)  Incorporates decision making. 
C)  Includes the patient in part of the nursing process. 
D)  Provides guidelines of care.

Question 7

The nurse auscultating the patient's chest will:

Accepted Answer

A)  Use the diaphragm for assessing breath sounds. 
B)  Use the bell for assessing murmurs. 
C)  Apply earpieces pointing toward the ears. 
D)  Wet the chest hair with a cloth. 
E)  Press the diaphragm very firmly against the chest wall.

Question 8

The five steps of the nursing process,in the correct order,are:

Accepted Answer

A)  Data collection, nursing diagnosis, planning, intervention, and evaluation. 
B)  Assessment, planning, documentation, intervention, and evaluation. 
C)  Data collection, diagnosis, assessment, planning, and evaluation. 
D)  History, physical, diagnosis, intervention, and evaluation.

Question 9

Standardized care plans are:

Accepted Answer

A)  Clinical pathways 
B)  Evaluation tools 
C)  Outcome criteria 
D)  Nursing intervention-based

Question 10

Data collection consists of:

Accepted Answer

A)  Information supplied by patient and family 
B)  Health history, physical assessment, and documentation 
C)  Health history and physical assessment 
D)  Assessment, patient records, and diagnostic tests

Exam 12: The Nursing Process and Critical Thinking