NURS 250 EXAM 2 QUESTIONS & ANSWERS
1. The student nurse is preparing for the first clinical day of patient care. Which
strategy of critical thinking would be an example of thinking ahead?
a. Researching evidence-based care strategies
b. Assessing the patient's physical status
c. Identifying and preventing patient risk
d. Deciding what component of care could be improved- Answers - a. Researching
evidence-based care strategies
2. Which educational activities will promote the development of clinical judg-
ment skills in nurses and student nurses? (Select all that apply.)
a. Unfolding case studies
b. Clinical assignments
c. Simulation of clinical scenarios
d. Answering true/false test questions
e. Concept mapping
f. Completing math calculations- Answers - a. Unfolding case studies
b. Clinical assignments
c. Simulation of clinical scenarios
e. Concept mapping
3. The nurse is completing a patient assignment and will use information gath-
ered to identify problems and work to prevent complications. In the National
Council of State Boards of Nursing-Clinical Judgment Measurement Model
(NCSBN-CJMM), this activity occurs in which step?
a. Take action
,b. Outcome evaluation
c. Recognize cues
d. Analyze signs- Answers - c. Recognize cues
4. The nurse recognizes that in Tanner's Clinical Judgment Model, which state-
ment best explains the step of interpreting?
a. The nurse engages in clinical reasoning to analyze what is occurring and to
form a hypothesis.
b. After actions are considered for care, the nurse weighs the potential out-
comes of those interventions.
, c. The nurse gets the initial grasp of the patient's situation.
d. The nurse "reads" the patient and adjusts interventions based on this assess-
ment.- Answers - a. The nurse engages in clinical reasoning to analyze what is occurring and to form a hypothesis.
5. The nurse obtains a lower-than-normal (88% on room air) pulse oximetry
reading on a patient. Which actions by the nurse result from accurately em-
ploying the clinical judgment attribute of early problem recognition? (Select all
that apply.)
a. Assessing the patient for symptoms of hypoxia
b. Providing oxygen according to standing orders
c. Elevating the head of the bed, if not contraindicated
d. Allowing the patient to be alone to rest more comfortably
e. Discussing adaptations needed for daily activities with the patient- Answers -
a. Assessing the patient for symptoms of hypoxia
b. Providing oxygen according to standing orders
c. Elevating the head of the bed, if not contraindicated
6. The nurse categorizes which nursing action as an example of
professional autonomy?
a. The nurse working on a medical unit contacts the respiratory therapist to
draw arterial blood gases (ABGs) for a patient with acute asthma.
b. The novice nurse seeks out an experienced colleague for guidance
when preparing to administer blood.
c. The nurse contacts the PCP for clarification of a medication order.
d. The experienced nurse who works in the intensive care unit draws ABGs
for an assigned ICU patient.- Answers - d. The experienced nurse who works in the intensive care unit
draws ABGs for an assigned ICU patient.
1. The student nurse is preparing for the first clinical day of patient care. Which
strategy of critical thinking would be an example of thinking ahead?
a. Researching evidence-based care strategies
b. Assessing the patient's physical status
c. Identifying and preventing patient risk
d. Deciding what component of care could be improved- Answers - a. Researching
evidence-based care strategies
2. Which educational activities will promote the development of clinical judg-
ment skills in nurses and student nurses? (Select all that apply.)
a. Unfolding case studies
b. Clinical assignments
c. Simulation of clinical scenarios
d. Answering true/false test questions
e. Concept mapping
f. Completing math calculations- Answers - a. Unfolding case studies
b. Clinical assignments
c. Simulation of clinical scenarios
e. Concept mapping
3. The nurse is completing a patient assignment and will use information gath-
ered to identify problems and work to prevent complications. In the National
Council of State Boards of Nursing-Clinical Judgment Measurement Model
(NCSBN-CJMM), this activity occurs in which step?
a. Take action
,b. Outcome evaluation
c. Recognize cues
d. Analyze signs- Answers - c. Recognize cues
4. The nurse recognizes that in Tanner's Clinical Judgment Model, which state-
ment best explains the step of interpreting?
a. The nurse engages in clinical reasoning to analyze what is occurring and to
form a hypothesis.
b. After actions are considered for care, the nurse weighs the potential out-
comes of those interventions.
, c. The nurse gets the initial grasp of the patient's situation.
d. The nurse "reads" the patient and adjusts interventions based on this assess-
ment.- Answers - a. The nurse engages in clinical reasoning to analyze what is occurring and to form a hypothesis.
5. The nurse obtains a lower-than-normal (88% on room air) pulse oximetry
reading on a patient. Which actions by the nurse result from accurately em-
ploying the clinical judgment attribute of early problem recognition? (Select all
that apply.)
a. Assessing the patient for symptoms of hypoxia
b. Providing oxygen according to standing orders
c. Elevating the head of the bed, if not contraindicated
d. Allowing the patient to be alone to rest more comfortably
e. Discussing adaptations needed for daily activities with the patient- Answers -
a. Assessing the patient for symptoms of hypoxia
b. Providing oxygen according to standing orders
c. Elevating the head of the bed, if not contraindicated
6. The nurse categorizes which nursing action as an example of
professional autonomy?
a. The nurse working on a medical unit contacts the respiratory therapist to
draw arterial blood gases (ABGs) for a patient with acute asthma.
b. The novice nurse seeks out an experienced colleague for guidance
when preparing to administer blood.
c. The nurse contacts the PCP for clarification of a medication order.
d. The experienced nurse who works in the intensive care unit draws ABGs
for an assigned ICU patient.- Answers - d. The experienced nurse who works in the intensive care unit
draws ABGs for an assigned ICU patient.
