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Ace your NUR 2804C Exam 2 with this ultimate 100-question practice bank. Tailored to
patient-centered care and professional nursing concepts, it features highly tested multiple-
choice questions with detailed Rationales. Master Tanner’s Clinical Judgment Model
(Noticing, Interpreting, Responding, Reflecting), Primary/Secondary/Tertiary Prevention
frameworks, SBAR communication, and core clinical safety priorities. Perfect for quick
scrolling, active recall, and guaranteed exam success!
,Question 1
Which phase of Tanner's Clinical Judgment Model involves the nurse gathering initial subjective
and objective data during a patient encounter?
A. Responding
B. Interpreting
C. Noticing
D. Reflecting
Rationale: C is correct because Noticing is the first phase of Tanner's model, where the nurse
collects clinical cues, performs physical assessments, and reviews patient history to
understand the baseline situation.
Question 2
A nurse is caring for a patient who suddenly reports severe chest pain. The nurse immediately
stops the patient's ambulation, helps them into bed, and administers prescribed supplemental
oxygen. Which phase of Tanner's Clinical Judgment Model is best illustrated by these actions?
A. Responding
B. Interpreting
C. Noticing
D. Reflecting
Rationale: A is correct because the nurse is actively executing interventions (stopping
ambulation, getting the patient to bed, and giving oxygen) to address an acute change in
status. Responding is the action phase of clinical judgment based on data interpretation.
Question 3
At the end of a busy medical-surgical shift, a nurse sits down with a preceptor to discuss a
patient who experienced a sudden drop in blood pressure. They analyze what cues were missed
and how the intervention could have been performed faster. This activity describes which
concept?
A. Reflecting-in-action
B. Reflecting-on-action
,C. Analytical interpreting
D. Intuitive noticing
Rationale: B is correct because Reflecting-on-action occurs completely after a clinical situation
has ended. It allows the nurse to look back at their performance, process what happened, and
gain experiential knowledge to handle similar future situations better.
Question 4
According to Tanner's Clinical Judgment Model, what is the primary factor that drives an expert
nurse's ability to "Notice" subtle changes in a patient's condition faster than a novice nurse?
A. Memorization of standardized hospital protocols
B. Extensive clinical experience and pattern recognition
C. Following a strict, linear textbook checklist
D. Relying completely on electronic medical record alerts
Rationale: B is correct because expert clinical judgment is heavily reliant on a deep
background of practical experience. This experience allows the nurse to automatically
recognize complex clinical patterns and subtle deviations from normal.
Question 5
A nurse enters a room and notes that a patient is breathing rapidly, using accessory muscles,
and leaning forward in a tripod position. The nurse immediately concludes that the patient is
experiencing acute respiratory distress. Which phase of clinical judgment did the nurse use to
reach this conclusion?
A. Noticing
B. Responding
C. Interpreting
D. Reflecting
Rationale: C is correct because Interpreting is the cognitive process where the nurse attaches
clinical meaning to the observed cues (rapid breathing, tripod positioning) and determines a
logical diagnosis or hypothesis (respiratory distress).
Question 6
, A nurse is administering an intravenous medication. During the infusion, the nurse evaluates the
patient's real-time physical response, notices a small localized rash forming, and instantly halts
the infusion to reassess. This adjustment while care is actively being delivered is known as:
A. Reflecting-in-action
B. Reflecting-on-action
C. Algorithmic noticing
D. Narrative interpreting
Rationale: A is correct because Reflecting-in-action is the process of evaluating patient
responses or environmental risks and adjusting interventions on the fly while the care
encounter is still actively taking place.
Question 7
Which type of reasoning is a novice nurse most likely to rely upon when faced with an
unfamiliar and complex clinical situation in an intensive care unit?
A. Intuitive reasoning
B. Narrative reasoning
C. Analytic reasoning
D. Experiential reasoning
Rationale: C is correct because when a nurse lacks experiential knowledge or pattern-
recognition skills (typical of a novice), they must rely on slow, step-by-step analytic reasoning,
such as following protocols, guidelines, and diagnostic algorithms.
Question 8
Which of the following elements is a core assumption of the interpretivist nursing approach
regarding clinical judgment?
A. Clinical judgment is entirely objective and independent of the nurse's values.
B. Safe care requires following standardized algorithms without deviation.
C. Nursing care cannot be separated from the unique personal and social context of the
patient situation.
D. Subjective experiences are clinical biases that must be completely ignored.