NSG 100 EXAM 1 | UPDATED ACTUAL QUESTIONS | A+
VERIFIED ANSWERS AND STUDY GUIDE
• A nurse is caring for a group of clients. Which of the following actions by the
nurse demonstrates the use of critical thinking skills?
A.Administer an influenza vaccine after asking a client about allergies.
B.Check a client's armband before dispensing daily thyroid medication to a client
who has hypothyroidism.
C.Give a client who has type 1 diabetes mellitus her morning dose of insulin after
checking her blood glucose level.
D.Intervene after reviewing arterial blood gas results for a client who is on
mechanical ventilation. -✓✓ANSWER: ANS: D
The nurse is using critical thinking when analyzing a client's critical issues and then
planning to intervene with an appropriate action.
• The registered nurse (RN) is explaining Tanner's clinical judgment model to a
student nurse. Which element should the RN explain is needed first to make a
clinical judgment?
A.Intuition
B.Initiation of practice
C.Nursing school education
D.Multiple years of experience -✓✓ANSWER: ANS: C
According to Tanner's clinical judgment model, thinking like a nurse begins with
nursing education, which teaches fundamental nursing skills and knowledge.
,Intuition develops from experience and nursing knowledge over time. Initiation of
practice does improve critical thinking skills but is not the initiating factor.
• During the process of reflection, what is the most appropriate question for a
nurse to ask himself or herself?
A."What could I have done differently?"
B."What's going on right now?"
C."How can the patient's status change?"
D."What should I do to communicate this information?" -✓✓ANSWER: ANS: A
Reflection is the action of retrospectively making sense of occurrences,
experiences, situations, or decisions and learning from them. What did or did not
work? What could have been done differently to achieve better outcomes?
• Entering a room at 2:00 am, a nurse notes that the patient is not in bed; the
patient is sitting in the chair and states that she is having difficulty sleeping.
Employing critical thinking, the nurse responds by:
A.Assisting the patient back into bed
B.Asking more about the patient's sleep problem
C.Positioning the patient and providing a warm blanket
D.Obtaining an order for a hypnotic medication -✓✓ANSWER: ANS: B
Critical thinking involves collecting, interpreting, analyzing, drawing conclusions
first prior to acting. A, C and D are interventions.
• Which of the following definitions best describes Critical Thinking?
,A. The thinking process by which a nurse reaches a clinical judgement.
B.The result (outcome) of critical thinking or clinical reasoning-the conclusion,
decision, or opinion made
C.Systematic decision-making method focusing on identifying and treating
responses of individuals or groups to actual or potential alterations in health.
D.The deliberate nonlinear process of collecting, interpreting, analyzing, drawing
conclusions about, presenting, and evaluating information. -✓✓ANSWER: ANS: D
Critical thinking is a broad/umbrella term that includes reasoning outside and
inside of the clinical setting. Definition is from The Accreditation Commission for
Education in Nursing (ACEN). Critical thinking skills are necessary for sound clinical
decision making. Clinical Reasoning is the thinking process by which a nurse
reaches a clinical judgement. Clinical Judgement refers to the result (outcome) of
critical thinking or clinical reasoning-the conclusion, decision, or opinion made.
Nursing Process: Five-part systematic decision-making method focusing on
identifying and treating responses of individuals or groups to actual or potential
alterations in health. (NANDA: North American Nursing Diagnosis Association)
• A nurse completes an initial assessment of a client. The nurse clusters related
data, recognizes a pattern, signs and symptoms and determines a diagnosis. The
nurse is engaged in which step of Tanner's clinical judgment model?
A.Noticing
B.Interpreting
C.Responding
D.Reflecting -✓✓ANSWER: ANS: B
The step of interpreting in Tanner's clinal judgment model includes: Comparing
and contrasting data, clustering related information, recognizing inconsistencies,
checking accuracy and reliability, distinguishing relevant from irrelevant
information and determining the importance of information
, • Which of the statements best describes the purpose of the nursing process?
A.Deliver care to a client in an organized way.
B.Implement a plan that is close to the medical model.
C.Identify client needs and deliver care to meet those needs.
D.Make sure that standardized care is available to clients. -✓✓ANSWER: ANS: C
The purpose of the nursing process is to diagnose and treat human responses to
actual or potential health problems. Simply described as identifying a client's
actual or potential healthcare problems or needs, establishing plans to meet the
identified needs, and delivering specific nursing interventions to meet those
needs. The Nursing Process is the framework within which nurses provide care to
patients in an organized and effective manner, it is not the purpose. The nursing
process is not part of the medical model. The nursing process is individualized for
each client's care plan. It is not about standardizing care.
• The nurse is planning care for a new patient with unstable blood glucose levels.
Which should be the priority action by the nurse?
A.Establish a specific nursing diagnosis.
B.Complete an assessment on the client.
C.Create a plan of nursing care for the client.
D.Carry out solutions to manage the problem. -✓✓ANSWER: ANS: B
The five steps of the nursing process are assessment, diagnosis, planning
implementation, and evaluation. The nurse should first perform a thorough
assessment and then create a nursing diagnosis based on the assessment data.
The nurse should then create a plan of care with nursing interventions to address
VERIFIED ANSWERS AND STUDY GUIDE
• A nurse is caring for a group of clients. Which of the following actions by the
nurse demonstrates the use of critical thinking skills?
A.Administer an influenza vaccine after asking a client about allergies.
B.Check a client's armband before dispensing daily thyroid medication to a client
who has hypothyroidism.
C.Give a client who has type 1 diabetes mellitus her morning dose of insulin after
checking her blood glucose level.
D.Intervene after reviewing arterial blood gas results for a client who is on
mechanical ventilation. -✓✓ANSWER: ANS: D
The nurse is using critical thinking when analyzing a client's critical issues and then
planning to intervene with an appropriate action.
• The registered nurse (RN) is explaining Tanner's clinical judgment model to a
student nurse. Which element should the RN explain is needed first to make a
clinical judgment?
A.Intuition
B.Initiation of practice
C.Nursing school education
D.Multiple years of experience -✓✓ANSWER: ANS: C
According to Tanner's clinical judgment model, thinking like a nurse begins with
nursing education, which teaches fundamental nursing skills and knowledge.
,Intuition develops from experience and nursing knowledge over time. Initiation of
practice does improve critical thinking skills but is not the initiating factor.
• During the process of reflection, what is the most appropriate question for a
nurse to ask himself or herself?
A."What could I have done differently?"
B."What's going on right now?"
C."How can the patient's status change?"
D."What should I do to communicate this information?" -✓✓ANSWER: ANS: A
Reflection is the action of retrospectively making sense of occurrences,
experiences, situations, or decisions and learning from them. What did or did not
work? What could have been done differently to achieve better outcomes?
• Entering a room at 2:00 am, a nurse notes that the patient is not in bed; the
patient is sitting in the chair and states that she is having difficulty sleeping.
Employing critical thinking, the nurse responds by:
A.Assisting the patient back into bed
B.Asking more about the patient's sleep problem
C.Positioning the patient and providing a warm blanket
D.Obtaining an order for a hypnotic medication -✓✓ANSWER: ANS: B
Critical thinking involves collecting, interpreting, analyzing, drawing conclusions
first prior to acting. A, C and D are interventions.
• Which of the following definitions best describes Critical Thinking?
,A. The thinking process by which a nurse reaches a clinical judgement.
B.The result (outcome) of critical thinking or clinical reasoning-the conclusion,
decision, or opinion made
C.Systematic decision-making method focusing on identifying and treating
responses of individuals or groups to actual or potential alterations in health.
D.The deliberate nonlinear process of collecting, interpreting, analyzing, drawing
conclusions about, presenting, and evaluating information. -✓✓ANSWER: ANS: D
Critical thinking is a broad/umbrella term that includes reasoning outside and
inside of the clinical setting. Definition is from The Accreditation Commission for
Education in Nursing (ACEN). Critical thinking skills are necessary for sound clinical
decision making. Clinical Reasoning is the thinking process by which a nurse
reaches a clinical judgement. Clinical Judgement refers to the result (outcome) of
critical thinking or clinical reasoning-the conclusion, decision, or opinion made.
Nursing Process: Five-part systematic decision-making method focusing on
identifying and treating responses of individuals or groups to actual or potential
alterations in health. (NANDA: North American Nursing Diagnosis Association)
• A nurse completes an initial assessment of a client. The nurse clusters related
data, recognizes a pattern, signs and symptoms and determines a diagnosis. The
nurse is engaged in which step of Tanner's clinical judgment model?
A.Noticing
B.Interpreting
C.Responding
D.Reflecting -✓✓ANSWER: ANS: B
The step of interpreting in Tanner's clinal judgment model includes: Comparing
and contrasting data, clustering related information, recognizing inconsistencies,
checking accuracy and reliability, distinguishing relevant from irrelevant
information and determining the importance of information
, • Which of the statements best describes the purpose of the nursing process?
A.Deliver care to a client in an organized way.
B.Implement a plan that is close to the medical model.
C.Identify client needs and deliver care to meet those needs.
D.Make sure that standardized care is available to clients. -✓✓ANSWER: ANS: C
The purpose of the nursing process is to diagnose and treat human responses to
actual or potential health problems. Simply described as identifying a client's
actual or potential healthcare problems or needs, establishing plans to meet the
identified needs, and delivering specific nursing interventions to meet those
needs. The Nursing Process is the framework within which nurses provide care to
patients in an organized and effective manner, it is not the purpose. The nursing
process is not part of the medical model. The nursing process is individualized for
each client's care plan. It is not about standardizing care.
• The nurse is planning care for a new patient with unstable blood glucose levels.
Which should be the priority action by the nurse?
A.Establish a specific nursing diagnosis.
B.Complete an assessment on the client.
C.Create a plan of nursing care for the client.
D.Carry out solutions to manage the problem. -✓✓ANSWER: ANS: B
The five steps of the nursing process are assessment, diagnosis, planning
implementation, and evaluation. The nurse should first perform a thorough
assessment and then create a nursing diagnosis based on the assessment data.
The nurse should then create a plan of care with nursing interventions to address
