NR 509 week 1
After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be.
A. Objective
B. Reflective
C. Subjective
D. Introspective - CORRECT ANSWER A. Objective
A patient tells the nurse that he is very nervous, is nauseated and feels hot. These types of data would be
A. Objective
B. Reflective
C. Subjective
D. Introspective - CORRECT ANSWER C. Subjective
The patients record, laboratory studies, objective data, and subjective data combine to form the
A. Data base
B. Admitting data
C. Financial Statement
D. Discharge Summary - CORRECT ANSWER A. Data base When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to
A. Immediately notify the patients physician
B. Document the sound exactly as it was heard.
C. Validate the data by asking a coworker to listen to breath sounds
D. Assess it again in 20 minutes to note whether the sound is still present - CORRECT ANSWER C. Validate the data by asking a coworker to listen to
breath sounds
The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses, without a background of skills and experience from which to draw, are more likely to make their decisions using:
A. Intuition
B. A set of rules
C. Articles in journals
D. Advice from supervisors - CORRECT ANSWER b. A set of rules.
Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as:
A. Intuition
B. The nursing process
C. Clinical knowledge
D. Diagnostic reasoning - CORRECT ANSWER A. Intuition
The nurse is reviewing information about EBP. Which statement best reflects EBP?
A. EBP relies on tradition for support of best practices B. EBP is simply the use of best practice techniques for the treatment of patients
C. EBP emphasizes the use of best evidence with the clinicians experience
D. The patients own preferences are not important with EBP. - CORRECT ANSWER C. EBP emphasizes the use of best evidence with the clinicians experience
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem
A. Patient with postoperative pain
B. Newly diagnosed patient with diabetes who needs diabetic teaching
C. Individual with a small laceration on the sole of the foot
D. Individual with shortness of breath and respiratory distress - CORRECT ANSWER D. Individual with shortness of breath and respiratory distress
When considering priority settings of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?
A. Low self-esteem
B. Lack of knowledge
C. Abnormal laboratory values
D. Severely abnormal vital signs - CORRECT ANSWER C. Abnormal laboratory values
Which critical thinking skill helps see relationships among the data?
A. Validation
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant - CORRECT ANSWER B. Clustering related cues The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the ________ diagnosis
A. Nursing
B. Medical
C. Admission
D. Collaborative - CORRECT ANSWER A. Nursing
The nursing process is a sequential method of problem solving that nurses use and includes which steps?
A. Assessment, treatment, planning, evaluation, discharge, and follow-up
B. Admission, assessment, diagnosis, treatment and discharge planning
C. Admission, diagnosis, treatment, evaluation and discharge planning
D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation - CORRECT ANSWER D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
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
A. Breathing, pain, and sleep
B. Breathing, sleep and pain
C. Sleep, breathing and pain
D. Sleep, pain and breathing - CORRECT ANSWER A. Breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
A. Nursing diagnosis
B. Medical diagnosis
C. Diagnostic hypothesis
D. Diagnostic assessment - CORRECT ANSWER C. Diagnostic hypothesis
After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 beats per minute. These types of data would be.
A. Objective
B. Reflective
C. Subjective
D. Introspective - CORRECT ANSWER A. Objective
A patient tells the nurse that he is very nervous, is nauseated and feels hot. These types of data would be
A. Objective
B. Reflective
C. Subjective
D. Introspective - CORRECT ANSWER C. Subjective
The patients record, laboratory studies, objective data, and subjective data combine to form the
A. Data base
B. Admitting data
C. Financial Statement
D. Discharge Summary - CORRECT ANSWER A. Data base When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to
A. Immediately notify the patients physician
B. Document the sound exactly as it was heard.
C. Validate the data by asking a coworker to listen to breath sounds
D. Assess it again in 20 minutes to note whether the sound is still present - CORRECT ANSWER C. Validate the data by asking a coworker to listen to
breath sounds
The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keep in mind that novice nurses, without a background of skills and experience from which to draw, are more likely to make their decisions using:
A. Intuition
B. A set of rules
C. Articles in journals
D. Advice from supervisors - CORRECT ANSWER b. A set of rules.
Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it. These responses are referred to as:
A. Intuition
B. The nursing process
C. Clinical knowledge
D. Diagnostic reasoning - CORRECT ANSWER A. Intuition
The nurse is reviewing information about EBP. Which statement best reflects EBP?
A. EBP relies on tradition for support of best practices B. EBP is simply the use of best practice techniques for the treatment of patients
C. EBP emphasizes the use of best evidence with the clinicians experience
D. The patients own preferences are not important with EBP. - CORRECT ANSWER C. EBP emphasizes the use of best evidence with the clinicians experience
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem
A. Patient with postoperative pain
B. Newly diagnosed patient with diabetes who needs diabetic teaching
C. Individual with a small laceration on the sole of the foot
D. Individual with shortness of breath and respiratory distress - CORRECT ANSWER D. Individual with shortness of breath and respiratory distress
When considering priority settings of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?
A. Low self-esteem
B. Lack of knowledge
C. Abnormal laboratory values
D. Severely abnormal vital signs - CORRECT ANSWER C. Abnormal laboratory values
Which critical thinking skill helps see relationships among the data?
A. Validation
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant - CORRECT ANSWER B. Clustering related cues The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the ________ diagnosis
A. Nursing
B. Medical
C. Admission
D. Collaborative - CORRECT ANSWER A. Nursing
The nursing process is a sequential method of problem solving that nurses use and includes which steps?
A. Assessment, treatment, planning, evaluation, discharge, and follow-up
B. Admission, assessment, diagnosis, treatment and discharge planning
C. Admission, diagnosis, treatment, evaluation and discharge planning
D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation - CORRECT ANSWER D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
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
A. Breathing, pain, and sleep
B. Breathing, sleep and pain
C. Sleep, breathing and pain
D. Sleep, pain and breathing - CORRECT ANSWER A. Breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
A. Nursing diagnosis
B. Medical diagnosis
C. Diagnostic hypothesis
D. Diagnostic assessment - CORRECT ANSWER C. Diagnostic hypothesis
