NUR 155 Nursing Final Exam Questions and Answers Latest Update 2023/2024 Graded 100%

NUR 155 Nursing Final Exam Questions and Answers Latest Update 2023/2024 Graded 100%. Which thinking skill is demonstrated when reviewing the patients chart performing a physical assessment, interviewing family and reviewing drs progress notes?  Gathering complete and accurate data. 5. Which action in the following situation demonstrates using the critical judgement skill?  Mowing the grass a day earlier because the forecast calls for rain 6. How does a person best apply thinking skill of clustering, when preparing for vacation?  Organizing a list of items for the trip 7. Which thinking skill requires the nurse to collect information in a detailed method from various sources?  Gathering collect and accurate data 8. An employee notices a wallet in the restroom with a large amount of cash. Following policy, they take it to the main office. Which thinking skill is the employee demonstrating?  Using legal and ethical and professional guidelines 9. A parent has been helping their two children with homework and determines that one is improving while the other is still doing poorly. Which thinking skill is the parent using in this situation?  Comparing and contrasting 10. A nurse is caring for a 56 yr old patient diagnosed with hypertension. The nurse completes the Epworth sleepiness scale and the patient scores an 11. Which action will the nurse take next?  Ask the patient for more information about their lifestyle and routine schedules 11. Which is an example of subjective data that the nurse might document?  Patient complains of nausea 12. Nursing assistant reports patient’s urine drainage bag appears to be infected. How will the nurse determine accuracy and reliability of this information?  Contact the physician, request an order for a urine culture 13. 76 yr old from a long-term care facility is admitted with confusion and a large bump on their forehead. What action will the nurse take first?  Conduct a focused neuro assessment 14. Which question will the nurse ask to best identify signs and symptoms?  What is different or has changed in this situation. 15. Which thinking skill does the nurse use when grouping similar information to help identify a problem?  Clustering related information 16. Which thinking skill belongs to the interpreting step in Tanner’s?  Comparing and contrasting 17. A Nurse is caring for elderly patient. The patient states he’s been trying to lose weight over the past 3 months but he’s gained 15 lbs. What is the nurse’s next action?  Conduct a patient interview and research the patient’s chart to identify possible reasons for weight gain. 18. Which step in Tanner’s model of clinical judgement involves processing information understanding the situation and planning interventions?  Interpreting 19. The nurse is assigned to a patient with increased memory loss, confusion and at a high risk of wandering off the unit. What action will the nurse take at the beginning of the shift?  Develop a plan to ensure frequent checks on this patient with the nursing assistants and other staff for safety. 20. How do the Spices tool and Epworth sleepiness scale assist nurses in caring for older adults?  They both collect signs and symptoms to identify potential risks. 21. A thinking skill, evaluating data, what is the reason that assessment data is collected again after actions have been performed?  To determine the effectiveness of the actions and see if outcomes were acceptable. 22. A nurse is caring for a patient with a sudden change in health status while collecting data, which thinking skill will the nurse use to determine what information is meaningful to the patient’s condition?  Distinguishing relevant from irrelevant 23. A driver enters a zone where the speed limit drops from 55 to 35. The driver glances at all the gauges on the dashboard, then gathers information from the speedometer to determine what to do next. Which thinking skill is the driver using in this situation?  Distinguishing relevant from irrelevant 24. The LPN is assisting the RN in data collection, how can the LPN collect complete and accurate data?  Assess the patients eating, sleeping and socialization patterns. 25. Which thinking skill does the nurse use when identifying subjective data and objective data do not match?  Recognizing inconsistencies 26. Nurse enters patient’s room, finds him tearful, holding his hands in his lap and gazing downward. Using tanner’s, what action will the nurse take?  Ask the patient if something is troubling him. 27. Which task can a nurse delegate to a nursing assistant?  Assisting the client with a complete bedbath 28. A 67 yr old, new set of dentures. The nurse notes client is very excited about the dentures, earlier in the week, but is not wearing them for meals today. What action will the nurse take initially?  Ask the patient why they are not wearing dentures today. 29. Which is a primary source of subjective data?  Patient statements during the interview 30. Which of the following is considered a secondary source of data?  A family member 31. Patient denies being in pain yet grimaces and moans when repositioned in the bed. The nurse realizes that what the patient says does not match what is observed. Which thinking skill was demonstrated by the nurse?  Recognizing inconsistencies 32. The nurse is caring for a patient with asthma during the exam, the nurse first focuses attention on the respiratory system and then includes all body systems. Which step in tanner’s model of clinical judgement is this nurse demonstrating?  Assessing systemically and comprehensively