Fundamentals: Skills Clinical Judgement
Practice Exam Answered Correctly.
What factors impact the nurse's ability to recognize and cluster clinical cues? Select all that apply. -
Answer -Understanding of pathological changes within the body
-Ability to identify a single, significant cue and follow up
-Knowledge of normal human anatomy
-Experience in the clinical setting
During a follow-up assessment of an individual recently discharged from the hospital, which cues, when
clustered, indicate the client is at risk for ineffective health maintenance? Select all that apply. - Answer
-When asked how long they have had high blood pressure, the individual says they don't have that.
-The person is unable to recall the reason they are taking two of their prescribed medications.
Using the drop-down menus, select the body system or location that is impacted by the cues indicated. -
Answer -Neurologic: confusion
-Respiratory: thick grey sputum
-Cardiovascular: chest pain
Select the cues that, when considered together, can explain what may be causing Nadine's daughter to
feel sick. - Answer -stomachache
-warm skin
-sore throat
-headache
-red cheeks
Nadine also knows that Sheila is counting on her to decide what to do next. Based on the cues known at
this time, Nadine decides to take Sheila's temperature and discovers it is 102.3° F. The question that
remains though is "Why does Sheila have a fever?" How can Nadine get more information to help her
understand what is causing the fever? Select all that apply. - Answer -Ask Sheila if she is nauseated or
having diarrhea.
Practice Exam Answered Correctly.
What factors impact the nurse's ability to recognize and cluster clinical cues? Select all that apply. -
Answer -Understanding of pathological changes within the body
-Ability to identify a single, significant cue and follow up
-Knowledge of normal human anatomy
-Experience in the clinical setting
During a follow-up assessment of an individual recently discharged from the hospital, which cues, when
clustered, indicate the client is at risk for ineffective health maintenance? Select all that apply. - Answer
-When asked how long they have had high blood pressure, the individual says they don't have that.
-The person is unable to recall the reason they are taking two of their prescribed medications.
Using the drop-down menus, select the body system or location that is impacted by the cues indicated. -
Answer -Neurologic: confusion
-Respiratory: thick grey sputum
-Cardiovascular: chest pain
Select the cues that, when considered together, can explain what may be causing Nadine's daughter to
feel sick. - Answer -stomachache
-warm skin
-sore throat
-headache
-red cheeks
Nadine also knows that Sheila is counting on her to decide what to do next. Based on the cues known at
this time, Nadine decides to take Sheila's temperature and discovers it is 102.3° F. The question that
remains though is "Why does Sheila have a fever?" How can Nadine get more information to help her
understand what is causing the fever? Select all that apply. - Answer -Ask Sheila if she is nauseated or
having diarrhea.
