MED-SURG EXAM 1 CH
1,2,3,15,16,17 WITH
CORRECT ANSWERS 2025
The nurse is caring for a group of patients on a
surgical unit. The licensed practical nurse/licensed
medical-
nurse (LPN/LVN) assesses the patient experiencing
vocational
a low glucose first. Which process was needed to
blood
make this ( Correct answers ) Application of clinical
decision?
judgment
The LPN/LVN enters the room of a patient who is angry and yells, "I
asked
ago for5 minutes
pain medication. You're so worthless!" Which action by the nurse
my
intellectu
demonstrates
integrity? ( Correct answers ) Refusing to share details of the
al
interaction with
colleague
s
The nurse is collecting data on a patient. Which data is considered
cues? ( Correct
answers ) Respiratory rate of 26 per
minute
Which items are a part of "generate solutions" when using the
clinical judgment
process? ( Correct answers ) Reposition the
patient.
The nurse is prioritizing care based on Maslow's hierarchy of needs. Which
need does
the
nurse
identify as having the highest priority? ( Correct answers ) Poor
sleep habits
The nurse is using the clinical judgment process to provide care
to a patient
experiencing
During the process of generating solutions, the patient begins to vomit.
nausea.
What
the nurse
should
next? ( Correct answers ) Identify and analyze the new cues
do
presented.
While caring for a patient 4 hours after a surgical procedure, the
LPN/LVN notes
serosanguineo
drainage on the dressing. Which phase of clinical judgment does this
us
represent?
Correct answers
( ) Identify
cues
The nurse is caring for a patient using the nursing process. Which step
shouldtake
nurse the first? ( Correct answers )
Assessment
GRADED
A+
, The nurse hears the patient groan when getting out of bed and asks if
there is
using a pain,
scale. This describes which step of the clinical judgment process? ( Correct
pain
answersand
Identify ) analyze cues
The nurse is evaluating outcomes for a patient with difficult breathing
from asthma.
Whic
determines a positive outcome after the delivery of medication?
h
( Correct
The patient
answers
can walk
) to the restroom without reporting shortness of
breath.
The nurse
nurse a is speaking with a patient about a new medication. The
patient
that theasks
question nurse thecannot answer confidently, and the nurse says, "I'm not
sure, but I'll find
out
you." What is the nurse practicing? ( Correct answers ) Intellectual
for
humility
The nurse
should the is evaluating outcomes for a patient who is dehydrated.
Which
nurse
use to outcome
guide this patient's care? ( Correct answers ) The patient's intake
is 3,000 mL
daily
.
Which statement is a part of the CUS acronym? ( Correct answers ) I am
concerned!
Why are only 23% of new nurses practice-ready upon graduation from
nursing school? ( Correct answers ) They are unable to recognize a
change in a patient's condition.
Which factors lead to failure to rescue events? ( Correct answers )
Poor staffing
Which critical thinking trait is demonstrated when the LPN/LVN is unsure
of how to
perform
dressing change and asks the RN for assistance? ( Correct answers )
a
humility
Intellectual
Which action should the nurse take after identifying and analyzing cues
in a clinical situation? ( Correct answers ) Prioritize hypotheses
The LPN/LVN asks a patient who received 2 mg of morphine IV 30
minutes ago to rate
their
Which step of the clinical judgment process is the nurse using? ( Correct
pain.
answersand
Identify ) analyze
cues
The LPN/LVN is assisting the RN in generating solutions for a patient.
Which is an
example of
a
collaborative action? ( Correct answers ) Requesting a dietitian
consultation
GRADED
A+
1,2,3,15,16,17 WITH
CORRECT ANSWERS 2025
The nurse is caring for a group of patients on a
surgical unit. The licensed practical nurse/licensed
medical-
nurse (LPN/LVN) assesses the patient experiencing
vocational
a low glucose first. Which process was needed to
blood
make this ( Correct answers ) Application of clinical
decision?
judgment
The LPN/LVN enters the room of a patient who is angry and yells, "I
asked
ago for5 minutes
pain medication. You're so worthless!" Which action by the nurse
my
intellectu
demonstrates
integrity? ( Correct answers ) Refusing to share details of the
al
interaction with
colleague
s
The nurse is collecting data on a patient. Which data is considered
cues? ( Correct
answers ) Respiratory rate of 26 per
minute
Which items are a part of "generate solutions" when using the
clinical judgment
process? ( Correct answers ) Reposition the
patient.
The nurse is prioritizing care based on Maslow's hierarchy of needs. Which
need does
the
nurse
identify as having the highest priority? ( Correct answers ) Poor
sleep habits
The nurse is using the clinical judgment process to provide care
to a patient
experiencing
During the process of generating solutions, the patient begins to vomit.
nausea.
What
the nurse
should
next? ( Correct answers ) Identify and analyze the new cues
do
presented.
While caring for a patient 4 hours after a surgical procedure, the
LPN/LVN notes
serosanguineo
drainage on the dressing. Which phase of clinical judgment does this
us
represent?
Correct answers
( ) Identify
cues
The nurse is caring for a patient using the nursing process. Which step
shouldtake
nurse the first? ( Correct answers )
Assessment
GRADED
A+
, The nurse hears the patient groan when getting out of bed and asks if
there is
using a pain,
scale. This describes which step of the clinical judgment process? ( Correct
pain
answersand
Identify ) analyze cues
The nurse is evaluating outcomes for a patient with difficult breathing
from asthma.
Whic
determines a positive outcome after the delivery of medication?
h
( Correct
The patient
answers
can walk
) to the restroom without reporting shortness of
breath.
The nurse
nurse a is speaking with a patient about a new medication. The
patient
that theasks
question nurse thecannot answer confidently, and the nurse says, "I'm not
sure, but I'll find
out
you." What is the nurse practicing? ( Correct answers ) Intellectual
for
humility
The nurse
should the is evaluating outcomes for a patient who is dehydrated.
Which
nurse
use to outcome
guide this patient's care? ( Correct answers ) The patient's intake
is 3,000 mL
daily
.
Which statement is a part of the CUS acronym? ( Correct answers ) I am
concerned!
Why are only 23% of new nurses practice-ready upon graduation from
nursing school? ( Correct answers ) They are unable to recognize a
change in a patient's condition.
Which factors lead to failure to rescue events? ( Correct answers )
Poor staffing
Which critical thinking trait is demonstrated when the LPN/LVN is unsure
of how to
perform
dressing change and asks the RN for assistance? ( Correct answers )
a
humility
Intellectual
Which action should the nurse take after identifying and analyzing cues
in a clinical situation? ( Correct answers ) Prioritize hypotheses
The LPN/LVN asks a patient who received 2 mg of morphine IV 30
minutes ago to rate
their
Which step of the clinical judgment process is the nurse using? ( Correct
pain.
answersand
Identify ) analyze
cues
The LPN/LVN is assisting the RN in generating solutions for a patient.
Which is an
example of
a
collaborative action? ( Correct answers ) Requesting a dietitian
consultation
GRADED
A+
