BSMCON NUR 2101 - STUDY GUIDE -Test 1 (Critical
Thinking & Nursing Process) Questions With Complete
Solutions
A client reports pain 1 hr after receiving a
pain medication. Instead of reassessing the client's
pain, the nurse tells the client he must wait two
more hours before he can receive another dos
This is an example of what level of critical thinking?
1. Basic Critical thinking
2. Complex Critical thinking
3. Commitment Correct Answers 1. Basic Critical thinking
A nurse asks the patient to rate their pain from 0 to 10.
However, instead of only asking that question, the nurse also
asks, "What makes the pain worse? Where does it hurt?" The
nurse is following which critical thinking attitude?
A) Accountability
B) Discipline
C) Completeness
D) Curiosity Correct Answers B) Discipline
A nurse collects data about a patient. What should the nurse do
next?
A) Plan nursing interventions
B) Right patient-centered goals
C) Formulate nursing diagnosis
D) Determine significance of the information Correct Answers
D) Determine significance of the information
After data are collected, they are clustered to determine their
significance.
,Rationale:
A) Nursing care is planned after nursing diagnoses and goals are
identified, not immediately after data are collected.
B) Goals are designed after a nursing diagnosis is identified, not
after data are collected.
C) Once data are collected, the nurse must first organize and
cluster the data to determine significance and make inferences.
After all this is accomplished then the nurse can formulate a
nursing diagnosis.
A nurse concludes that a patient's elevated temperature, pulse,
and respirations are significant? What step of the nursing
process is being used when the nurse comes to this conclusion?
A) Analysis
B) Evaluation
C) Assessment
D) Implementation Correct Answers A) Analysis
Rationale:
During the analysis step of the nursing process, data are
critically analyzed and interpreted; significance of data is
determined; inferences are made and validated; cues and clusters
of cues are compared with the defining characteristics of nursing
diagnosis; contributing factors are identified; and nursing
diagnoses are identified and organized in order of priority.
A nurse evaluates a patient's response to a nursing intervention.
To which aspect of the nursing process is this evaluation most
directly related?
A) Goal
B) Problem
, C) Etiology
D) Implementation Correct Answers A) Goal
Rationale:
To evaluate the effectiveness of the nursing action the nurse
needs to compare the actual patient outcome with the expected
patient outcome. The expected outcomes are measurable data
that reflect goal achievement, and the actual outcomes are what
really happened.
A nurse has been working on a medical unit for 3 weeks. A
patient requires an intravenous catheter to be inserted, so the
nurse refers to the policy and procedure manual to review how
to perform the insertion. The level of critical thinking the nurse
uses is:
A) commitment.
B) scientific method.
C) basic.
D) complex. Correct Answers C) basic critical thinking
A nurse increases the rate of an IV fluid infusion when a client's
blood pressure indicates hypovolemic shock 24 hr after surgery.
This is an example of what level of critical thinking?
1. Basic Critical thinking
2. Complex Critical thinking
3. Commitment Correct Answers 3. Commitment
A nurse is caring for a client who has a new prescription for
antihypertensive medication. Prior to administering the
medication, the nurse uses an electronic database
Thinking & Nursing Process) Questions With Complete
Solutions
A client reports pain 1 hr after receiving a
pain medication. Instead of reassessing the client's
pain, the nurse tells the client he must wait two
more hours before he can receive another dos
This is an example of what level of critical thinking?
1. Basic Critical thinking
2. Complex Critical thinking
3. Commitment Correct Answers 1. Basic Critical thinking
A nurse asks the patient to rate their pain from 0 to 10.
However, instead of only asking that question, the nurse also
asks, "What makes the pain worse? Where does it hurt?" The
nurse is following which critical thinking attitude?
A) Accountability
B) Discipline
C) Completeness
D) Curiosity Correct Answers B) Discipline
A nurse collects data about a patient. What should the nurse do
next?
A) Plan nursing interventions
B) Right patient-centered goals
C) Formulate nursing diagnosis
D) Determine significance of the information Correct Answers
D) Determine significance of the information
After data are collected, they are clustered to determine their
significance.
,Rationale:
A) Nursing care is planned after nursing diagnoses and goals are
identified, not immediately after data are collected.
B) Goals are designed after a nursing diagnosis is identified, not
after data are collected.
C) Once data are collected, the nurse must first organize and
cluster the data to determine significance and make inferences.
After all this is accomplished then the nurse can formulate a
nursing diagnosis.
A nurse concludes that a patient's elevated temperature, pulse,
and respirations are significant? What step of the nursing
process is being used when the nurse comes to this conclusion?
A) Analysis
B) Evaluation
C) Assessment
D) Implementation Correct Answers A) Analysis
Rationale:
During the analysis step of the nursing process, data are
critically analyzed and interpreted; significance of data is
determined; inferences are made and validated; cues and clusters
of cues are compared with the defining characteristics of nursing
diagnosis; contributing factors are identified; and nursing
diagnoses are identified and organized in order of priority.
A nurse evaluates a patient's response to a nursing intervention.
To which aspect of the nursing process is this evaluation most
directly related?
A) Goal
B) Problem
, C) Etiology
D) Implementation Correct Answers A) Goal
Rationale:
To evaluate the effectiveness of the nursing action the nurse
needs to compare the actual patient outcome with the expected
patient outcome. The expected outcomes are measurable data
that reflect goal achievement, and the actual outcomes are what
really happened.
A nurse has been working on a medical unit for 3 weeks. A
patient requires an intravenous catheter to be inserted, so the
nurse refers to the policy and procedure manual to review how
to perform the insertion. The level of critical thinking the nurse
uses is:
A) commitment.
B) scientific method.
C) basic.
D) complex. Correct Answers C) basic critical thinking
A nurse increases the rate of an IV fluid infusion when a client's
blood pressure indicates hypovolemic shock 24 hr after surgery.
This is an example of what level of critical thinking?
1. Basic Critical thinking
2. Complex Critical thinking
3. Commitment Correct Answers 3. Commitment
A nurse is caring for a client who has a new prescription for
antihypertensive medication. Prior to administering the
medication, the nurse uses an electronic database
