EXAM QUESTIONS WITH
DETAILED VERIFIED ANSWERS
ALREADY GRADED A+
"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=> ANS: D
First-level priority problems are those that are emergent, life threatening, and immediate (e.g.,
establishing an airway, supporting breathing, maintaining circulation, monitoring abnormal vital
signs) (see Table 1-1)."
"When considering priority setting 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=> ANS: C Second-level priority problems are
those that require prompt intervention to forestall further deterioration (e.g., mental status
change, acute pain, abnormal laboratory values, risks to safety or security) (see Table 1-1)"
"Which critical thinking skill helps the nurse see relationships among the data?
a . Validation
b . Clustering related cues
c . Identifying gaps in data
d . Distinguishing relevant from irrelevant - CORRECT ANSWER=> ANS: B Clustering related cues
helps the nurse see relationships among the data."
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,". 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=> ANS: A An accurate nursing diagnosis provides the basis for
the selection of nursing interventions to achieve outcomes for which the nurse is accountable.
The other items do not contribute to the development of appropriate nursing interventions"
"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=> ANS: D The nursing process is a method
of problem solving that includes 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=> ANS: A First-level priority problems are
immediate priorities, remembering the ABCs (airway, breathing, and circulation), followed by
second-level problems, and then third-level problems."
"14. 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=> ANS: C Diagnostic reasoning calls for the nurse
to formulate a diagnostic hypothesis; the nursing process calls for a nursing diagnosis."
"Barriers to incorporating EBP include:
a . Nurses lack of research skills in evaluating the quality of research studies.
b . Lack of significant research studies.
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, c . Insufficient clinical skills of nurses.
d . Inadequate physical assessment skills - CORRECT ANSWER=> ANS: A As individuals, nurses lack
research skills in evaluating the quality of research studies, are isolated from other colleagues
who are knowledgeable in research, and often lack the time to visit the library to read research.
The other responses are not considered barriers."
"What step of the nursing process includes data collection by health history, physical
examination, and interview?
a Planning .
b Diagnosis .
c Evaluation .
d Assessment - CORRECT ANSWER=> ANS: D Data collection, including performing the health
history, physical examination, and interview, is the assessment step of the nursing process"
"During a staff meeting, nurses discuss the problems with accessing research studies to
incorporate evidence-based clinical decision making into their practice. Which suggestion by the
nurse manager would best help these problems?
a . Form a committee to conduct research studies.
b . Post published research studies on the units bulletin boards.
c . Encourage the nurses to visit the library to review studies.
d . Teach the nurses how to conduct electronic searches for research studies. - CORRECT
ANSWER=> ANS: D Facilitating support for EBP would include teaching the nurses how to
conduct electronic searches; time to visit the library may not be available for many nurses.
Actually conducting research studies may be helpful in the long-run but not an immediate
solution to reviewing existing research."
"When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these?
a . Disease originates from the external environment.
b . The individual human is a closed system.
c . Nurses are responsible for a patients health state.
d . Holistic health views the mind, body, and spirit as interdependent. - CORRECT ANSWER=>
ANS: D Consideration of the whole person is the essence of holistic health, which views the
mind, body, and spirit as interdependent. The basis of disease originates from both the external
environment and from within the person. Both the individual human and the external
environment are open systems, continually changing and adapting, and each person is
responsible for his or her own personal health state."
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