NUR 3100 FUNDAMENTALS EXAM 1 GALEN COLLEGE
Which assessment question should the nurse use to clarify patient information that's
has been obtained
a. "What are the most important things you need to know about your diet"
b. "Am incorrect that you take two medications at home for your blood pressure?"
c. "Have we talked about all of the tissues that you have with wound care?"
d. "Can you talk about your discomfort?" - Answer -b. "Am incorrect that you take two
medications at home for your blood pressure?"
Which essential critical thinking indicator is the nurse using when she tries out a new
way to apply a dressing?
a. Curiosity
b. Discipline
c. Creativity
d. Persistence - Answer -c. creativity
The nurse on the surgical unit has a multiple patient assignment. On beginning the shift,
the nurse determines that the first patient to see in the morning is the individual who:
a. Has a blood pressure of 80/50 mm Hg
b. Requires instruction four wound care
c. Needs to be transferred from bed to chair
d. Received pain medication 5 minutes ago. - Answer -a. Has a blood pressure of
80/50 mm Hg
For the process of reflection, the nurse ask him-or herself which of the following?
a. "How I report the increase ball pressure reading?"
b. "Why is the patient having pain now?"
c. "Did the patient's respiratory status just change?"
d. "How should I have taught the patient patient to do self-injection more efficiently?" -
Answer -d. "How should I have taught the patient patient to do self-injection more
efficiently?"
The nurse is using the personal critical thinking indicator of honesty when he or she
does, which of the following?
a. Feel certain about being able to perform the skill.
b. Provides factual and true information to the patient.
c. Considers all of the information before moving forward with the plan of care.
d. Follows an orderly approach to completing the required interventions. - Answer -b.
Provides factual and true information to the patient.
,The nurse keeps working with the patient to help him ambulate, motivating him to reach
his goal Of being independent. The nurse is demonstrating which critical thinking trait?
a. Confidence.
b. Humility.
c. Persistance
d. Fairness. - Answer -c. Fairness
On entering the room, the experience nurse has a sense that the patient's status has
changed. The nurse is using which attribute of clinical judgment?
a. Intuition
b. Validation
c. Inference
d. Inductive reasoning - Answer -a. Intuition
According to the NCSBN-CJMM, in order to form hypotheses, the nurse needs to
a. Analyze cues
b. Generating solutions
c. Taking action
d. Evaluating outcomes - Answer -b. Generating solutions
The patient tells the nurse that she is not confident with self - injecting of insulin. The
nurse should use which of the following to validate this information from the patient?
a. Ask the family how the patient performed the self-injection
b. Confer with the other staff member to see how the technique was taught to then
patient.
c. Determine what insulin was prescribed by the provider
d. Observe the patient giving the insulin injection - Answer -d. Observe the patient
giving the insulin injection
For a patient who has chronic obstructive pulmonary disease with an excess of
secretions in the bronchioles, which nursing diagnosis is most appropriate?
a. Incomplete airway clearance
b. Ineffective respiratory pattern
c. Potential for asphyxia
d.Difficulty maintaining spontaneous ventilation - Answer -a. Incomplete airway
clearance
Which of the following nursing interventions is most clearly stated, and will assist other
staff members to provide safe care?
a. Provide extra fluids
, b. Increased ambulating in hallway
c. Reinforce use of incentive spirometer tid
d. Complete assessment with patient in the a.m. - Answer -c. Reinforce use of incentive
spirometer tid
The nurse is working with a patient who has the following signs and symptoms: weight
gain, Adema to the lower extremities, increase blood pressure, and abdominal
distention. On the basis of the information, which of the following is the most appropriate
nursing diagnosis?
a. Inadequate, nutritional intake.
b. Increased fluid volume.
c. Urinary reduce tension.
d. Potential for trauma. - Answer -b. Increased fluid volume
In planning for the patient assignment, the nurse prioritizes his schedule on the basis of
the patient's needs and conditions. In reviewing the nursing diagnoses, which of the
following patients should be seen first in the morning?
a. Altered urinary elimination
b. Change in sleep pattern
c. Reduce cardiac output
d. Inability to perform self-care— grooming - Answer -c. Reduce cardiac output
Which of the following is the best example of a measurable patients goal? The patient
will
a. Ambulate independently at least 20 feet in the hallway by the end of the week.
b. I be seen by the nurse for regular monitoring of blood pressure
c. Increased intake of potassium-rich foods.
d. Have less pain and anxiety - Answer -a. Ambulate independently at least 20 feet in
the hallway by the end of the week.
For the patient with a nursing diagnosis, a potential for aspiration, the nurse anticipates
that they will be goals and interventions related to safety observations during
a. Eating
b. Bathing
c. Ambulating
d. Transferring - Answer -a.eating
Which of the following is the best example of a measurable patient goal? the patient will
a. Sit out of bed in the chair
b. Eat low -sodium foods
c. Verbalize feelings about surgery at some point
Which assessment question should the nurse use to clarify patient information that's
has been obtained
a. "What are the most important things you need to know about your diet"
b. "Am incorrect that you take two medications at home for your blood pressure?"
c. "Have we talked about all of the tissues that you have with wound care?"
d. "Can you talk about your discomfort?" - Answer -b. "Am incorrect that you take two
medications at home for your blood pressure?"
Which essential critical thinking indicator is the nurse using when she tries out a new
way to apply a dressing?
a. Curiosity
b. Discipline
c. Creativity
d. Persistence - Answer -c. creativity
The nurse on the surgical unit has a multiple patient assignment. On beginning the shift,
the nurse determines that the first patient to see in the morning is the individual who:
a. Has a blood pressure of 80/50 mm Hg
b. Requires instruction four wound care
c. Needs to be transferred from bed to chair
d. Received pain medication 5 minutes ago. - Answer -a. Has a blood pressure of
80/50 mm Hg
For the process of reflection, the nurse ask him-or herself which of the following?
a. "How I report the increase ball pressure reading?"
b. "Why is the patient having pain now?"
c. "Did the patient's respiratory status just change?"
d. "How should I have taught the patient patient to do self-injection more efficiently?" -
Answer -d. "How should I have taught the patient patient to do self-injection more
efficiently?"
The nurse is using the personal critical thinking indicator of honesty when he or she
does, which of the following?
a. Feel certain about being able to perform the skill.
b. Provides factual and true information to the patient.
c. Considers all of the information before moving forward with the plan of care.
d. Follows an orderly approach to completing the required interventions. - Answer -b.
Provides factual and true information to the patient.
,The nurse keeps working with the patient to help him ambulate, motivating him to reach
his goal Of being independent. The nurse is demonstrating which critical thinking trait?
a. Confidence.
b. Humility.
c. Persistance
d. Fairness. - Answer -c. Fairness
On entering the room, the experience nurse has a sense that the patient's status has
changed. The nurse is using which attribute of clinical judgment?
a. Intuition
b. Validation
c. Inference
d. Inductive reasoning - Answer -a. Intuition
According to the NCSBN-CJMM, in order to form hypotheses, the nurse needs to
a. Analyze cues
b. Generating solutions
c. Taking action
d. Evaluating outcomes - Answer -b. Generating solutions
The patient tells the nurse that she is not confident with self - injecting of insulin. The
nurse should use which of the following to validate this information from the patient?
a. Ask the family how the patient performed the self-injection
b. Confer with the other staff member to see how the technique was taught to then
patient.
c. Determine what insulin was prescribed by the provider
d. Observe the patient giving the insulin injection - Answer -d. Observe the patient
giving the insulin injection
For a patient who has chronic obstructive pulmonary disease with an excess of
secretions in the bronchioles, which nursing diagnosis is most appropriate?
a. Incomplete airway clearance
b. Ineffective respiratory pattern
c. Potential for asphyxia
d.Difficulty maintaining spontaneous ventilation - Answer -a. Incomplete airway
clearance
Which of the following nursing interventions is most clearly stated, and will assist other
staff members to provide safe care?
a. Provide extra fluids
, b. Increased ambulating in hallway
c. Reinforce use of incentive spirometer tid
d. Complete assessment with patient in the a.m. - Answer -c. Reinforce use of incentive
spirometer tid
The nurse is working with a patient who has the following signs and symptoms: weight
gain, Adema to the lower extremities, increase blood pressure, and abdominal
distention. On the basis of the information, which of the following is the most appropriate
nursing diagnosis?
a. Inadequate, nutritional intake.
b. Increased fluid volume.
c. Urinary reduce tension.
d. Potential for trauma. - Answer -b. Increased fluid volume
In planning for the patient assignment, the nurse prioritizes his schedule on the basis of
the patient's needs and conditions. In reviewing the nursing diagnoses, which of the
following patients should be seen first in the morning?
a. Altered urinary elimination
b. Change in sleep pattern
c. Reduce cardiac output
d. Inability to perform self-care— grooming - Answer -c. Reduce cardiac output
Which of the following is the best example of a measurable patients goal? The patient
will
a. Ambulate independently at least 20 feet in the hallway by the end of the week.
b. I be seen by the nurse for regular monitoring of blood pressure
c. Increased intake of potassium-rich foods.
d. Have less pain and anxiety - Answer -a. Ambulate independently at least 20 feet in
the hallway by the end of the week.
For the patient with a nursing diagnosis, a potential for aspiration, the nurse anticipates
that they will be goals and interventions related to safety observations during
a. Eating
b. Bathing
c. Ambulating
d. Transferring - Answer -a.eating
Which of the following is the best example of a measurable patient goal? the patient will
a. Sit out of bed in the chair
b. Eat low -sodium foods
c. Verbalize feelings about surgery at some point
