Clinical Decision Making Practice questions and Answers
6) A client with aspiration pneumonia is diaphoretic, pale, and taking gasping breaths. What should the nurse
do first?
A) Notify the physician.
B) Complete a thorough cardiopulmonary assessment.
C) Administer 10 L of oxygen per face mask.
D) Reposition the client to help with breathing. - ansB
1) A nurse has just received a shift report and is preparing to care for clients assigned on a medical-surgical
unit. Which client should the nurse plan to assess first?
A) The client who needs assistance with activities of daily living
B) The client who needs help ambulating to the bathroom
C) The client with a pain rating of 3/10
D) The client experiencing shortness of breath - ansD
1) During a health history a client becomes upset because the nurse is asking many questions. What should the
nurse respond to the client?
A) "I use the answers you provide to determine what your current health needs are."
B) "I am sorry the questions disturb you."
C) "I will skip the questions that bother you."
D) "I cannot help you if you do not answer me." - ansA
1) The nurse decides to use a standardized plan of care to address a client's health problems. What criterion
differentiates this plan of care from other types?
Select all that apply.
A) Preprinted
B) Has blank lines
C) Has various shapes connected with lines
, D) Has checklists
E) Includes different colors - ansA,B,D
1) The nurse is preparing to provide care to a group of clients. On which specific area(s) should the nurse focus
in order to prioritize the clients' care needs?
Select all that apply.
A) Asking if any clients have complex issues
B) Noting number of licensed staff assigned for the shift
C) Noting time when the attending physicians make rounds
D) Identifying clients with specific medication times
E) Noting which clients have particular safety needs - ansA,D,E
10) A client asks the student nurse to explain the pathophysiology of diabetes. The student nurse does not
know the answer to this question. What should the student respond to the client?
A) "I do not know, but I will find out."
B) "You'll have to ask the doctor that question."
C) "Why do you need to know that?"
D) "I do not know." - ansA
10) A nurse enters a client's room to check on the client's response to IV pain medication she gave on request
20 minutes earlier. She finds the client on her side lying very still and not wanting to move, and asks the client
about her current pain level. Which aspect(s) of the nursing process does this action represent?
Select all that apply.
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
E) Evaluation - ansA,D,E
6) A client with aspiration pneumonia is diaphoretic, pale, and taking gasping breaths. What should the nurse
do first?
A) Notify the physician.
B) Complete a thorough cardiopulmonary assessment.
C) Administer 10 L of oxygen per face mask.
D) Reposition the client to help with breathing. - ansB
1) A nurse has just received a shift report and is preparing to care for clients assigned on a medical-surgical
unit. Which client should the nurse plan to assess first?
A) The client who needs assistance with activities of daily living
B) The client who needs help ambulating to the bathroom
C) The client with a pain rating of 3/10
D) The client experiencing shortness of breath - ansD
1) During a health history a client becomes upset because the nurse is asking many questions. What should the
nurse respond to the client?
A) "I use the answers you provide to determine what your current health needs are."
B) "I am sorry the questions disturb you."
C) "I will skip the questions that bother you."
D) "I cannot help you if you do not answer me." - ansA
1) The nurse decides to use a standardized plan of care to address a client's health problems. What criterion
differentiates this plan of care from other types?
Select all that apply.
A) Preprinted
B) Has blank lines
C) Has various shapes connected with lines
, D) Has checklists
E) Includes different colors - ansA,B,D
1) The nurse is preparing to provide care to a group of clients. On which specific area(s) should the nurse focus
in order to prioritize the clients' care needs?
Select all that apply.
A) Asking if any clients have complex issues
B) Noting number of licensed staff assigned for the shift
C) Noting time when the attending physicians make rounds
D) Identifying clients with specific medication times
E) Noting which clients have particular safety needs - ansA,D,E
10) A client asks the student nurse to explain the pathophysiology of diabetes. The student nurse does not
know the answer to this question. What should the student respond to the client?
A) "I do not know, but I will find out."
B) "You'll have to ask the doctor that question."
C) "Why do you need to know that?"
D) "I do not know." - ansA
10) A nurse enters a client's room to check on the client's response to IV pain medication she gave on request
20 minutes earlier. She finds the client on her side lying very still and not wanting to move, and asks the client
about her current pain level. Which aspect(s) of the nursing process does this action represent?
Select all that apply.
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
E) Evaluation - ansA,D,E
