NR 224 Fundamentals of Nursing – Exam 1
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Answers & Detailed Rationales |
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What is the first component required for decision making according to
the critical thinking model?
Correct answer- scientific knowledge base
Completing a comprehensive database is done during which phase of
the nursing process?
Correct answer- assessment
After data collection and analysis to identify patient problems, what is
the next phase of the nursing process?
,Correct answer- Diagnosis
(data collection AND analysis occur during the Assessment phase)
Read the following nursing diagnosis. Which part(s) identifies the
defining characteristic(s)?
Impaired gas exchange r/t lack of oxygen flow aeb pt exhibiting
shortness of breath & nasal cannula out of pt's nose
Correct answer- Shortness of breath & nasal cannula out of nose
Give an appropriate goal for this nursing diagnosis:
Acute pain r/t surgical site infection aeb pt rates pain 9/10
continuously
Correct answer- (could be a number of responses but goals should be
written/stated in a format such as):
Pt will _______________ by ________________
For example, pt will rate pain less than 4/10 on pain scale by 1200.
CATEGORY 2 NURSING PROCESS
During which phase of the nursing process are nursing interventions
carried out?
Correct answer- Implementation
Assessing whether pt goals have been met takes place during which
phase of the nursing process?
,Correct answer- Evaluation
If a patient's goal is not met, what should the nurse do?
Correct answer- Re-evaluate pt; identify issues that prevented pt from
achieving goal
When a nurse is consulting a physician or other healthcare personnel,
what should be done first?
Correct answer- Problem identification
This involves considering ALL aspects of a situation when making
decisions and considering what is important in a given situation.
Correct answer- Critical Thinking
CATEGORY 3 SURPRISE ME
What is the most PREFERRED way to take a temperature?
Correct answer- Oral
What aspect of developing critical thinking involves using past
experiences to help in the future?
Correct answer- Reflective Journaling
, What is considered a normal blood pressure in an adult?
Correct answer- <120/<80
If a patient's goal was not met, what needs to be done first?
Correct answer- Reassess the patient
Nurses need to adhere to the hospital policies when providing patient
care. What is the term for these policies?
Correct answer- Institutional practice guidelines
CATEGORY 4 INFECTION
What is the most important thing to do to prevent spread of
infection?
Correct answer- Handwashing
Name at least two signs/symptoms of a localized inflammatory
response
Correct answer- Redness, edema, pain/tenderness, loss of function
Besides, during surgery, when is sterile technique used?
Correct answer- Urinary catheter insertion, most dressing changes,
NT/Trach suctioning...
Study Pack | Verified Questions, Correct
Answers & Detailed Rationales |
Chamberlain| A+ Exam Review
What is the first component required for decision making according to
the critical thinking model?
Correct answer- scientific knowledge base
Completing a comprehensive database is done during which phase of
the nursing process?
Correct answer- assessment
After data collection and analysis to identify patient problems, what is
the next phase of the nursing process?
,Correct answer- Diagnosis
(data collection AND analysis occur during the Assessment phase)
Read the following nursing diagnosis. Which part(s) identifies the
defining characteristic(s)?
Impaired gas exchange r/t lack of oxygen flow aeb pt exhibiting
shortness of breath & nasal cannula out of pt's nose
Correct answer- Shortness of breath & nasal cannula out of nose
Give an appropriate goal for this nursing diagnosis:
Acute pain r/t surgical site infection aeb pt rates pain 9/10
continuously
Correct answer- (could be a number of responses but goals should be
written/stated in a format such as):
Pt will _______________ by ________________
For example, pt will rate pain less than 4/10 on pain scale by 1200.
CATEGORY 2 NURSING PROCESS
During which phase of the nursing process are nursing interventions
carried out?
Correct answer- Implementation
Assessing whether pt goals have been met takes place during which
phase of the nursing process?
,Correct answer- Evaluation
If a patient's goal is not met, what should the nurse do?
Correct answer- Re-evaluate pt; identify issues that prevented pt from
achieving goal
When a nurse is consulting a physician or other healthcare personnel,
what should be done first?
Correct answer- Problem identification
This involves considering ALL aspects of a situation when making
decisions and considering what is important in a given situation.
Correct answer- Critical Thinking
CATEGORY 3 SURPRISE ME
What is the most PREFERRED way to take a temperature?
Correct answer- Oral
What aspect of developing critical thinking involves using past
experiences to help in the future?
Correct answer- Reflective Journaling
, What is considered a normal blood pressure in an adult?
Correct answer- <120/<80
If a patient's goal was not met, what needs to be done first?
Correct answer- Reassess the patient
Nurses need to adhere to the hospital policies when providing patient
care. What is the term for these policies?
Correct answer- Institutional practice guidelines
CATEGORY 4 INFECTION
What is the most important thing to do to prevent spread of
infection?
Correct answer- Handwashing
Name at least two signs/symptoms of a localized inflammatory
response
Correct answer- Redness, edema, pain/tenderness, loss of function
Besides, during surgery, when is sterile technique used?
Correct answer- Urinary catheter insertion, most dressing changes,
NT/Trach suctioning...
