2026 Update) Foundations of Nursing i,- i,- i,- i,- i,-
Exam | Questions with Verified Answers | i,- i,- i,- i,- i,- i,- i,-
100% Correct | Grade A – GCU. i,- i,- i,- i,- i,- i,-
A patient who received penicillin developed a rash on the right
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hand. The pt. Asks the nurse why this happened. How would the
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nurse explain by using previous knowledge
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How to evaluate efficacy of intervention
i,- i,- expected outcome i,- i,- i,- i,-i,- i,- i,- i,-
(physiological, developmental, psychological, social, or spiritual i,- i,- i,- i,- i,- i,-
responses desirable to the pt) i,- i,- i,- i,-
Levels of critical thinking
i,- -Basic: nurses follow whatever
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instructions experts tell them. Low experience i,- i,- i,- i,- i,- i,-
-Complex: nurse begins to analyze the situation independently
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and doesn't need experts
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-Commitment: nurse anticipates when to make decisions without i,- i,- i,- i,- i,- i,- i,- i,-
assistance from others. High level of experience
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What factors can cause errors in data collection
i,- missing data,i,- i,- i,- i,- i,- i,- i,-i,- i,- i,- i,-
inaccurate data, disorganization, lack of knowledge
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,What factors can cause errors in clustering
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closure
What types of interpretation errors may occur with nursing dx
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inaccurate interpretation of cues, insufficient number of cues,
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failure to consider conflicting cues
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What are the 14 intellectual standards universal for critical
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thinking according to R.W. Paul
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-precise
-specific
-accurate
-relevant i,-
-plausible i,-
-consistent
-logical
-deep
-broad
-complete
-significant
-adequate (for purpose) i,- i,-
,-fair
How to be a good critical thinker
i,- i,- i,- i,- i,- i,- i,-i,- i,- be analystic, systematic,
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and inquisitive
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Attitudes: confidence (in knowledge and abilities), fairness (in
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provided care), discipline (thorough and critical assessment of
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any problem), curiosity (question existing practices and improve
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standard of care) i,- i,-
What would a nurse do for a pt that agrees with the nurse that
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the expected outcomes were met
i,- discontinue care plan i,- i,- i,- i,-i,- i,- i,- i,-
What influences critical thinking during assessment
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knowledge, experience, standards, attitudes i,- i,- i,-
Indications of infection after surgery fever, redness around
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incision site, swelling around stitches, tenderness around incision
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Which initial action would the nurse take for a postoperative pt
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who realizes strain of an incision site could cause tearing of the
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stitches, but some of the patient's stitches are pulled out
i,- ask
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if the pt understands which activities can cause strain at incision
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site
, What action would a nurse perform when managing supplies
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needed for a patient's minor procedure
i,- keep extra supplies
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at hand, ensure supplies are safe and not outdated. Extra supplies
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should remain sealed unless they're needed. Must be placed in
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convenient location for easy access during procedure
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What places patients at risk for pressure ulcers/impaired skin
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integrity pressure intensity, pressure duration, tissue
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tolerance, impaired sensory perception, impaired mobility,
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alteration in LOC, shear, friction, moisture
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Layers of the skin
i,- i,- i,- i,-i,- i,- epidermis, dermis (collagen) i,- i,-
Body's defenses against infection
i,- i,- i,- i,-i,- i,- normal flora, inflammatory i,- i,- i,-
response, immune response i,- i,-
Comprehensive wound assessment -ongoing assessment i,- i,- i,-i,- i,- i,- i,-
from time of injury, wound care, any condition changes, and on
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scheduled basis i,-
-Important to include cause of injury, history of wound,
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treatment, description, response to therapy i,- i,- i,- i,-
-Braden scale: assesses risk for pressure/skin injury every shift
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