N524 assessment 1 Exam Questions With
Correct Answers
clinical |judgement |steps |- |CORRECT |ANSWER✔✔-Recognize |cues |(assessment): |The |filtering |of
|information |from |different |sources |(i.e., |signs, |symptoms, |health |history, |environment).
|Analyze |cues |(analysis): |The |linking |of |recognized |cues |to |the |client's |clinical |presentation |and
|establishing |probable |client |needs, |concerns, |and |problems.
Prioritize |hypotheses |(analysis): |Establishing |priorities |of |care |based |on |the |client's |health |
problems |(i.e., |environmental |factors, |risk |assessment, |urgency, |signs/symptoms, |diagnostic |
tests, |lab |values).
Generate |solutions |(planning): |Identifying |expected |outcomes |and |related |nursing |
interventions |to |ensure |a |client's |needs |are |met.
Take |actions |(implementation): |To |implement |appropriate |interventions |based |on |nursing |
knowledge, |priorities |of |care, |and |planned |outcomes |to |promote, |maintain, |or |restore |a |
client's |health.
Evaluate |outcomes |(evaluation): |To |evaluate |a |client's |response |to |nursing |interventions |and |
reach |a |nursing |judgment |regarding |the |extent |to |which |outcomes |have |been |met.
nursing |process |- |CORRECT |ANSWER✔✔-Assessment
Diagnosis
Planning
Implementation
,Evaluation
5 |activities |needed |to |preform |a |systematic |assessment |- |CORRECT |ANSWER✔✔-Collect |data
Verify |data
Organize |data
Identify |Patterns
Report |and |record |data
What |is |important |data? |- |CORRECT |ANSWER✔✔-Name
Age
Gender
Admitting |dx
Medical/surgical |hx
Chronic |illness
Advanced |directives
Lab |data/ |diagnostic |tests
Medications
Allergies
Support |services
Psychosocial/Cultural |assessment
What |is |clinical |reasoning? |- |CORRECT |ANSWER✔✔-The |thinking |process |by |which |a |nurse |
reaches |a |clinical |judgement
Considers |nursing |knowledge, |client |situations, |and |prioritization |of |client |problems |and |
concerns, |while |utilizing |evidence-based |practice
,What |is |critical |thinking? |- |CORRECT |ANSWER✔✔-The |skill |of |learning |to |analyze |and |interpret
|data |to |solve |a |problem |to |achieve |a |desired |outcome.
Includes |questioning, |analysis, |synthesis, |interpretation, |inference, |inductive |and |deductive |
reasoning, |intuition, |application, |and |creativity.
Individual |factors |that |impact |clinical |situations |- |CORRECT |ANSWER✔✔-•Nursing |factors |(i.e., |
knowledge, |skills, |specialty)
•Nurse |characteristics |(i.e., |attitudes, |prior |experience, |level |of |experience)
•Cognitive |load |(i.e., |demands |on |the |nurse, |stress, |problem-solving, |memory).
Environmental |factors |that |impact |clinical |situations |- |CORRECT |ANSWER✔✔-•Setting, |
situation, |and |environment |(i.e., |safety |considerations, |equipment, |surroundings)
•Client |observation |(i.e., |age, |symptoms |of |health |alteration)
•Resources |(i.e., |staffing, |supplies, |beds, |care |partners)
•Health |records |(i.e., |history, |labs, |diagnostic |tests, |I&O, |medications, |treatments)
•Time |pressure |(i.e., |pager, |STAT |medication, |change |in |client |condition)
•Cultural |considerations |(i.e., |language, |literacy, |religion, |diet)
•Task |complexity |(i.e., |level |of |difficulty, |complicated |versus |simple |action, |number |of |people |
involved, |sound |delegation)
, •Risk |assessment |(i.e., |identifying |and |finding |ways |to |remove |or |minimize |harm |to |promote |
safety |and |health).
Prioritization |Process |- |CORRECT |ANSWER✔✔-ABCD's
Safety
Stable |vs |Unstable
Diagnosis
Psychosocial |issues
Order |of |required |tasks |
Time |sensitive
Delegable |tasks
After |a |change |of |shift, |you |are |assigned |to |care |for |the |following |patients. |Which |patient |
should |you |assess |first?A. |A |60-year |old |patient |on |a |ventilator |for |whom |a |sterile |sputum |
specimen |must |be |sent |to |the |lab.
|B. |A |55-year |old |with |COPD |and |a |pulse |oximetry |reading |from |the |previous |shift |of |92% |
saturation.
C. |A |70-year |old |with |pneumonia |who |needs |to |be |started |on |intravenous |(IV) |antibiotics.
|D. |A |50-year |old |with |asthma |who |complains |of |shortness |of |breath |after |using |a |
bronchodilator |- |CORRECT |ANSWER✔✔-D. |A |50-year |old |with |asthma |who |complains |of |
shortness |of |breath |after |using |a |bronchodilator.
Sterile |specimen |can |be |delegated |and |is |a |low |priority |task
COPD |patients |will |tend |to |be |at |a |lower |oxygen |level |normally. |This |patient |has |no |additional |
data |that |would |indicate |being |unstable
Correct Answers
clinical |judgement |steps |- |CORRECT |ANSWER✔✔-Recognize |cues |(assessment): |The |filtering |of
|information |from |different |sources |(i.e., |signs, |symptoms, |health |history, |environment).
|Analyze |cues |(analysis): |The |linking |of |recognized |cues |to |the |client's |clinical |presentation |and
|establishing |probable |client |needs, |concerns, |and |problems.
Prioritize |hypotheses |(analysis): |Establishing |priorities |of |care |based |on |the |client's |health |
problems |(i.e., |environmental |factors, |risk |assessment, |urgency, |signs/symptoms, |diagnostic |
tests, |lab |values).
Generate |solutions |(planning): |Identifying |expected |outcomes |and |related |nursing |
interventions |to |ensure |a |client's |needs |are |met.
Take |actions |(implementation): |To |implement |appropriate |interventions |based |on |nursing |
knowledge, |priorities |of |care, |and |planned |outcomes |to |promote, |maintain, |or |restore |a |
client's |health.
Evaluate |outcomes |(evaluation): |To |evaluate |a |client's |response |to |nursing |interventions |and |
reach |a |nursing |judgment |regarding |the |extent |to |which |outcomes |have |been |met.
nursing |process |- |CORRECT |ANSWER✔✔-Assessment
Diagnosis
Planning
Implementation
,Evaluation
5 |activities |needed |to |preform |a |systematic |assessment |- |CORRECT |ANSWER✔✔-Collect |data
Verify |data
Organize |data
Identify |Patterns
Report |and |record |data
What |is |important |data? |- |CORRECT |ANSWER✔✔-Name
Age
Gender
Admitting |dx
Medical/surgical |hx
Chronic |illness
Advanced |directives
Lab |data/ |diagnostic |tests
Medications
Allergies
Support |services
Psychosocial/Cultural |assessment
What |is |clinical |reasoning? |- |CORRECT |ANSWER✔✔-The |thinking |process |by |which |a |nurse |
reaches |a |clinical |judgement
Considers |nursing |knowledge, |client |situations, |and |prioritization |of |client |problems |and |
concerns, |while |utilizing |evidence-based |practice
,What |is |critical |thinking? |- |CORRECT |ANSWER✔✔-The |skill |of |learning |to |analyze |and |interpret
|data |to |solve |a |problem |to |achieve |a |desired |outcome.
Includes |questioning, |analysis, |synthesis, |interpretation, |inference, |inductive |and |deductive |
reasoning, |intuition, |application, |and |creativity.
Individual |factors |that |impact |clinical |situations |- |CORRECT |ANSWER✔✔-•Nursing |factors |(i.e., |
knowledge, |skills, |specialty)
•Nurse |characteristics |(i.e., |attitudes, |prior |experience, |level |of |experience)
•Cognitive |load |(i.e., |demands |on |the |nurse, |stress, |problem-solving, |memory).
Environmental |factors |that |impact |clinical |situations |- |CORRECT |ANSWER✔✔-•Setting, |
situation, |and |environment |(i.e., |safety |considerations, |equipment, |surroundings)
•Client |observation |(i.e., |age, |symptoms |of |health |alteration)
•Resources |(i.e., |staffing, |supplies, |beds, |care |partners)
•Health |records |(i.e., |history, |labs, |diagnostic |tests, |I&O, |medications, |treatments)
•Time |pressure |(i.e., |pager, |STAT |medication, |change |in |client |condition)
•Cultural |considerations |(i.e., |language, |literacy, |religion, |diet)
•Task |complexity |(i.e., |level |of |difficulty, |complicated |versus |simple |action, |number |of |people |
involved, |sound |delegation)
, •Risk |assessment |(i.e., |identifying |and |finding |ways |to |remove |or |minimize |harm |to |promote |
safety |and |health).
Prioritization |Process |- |CORRECT |ANSWER✔✔-ABCD's
Safety
Stable |vs |Unstable
Diagnosis
Psychosocial |issues
Order |of |required |tasks |
Time |sensitive
Delegable |tasks
After |a |change |of |shift, |you |are |assigned |to |care |for |the |following |patients. |Which |patient |
should |you |assess |first?A. |A |60-year |old |patient |on |a |ventilator |for |whom |a |sterile |sputum |
specimen |must |be |sent |to |the |lab.
|B. |A |55-year |old |with |COPD |and |a |pulse |oximetry |reading |from |the |previous |shift |of |92% |
saturation.
C. |A |70-year |old |with |pneumonia |who |needs |to |be |started |on |intravenous |(IV) |antibiotics.
|D. |A |50-year |old |with |asthma |who |complains |of |shortness |of |breath |after |using |a |
bronchodilator |- |CORRECT |ANSWER✔✔-D. |A |50-year |old |with |asthma |who |complains |of |
shortness |of |breath |after |using |a |bronchodilator.
Sterile |specimen |can |be |delegated |and |is |a |low |priority |task
COPD |patients |will |tend |to |be |at |a |lower |oxygen |level |normally. |This |patient |has |no |additional |
data |that |would |indicate |being |unstable
