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NR224 EXAM 1 STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION CHAMBERLAIN

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NR224 EXAM 1 STUDY GUIDE 2026/2027 ACCURATE QUESTIONS WITH CORRECT DETAILED SOLUTIONS || 100% GUARANTEED PASS NEWEST VERSION CHAMBERLAIN 1. critical thinking - ANSWER the ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process 2. characteristics of critical thinking - ANSWER -open-mindedness -continual inquiry -perseverance -willingness to look at each unique patient situation and determine which identified assumptions are true and relevant 3. clinical decision making - ANSWER -Requires careful reasoning (i.e., choosing the options for the best patient outcomes on the basis of a patient's condition and the priority of the problem). -Skilled clinical decision making occurs through knowing the patient. -It has two components: a nurse's understanding of a specific patient and his or her subsequent selection of interventions. 4. critical thinking model - ANSWER Combines a nurse's knowledge base, experience, competence in the nursing process, attitudes, and standards to explain how nurses make clinical judgments that are necessary for safe, effective nursing care. 5. Basic level - ANSWER -level 1 -is an early step in developing reasoning. -thinker learns to accept the diverse opinions and values of experts (e.g., instructors and staff nurse preceptors). -however, inexperience, weak competencies, and inflexible attitudes restrict a person's ability to move to the next level of critical thinking. 6. Complex level - ANSWER -level 2 -each solution has benefits and risks that you weigh before making a final decision. There are options. -Thinking becomes more creative and innovative. -is willing to consider different options from routine procedures when complex situations develop. You learn to gather additional information and take a variety of different approaches for the same therapy. 7. Commitment level - ANSWER -level 3 -you anticipate when to make choices without assistance from others and accept accountability for decisions made. -as a nurse you do more than just consider the complex alternatives that a problem poses. -at the commitment level you choose an action or belief that is based on the available alternatives and support it. 8. To prevent antibiotic resistance - ANSWER Why do we never give antibiotics before getting a culture of anything? While assessing a patient, the nurse observes the patient's IV line is not infusing at the ordered rate. The nurse assesses the patient for pain at the IV site, checks the flow regulator on the tubing, looks to see if the patient is lying on the tubing, checks the point of connection between the tubing and the IV catheter, and then checks the condition of the site where the IV catheter enters the patient's skin. After the nurse readjusts the flow rate, the infusion begins at the correct rate. This is an example of: A. inference B. Diagnostic reasoning C. Competency D. Problem solving - ANSWER D. Problem Solving 9. The nurse sits down to talk with a patient who lost her sister 2 weeks ago. The patient reports she is unable to sleep, feels very fatigued during the day, and is having trouble at work. The nurse asks her to clarify the type of trouble. The patient explains she can't concentrate or even solve simple problems. The nurse records the results of the assessment, describing the patient as having ineffective coping. This is an example of : A. diagnostic reasoning B. Competency C. Inference D. Problem Solving - ANSWER A. Diagnostic reasoning 10. A patient on a surgical unit develops sudden shortness of breath and a drop in BP. The staff respond, but the patient dies 30 minutes later. the manager on the nursing unit calls the staff involved in the emergency response together, The staff discusses what occurred over the 30 minute time frame, the actions taken, and whether other steps should have been implemented. The nurses in this situation are: A. problem solving B. showing humility C. conducting reflective practice D. Exercising responsibility - ANSWER C. Conducting reflective practice 11. A nurse has worked on an oncology unit for 3 years. One patient has become visibly weaker and states, "I feel funny". The nurse knows how patients often have behavior changes before developing sepsis when they have cancer. The nurse asks the patient questions to assess thinking skills and notices the patient shivering. The nurse goes to the phone, calls the physician, and begins the conversation by saying, "I believe that your patient is developing sepsis. I want to report symptoms I'm seeing." What examples of critical thinking concepts does the nurse show? (Select all that apply) A. Experience B. Ethical C. Analyticity D. Self-confidence E. Risk taking - ANSWER C. Analyticity D. Self confidence 12. Select statements that apply to the proper use of a cane. (Select all that apply.)

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NR224 EXAM 3 STUDY GUIDE 2026/2027
ACCURATE QUESTIONS WITH CORRECT
DETAILED SOLUTIONS ||
100% GUARANTEED PASS
<NEWEST VERSION>
CHAMBERLAIN


1. Nutrition- - ANSWER ✔ -Basic component of health
-Is essential for normal growth and development, tissue maintenance and repair,
cellular metabolism, and organ function
-Medical nutrition therapy uses nutrition therapy and counseling to manage
disease.
--Type 1 diabetes mellitus
--Hypertension
--Inflammatory bowel disease
--Enteral nutrition (EN); parenteral nutrition (PN)

2. Factors Influencing Nutrition - ANSWER ✔ -Environmental factors-
sedentary lifestyle, work schedules, fast food
-Developmental needs
--Infants through school age
----Breastfeeding, formula, solid foods
--Adolescents
--Young and middle adults
--Older adults

3. Alternative Food Patterns - ANSWER ✔ -Based on religion, cultural
background, ethics, health beliefs, and preference
-Vegetarian diet consists predominantly of plant foods:
--Ovolactovegetarian (avoids meat, fish, and poultry, but eats eggs and milk)
--Lactovegetarian (drinks milk but avoids eggs)
--Vegan (consumes only plant foods)
--Fruitarian (consumes fruit, nuts, honey, and olive oil)

,-Zen macrobiotic (brown rice, other grains, herbal teas)

4. Nutrition-
Nursing process: assessment - ANSWER ✔ Anthropometry is a measurement
system of the size and makeup of the body.

--An ideal body weight (IBW) provides an estimate of what a person should
weigh.
--Body mass index (BMI) measures weight corrected for height and serves as
an alternative to traditional height-weight relationships.

Laboratory and biochemical tests

dietary and health history

physical examination

dysphagia

5. Nutrition-
Nursing process: planning - ANSWER ✔ -Nutrition education and counseling
are important for all patients to prevent disease and promote health.
Refer to professional standards for nutrition.
-Collaboration with a registered dietitian (RD) helps develop appropriate
nutrition treatment plans.
-Considerations:
--Perioperative food intake
--Enteral and parenteral feedings
--Assistive devices

6. Nutrition-
Nursing process: implementation - ANSWER ✔ Health promotion
--Education
--Early identification of potential or actual problems
--Meal planning
--Weight loss plans
--Food safety

Acute care

,-Risk factors in acutely ill patient
-Advancing diets = Gradual progression of dietary intake or therapeutic diet to
manage illness
-Promoting appetite
-Assisting with oral feedings
--When a patient needs help with eating, it is important to protect his or her
safety, independence, and dignity.

7. Intracellular Fluid (ICF) - ANSWER ✔ Fluid located inside the cells.
Contains water and electrolytes essential for cell function.

8. Extracellular Fluid (ECF) - ANSWER ✔ Fluid located outside the cells,
including interstitial fluid and vascular fluid.

9. Active Transport - ANSWER ✔ Movement of electrolytes across a cell
membrane from a lower concentration to a higher concentration using ATP
energy.

10.Diffusion - ANSWER ✔ Movement of particles from an area of higher
concentration to an area of lower concentration.

11.Osmosis - ANSWER ✔ Movement of water from an area of low particle
concentration to an area of high particle concentration.

12.Filtration - ANSWER ✔ Movement of fluid from an area of high pressure
to an area of low pressure.

13.Fluid Intake - ANSWER ✔ Amount of fluid consumed daily through oral
intake, IV fluids, tube feedings, soups, gelatin, ice cream, and medications.

14.Fluid Output - ANSWER ✔ Fluid lost through urine, diarrhea, vomiting,
wound drainage, gastric suction, lungs, skin, and GI tract.

15.Sensible Fluid Loss - ANSWER ✔ Fluid loss that can be measured, such as
urine, drainage, vomiting, and diarrhea.

16.Insensible Fluid Loss - ANSWER ✔ Fluid loss that cannot easily be
measured, such as sweating and breathing.

, 17.Antidiuretic Hormone (ADH) - ANSWER ✔ Hormone that helps conserve
water by decreasing urine output.

18.Renin-Angiotensin-Aldosterone System (RAAS) - ANSWER ✔ Hormonal
system that regulates blood pressure and fluid balance.

19.Reflex Incontinence - ANSWER ✔ Urinary leakage caused by nerve
damage or spinal cord injury.

20.Overflow Incontinence - ANSWER ✔ Leakage caused by overdistended
bladder and incomplete emptying.

21.Functional Incontinence - ANSWER ✔ Inability to reach toilet in time due
to physical or cognitive impairment.

22.Bedwetting - ANSWER ✔ Involuntary urination during sleep.

23.Urinary Retention - ANSWER ✔ Inability to fully empty the bladder.
Signs/symptoms include hesitancy, distention, weak stream, leakage, and
pain. Treatment includes catheterization.

24.Urinary Tract Infection (UTI) - ANSWER ✔ Infection caused by bacteria
entering urinary tract. Common pathogen is E. coli. Signs/symptoms include
burning, urgency, frequency, and pain.

25.paralytic ileus - ANSWER ✔ no bowl sounds after surgery, constipation,
usually temporary paralysis of intestinal wall that may occur after abdominal
surgery or peritoneal injury and that causes cessation of peristalsis and leads
to abdominal distention and symptoms of obstruction

26.nursing assessment for paralytic ileus - ANSWER ✔ listen to each
quadrant for 5 minutes each, checking medication that would alter bowl
movements, checking for signs of dehydrations, proper nutrition (24 diet
recall) and to see if any intake of food/water, any restrictions on patient

27.process of peristalsis - ANSWER ✔ under control of the nervous system,
contractions occurs every 3 to 12 minutes, mass peristalsis sweeps occur 1 to

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