NUR 100 Exam 2 Questions with Verified
Answers
A nurse enters a patient's room at the beginning of a shift to conduct an assessment of
his condition following a blood transfusion. The nurse cared for the patient on the
previous day as well. The patient has a number of issues he wishes to share with the
nurse, who takes time to explore each issue. The nurse also assesses the patient and
finds no signs or symptoms of a reaction to the blood product. The nurse observed the
patient the prior day and sees a change in his behavior, a reluctance to get out of bed
and ambulate. Which of the following actions improve the nurse's ability to make clinical
decisions about this patient? (Select all that apply.) - Answer-- Spending time during the
patient assessment.
- Caring for the patient on consecutive days.
- Knowing the pattern of patient behavior about ambulation.
A nurse has seen many cancer patients struggle with pain management because they
are afraid of becoming addicted to the medicine. Pain control is a priority for cancer
care. By helping patients focus on their values and beliefs about pain control, a nurse
can best make clinical decisions. This is an example of - Answer-Applying ethical
criteria.
The REFLECT model can improve learning after providing patient care. Place the steps
of this model in the correct order: - Answer-- Think about your thoughts and actions at
the time of a situation.
- Review the knowledge you gained from the experience.
- Review the facts of the situation.
- Consider options for handling a similar situation in the future.
- Recall any feelings you had at the time of the situation.
- Create a plan for future situations.
One element of clinical decision making is knowing the patient. Which of the following
activities affect a nurse's ability to know patients better? (Select all that apply.) -
Answer-- Caring for similar groups of patients over time.
- Learning how patients typically respond to their clinical situations.
- Observing patients.
- Engaging with patients experiencing illness.
A nurse is preparing medications for a patient. The nurse checks the name of the
medication on the label with the name of the medication on the doctor's order. At the
bedside the nurse checks the patient's name against the medication order as well. The
nurse is following which critical thinking attitude? - Answer-Responsibility
A nurse has been caring for a patient with a chronic wound that has not been healing.
The nurse talks with a nurse specialist in wound care to find alternative approaches
, from what the health care pro-vider ordered for dressing the wound. The two decide that
because of the patient's allergy to tape a nonallergenic dressing will be used. The nurse
obtains an order from the health care provider for the new dressing. After two days
there is improvement in the wound. This is an example of which critical thinking
standards? (Select all that apply.) - Answer-- Relevant
- Risk taking
- Creativity
A nurse is assigned to care for a woman who is expecting her first child. The nurse
organizes herself and plans to gather data about the patient by applying Pender's health
promotion model, includ-ing the patient's characteristics and experiences and situational
influences. She plans to observe patient behavior and consider the patient's
psychosocial issues. Such data will offer a clear under-standing to help the nurse
identify the patient's needs. This is an example of which of the following concepts?
(Select all that apply.) - Answer-- Deductive reasoning
- Assessment
A nurse is caring for a patient who has poor pain control. The patient has a history of
opioid abuse. During the day the patient made frequent requests for a pain medication.
In order to make an effective clinical decision about this patient, the nurse needs to ask
questions about the data available on the patient to make a thorough and thoughtful
decision. The nurse asks herself, "How does my view about the patient's pain tolerance
compare with the patient's, and does that pose a problem?" This is an example of: -
Answer-A question about perspective.
Which of the following describes a nurse's application of a specific knowledge base
during critical thinking? (Select all that apply.) - Answer-- Initiative in reading current
evidence from the literature.
-Application of nursing theory.
A nurse completes the following steps during her shift of care. Which are the steps of
nursing assessment? (Select all that apply.) - Answer-- The review of patient data in the
medical record
- Confirming a patient's self-report of abdominal pain by inspecting the abdomen.
- Analyzing a set of signs revealing lower leg weakness and unsteady gait with a pattern
of mobility alteration.
- Conducting an interview of a family caregiver.
A nurse initiates a brief interview with a patient who has come to the medical clinic
because of self-reported hoarseness, sore throat, and chest congestion. The nurse
observes that the patient has a slumped posture and is using intercostal muscles to
breathe. The nurse auscultates the patient's lungs and hears crackles in the left lower
lobe. The patient's respiratory rate is 20 per minute compared with an average of 16 per
minute during previous clinic visits. The patient tells the nurse, "It is hard for me to get a
breath." Which of the following data sets are examples of subjective data? (Select all
that apply.) - Answer-- Patient statement, "It's hard for me to get a breath."
Answers
A nurse enters a patient's room at the beginning of a shift to conduct an assessment of
his condition following a blood transfusion. The nurse cared for the patient on the
previous day as well. The patient has a number of issues he wishes to share with the
nurse, who takes time to explore each issue. The nurse also assesses the patient and
finds no signs or symptoms of a reaction to the blood product. The nurse observed the
patient the prior day and sees a change in his behavior, a reluctance to get out of bed
and ambulate. Which of the following actions improve the nurse's ability to make clinical
decisions about this patient? (Select all that apply.) - Answer-- Spending time during the
patient assessment.
- Caring for the patient on consecutive days.
- Knowing the pattern of patient behavior about ambulation.
A nurse has seen many cancer patients struggle with pain management because they
are afraid of becoming addicted to the medicine. Pain control is a priority for cancer
care. By helping patients focus on their values and beliefs about pain control, a nurse
can best make clinical decisions. This is an example of - Answer-Applying ethical
criteria.
The REFLECT model can improve learning after providing patient care. Place the steps
of this model in the correct order: - Answer-- Think about your thoughts and actions at
the time of a situation.
- Review the knowledge you gained from the experience.
- Review the facts of the situation.
- Consider options for handling a similar situation in the future.
- Recall any feelings you had at the time of the situation.
- Create a plan for future situations.
One element of clinical decision making is knowing the patient. Which of the following
activities affect a nurse's ability to know patients better? (Select all that apply.) -
Answer-- Caring for similar groups of patients over time.
- Learning how patients typically respond to their clinical situations.
- Observing patients.
- Engaging with patients experiencing illness.
A nurse is preparing medications for a patient. The nurse checks the name of the
medication on the label with the name of the medication on the doctor's order. At the
bedside the nurse checks the patient's name against the medication order as well. The
nurse is following which critical thinking attitude? - Answer-Responsibility
A nurse has been caring for a patient with a chronic wound that has not been healing.
The nurse talks with a nurse specialist in wound care to find alternative approaches
, from what the health care pro-vider ordered for dressing the wound. The two decide that
because of the patient's allergy to tape a nonallergenic dressing will be used. The nurse
obtains an order from the health care provider for the new dressing. After two days
there is improvement in the wound. This is an example of which critical thinking
standards? (Select all that apply.) - Answer-- Relevant
- Risk taking
- Creativity
A nurse is assigned to care for a woman who is expecting her first child. The nurse
organizes herself and plans to gather data about the patient by applying Pender's health
promotion model, includ-ing the patient's characteristics and experiences and situational
influences. She plans to observe patient behavior and consider the patient's
psychosocial issues. Such data will offer a clear under-standing to help the nurse
identify the patient's needs. This is an example of which of the following concepts?
(Select all that apply.) - Answer-- Deductive reasoning
- Assessment
A nurse is caring for a patient who has poor pain control. The patient has a history of
opioid abuse. During the day the patient made frequent requests for a pain medication.
In order to make an effective clinical decision about this patient, the nurse needs to ask
questions about the data available on the patient to make a thorough and thoughtful
decision. The nurse asks herself, "How does my view about the patient's pain tolerance
compare with the patient's, and does that pose a problem?" This is an example of: -
Answer-A question about perspective.
Which of the following describes a nurse's application of a specific knowledge base
during critical thinking? (Select all that apply.) - Answer-- Initiative in reading current
evidence from the literature.
-Application of nursing theory.
A nurse completes the following steps during her shift of care. Which are the steps of
nursing assessment? (Select all that apply.) - Answer-- The review of patient data in the
medical record
- Confirming a patient's self-report of abdominal pain by inspecting the abdomen.
- Analyzing a set of signs revealing lower leg weakness and unsteady gait with a pattern
of mobility alteration.
- Conducting an interview of a family caregiver.
A nurse initiates a brief interview with a patient who has come to the medical clinic
because of self-reported hoarseness, sore throat, and chest congestion. The nurse
observes that the patient has a slumped posture and is using intercostal muscles to
breathe. The nurse auscultates the patient's lungs and hears crackles in the left lower
lobe. The patient's respiratory rate is 20 per minute compared with an average of 16 per
minute during previous clinic visits. The patient tells the nurse, "It is hard for me to get a
breath." Which of the following data sets are examples of subjective data? (Select all
that apply.) - Answer-- Patient statement, "It's hard for me to get a breath."
