Galen College of Nursing —-
3100 Fundamentals EXAM 1
Which assessment question should the nurse use to clarify patient
information that's has been obtained
a. "What are the most important things you need to know about your diet"
b. "Am incorrect that you take two medications at home for your blood
pressure?"
c. "Have we talked about all of the tissues that you have with wound care?"
d. "Can you talk about your discomfort?" - Answer ✔✔ - b. "Am incorrect
that you take two medications at home for your blood pressure?"
Which essential critical thinking indicator is the nurse using when she tries
out a new way to apply a dressing?
a. Curiosity
b. Discipline
c. Creativity
d. Persistence - Answer ✔✔ - c. creativity
The nurse on the surgical unit has a multiple patient assignment. On
beginning the shift, the nurse determines that the first patient to see in the
morning is the individual who:
a. Has a blood pressure of 80/50 mm Hg
b. Requires instruction four wound care
c. Needs to be transferred from bed to chair
d. Received pain medication 5 minutes ago. - Answer ✔✔ - a. Has a blood
pressure of 80/50 mm Hg
,For the process of reflection, the nurse ask him-or herself which of the
following?
a. "How I report the increase ball pressure reading?"
b. "Why is the patient having pain now?"
c. "Did the patient's respiratory status just change?"
d. "How should I have taught the patient patient to do self-injection more
efficiently?" - Answer ✔✔ - d. "How should I have taught the patient patient
to do self-injection more efficiently?"
The nurse is using the personal critical thinking indicator of honesty when he
or she does, which of the following?
a. Feel certain about being able to perform the skill.
b. Provides factual and true information to the patient.
c. Considers all of the information before moving forward with the plan of
care.
d. Follows an orderly approach to completing the required interventions. -
Answer ✔✔ - b. Provides factual and true information to the patient.
The nurse keeps working with the patient to help him ambulate, motivating
him to reach his goal Of being independent. The nurse is demonstrating
which critical thinking trait?
a. Confidence.
b. Humility.
c. Persistance
d. Fairness. - Answer ✔✔ - c. Fairness
On entering the room, the experience nurse has a sense that the patient's
status has changed. The nurse is using which attribute of clinical judgment?
a. Intuition
b. Validation
,c. Inference
d. Inductive reasoning - Answer ✔✔ - a. Intuition
According to the NCSBN-CJMM, in order to form hypotheses, the nurse needs
to
a. Analyze cues
b. Generating solutions
c. Taking action
d. Evaluating outcomes - Answer ✔✔ - b. Generating solutions
The patient tells the nurse that she is not confident with self - injecting of
insulin. The nurse should use which of the following to validate this
information from the patient?
a. Ask the family how the patient performed the self-injection
b. Confer with the other staff member to see how the technique was taught
to then patient.
c. Determine what insulin was prescribed by the provider
d. Observe the patient giving the insulin injection - Answer ✔✔ - d. Observe
the patient giving the insulin injection
For a patient who has chronic obstructive pulmonary disease with an excess
of secretions in the bronchioles, which nursing diagnosis is most
appropriate?
a. Incomplete airway clearance
b. Ineffective respiratory pattern
c. Potential for asphyxia
d.Difficulty maintaining spontaneous ventilation - Answer ✔✔ - a.
Incomplete airway clearance
Which of the following nursing interventions is most clearly stated, and will
assist other staff members to provide safe care?
, a. Provide extra fluids
b. Increased ambulating in hallway
c. Reinforce use of incentive spirometer tid
d. Complete assessment with patient in the a.m. - Answer ✔✔ - c. Reinforce
use of incentive spirometer tid
The nurse is working with a patient who has the following signs and
symptoms: weight gain, Adema to the lower extremities, increase blood
pressure, and abdominal distention. On the basis of the information, which of
the following is the most appropriate nursing diagnosis?
a. Inadequate, nutritional intake.
b. Increased fluid volume.
c. Urinary reduce tension.
d. Potential for trauma. - Answer ✔✔ - b. Increased fluid volume
In planning for the patient assignment, the nurse prioritizes his schedule on
the basis of the patient's needs and conditions. In reviewing the nursing
diagnoses, which of the following patients should be seen first in the
morning?
a. Altered urinary elimination
b. Change in sleep pattern
c. Reduce cardiac output
d. Inability to perform self-care— grooming - Answer ✔✔ - c. Reduce cardiac
output
Which of the following is the best example of a measurable patients goal?
The patient will
a. Ambulate independently at least 20 feet in the hallway by the end of the
week.
b. I be seen by the nurse for regular monitoring of blood pressure
c. Increased intake of potassium-rich foods.
3100 Fundamentals EXAM 1
Which assessment question should the nurse use to clarify patient
information that's has been obtained
a. "What are the most important things you need to know about your diet"
b. "Am incorrect that you take two medications at home for your blood
pressure?"
c. "Have we talked about all of the tissues that you have with wound care?"
d. "Can you talk about your discomfort?" - Answer ✔✔ - b. "Am incorrect
that you take two medications at home for your blood pressure?"
Which essential critical thinking indicator is the nurse using when she tries
out a new way to apply a dressing?
a. Curiosity
b. Discipline
c. Creativity
d. Persistence - Answer ✔✔ - c. creativity
The nurse on the surgical unit has a multiple patient assignment. On
beginning the shift, the nurse determines that the first patient to see in the
morning is the individual who:
a. Has a blood pressure of 80/50 mm Hg
b. Requires instruction four wound care
c. Needs to be transferred from bed to chair
d. Received pain medication 5 minutes ago. - Answer ✔✔ - a. Has a blood
pressure of 80/50 mm Hg
,For the process of reflection, the nurse ask him-or herself which of the
following?
a. "How I report the increase ball pressure reading?"
b. "Why is the patient having pain now?"
c. "Did the patient's respiratory status just change?"
d. "How should I have taught the patient patient to do self-injection more
efficiently?" - Answer ✔✔ - d. "How should I have taught the patient patient
to do self-injection more efficiently?"
The nurse is using the personal critical thinking indicator of honesty when he
or she does, which of the following?
a. Feel certain about being able to perform the skill.
b. Provides factual and true information to the patient.
c. Considers all of the information before moving forward with the plan of
care.
d. Follows an orderly approach to completing the required interventions. -
Answer ✔✔ - b. Provides factual and true information to the patient.
The nurse keeps working with the patient to help him ambulate, motivating
him to reach his goal Of being independent. The nurse is demonstrating
which critical thinking trait?
a. Confidence.
b. Humility.
c. Persistance
d. Fairness. - Answer ✔✔ - c. Fairness
On entering the room, the experience nurse has a sense that the patient's
status has changed. The nurse is using which attribute of clinical judgment?
a. Intuition
b. Validation
,c. Inference
d. Inductive reasoning - Answer ✔✔ - a. Intuition
According to the NCSBN-CJMM, in order to form hypotheses, the nurse needs
to
a. Analyze cues
b. Generating solutions
c. Taking action
d. Evaluating outcomes - Answer ✔✔ - b. Generating solutions
The patient tells the nurse that she is not confident with self - injecting of
insulin. The nurse should use which of the following to validate this
information from the patient?
a. Ask the family how the patient performed the self-injection
b. Confer with the other staff member to see how the technique was taught
to then patient.
c. Determine what insulin was prescribed by the provider
d. Observe the patient giving the insulin injection - Answer ✔✔ - d. Observe
the patient giving the insulin injection
For a patient who has chronic obstructive pulmonary disease with an excess
of secretions in the bronchioles, which nursing diagnosis is most
appropriate?
a. Incomplete airway clearance
b. Ineffective respiratory pattern
c. Potential for asphyxia
d.Difficulty maintaining spontaneous ventilation - Answer ✔✔ - a.
Incomplete airway clearance
Which of the following nursing interventions is most clearly stated, and will
assist other staff members to provide safe care?
, a. Provide extra fluids
b. Increased ambulating in hallway
c. Reinforce use of incentive spirometer tid
d. Complete assessment with patient in the a.m. - Answer ✔✔ - c. Reinforce
use of incentive spirometer tid
The nurse is working with a patient who has the following signs and
symptoms: weight gain, Adema to the lower extremities, increase blood
pressure, and abdominal distention. On the basis of the information, which of
the following is the most appropriate nursing diagnosis?
a. Inadequate, nutritional intake.
b. Increased fluid volume.
c. Urinary reduce tension.
d. Potential for trauma. - Answer ✔✔ - b. Increased fluid volume
In planning for the patient assignment, the nurse prioritizes his schedule on
the basis of the patient's needs and conditions. In reviewing the nursing
diagnoses, which of the following patients should be seen first in the
morning?
a. Altered urinary elimination
b. Change in sleep pattern
c. Reduce cardiac output
d. Inability to perform self-care— grooming - Answer ✔✔ - c. Reduce cardiac
output
Which of the following is the best example of a measurable patients goal?
The patient will
a. Ambulate independently at least 20 feet in the hallway by the end of the
week.
b. I be seen by the nurse for regular monitoring of blood pressure
c. Increased intake of potassium-rich foods.
