NU 611
Clinical Decision Making
Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: A nurse is caring for a patient with suspected sepsis.
Which intervention reflects the application of clinical decision-
making to prioritize care?
A. Administering antibiotics after results of blood cultures are
confirmed
B. Initiating a sepsis protocol, including fluid resuscitation and
broad-spectrum antibiotics
C. Documenting clinical findings and waiting for physician
instructions
D. Consulting with colleagues before taking any action
©2025
, ANS: B
Rationale: Early recognition and intervention in sepsis are
critical. Initiating a sepsis protocol promptly improves patient
outcomes by addressing the condition effectively.
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2. Fill-in-the-Blank
Question: In clinical decision-making, ____________ refers to
the process of integrating evidence-based guidelines with the
nurse’s clinical expertise to provide patient care.
ANS: evidence-based practice
Rationale: Evidence-based practice combines research
evidence, clinical expertise, and patient preferences to enhance
decision-making and care quality.
---
3. True/False
©2025
, Question: In clinical decision-making, shared decision-making
involves both the healthcare provider and the patient actively
participating in care planning.
ANS: True
Rationale: Shared decision-making incorporates the patient’s
preferences and values with clinical expertise, resulting in
individualized and patient-centered care.
---
4. Multiple Response
Question: Which factors influence effective clinical decision-
making? (Select all that apply)
- A. Patient preferences
- B. Nurse’s clinical expertise
- C. Availability of resources
- D. Ignoring team input
ANS: A, B, C
Rationale: Effective decision-making is influenced by patient
preferences, the nurse’s expertise, and resource availability.
Ignoring team input negatively impacts decision quality.
©2025
, ---
5. Multiple Choice
Question: During a clinical emergency, a nurse must decide
whether to administer a medication without a physician’s order.
Which principle of decision-making should guide this action?
A. Strict adherence to protocol
B. Risk-benefit analysis considering patient safety
C. Waiting for the physician’s response
D. Delegating the task to a colleague
ANS: B
Rationale: In emergencies, decisions should prioritize patient
safety through a risk-benefit analysis, ensuring timely and
appropriate interventions.
---
6. Fill-in-the-Blank
©2025
Clinical Decision Making
Finals Exam Review (Qns & Ans)
2025
1. Multiple Choice
Question: A nurse is caring for a patient with suspected sepsis.
Which intervention reflects the application of clinical decision-
making to prioritize care?
A. Administering antibiotics after results of blood cultures are
confirmed
B. Initiating a sepsis protocol, including fluid resuscitation and
broad-spectrum antibiotics
C. Documenting clinical findings and waiting for physician
instructions
D. Consulting with colleagues before taking any action
©2025
, ANS: B
Rationale: Early recognition and intervention in sepsis are
critical. Initiating a sepsis protocol promptly improves patient
outcomes by addressing the condition effectively.
---
2. Fill-in-the-Blank
Question: In clinical decision-making, ____________ refers to
the process of integrating evidence-based guidelines with the
nurse’s clinical expertise to provide patient care.
ANS: evidence-based practice
Rationale: Evidence-based practice combines research
evidence, clinical expertise, and patient preferences to enhance
decision-making and care quality.
---
3. True/False
©2025
, Question: In clinical decision-making, shared decision-making
involves both the healthcare provider and the patient actively
participating in care planning.
ANS: True
Rationale: Shared decision-making incorporates the patient’s
preferences and values with clinical expertise, resulting in
individualized and patient-centered care.
---
4. Multiple Response
Question: Which factors influence effective clinical decision-
making? (Select all that apply)
- A. Patient preferences
- B. Nurse’s clinical expertise
- C. Availability of resources
- D. Ignoring team input
ANS: A, B, C
Rationale: Effective decision-making is influenced by patient
preferences, the nurse’s expertise, and resource availability.
Ignoring team input negatively impacts decision quality.
©2025
, ---
5. Multiple Choice
Question: During a clinical emergency, a nurse must decide
whether to administer a medication without a physician’s order.
Which principle of decision-making should guide this action?
A. Strict adherence to protocol
B. Risk-benefit analysis considering patient safety
C. Waiting for the physician’s response
D. Delegating the task to a colleague
ANS: B
Rationale: In emergencies, decisions should prioritize patient
safety through a risk-benefit analysis, ensuring timely and
appropriate interventions.
---
6. Fill-in-the-Blank
©2025
