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Exam (elaborations)

NR 224 EXAM 1 VERSION 1 & 2 QUESTIONS AND ANSWERS 2025

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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 - D. Problem Solving 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 - A. Diagnostic reasoning 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 - C. Conducting reflective practice 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 - C. Analyticity D. Self confidence

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2024/2025
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