EXAM TEST AND VERIFIED ANSWERS
MULTIPLE CHOICES|ACCURATE
ANSWERS| 100% ACCURATE
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
,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
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
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
A nurse who is working on a surgical unit is caring for four
different patients. Patient A will be discharged home and
is in need of instruction about wound care. Patients B and
C have returned from the operating room within an hour of
, each other, and both require vital signs and monitoring of
their intravenous (IV) lines.
Patient D is resting following a visit by physical therapy.
Which of the following activities by the nurse represent(s)
use of clinical decision making for groups of patients?
(Select all that apply.)
A. consider how to involve patient A in deciding whether to
involve the family caregiver in wound care instruction
B. Think about past experience with patients who develop
postoperative complications
C. Decide which activities can be combined for patients B
and C
D. Carefully gather any assessment info and identify
patient problems - <<<answer>>>..A & C
The surgical unit has initiated the use of a pain-rating
scale to assess patients' pain severity during their
postoperative recovery. The registered nurse (RN) looks
at the pain flow sheet to see the pain scores recorded for
a patient over the last 24 hours. Use of the pain scale is
an example of which intellectual standard?
A. deep
B. Relevant
C. Consistent