MID TERM NUR 634 QUESTIONS WITH
CORRECT ANSWERS RATED A+
Afterscompletingsansinitialsassessmentsofsaspatient,sthesnurseshasschartedsthatshissrespirationssares
eupneicsandshisspulsesiss58sbeatsspersminute.sThesestypessofsdataswouldsbe
:a.sObjective.
b.sReflective.
c.sSubjective.
d.sIntrospective.s-sCORRECTsANSWERSA.sObjective
Aspatientstellssthesnursesthatshesissverysnervous,sissnauseated,sands"feelsshot."sThesestypessofsdatas
wouldsbe:
a.sObjective
.b.sReflective
.c.sSubjective
.d.sIntrospectives-sCORRECTsANSWERSC.sSubjective
Thespatient'ssrecord,slaboratorysstudies,sobjectivesdata,sandssubjectivesdatascombinestosformsthe
AsDatasbase:
s
b.sAdmittingsdata.
c.sFinancialsstatement.
d.sDischargessummary.s-sCORRECTsANSWERSA.sDatasBase
Whenslisteningstosaspatient'ssbreathssounds,sthesnursesissunsuresofsassoundsthatsissheard.sThesnurse
'ssnextsactionsshouldsbesto
:a.sImmediatelysnotifysthespatient'ssphysician.
b.sDocumentsthessoundsexactlysassitswassheard
.c.sValidatesthesdatasbysaskingsascoworkerstoslistenstosthesbreathssounds.
,d.sAssesssagainsins20sminutesstosnoteswhethersthessoundsissstillspresent.s-
sCORRECTsANSWERSc.sValidatesthesdatasbysaskingsascoworkerstoslistenstosthesbreathssounds.
Whensunsuresofsassoundsheardswhileslisteningstosaspatientssbreathssounds,sthesnursesvalidatessthes
datastosensuresaccuracy.sIfsthesnurseshasslesssexperiencesinsansarea,sthenshesorsshesaskssansexpertst
oslisten.
Thesnursesissconductingsasclasssforsnewsgraduatesnurses.sDuringsthesteachingssession,sthesnursessh
ouldskeepsinsmindsthatsnovicesnurses,swithoutsasbackgroundsofsskillssandsexperiencesfromswhichsto
sdraw,saresmoreslikelystosmakestheirsdecisionssusing:s
as.sIntuition.s
bs.sAssetsofsrules.s
cs.sArticlessinsjournals.
sds.sAdvicesfromssupervisors.s-
sCORRECTsANSWERSANS:sBsNovicesnursessoperatesfromsassetsofsdefined,sstructuredsrules.sThesexp
ertspractitionersusessintuitiveslinks.
Expertsnursesslearnstosattendstosaspatternsofsassessmentsdatasandsactswithoutsconsciouslyslabelings
it.sThesesresponsessaresreferredstosas:s
as.sIntuition.s
bs.sThesnursingsprocess.
c . Clinicalsknowledge.s
s s s
ds.sDiagnosticsreasonings-
sCORRECTsANSWERSANS:sAsIntuitionsisscharacterizedsbyspatternsrecognitionexpertsnursesslearnstos
attendstosaspatternsofsassessmentsdatasandsactswithoutsconsciouslyslabelingsit.sThesothersoptionssa
resnotscorrect.
.sThesnursesissreviewingsinformationsaboutsevidence-
basedspractices(EBP).sWhichsstatementsbestsreflectssEBP?
as.sEBPsreliessonstraditionsforssupportsofsbestspractices.
bs.sEBPsisssimplysthesusesofsbestspracticestechniquessforsthestreatmentsofspatients.
s
, c . EBPsemphasizessthesusesofsbestsevidenceswithsthesclinicianssexperience
s s s
.sds.sThespatientssownspreferencessaresnotsimportantswithsEBP.s-
sCORRECTsANSWERSANS:sCsEBPsissassystematicsapproachstospracticesthatsemphasizessthesusesofsbe
stsevidencesinscombinationswithsthesclinicianssexperience,sasswellsasspatientspreferencessandsvalue
s,swhensmakingsdecisionssaboutscaresandstreatment.sEBPsissmoresthanssimplysusingsthesbestspracti
cestechniquesstostreatspatients,sandsquestioningstraditionsissimportantswhensnoscompellingsandssu
pportivesresearchsevidencesexists.
Thesnursesissconductingsasclasssonspriorityssettingsforsasgroupsofsnewsgraduatesnurses.sWhichsissans
examplesofsasfirst-levelsprioritysproblem?
as.sPatientswithspostoperativespains
s
bs.sNewlysdiagnosedspatientswithsdiabetesswhosneedssdiabeticsteachingscs.sIndividualswithsassmallsl
acerationsonsthessolesofsthesfoots
ds.sIndividualswithsshortnesssofsbreathsandsrespiratorysdistresss-sCORRECTsANSWERSANS:sDsFirst-
levelsprioritysproblemssaresthosesthatsaresemergent,slifesthreatening,sandsimmediates(e.g.,sestablis
hingsansairway,ssupportingsbreathing,smaintainingscirculation,smonitoringsabnormalsvitalssigns)s(se
esTables1-1).
Whensconsideringspriorityssettingsofsproblems,sthesnurseskeepssinsmindsthatssecond-
levelsprioritysproblemssincludeswhichsofsthesesaspects?
as.sLowsself-esteem
bs.sLacksofsknowledges
s
cs.sAbnormalslaboratorysvaluess
ds.sSeverelysabnormalsvitalssignss-sCORRECTsANSWERSANS:sCsSecond-
levelsprioritysproblemssaresthosesthatsrequirespromptsinterventionstosforestallsfurthersdeterioratio
ns(e.g.,smentalsstatusschange,sacutespain,sabnormalslaboratorysvalues,srisksstossafetysorssecurity)s(s
eesTables1-1)
Whichscriticalsthinkingsskillshelpssthesnursesseesrelationshipssamongsthesdata?s
as.sValidations
CORRECT ANSWERS RATED A+
Afterscompletingsansinitialsassessmentsofsaspatient,sthesnurseshasschartedsthatshissrespirationssares
eupneicsandshisspulsesiss58sbeatsspersminute.sThesestypessofsdataswouldsbe
:a.sObjective.
b.sReflective.
c.sSubjective.
d.sIntrospective.s-sCORRECTsANSWERSA.sObjective
Aspatientstellssthesnursesthatshesissverysnervous,sissnauseated,sands"feelsshot."sThesestypessofsdatas
wouldsbe:
a.sObjective
.b.sReflective
.c.sSubjective
.d.sIntrospectives-sCORRECTsANSWERSC.sSubjective
Thespatient'ssrecord,slaboratorysstudies,sobjectivesdata,sandssubjectivesdatascombinestosformsthe
AsDatasbase:
s
b.sAdmittingsdata.
c.sFinancialsstatement.
d.sDischargessummary.s-sCORRECTsANSWERSA.sDatasBase
Whenslisteningstosaspatient'ssbreathssounds,sthesnursesissunsuresofsassoundsthatsissheard.sThesnurse
'ssnextsactionsshouldsbesto
:a.sImmediatelysnotifysthespatient'ssphysician.
b.sDocumentsthessoundsexactlysassitswassheard
.c.sValidatesthesdatasbysaskingsascoworkerstoslistenstosthesbreathssounds.
,d.sAssesssagainsins20sminutesstosnoteswhethersthessoundsissstillspresent.s-
sCORRECTsANSWERSc.sValidatesthesdatasbysaskingsascoworkerstoslistenstosthesbreathssounds.
Whensunsuresofsassoundsheardswhileslisteningstosaspatientssbreathssounds,sthesnursesvalidatessthes
datastosensuresaccuracy.sIfsthesnurseshasslesssexperiencesinsansarea,sthenshesorsshesaskssansexpertst
oslisten.
Thesnursesissconductingsasclasssforsnewsgraduatesnurses.sDuringsthesteachingssession,sthesnursessh
ouldskeepsinsmindsthatsnovicesnurses,swithoutsasbackgroundsofsskillssandsexperiencesfromswhichsto
sdraw,saresmoreslikelystosmakestheirsdecisionssusing:s
as.sIntuition.s
bs.sAssetsofsrules.s
cs.sArticlessinsjournals.
sds.sAdvicesfromssupervisors.s-
sCORRECTsANSWERSANS:sBsNovicesnursessoperatesfromsassetsofsdefined,sstructuredsrules.sThesexp
ertspractitionersusessintuitiveslinks.
Expertsnursesslearnstosattendstosaspatternsofsassessmentsdatasandsactswithoutsconsciouslyslabelings
it.sThesesresponsessaresreferredstosas:s
as.sIntuition.s
bs.sThesnursingsprocess.
c . Clinicalsknowledge.s
s s s
ds.sDiagnosticsreasonings-
sCORRECTsANSWERSANS:sAsIntuitionsisscharacterizedsbyspatternsrecognitionexpertsnursesslearnstos
attendstosaspatternsofsassessmentsdatasandsactswithoutsconsciouslyslabelingsit.sThesothersoptionssa
resnotscorrect.
.sThesnursesissreviewingsinformationsaboutsevidence-
basedspractices(EBP).sWhichsstatementsbestsreflectssEBP?
as.sEBPsreliessonstraditionsforssupportsofsbestspractices.
bs.sEBPsisssimplysthesusesofsbestspracticestechniquessforsthestreatmentsofspatients.
s
, c . EBPsemphasizessthesusesofsbestsevidenceswithsthesclinicianssexperience
s s s
.sds.sThespatientssownspreferencessaresnotsimportantswithsEBP.s-
sCORRECTsANSWERSANS:sCsEBPsissassystematicsapproachstospracticesthatsemphasizessthesusesofsbe
stsevidencesinscombinationswithsthesclinicianssexperience,sasswellsasspatientspreferencessandsvalue
s,swhensmakingsdecisionssaboutscaresandstreatment.sEBPsissmoresthanssimplysusingsthesbestspracti
cestechniquesstostreatspatients,sandsquestioningstraditionsissimportantswhensnoscompellingsandssu
pportivesresearchsevidencesexists.
Thesnursesissconductingsasclasssonspriorityssettingsforsasgroupsofsnewsgraduatesnurses.sWhichsissans
examplesofsasfirst-levelsprioritysproblem?
as.sPatientswithspostoperativespains
s
bs.sNewlysdiagnosedspatientswithsdiabetesswhosneedssdiabeticsteachingscs.sIndividualswithsassmallsl
acerationsonsthessolesofsthesfoots
ds.sIndividualswithsshortnesssofsbreathsandsrespiratorysdistresss-sCORRECTsANSWERSANS:sDsFirst-
levelsprioritysproblemssaresthosesthatsaresemergent,slifesthreatening,sandsimmediates(e.g.,sestablis
hingsansairway,ssupportingsbreathing,smaintainingscirculation,smonitoringsabnormalsvitalssigns)s(se
esTables1-1).
Whensconsideringspriorityssettingsofsproblems,sthesnurseskeepssinsmindsthatssecond-
levelsprioritysproblemssincludeswhichsofsthesesaspects?
as.sLowsself-esteem
bs.sLacksofsknowledges
s
cs.sAbnormalslaboratorysvaluess
ds.sSeverelysabnormalsvitalssignss-sCORRECTsANSWERSANS:sCsSecond-
levelsprioritysproblemssaresthosesthatsrequirespromptsinterventionstosforestallsfurthersdeterioratio
ns(e.g.,smentalsstatusschange,sacutespain,sabnormalslaboratorysvalues,srisksstossafetysorssecurity)s(s
eesTables1-1)
Whichscriticalsthinkingsskillshelpssthesnursesseesrelationshipssamongsthesdata?s
as.sValidations