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After completing an initial assessment of a patient, the nurse has charted that his respirations are
eupneic and his pulse is 58 beats per minute. These types of data would be:
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective. ✔Correct Answer-A
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data
would be:
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective. ✔Correct Answer-C
The patients record, laboratory studies, objective data, and subjective data combine to form the:
a.
Data base.
b.
Admitting data.
c.
Financial statement.
d.
Discharge summary. ✔Correct Answer-A
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
next action should be to:
a.
Immediately notify the patients physician.
, b.
Document the sound exactly as it was heard.
c.
Validate the data by asking a coworker to listen to the breath sounds.
d.
Assess again in 20 minutes to note whether the sound is still present. ✔Correct Answer-C
The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse
should keep in mind that novice nurses, without a background of skills and experience from which to
draw, are more likely to make their decisions using:
a.
Intuition.
b.
A set of rules.
c.
Articles in journals.
d.
Advice from supervisors. ✔Correct Answer-B
Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
These responses are referred to as:
a.
Intuition.
b.
The nursing process.
c.
Clinical knowledge.
d.
Diagnostic reasoning. ✔Correct Answer-A
The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP?
a.
EBP relies on tradition for support of best practices.
b.
EBP is simply the use of best practice techniques for the treatment of patients.
c.
EBP emphasizes the use of best evidence with the clinicians experience.
d.
The patients own preferences are not important with EBP. ✔Correct Answer-C
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an
example of a first-level priority problem?