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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: ✔Correct Answer-
Objective
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data
would be: ✔Correct Answer-Subjective
The patients record, laboratory studies, objective data, and subjective data combine to form the:
✔Correct Answer-Data Base
When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses
next action should be to: ✔Correct Answer-Validate the data by asking a coworker to listen to the
breath sounds
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: ✔Correct Answer-A set of rules
Expert nurses learn to attend to a pattern of assessment data and act without consciously labeling it.
These responses are referred to as: ✔Correct Answer-Intuitition
The nurse is reviewing information about evidence-based practice (EBP). Which statement best
reflects EBP? ✔Correct Answer-EBP emphasizes the use of best evidence with the clinicians
experience
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? ✔Correct Answer-Individual with shortness of breath and
respiratory distress
When considering priority setting of problems, the nurse keeps in mind that second-level priority
problems include which of these aspects? ✔Correct Answer-Abnormal laboratory values
Which critical thinking skill helps the nurse see relationships among the data? ✔Correct Answer-
Clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the __________ diagnosis. ✔Correct Answer-Nursing
The nursing process is a sequential method of problem solving that nurses use and includes which
steps? ✔Correct Answer-Assessment, diagnosis, outcome identification, planning, implementation,
and evaluation
Which of these would be formulated by a nurse using diagnostic reasoning? ✔Correct Answer-
Diagnostic hypothesis