Exam 1 review - NCLEX-Style
Application Questions and Answers
Graded A+
Which action best demonstrates clinical judgment for a postoperative patient
reporting shortness of breath and anxiety? - Correct answer-Assessing oxygen
saturation and lung sounds immediately
What nursing action best reflects clinical reasoning for a patient with heart failure
who gained 3 pounds in 24 hours? - Correct answer-Analyzing the finding and
notifying the provider
What is the most appropriate next step after identifying crackles in both lung bases
during assessment? - Correct answer-Identify nursing diagnoses
Which SMART goal is most appropriate for a patient with impaired mobility at
risk for falls? - Correct answer-Patient will ambulate safely with a walker to the
bathroom by end of shift
, Which action demonstrates the nurse's role in the implementation phase for a
nursing diagnosis of impaired gas exchange? - Correct answer-Monitoring oxygen
saturation
What is the best next nursing action if a patient's pain level remains 7/10 despite
interventions? - Correct answer-Reassess and modify the plan of care
Which professional concept is violated when a student nurse discusses patient
information in a public elevator? - Correct answer-Professional identity
What nursing role is demonstrated when a nurse explains a procedure using simple
language and checks for understanding? - Correct answer-Educator
What does reviewing current evidence before changing a wound care practice
demonstrate? - Correct answer-Evidence-based practice
Which document provides legal guidance for a newly licensed nurse practicing
within state regulations? - Correct answer-Nurse Practice Act
What best defines clinical judgment in nursing practice? - Correct answer-The
nurse's ability to recognize patient needs and make informed decisions
The context of clinical judgment in nursing primarily involves which factor? -
Correct answer-Applying knowledge and experience to patient-specific situations
Application Questions and Answers
Graded A+
Which action best demonstrates clinical judgment for a postoperative patient
reporting shortness of breath and anxiety? - Correct answer-Assessing oxygen
saturation and lung sounds immediately
What nursing action best reflects clinical reasoning for a patient with heart failure
who gained 3 pounds in 24 hours? - Correct answer-Analyzing the finding and
notifying the provider
What is the most appropriate next step after identifying crackles in both lung bases
during assessment? - Correct answer-Identify nursing diagnoses
Which SMART goal is most appropriate for a patient with impaired mobility at
risk for falls? - Correct answer-Patient will ambulate safely with a walker to the
bathroom by end of shift
, Which action demonstrates the nurse's role in the implementation phase for a
nursing diagnosis of impaired gas exchange? - Correct answer-Monitoring oxygen
saturation
What is the best next nursing action if a patient's pain level remains 7/10 despite
interventions? - Correct answer-Reassess and modify the plan of care
Which professional concept is violated when a student nurse discusses patient
information in a public elevator? - Correct answer-Professional identity
What nursing role is demonstrated when a nurse explains a procedure using simple
language and checks for understanding? - Correct answer-Educator
What does reviewing current evidence before changing a wound care practice
demonstrate? - Correct answer-Evidence-based practice
Which document provides legal guidance for a newly licensed nurse practicing
within state regulations? - Correct answer-Nurse Practice Act
What best defines clinical judgment in nursing practice? - Correct answer-The
nurse's ability to recognize patient needs and make informed decisions
The context of clinical judgment in nursing primarily involves which factor? -
Correct answer-Applying knowledge and experience to patient-specific situations
