NR224 EXAM 1
While assessing a patient, the nurse observes the patient's IV D. Problem Solving
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
The nurse sits down to talk with a patient who lost her sister 2 A. Diagnostic reasoning
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
Page 1
,NR224 EXAM 1
A patient on a surgical unit develops sudden shortness of C. Conducting reflective practice
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
A nurse has worked on an oncology unit for 3 years. One C. Analyticity
patient has become visibly weaker and states, "I feel funny". D. Self confidence
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
Page 2
,NR224 EXAM 1
A nurse who is working on a surgical unit is caring for four A&C
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
The surgical unit has initiated the use of a pain-rating scale to C
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
D. Significant
Page 3
, NR224 EXAM 1
During a home health visit the nurse prepares to instruct a A
patient in how to perform range-of-motion (ROM) exercises
for an injured shoulder. The nurse verifies that the patient
took an analgesic 30 minutes before arrival at the patient's
home. After discussing the purpose for the exercises and
demonstrating each one, the nurse has the patient perform
them. After two attempts with only the second of three
exercises, the patient stops and says, "This hurts too much. I
don't see why I have to do this so many times." The nurse
applies the critical thinking attitude of integrity in which of
the following actions?"
A. "I understand your reluctance, but the exercises are
necessary for you to regain function in your shoulder. Let's
go a bit more slowly and try to relax"
B. "I see that you're uncomfortable. I'll call your doctor to
decide the next step."
C. "Show me exactly where your pain is and rate it for me on
a scale of 0 to 10."
D. "Is anything else bothering you? Other than the pain, is
there any other reason you might not want to do the
exercises?"
Page 4
While assessing a patient, the nurse observes the patient's IV D. Problem Solving
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
The nurse sits down to talk with a patient who lost her sister 2 A. Diagnostic reasoning
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
Page 1
,NR224 EXAM 1
A patient on a surgical unit develops sudden shortness of C. Conducting reflective practice
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
A nurse has worked on an oncology unit for 3 years. One C. Analyticity
patient has become visibly weaker and states, "I feel funny". D. Self confidence
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
Page 2
,NR224 EXAM 1
A nurse who is working on a surgical unit is caring for four A&C
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
The surgical unit has initiated the use of a pain-rating scale to C
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
D. Significant
Page 3
, NR224 EXAM 1
During a home health visit the nurse prepares to instruct a A
patient in how to perform range-of-motion (ROM) exercises
for an injured shoulder. The nurse verifies that the patient
took an analgesic 30 minutes before arrival at the patient's
home. After discussing the purpose for the exercises and
demonstrating each one, the nurse has the patient perform
them. After two attempts with only the second of three
exercises, the patient stops and says, "This hurts too much. I
don't see why I have to do this so many times." The nurse
applies the critical thinking attitude of integrity in which of
the following actions?"
A. "I understand your reluctance, but the exercises are
necessary for you to regain function in your shoulder. Let's
go a bit more slowly and try to relax"
B. "I see that you're uncomfortable. I'll call your doctor to
decide the next step."
C. "Show me exactly where your pain is and rate it for me on
a scale of 0 to 10."
D. "Is anything else bothering you? Other than the pain, is
there any other reason you might not want to do the
exercises?"
Page 4
