Galen College of NUR 3100 Fundamentals EXAM 1
Questions With Complete Solutions
Which |assessment |question |should |the |nurse |use |to |clarify |patient |information |that's |has |
been |obtained |
a. |"What |are |the |most |important |things |you |need |to |know |about |your |diet"
b. |"Am |incorrect |that |you |take |two |medications |at |home |for |your |blood |pressure?"
c. |"Have |we |talked |about |all |of |the |tissues |that |you |have |with |wound |care?"
d. |"Can |you |talk |about |your |discomfort?" |- |CORRECT |ANSWER✔✔-b. |"Am |incorrect |that |you |
take |two |medications |at |home |for |your |blood |pressure?"
Which |essential |critical |thinking |indicator |is |the |nurse |using |when |she |tries |out |a |new |way |to |
apply |a |dressing?
a. |Curiosity
b. |Discipline
c. |Creativity
d. |Persistence |- |CORRECT |ANSWER✔✔-c. |creativity
The |nurse |on |the |surgical |unit |has |a |multiple |patient |assignment. |On |beginning |the |shift, |the |
nurse |determines |that |the |first |patient |to |see |in |the |morning |is |the |individual |who: |
a. |Has |a |blood |pressure |of |80/50 |mm |Hg
b. |Requires |instruction |four |wound |care
c. |Needs |to |be |transferred |from |bed |to |chair
,d. |Received |pain |medication |5 |minutes |ago. |- |CORRECT |ANSWER✔✔-a. |Has |a |blood |pressure |
of |80/50 |mm |Hg
For |the |process |of |reflection, |the |nurse |ask |him-or |herself |which |of |the |following?
a. |"How |I |report |the |increase |ball |pressure |reading?"
b. |"Why |is |the |patient |having |pain |now?"
c. |"Did |the |patient's |respiratory |status |just |change?"
d. |"How |should |I |have |taught |the |patient |patient |to |do |self-injection |more |efficiently?" |- |
CORRECT |ANSWER✔✔-d. |"How |should |I |have |taught |the |patient |patient |to |do |self-injection |
more |efficiently?"
The |nurse |is |using |the |personal |critical |thinking |indicator |of |honesty |when |he |or |she |does, |
which |of |the |following?
a. |Feel |certain |about |being |able |to |perform |the |skill.
b. |Provides |factual |and |true |information |to |the |patient.
c. |Considers |all |of |the |information |before |moving |forward |with |the |plan |of |care.
d. |Follows |an |orderly |approach |to |completing |the |required |interventions. |- |CORRECT |
ANSWER✔✔-b. |Provides |factual |and |true |information |to |the |patient.
The |nurse |keeps |working |with |the |patient |to |help |him |ambulate, |motivating |him |to |reach |his |
goal |Of |being |independent. |The |nurse |is |demonstrating |which |critical |thinking |trait?
a. |Confidence.
b. |Humility.
c. |Persistance
d. |Fairness. |- |CORRECT |ANSWER✔✔-c. |Fairness
,On |entering |the |room, |the |experience |nurse |has |a |sense |that |the |patient's |status |has |
changed. |The |nurse |is |using |which |attribute |of |clinical |judgment?
a. |Intuition |
b. |Validation
c. |Inference |
d. |Inductive |reasoning |- |CORRECT |ANSWER✔✔-a. |Intuition
According |to |the |NCSBN-CJMM, |in |order |to |form |hypotheses, |the |nurse |needs |to
a. |Analyze |cues |
b. |Generating |solutions |
c. |Taking |action |
d. |Evaluating |outcomes |- |CORRECT |ANSWER✔✔-b. |Generating |solutions
The |patient |tells |the |nurse |that |she |is |not |confident |with |self |- |injecting |of |insulin. |The |nurse |
should |use |which |of |the |following |to |validate |this |information |from |the |patient?
a. |Ask |the |family |how |the |patient |performed |the |self-injection
b. |Confer |with |the |other |staff |member |to |see |how |the |technique |was |taught |to |then |patient. |
c. |Determine |what |insulin |was |prescribed |by |the |provider |
d. |Observe |the |patient |giving |the |insulin |injection |- |CORRECT |ANSWER✔✔-d. |Observe |the |
patient |giving |the |insulin |injection
For |a |patient |who |has |chronic |obstructive |pulmonary |disease |with |an |excess |of |secretions |in |
the |bronchioles, |which |nursing |diagnosis |is |most |appropriate?
, a. |Incomplete |airway |clearance |
b. |Ineffective |respiratory |pattern |
c. |Potential |for |asphyxia |
d.Difficulty |maintaining |spontaneous |ventilation |- |CORRECT |ANSWER✔✔-a. |Incomplete |airway |
clearance
Which |of |the |following |nursing |interventions |is |most |clearly |stated, |and |will |assist |other |staff |
members |to |provide |safe |care?
a. |Provide |extra |fluids |
b. |Increased |ambulating |in |hallway |
c. |Reinforce |use |of |incentive |spirometer |tid |
d. |Complete |assessment |with |patient |in |the |a.m. |- |CORRECT |ANSWER✔✔-c. |Reinforce |use |of |
incentive |spirometer |tid
The |nurse |is |working |with |a |patient |who |has |the |following |signs |and |symptoms: |weight |gain, |
Adema |to |the |lower |extremities, |increase |blood |pressure, |and |abdominal |distention. |On |the |
basis |of |the |information, |which |of |the |following |is |the |most |appropriate |nursing |diagnosis?
a. |Inadequate, |nutritional |intake.
b. |Increased |fluid |volume.
c. |Urinary |reduce |tension.
d. |Potential |for |trauma. |- |CORRECT |ANSWER✔✔-b. |Increased |fluid |volume
In |planning |for |the |patient |assignment, |the |nurse |prioritizes |his |schedule |on |the |basis |of |the |
patient's |needs |and |conditions. |In |reviewing |the |nursing |diagnoses, |which |of |the |following |
patients |should |be |seen |first |in |the |morning? |
Questions With Complete Solutions
Which |assessment |question |should |the |nurse |use |to |clarify |patient |information |that's |has |
been |obtained |
a. |"What |are |the |most |important |things |you |need |to |know |about |your |diet"
b. |"Am |incorrect |that |you |take |two |medications |at |home |for |your |blood |pressure?"
c. |"Have |we |talked |about |all |of |the |tissues |that |you |have |with |wound |care?"
d. |"Can |you |talk |about |your |discomfort?" |- |CORRECT |ANSWER✔✔-b. |"Am |incorrect |that |you |
take |two |medications |at |home |for |your |blood |pressure?"
Which |essential |critical |thinking |indicator |is |the |nurse |using |when |she |tries |out |a |new |way |to |
apply |a |dressing?
a. |Curiosity
b. |Discipline
c. |Creativity
d. |Persistence |- |CORRECT |ANSWER✔✔-c. |creativity
The |nurse |on |the |surgical |unit |has |a |multiple |patient |assignment. |On |beginning |the |shift, |the |
nurse |determines |that |the |first |patient |to |see |in |the |morning |is |the |individual |who: |
a. |Has |a |blood |pressure |of |80/50 |mm |Hg
b. |Requires |instruction |four |wound |care
c. |Needs |to |be |transferred |from |bed |to |chair
,d. |Received |pain |medication |5 |minutes |ago. |- |CORRECT |ANSWER✔✔-a. |Has |a |blood |pressure |
of |80/50 |mm |Hg
For |the |process |of |reflection, |the |nurse |ask |him-or |herself |which |of |the |following?
a. |"How |I |report |the |increase |ball |pressure |reading?"
b. |"Why |is |the |patient |having |pain |now?"
c. |"Did |the |patient's |respiratory |status |just |change?"
d. |"How |should |I |have |taught |the |patient |patient |to |do |self-injection |more |efficiently?" |- |
CORRECT |ANSWER✔✔-d. |"How |should |I |have |taught |the |patient |patient |to |do |self-injection |
more |efficiently?"
The |nurse |is |using |the |personal |critical |thinking |indicator |of |honesty |when |he |or |she |does, |
which |of |the |following?
a. |Feel |certain |about |being |able |to |perform |the |skill.
b. |Provides |factual |and |true |information |to |the |patient.
c. |Considers |all |of |the |information |before |moving |forward |with |the |plan |of |care.
d. |Follows |an |orderly |approach |to |completing |the |required |interventions. |- |CORRECT |
ANSWER✔✔-b. |Provides |factual |and |true |information |to |the |patient.
The |nurse |keeps |working |with |the |patient |to |help |him |ambulate, |motivating |him |to |reach |his |
goal |Of |being |independent. |The |nurse |is |demonstrating |which |critical |thinking |trait?
a. |Confidence.
b. |Humility.
c. |Persistance
d. |Fairness. |- |CORRECT |ANSWER✔✔-c. |Fairness
,On |entering |the |room, |the |experience |nurse |has |a |sense |that |the |patient's |status |has |
changed. |The |nurse |is |using |which |attribute |of |clinical |judgment?
a. |Intuition |
b. |Validation
c. |Inference |
d. |Inductive |reasoning |- |CORRECT |ANSWER✔✔-a. |Intuition
According |to |the |NCSBN-CJMM, |in |order |to |form |hypotheses, |the |nurse |needs |to
a. |Analyze |cues |
b. |Generating |solutions |
c. |Taking |action |
d. |Evaluating |outcomes |- |CORRECT |ANSWER✔✔-b. |Generating |solutions
The |patient |tells |the |nurse |that |she |is |not |confident |with |self |- |injecting |of |insulin. |The |nurse |
should |use |which |of |the |following |to |validate |this |information |from |the |patient?
a. |Ask |the |family |how |the |patient |performed |the |self-injection
b. |Confer |with |the |other |staff |member |to |see |how |the |technique |was |taught |to |then |patient. |
c. |Determine |what |insulin |was |prescribed |by |the |provider |
d. |Observe |the |patient |giving |the |insulin |injection |- |CORRECT |ANSWER✔✔-d. |Observe |the |
patient |giving |the |insulin |injection
For |a |patient |who |has |chronic |obstructive |pulmonary |disease |with |an |excess |of |secretions |in |
the |bronchioles, |which |nursing |diagnosis |is |most |appropriate?
, a. |Incomplete |airway |clearance |
b. |Ineffective |respiratory |pattern |
c. |Potential |for |asphyxia |
d.Difficulty |maintaining |spontaneous |ventilation |- |CORRECT |ANSWER✔✔-a. |Incomplete |airway |
clearance
Which |of |the |following |nursing |interventions |is |most |clearly |stated, |and |will |assist |other |staff |
members |to |provide |safe |care?
a. |Provide |extra |fluids |
b. |Increased |ambulating |in |hallway |
c. |Reinforce |use |of |incentive |spirometer |tid |
d. |Complete |assessment |with |patient |in |the |a.m. |- |CORRECT |ANSWER✔✔-c. |Reinforce |use |of |
incentive |spirometer |tid
The |nurse |is |working |with |a |patient |who |has |the |following |signs |and |symptoms: |weight |gain, |
Adema |to |the |lower |extremities, |increase |blood |pressure, |and |abdominal |distention. |On |the |
basis |of |the |information, |which |of |the |following |is |the |most |appropriate |nursing |diagnosis?
a. |Inadequate, |nutritional |intake.
b. |Increased |fluid |volume.
c. |Urinary |reduce |tension.
d. |Potential |for |trauma. |- |CORRECT |ANSWER✔✔-b. |Increased |fluid |volume
In |planning |for |the |patient |assignment, |the |nurse |prioritizes |his |schedule |on |the |basis |of |the |
patient's |needs |and |conditions. |In |reviewing |the |nursing |diagnoses, |which |of |the |following |
patients |should |be |seen |first |in |the |morning? |
