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A 57-year-old female patient developed an infection after surgery and needs an IV
for antibiotics. The RN receives an order to put in a PIV. The RN has not inserted a PIV
into a patient before. The RN reviews the procedure manual before carrying out the
procedure. What level of critical thinking is the RN using?
A. Basic Critical thinking
B. Complex critical thinking
C. Nursing process
D. Scientific method - correct answer A.
A 35-year-old male is admitted to the unit for abdominal pain. He has been
intermittently vomiting for two days. His wife is with him. He has never been
hospitalized before and is otherwise a healthy police officer. The RN goes into the
patient's room, introduces herself, and explains that she will be collection information
needed for his admission. The patient is agreeable. The RN starts her data collection.
What should she want to accomplish during the interview? Select all that apply.
A. Establish a caring, therapeutic relationship with the patient
B. Determine the patient's goals and expectations with regarding his care.
C. Gain insight about the Patient's concerns and worries.
D. Determine the Patient's medical dx
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E. Obtain cues about which part of the interview may require further investigation
F. Conduct a review of the systems. - correct answer A,B,C, E,F
Crystal, a student nurse, is caring for Mr. Chuck Rhodes, a 37-year-old fireman who
was admitted to the medical-surgical unit for unrelenting abdominal pain. He has
been intermittently vomiting for the last 2 days and has been unable to eat any solid
food. His wife has accompanied him. Mr. Rhodes has never been hospitalized. During
her assessment, Mr. Rhodes rated his pain as a 9 on a scale of 0 to 10. Crystal is
developing the nursing diagnosis. She reviews her assessments.Which of the
following statements are true about nursing diagnosis? Select all that apply.
A. Nursing diagnoses are always based on a physiological problem.
B. Nursing dx have two parts, which include the diagnostic lable and the related
factor
C. Errors in the RN Dx can occur from inadequate assessments
D. RN Dx are focused on the scope of the RN practice - correct answer B,C,D
A nursing student is getting ready to enter her client's room to do a comprehensive
assessment. Which of these statements is true of assessment?
A. Assessment includes collection of data only
B. Assessment includes analyzing data to determine the need for nursing care.
C. Assessment is centered on objective data.
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D. Assessment is a separate activity from planning and implementing care. - correct
answer B
A nurse is preparing to do a focused assessment on a patient in her clinic. Which of
the following is true of what she is planning to do?
A. Play close attention to the client's needs
B. Concentrate on an identified need and get more information
C. Identify the client's needs
D. Focus on all of the client's needs - correct answer B
Which of the following should be done by a nurse who is evaluating whether her
client with newly diagnosed diabetes has reached his expected outcomes?
A. The nurse should have a general idea about the Client's plan of care.
B. The nurse should assess the client thoroughly and accurately
C. The nurse should not be overly concerned with revising the plan of care.
D. The nurse should consult with the family but no the client about expected
outcomes. - correct answer B
When initiating the implementation phase of the nursing process, the RN performs
which of the following steps initially?
A. Carrying out the nursing interventions
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B. Determining the need for assistance
C. Reassessing the client
D. Documenting the interventions
E. Delegating the tasts to unlicensed assistive personel - correct answer C
The nurse is discussing health promotion in clinic to an asymptomaic: The nurse
knows all of the following are true except:
A. The current evidence is insufficient to assess the benefits and the harms of
screening for chlamydia and gonorrhea in men.
B. Individuals who have been tested for another sexually transmitted infection should
also be tested at least once or on an add needed basis for human immunodeficiency
virus.
C. Individuals born in or former residents of countries with high prevalence of
tuberculosis should be screened using only the TB skin test.
D. There is a recommendation for offering a one-time screening for Hepatitis C virus
for adults born between 1945-1965. - correct answer c
The nurse is getting a history on a 74-year-old community-dwelling female who fell
last month and quit smoking 20 years ago. The nurse knows all of the following are
true except:
A. Exercise or physical therapy should help maintain or strengthen balance.
B. Vitamin B supplementaion should help with preserving bone density.