Nursing Final Exam Review 155
1. How does a person best apply thinking skill of clustering, when preparing for vacation?
Organizing a list of items for the trip
2. Which thinking skill requires the nurse to collect information in a detailed method from various
sources?
Gathering collect and accurate data
3. An employee notices a wallet in the restroom with a large amount of cash. Following policy,
they take it to the main office. Which thinking skill is the employee demonstrating?
Using legal and ethical and professional guidelines
4. A parent has been helping their two children with homework and determines that one is
improving while the other is still doing poorly. Which thinking skill is the parent using in this
situation?
Comparing and contrasting
5. Which thinking skill belongs to the responding step in Tanner’s?
Providing the priority care determined
6. Which thinking skill does the nurse use when determining if pain medication administered was
effective?
Evaluating Data
7. Which factors influence a nurse’s ability to predict and manage complications?
THIS IS A SELECT ALL THAT APPLY!!!!!!!!
The nurses experience level
The nurses knowledge level
8. Which thinking skill is demonstrated when reviewing the patients chart performing a physical
assessment, interviewing family and reviewing drs progress notes?
Gathering complete and accurate data.
9. Which action in the following situation demonstrates using the critical judgement skill?
Mowing the grass a day earlier because the forecast calls for rain
10. A nurse is caring for a 56 yr old patient diagnosed with hypertension. The nurse completes the
Epworth sleepiness scale and the patient scores an 11. Which action will the nurse take next?
Ask the patient for more information about their lifestyle and routine schedules
11. Which is an example of subjective data that the nurse might document?
Patient complains of nausea
12. Nursing assistant reports patient’s urine drainage bag appears to be infected. How will the nurse
determine accuracy and reliability of this information?
Contact the physician, request an order for a urine culture
13. 76 yr old from a long-term care facility is admitted with confusion and a large bump on their
forehead. What action will the nurse take first?
Conduct a focused neuro assessment
14. Which question will the nurse ask to best identify signs and symptoms?
, What is different or has changed in this situation.
15. Which thinking skill does the nurse use when grouping similar information to help identify a
problem?
Clustering related information
16. Which thinking skill belongs to the interpreting step in Tanner’s?
Comparing and contrasting
16. The LPN is assisting the RN in data collection, how can the LPN collect complete and accurate
data?
Assess the patients eating, sleeping and socialization patterns.
17. Which thinking skill does the nurse use when identifying subjective data and objective data do
not match?
Recognizing inconsistencies
18. Nurse enters patient’s room, finds him tearful, holding his hands in his lap and gazing downward.
Using tanner’s, what action will the nurse take?
Ask the patient if something is troubling him.
19. Which task can a nurse delegate to a nursing assistant?
Assisting the client with a complete bedbath
20. A Nurse is caring for elderly patient. The patient states he’s been trying to lose weight over the
past 3 months but he’s gained 15 lbs. What is the nurse’s next action?
Conduct a patient interview and research the patient’s chart to identify possible reasons
for weight gain.
21. Which step in Tanner’s model of clinical judgement involves processing information
understanding the situation and planning interventions?
Interpreting
22. The nurse is assigned to a patient with increased memory loss, confusion and at a high risk of
wandering off the unit. What action will the nurse take at the beginning of the shift?
Develop a plan to ensure frequent checks on this patient with the nursing assistants and
other staff for safety.
23. How do the Spices tool and Epworth sleepiness scale assist nurses in caring for older adults?
They both collect signs and symptoms to identify potential risks.
24. A thinking skill, evaluating data, what is the reason that assessment data is collected again after
actions have been performed?
To determine the effectiveness of the actions and see if outcomes were acceptable.
25. A nurse is caring for a patient with a sudden change in health status while collecting data, which
thinking skill will the nurse use to determine what information is meaningful to the patient’s
condition?
Distinguishing relevant from irrelevant
26. A driver enters a zone where the speed limit drops from 55 to 35. The driver glances at all the
gauges on the dashboard, then gathers information from the speedometer to determine what to
do next. Which thinking skill is the driver using in this situation?
Distinguishing relevant from irrelevant
1. How does a person best apply thinking skill of clustering, when preparing for vacation?
Organizing a list of items for the trip
2. Which thinking skill requires the nurse to collect information in a detailed method from various
sources?
Gathering collect and accurate data
3. An employee notices a wallet in the restroom with a large amount of cash. Following policy,
they take it to the main office. Which thinking skill is the employee demonstrating?
Using legal and ethical and professional guidelines
4. A parent has been helping their two children with homework and determines that one is
improving while the other is still doing poorly. Which thinking skill is the parent using in this
situation?
Comparing and contrasting
5. Which thinking skill belongs to the responding step in Tanner’s?
Providing the priority care determined
6. Which thinking skill does the nurse use when determining if pain medication administered was
effective?
Evaluating Data
7. Which factors influence a nurse’s ability to predict and manage complications?
THIS IS A SELECT ALL THAT APPLY!!!!!!!!
The nurses experience level
The nurses knowledge level
8. Which thinking skill is demonstrated when reviewing the patients chart performing a physical
assessment, interviewing family and reviewing drs progress notes?
Gathering complete and accurate data.
9. Which action in the following situation demonstrates using the critical judgement skill?
Mowing the grass a day earlier because the forecast calls for rain
10. A nurse is caring for a 56 yr old patient diagnosed with hypertension. The nurse completes the
Epworth sleepiness scale and the patient scores an 11. Which action will the nurse take next?
Ask the patient for more information about their lifestyle and routine schedules
11. Which is an example of subjective data that the nurse might document?
Patient complains of nausea
12. Nursing assistant reports patient’s urine drainage bag appears to be infected. How will the nurse
determine accuracy and reliability of this information?
Contact the physician, request an order for a urine culture
13. 76 yr old from a long-term care facility is admitted with confusion and a large bump on their
forehead. What action will the nurse take first?
Conduct a focused neuro assessment
14. Which question will the nurse ask to best identify signs and symptoms?
, What is different or has changed in this situation.
15. Which thinking skill does the nurse use when grouping similar information to help identify a
problem?
Clustering related information
16. Which thinking skill belongs to the interpreting step in Tanner’s?
Comparing and contrasting
16. The LPN is assisting the RN in data collection, how can the LPN collect complete and accurate
data?
Assess the patients eating, sleeping and socialization patterns.
17. Which thinking skill does the nurse use when identifying subjective data and objective data do
not match?
Recognizing inconsistencies
18. Nurse enters patient’s room, finds him tearful, holding his hands in his lap and gazing downward.
Using tanner’s, what action will the nurse take?
Ask the patient if something is troubling him.
19. Which task can a nurse delegate to a nursing assistant?
Assisting the client with a complete bedbath
20. A Nurse is caring for elderly patient. The patient states he’s been trying to lose weight over the
past 3 months but he’s gained 15 lbs. What is the nurse’s next action?
Conduct a patient interview and research the patient’s chart to identify possible reasons
for weight gain.
21. Which step in Tanner’s model of clinical judgement involves processing information
understanding the situation and planning interventions?
Interpreting
22. The nurse is assigned to a patient with increased memory loss, confusion and at a high risk of
wandering off the unit. What action will the nurse take at the beginning of the shift?
Develop a plan to ensure frequent checks on this patient with the nursing assistants and
other staff for safety.
23. How do the Spices tool and Epworth sleepiness scale assist nurses in caring for older adults?
They both collect signs and symptoms to identify potential risks.
24. A thinking skill, evaluating data, what is the reason that assessment data is collected again after
actions have been performed?
To determine the effectiveness of the actions and see if outcomes were acceptable.
25. A nurse is caring for a patient with a sudden change in health status while collecting data, which
thinking skill will the nurse use to determine what information is meaningful to the patient’s
condition?
Distinguishing relevant from irrelevant
26. A driver enters a zone where the speed limit drops from 55 to 35. The driver glances at all the
gauges on the dashboard, then gathers information from the speedometer to determine what to
do next. Which thinking skill is the driver using in this situation?
Distinguishing relevant from irrelevant
