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NUR 245 Exam 1 TestBank Questions WITH answers,

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NUR 245 Exam 1 TestBank Questions WITH answers,

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NUR 245 Exam 1 TestBank Questions|\ |\ |\ |\ |\ |\




WITH answers |\




After completing an initial assessment of a patient, the
|\ |\ |\ |\ |\ |\ |\ |\ |\



nurse has charted that his respirations are eupneic and
|\ |\ |\ |\ |\ |\ |\ |\ |\



his pulse is 58 beats per minute. These types of data
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



would be: |\




a. Objective.
|\




b. Reflective.
|\




c. Subjective.
|\




d. Introspective. - CORRECT ANSWERS ✔✔ANS: A
|\ |\ |\ |\ |\ |\




Objective data are what the health professional observes
|\ |\ |\ |\ |\ |\ |\ |\



by inspecting, percussing, palpating, and auscultating
|\ |\ |\ |\ |\ |\



during the physical examination. Subjective data is what
|\ |\ |\ |\ |\ |\ |\ |\



the person says about him or herself during history
|\ |\ |\ |\ |\ |\ |\ |\ |\



taking. The terms reflective and introspective are not
|\ |\ |\ |\ |\ |\ |\ |\



used to describe data.|\ |\ |\




A patient tells the nurse that he is very nervous, is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



nauseated, and feels hot. These types of data would be: |\ |\ |\ |\ |\ |\ |\ |\ |\




a. Objective.
|\




b. Reflective.
|\




c. Subjective.
|\




d. Introspective. - CORRECT ANSWERS ✔✔ANS: C
|\ |\ |\ |\ |\ |\

,Subjective data are what the person says about him or
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



herself during history taking. Objective data are what the
|\ |\ |\ |\ |\ |\ |\ |\ |\



health professional observes by inspecting, percussing,
|\ |\ |\ |\ |\ |\



palpating, and auscultating during the physical |\ |\ |\ |\ |\ |\



examination. The terms reflective and introspective are |\ |\ |\ |\ |\ |\ |\



not used to describe data.
|\ |\ |\ |\




The patients record, laboratory studies, objective data,
|\ |\ |\ |\ |\ |\ |\



and subjective data combine to form the:
|\ |\ |\ |\ |\ |\




a. Data base.
|\ |\




b. Admitting data.
|\ |\




c. Financial statement.
|\ |\




d. Discharge summary. - CORRECT ANSWERS ✔✔ANS: A
|\ |\ |\ |\ |\ |\ |\




Together with the patients record and laboratory studies,
|\ |\ |\ |\ |\ |\ |\ |\



the objective and subjective data form the data base. The
|\ |\ |\ |\ |\ |\ |\ |\ |\



other items are not part of the patients record, laboratory
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



studies, or data.
|\ |\ |\




When listening to a patients breath sounds, the nurse is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



unsure of a sound that is heard. The nurses next action
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



should be to: |\ |\




a. Immediately notify the patients physician.
|\ |\ |\ |\ |\




b. Document the sound exactly as it was heard.
|\ |\ |\ |\ |\ |\ |\ |\




c. Validate the data by asking a coworker to listen to the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



breath sounds. |\

,d. Assess again in 20 minutes to note whether the sound
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



is still present - CORRECT ANSWERS ✔✔ANS: C
|\ |\ |\ |\ |\ |\ |\




When unsure of a sound heard while listening to a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



patients breath sounds, the nurse validates the data to
|\ |\ |\ |\ |\ |\ |\ |\ |\



ensure accuracy. If the nurse has less experience in an
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



area, then he or she asks an expert to listen.
|\ |\ |\ |\ |\ |\ |\ |\ |\




The nurse is conducting a class for new graduate nurses.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



During the teaching session, the nurse should keep in
|\ |\ |\ |\ |\ |\ |\ |\ |\



mind that novice nurses, without a background of skills
|\ |\ |\ |\ |\ |\ |\ |\ |\



and experience from which to draw, are more likely to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



make their decisions using:
|\ |\ |\




a. Intuition.
|\




b. A set of rules.
|\ |\ |\ |\




c. Articles in journals.
|\ |\ |\




d. Advice from supervisors. - CORRECT ANSWERS ✔✔ANS:
|\ |\ |\ |\ |\ |\ |\



B
|\




Novice nurses operate from a set of defined, structured
|\ |\ |\ |\ |\ |\ |\ |\ |\



rules. The expert practitioner uses intuitive links.
|\ |\ |\ |\ |\ |\




Expert nurses learn to attend to a pattern of assessment
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



data and act without consciously labeling it. These
|\ |\ |\ |\ |\ |\ |\ |\



responses are referred to as: |\ |\ |\ |\




a. Intuition.
|\




b. The nursing process.
|\ |\ |\

, c. Clinical knowledge.
|\ |\




d. Diagnostic reasoning. - CORRECT ANSWERS ✔✔ANS: A
|\ |\ |\ |\ |\ |\ |\




Intuition is characterized by pattern recognitionexpert
|\ |\ |\ |\ |\ |\



nurses learn to attend to a pattern of assessment data
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



and act without consciously labeling it. The other options
|\ |\ |\ |\ |\ |\ |\ |\ |\



are not correct.
|\ |\




The nurse is reviewing information about evidence-based
|\ |\ |\ |\ |\ |\ |\



practice (EBP). Which statement best reflects EBP?
|\ |\ |\ |\ |\ |\




a. EBP relies on tradition for support of best practices.
|\ |\ |\ |\ |\ |\ |\ |\ |\




b. EBP is simply the use of best practice techniques for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



the treatment of patients.
|\ |\ |\




c. EBP emphasizes the use of best evidence with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



clinicians experience. |\




d. The patients own preferences are not important with
|\ |\ |\ |\ |\ |\ |\ |\ |\



EBP. - CORRECT ANSWERS ✔✔ANS: C
|\ |\ |\ |\ |\




EBP is a systematic approach to practice that emphasizes
|\ |\ |\ |\ |\ |\ |\ |\



the use of best evidence in combination with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



clinicians experience, as well as patient preferences and
|\ |\ |\ |\ |\ |\ |\ |\



values, when making decisions about care and treatment.
|\ |\ |\ |\ |\ |\ |\



EBP is more than simply using the best practice
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



techniques to treat patients, and questioning tradition is |\ |\ |\ |\ |\ |\ |\ |\



important when no compelling and supportive research |\ |\ |\ |\ |\ |\ |\



evidence exists. |\

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