Question 1

Which fundamental belief underscores the basis of the nursing process?

Accepted Answer

A)  Recognition that basic needs must be met by the individual without assistance. 
B)  Acknowledgment that patients and families appreciate an efficient health care system that functions without their input. 
C)  A focus on disease control as the most important aspect of patient care. 
D)  Recognition that all people have worth and dignity. 
A)  Recognition that basic needs must be met by the individual without assistance. 
B)  Acknowledgment that patients and families appreciate an efficient health care system that functions without their input. 
C)  A focus on disease control as the most important aspect of patient care. 
D)  Recognition that all people have worth and dignity. D

Question 2

Which foundational behavior is necessary for effective critical thinking?

Accepted Answer

A)  Unshakable beliefs and values 
B)  An open attitude 
C)  An ability to disregard evidence inconsistent with set goals 
D)  An ability to recognize the perfect solution 
A)  Unshakable beliefs and values 
B)  An open attitude 
C)  An ability to disregard evidence inconsistent with set goals 
D)  An ability to recognize the perfect solution B

Question 3

Place the steps of the nursing process in their proper sequence.

-Step 1

Accepted Answer

A) Evaluation 
B) Assessment 
C) Implementation 
D) Planning 
E) Problem statement/nursing diagnosis 
A) Evaluation 
B) Assessment 
C) Implementation 
D) Planning 
E) Problem statement/nursing diagnosis B

Question 4

During an intake interview,the nurse observes the patient grimacing and holding his hand over his stomach.The patient previously denied having any pain.What action should the nurse take next?

Accepted Answer

A)  Examine the history closely for etiology of pain. 
B)  Ask the patient if he is experiencing abdominal pain. 
C)  Record that patient seems to be having abdominal discomfort. 
D)  Physically examine the patient's abdomen. 
A)  Examine the history closely for etiology of pain. 
B)  Ask the patient if he is experiencing abdominal pain. 
C)  Record that patient seems to be having abdominal discomfort. 
D)  Physically examine the patient's abdomen.

Question 5

Which statement explains the reason for inclusion of potential problems in the nursing care plan?

Accepted Answer

A)  To alert nursing staff to prevent potential complications. 
B)  To remind the family of potential problems. 
C)  To broaden the assessment of the caregiver. 
D)  To educate the patient to aspects of her health. 
A)  To alert nursing staff to prevent potential complications. 
B)  To remind the family of potential problems. 
C)  To broaden the assessment of the caregiver. 
D)  To educate the patient to aspects of her health.

Question 6

Place the steps of the nursing process in their proper sequence.

-Step 4

Accepted Answer

A) Evaluation 
B) Assessment 
C) Implementation 
D) Planning 
E) Problem statement/nursing diagnosis 
A) Evaluation 
B) Assessment 
C) Implementation 
D) Planning 
E) Problem statement/nursing diagnosis

Question 7

The nurse is caring for a patient with pneumonia who complains of shortness of breath.Further assessment reveals an oxygen saturation of 89% on room air,28 respirations/min with bilateral crackles in lung bases,blood pressure of 160/94,and a pulse rate of 102 beats/min.Which nursing diagnosis is priority for this patient?

Accepted Answer

A)  Activity Intolerance 
B)  Impaired Gas Exchange 
C)  Ineffective Cardiopulmonary Tissue Perfusion 
D)  Self-Care Deficit: Bathing and Hygiene 
A)  Activity Intolerance 
B)  Impaired Gas Exchange 
C)  Ineffective Cardiopulmonary Tissue Perfusion 
D)  Self-Care Deficit: Bathing and Hygiene

Question 8

Place the steps of the nursing process in their proper sequence.

-Step 5

Accepted Answer

A) Evaluation 
B) Assessment 
C) Implementation 
D) Planning 
E) Problem statement/nursing diagnosis 
A) Evaluation 
B) Assessment 
C) Implementation 
D) Planning 
E) Problem statement/nursing diagnosis

Question 9

The nurse is completing the medication reconciliation form for a patient.Which information is most important for the nurse to include?

Accepted Answer

A)  The patient reports taking Ginkgo biloba daily for the last 6 months. 
B)  The patient reports having high hematocrit levels during his last hospital stay. 
C)  The patient reports he has been diabetic for 10 years. 
D)  The patient reports having a recent infection. 
A)  The patient reports taking Ginkgo biloba daily for the last 6 months. 
B)  The patient reports having high hematocrit levels during his last hospital stay. 
C)  The patient reports he has been diabetic for 10 years. 
D)  The patient reports having a recent infection.

Question 10

The nurse who has recently moved from Louisiana to Texas is uncertain about the LPN/LVN's role in applying the nursing process.Which source is most appropriate source for the nurse to consult?

Accepted Answer

A)  Hospital policies 
B)  The Texas State Board of Nursing 
C)  Rules and regulations of the Louisiana Nurse Practice Act 
D)  The National Association of Practical Nurse Education and Service 
A)  Hospital policies 
B)  The Texas State Board of Nursing 
C)  Rules and regulations of the Louisiana Nurse Practice Act 
D)  The National Association of Practical Nurse Education and Service

Question 11

The nurse is caring for a newly admitted patient who is describing his recent symptoms to the nurse.This scenario is an example of which type of source?

Accepted Answer

A)  Primary 
B)  Objective 
C)  Secondary 
D)  Complete 
A)  Primary 
B)  Objective 
C)  Secondary 
D)  Complete

Question 12

The nurse explains to the nursing student that the application of critical thinking to patient care involves which factor(s)?

Accepted Answer

A)  Identification of a patient problem 
B)  Setting priorities 
C)  Concentrating on the patient rather than family needs 
D)  Use of logic and intuition 
E)  Expansion of thought beyond the obvious 
A)  Identification of a patient problem 
B)  Setting priorities 
C)  Concentrating on the patient rather than family needs 
D)  Use of logic and intuition 
E)  Expansion of thought beyond the obvious

Question 13

Which statement(s)demonstrates application of the nursing process?

Accepted Answer

A)  Performing a head-to-toe assessment. 
B)  Updating the patient care plan on a weekly basis. 
C)  Evaluating if patient goals have been met. 
D)  Determining if nursing interventions need to be changed based on lack of patient progress toward meeting goals. 
E)  Ensuring that all personnel caring for the patient are implementing the care plan and working toward the same goal. 
A)  Performing a head-to-toe assessment. 
B)  Updating the patient care plan on a weekly basis. 
C)  Evaluating if patient goals have been met. 
D)  Determining if nursing interventions need to be changed based on lack of patient progress toward meeting goals. 
E)  Ensuring that all personnel caring for the patient are implementing the care plan and working toward the same goal.

Question 14

The nurse is explaining the components of a complete problem statement/nursing diagnosis.In addition to the NANDA stem and etiology,which other component should the diagnosis include?

Accepted Answer

A)  A time reference for meeting the need 
B)  A designation of what the patient should do 
C)  Signs and symptoms of the problem assessed 
D)  A specifically worded medical diagnosis 
A)  A time reference for meeting the need 
B)  A designation of what the patient should do 
C)  Signs and symptoms of the problem assessed 
D)  A specifically worded medical diagnosis

Question 15

The nurse is caring for a patient with a goal/outcome statement of Patient will sleep for 5 hours uninterrupted each night.Which nursing intervention should the nurse include?

Accepted Answer

A)  Medicate with sedative each night. 
B)  Offer warm fluids frequently. 
C)  Arrange for a large meal at supper. 
D)  Discourage daytime napping. 
A)  Medicate with sedative each night. 
B)  Offer warm fluids frequently. 
C)  Arrange for a large meal at supper. 
D)  Discourage daytime napping.

Question 16

The nursing team is prioritizing the problem statement/nursing diagnoses of an overweight hospital patient.Which problem statement/nursing diagnosis would be most important for this patient?

Accepted Answer

A)  Risk for dehydration related to vomiting. 
B)  Activity intolerance related to shortness of breath. 
C)  Knowledge deficit related to weight reduction diet. 
D)  Altered self-image related to excessive weight. 
A)  Risk for dehydration related to vomiting. 
B)  Activity intolerance related to shortness of breath. 
C)  Knowledge deficit related to weight reduction diet. 
D)  Altered self-image related to excessive weight.

Question 17

After evaluating the nursing care plan,the nurse finds lack of progress toward the goal.What action should the nurse take next?

Accepted Answer

A)  Create a more accessible goal. 
B)  Revise the nursing interventions. 
C)  Change the problem statement/nursing diagnosis. 
D)  Use a new evaluation plan. 
A)  Create a more accessible goal. 
B)  Revise the nursing interventions. 
C)  Change the problem statement/nursing diagnosis. 
D)  Use a new evaluation plan.

Question 18

The nurse adds a nursing order to the care plan related to a patient with a problem statement/nursing diagnosis of altered nutrition/Nutrition: Less Than Body Requirements Related to Nausea and Vomiting.Which nursing order should the nurse include in the plan of care?

Accepted Answer

A)  Medicate with an antiemetic before each meal. 
B)  Offer crackers and iced drink before each meal. 
C)  Change diet to clear liquids. 
D)  Give nothing by mouth until nausea subsides. 
A)  Medicate with an antiemetic before each meal. 
B)  Offer crackers and iced drink before each meal. 
C)  Change diet to clear liquids. 
D)  Give nothing by mouth until nausea subsides.

Question 19

Which example shows that the nursing student demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA)?

Accepted Answer

A)  The student uses the patient's full name only on clinical assignments submitted to the instructor. 
B)  The student uses the facility printer to copy laboratory reports on an assigned patient. 
C)  The student shreds any documents that contain identifying patient information before leaving the clinical facility. 
D)  The student asks the patient for permission to copy laboratory and diagnostic reports for educational purposes. 
A)  The student uses the patient's full name only on clinical assignments submitted to the instructor. 
B)  The student uses the facility printer to copy laboratory reports on an assigned patient. 
C)  The student shreds any documents that contain identifying patient information before leaving the clinical facility. 
D)  The student asks the patient for permission to copy laboratory and diagnostic reports for educational purposes.

Question 20

The LPN/LVN adheres to facility policy regarding core measures by performing which interventions during patient care?

Accepted Answer

A)  Administering the ordered amount of insulin to a patient with type 1 diabetes. 
B)  Performing a thorough patient assessment upon admission to the health care facility. 
C)  Documenting accurately and at appropriate intervals in the patient's record. 
D)  Providing patient teaching regarding proper diet for the patient diagnosed with renal failure. 
A)  Administering the ordered amount of insulin to a patient with type 1 diabetes. 
B)  Performing a thorough patient assessment upon admission to the health care facility. 
C)  Documenting accurately and at appropriate intervals in the patient's record. 
D)  Providing patient teaching regarding proper diet for the patient diagnosed with renal failure.

Exam 2: Critical Thinking and the Nursing Process

Which fundamental belief underscores the basis of the nursing process?

Which foundational behavior is necessary for effective critical thinking?

Place the steps of the nursing process in their proper sequence. -Step 1

During an intake interview,the nurse observes the patient grimacing and holding his hand over his stomach.The patient previously denied having any pain.What action should the nurse take next?

Which statement explains the reason for inclusion of potential problems in the nursing care plan?

Place the steps of the nursing process in their proper sequence. -Step 4

Place the steps of the nursing process in their proper sequence. -Step 5

The nurse is completing the medication reconciliation form for a patient.Which information is most important for the nurse to include?

The nurse who has recently moved from Louisiana to Texas is uncertain about the LPN/LVN's role in applying the nursing process.Which source is most appropriate source for the nurse to consult?

The nurse is caring for a newly admitted patient who is describing his recent symptoms to the nurse.This scenario is an example of which type of source?

The nurse explains to the nursing student that the application of critical thinking to patient care involves which factor(s)?

Which statement(s)demonstrates application of the nursing process?

The nurse is explaining the components of a complete problem statement/nursing diagnosis.In addition to the NANDA stem and etiology,which other component should the diagnosis include?

The nurse is caring for a patient with a goal/outcome statement of Patient will sleep for 5 hours uninterrupted each night.Which nursing intervention should the nurse include?

The nursing team is prioritizing the problem statement/nursing diagnoses of an overweight hospital patient.Which problem statement/nursing diagnosis would be most important for this patient?

After evaluating the nursing care plan,the nurse finds lack of progress toward the goal.What action should the nurse take next?

The nurse adds a nursing order to the care plan related to a patient with a problem statement/nursing diagnosis of altered nutrition/Nutrition: Less Than Body Requirements Related to Nausea and Vomiting.Which nursing order should the nurse include in the plan of care?

Which example shows that the nursing student demonstrates compliance with the Health Insurance Portability and Accountability Act (HIPAA)?

The LPN/LVN adheres to facility policy regarding core measures by performing which interventions during patient care?

Caring for Medical-Surgical Patients

Fluid, Electrolytes, Acid-Base Balance, and Intravenous Therapy

Care of Preoperative and Intraoperative Surgical Patients

Care of Postoperative Patients

Infection Prevention and Control

Care of Patients with Pain

Care of Patients with Cancer

Chronic Illness and Rehabilitation

The Immune and Lymphatic System

Care of Patients with Immune and Lymphatic Disorders (with HIV and AIDS)

The Respiratory System

Care of Patients with Disorders of the Upper Respiratory System

Care of Patients with Disorders of the Lower Respiratory System

The Hematologic System

Care of Patients with Hematologic Disorders

The Cardiovascular System

Care of Patients with Hypertension and Peripheral Vascular Disease

Care of Patients with Cardiac Disorders

Care of Patients with Coronary Artery Disease and Cardiac Surgery

The Neurologic System

Care of Patients with Head and Spinal Cord Injuries

Care of Patients with Disorders of the Brain

Care of Patients with Peripheral Nerve and Degenerative Diseases

The Sensory System: Eye and Ear

Care of Patients with Disorders of the Eyes and Ears

The Gastrointestinal System

Care of Patients with Disorders of the Upper Gastrointestinal System

Care of Patients with Disorders of the Lower Gastrointestinal System

Care of Patients with Disorders of the Liver, Gallbladder, and Pancreas

The Musculoskeletal System

Care of Patients with Musculoskeletal and Connective Tissue Disorders

The Urinary System

Care of Patients with Disorders of the Urinary System

The Endocrine System

Care of Patients with Pituitary, Thyroid, Parathyroid, and Adrenal Disorders

Care of Patients with Diabetes and Hypoglycemia

Care of Women with Reproductive Disorders

Care of Men with Reproductive Disorders

Care of Patients with Sexually Transmitted Infections

The Integumentary System

Care of Patents with Integumentary Disorders and Burns

Care of Patients in Disasters or Bioterrorism Attack

Care of Patients with Emergencies, Trauma, and Shock

Care of Patients with Anxiety, Mood, and Eating Disorders

Care of Patients with Substance Abuse Disorders

Care of Patients with Cognitive Disorders

Care of Patients with Thought and Personality Disorders

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