Question 1

Which of the following is a correctly stated nursing diagnosis?

Accepted Answer

A)  Fluid volume deficit 
B)  Hypovolemia related to vomiting 
C)  Fluid volume deficit related to vomiting as evidenced by increased heart rate and decreased urine output 
D)  Hypovolemia related to nausea as evidenced by restlessness and anxiety 
A)  Fluid volume deficit 
B)  Hypovolemia related to vomiting 
C)  Fluid volume deficit related to vomiting as evidenced by increased heart rate and decreased urine output 
D)  Hypovolemia related to nausea as evidenced by restlessness and anxiety C

Question 2

Why is the etiology of the nursing diagnosis statement important?

Accepted Answer

A)  If the etiology is incorrect, the nursing interventions are likely to be ineffective. 
B)  The etiology will be the same each time the nursing diagnosis is identified. 
C)  The etiology is necessary to identify the defining characteristics. 
D)  The etiology determines whether the problem can be solved. 
A)  If the etiology is incorrect, the nursing interventions are likely to be ineffective. 
B)  The etiology will be the same each time the nursing diagnosis is identified. 
C)  The etiology is necessary to identify the defining characteristics. 
D)  The etiology determines whether the problem can be solved. A

Question 3

The identification of nursing diagnosis and goal setting should ideally be a collaborative process between the nurse and which other party?

Accepted Answer

A)  Physician 
B)  Nurse manager 
C)  Patient's family 
D)  Patient 
A)  Physician 
B)  Nurse manager 
C)  Patient's family 
D)  Patient D

Question 4

A patient is in respiratory distress and placed on oxygen.Which is the most appropriate short-term goal?

Accepted Answer

A)  Nasal cannula remains in place. 
B)  Patient completes morning care and eats breakfast. 
C)  Patient verbalizes that he is breathing better after lunch. 
D)  Patient maintains an oxygen saturation of 90% during the shift. 
A)  Nasal cannula remains in place. 
B)  Patient completes morning care and eats breakfast. 
C)  Patient verbalizes that he is breathing better after lunch. 
D)  Patient maintains an oxygen saturation of 90% during the shift.

Question 5

A nurse reviewing a patient's care plan notes a goal of "Patient will ambulate 50 feet,three times in the hallway today." According to Bloom,what taxonomic category is this goal?

Accepted Answer

A)  Affective domain 
B)  Physical domain 
C)  Psychomotor domain 
D)  Cognitive domain 
A)  Affective domain 
B)  Physical domain 
C)  Psychomotor domain 
D)  Cognitive domain

Question 6

Which of the following is an independent nursing intervention?

Accepted Answer

A)  Teaching a patient with congestive heart failure to weigh herself daily 
B)  Recommending an extra dose of diuretic to the patient whose weight has increased 2 pounds overnight 
C)  Changing the first surgical dressing on a patient after surgery 
D)  Transferring a patient out of the intensive care unit 2 days after vascular surgery 
A)  Teaching a patient with congestive heart failure to weigh herself daily 
B)  Recommending an extra dose of diuretic to the patient whose weight has increased 2 pounds overnight 
C)  Changing the first surgical dressing on a patient after surgery 
D)  Transferring a patient out of the intensive care unit 2 days after vascular surgery

Question 7

Which of the following is an appropriate long-term goal to measure diabetes control for a patient in whom diabetes has been newly diagnosed?

Accepted Answer

A)  Patient will inject insulin twice daily. 
B)  Patient will keep appointments with physician over the next 6 months. 
C)  Patient's A1c will be 5% at 1 year postdiagnosis. 
D)  Patient's recorded blood glucose will be between 60 and 120 mg/dL each day. 
A)  Patient will inject insulin twice daily. 
B)  Patient will keep appointments with physician over the next 6 months. 
C)  Patient's A1c will be 5% at 1 year postdiagnosis. 
D)  Patient's recorded blood glucose will be between 60 and 120 mg/dL each day.

Question 8

Developing sound clinical judgment is a professional responsibility of the nurse.Which statements indicate behaviors that improve clinical judgment?

Accepted Answer

A)  "I always assess before acting and make changes as needed." 
B)  "I only work the shifts I am assigned and usually refuse to float to other units." 
C)  "I look for research findings to support my nursing actions." 
D)  "I believe that every patient deserves my very best efforts." 
E)  "I have read the professional nursing standards." 
A)  "I always assess before acting and make changes as needed." 
B)  "I only work the shifts I am assigned and usually refuse to float to other units." 
C)  "I look for research findings to support my nursing actions." 
D)  "I believe that every patient deserves my very best efforts." 
E)  "I have read the professional nursing standards."

Question 9

A patient is admitted with the diagnosis of bronchitis,congestive heart failure,and fever.The nurse's assessment finds a temperature of 101° F,peripheral edema,and rhonchi.Which of the following is the best etiology to support the nursing diagnosis of ineffective airway clearance?

Accepted Answer

A)  Peripheral edema 
B)  Retained secretions 
C)  Bronchitis 
D)  Congestive heart failure 
A)  Peripheral edema 
B)  Retained secretions 
C)  Bronchitis 
D)  Congestive heart failure

Question 10

A nursing student is complaining about writing care plans.Which response by the faculty is best to help the student see the importance of this activity?

Accepted Answer

A)  "Using the nursing process will help nurses get reimbursement for their services." 
B)  "You need a written plan of care so everyone is on the same page as you are." 
C)  "The nursing process is a way to systematically think about and use patient data." 
D)  "Most state nurse practice acts require them, so you need to learn how to do them." 
A)  "Using the nursing process will help nurses get reimbursement for their services." 
B)  "You need a written plan of care so everyone is on the same page as you are." 
C)  "The nursing process is a way to systematically think about and use patient data." 
D)  "Most state nurse practice acts require them, so you need to learn how to do them."

Question 11

Several methods have been developed to assist nurses in organizing patient data.They include

Accepted Answer

A)  Henderson's 14 nursing problems. 
B)  Gordon's 11 functional health patterns. 
C)  Nightingale's ecological framework. 
D)  Abdellah's 21 nursing problems. 
A)  Henderson's 14 nursing problems. 
B)  Gordon's 11 functional health patterns. 
C)  Nightingale's ecological framework. 
D)  Abdellah's 21 nursing problems.

Question 12

A patient is admitted with asthma.The nurse's assessment finds a temperature of 99° F,wheezing,speaking in three-word phrases,and respiratory rate of 16 breaths per minute.Which of the following are the best defining characteristics to support the diagnosis of ineffective airway clearance related to inflammation and constriction of the bronchial tree?

Accepted Answer

A)  Elevated temperature and respiratory rate 
B)  Diagnosis of asthma with wheezing 
C)  Wheezing and speaking in three-word phrases 
D)  Limited vocalization and fever 
A)  Elevated temperature and respiratory rate 
B)  Diagnosis of asthma with wheezing 
C)  Wheezing and speaking in three-word phrases 
D)  Limited vocalization and fever

Question 13

What does the process of analysis of patient data directly result in?

Accepted Answer

A)  Validating actual problems or diagnoses 
B)  Determining the nursing interventions of importance 
C)  Identifying actual or potential problems amenable to nursing intervention 
D)  Confirming the medical diagnosis 
A)  Validating actual problems or diagnoses 
B)  Determining the nursing interventions of importance 
C)  Identifying actual or potential problems amenable to nursing intervention 
D)  Confirming the medical diagnosis

Question 14

The nurse observes a patient lying rigidly in bed and taking shallow breaths.The patient reports a pain score of 4 out of 5 and says,"My leg hurts." The nurse determines that the objective and subjective data are

Accepted Answer

A)  incongruent and require more assessment. 
B)  insufficient to make any conclusions. 
C)  congruent and support that the patient is in pain. 
D)  unclear; the nurse needs to talk to the patient's family for more information. 
A)  incongruent and require more assessment. 
B)  insufficient to make any conclusions. 
C)  congruent and support that the patient is in pain. 
D)  unclear; the nurse needs to talk to the patient's family for more information.

Question 15

Which of the following is a characteristic of an accomplished critical thinker?

Accepted Answer

A)  Inquisitiveness 
B)  Narrow focus 
C)  Unaffected by other arguments 
D)  Quick decision making 
A)  Inquisitiveness 
B)  Narrow focus 
C)  Unaffected by other arguments 
D)  Quick decision making

Question 16

Which of the following is considered objective data obtained from the patient?

Accepted Answer

A)  "I can't catch my breath." 
B)  Patient expresses concern about missing work. 
C)  Patient nods, indicating an affirmative answer to a question. 
D)  Blood pressure is 110/70 at 8 p.m. 
A)  "I can't catch my breath." 
B)  Patient expresses concern about missing work. 
C)  Patient nods, indicating an affirmative answer to a question. 
D)  Blood pressure is 110/70 at 8 p.m.

Question 17

The use of standardized plans of care for different patient populations has

Accepted Answer

A)  facilitated the use of critical paths as interdisciplinary plans of care. 
B)  required the nurse to individualize the plan of care to the patient. 
C)  eliminated the need for the nurse to develop a plan of care for an individual. 
D)  increased the time the nurse has to document the plan of care. 
A)  facilitated the use of critical paths as interdisciplinary plans of care. 
B)  required the nurse to individualize the plan of care to the patient. 
C)  eliminated the need for the nurse to develop a plan of care for an individual. 
D)  increased the time the nurse has to document the plan of care.

Question 18

A nursing student asks a faculty member how to improve critical thinking.Which response by the faculty is best?

Accepted Answer

A)  "Don't worry too much; it will come with time and experience." 
B)  Pay close attention to how you solve problems; assess your own style of thinking." 
C)  "Spend time shadowing an experienced nurse to see how it is done." 
D)  "Use ethical standards to guide how you approach patient situations." 
A)  "Don't worry too much; it will come with time and experience." 
B)  Pay close attention to how you solve problems; assess your own style of thinking." 
C)  "Spend time shadowing an experienced nurse to see how it is done." 
D)  "Use ethical standards to guide how you approach patient situations."

Question 19

Which of the following represents an interdependent nursing action?

Accepted Answer

A)  Giving the patient an ordered medication 
B)  Bathing the patient 
C)  Inserting a Foley catheter 
D)  Participating in a "code" (cardiac arrest response) 
A)  Giving the patient an ordered medication 
B)  Bathing the patient 
C)  Inserting a Foley catheter 
D)  Participating in a "code" (cardiac arrest response)

Question 20

The nurse is admitting a patient for surgery.The patient is twisting a handkerchief over and over while saying,"I'm going to have a little mole removed.I'm not worried.The surgery will take only an hour,and then I will go home.I've never been sick a day in my life,so I'll be fine." The nurse finds the following during her physical assessment: blood pressure is 150/90; temperature is 98.6° F; pulse is 88 beats per minute; respiration is 20 breaths per minute; black,brown,and red pigmented pea-sized raised area on her shoulder.Which of the above information would be considered subjective data?

Accepted Answer

A)  Pigmented mole on shoulder 
B)  "I'm not worried… I'll be fine." 
C)  Patient is anxious. 
D)  Heart rate is increased. 
E)  "The surgery will take only an hour and then I will go home." 
A)  Pigmented mole on shoulder 
B)  "I'm not worried… I'll be fine." 
C)  Patient is anxious. 
D)  Heart rate is increased. 
E)  "The surgery will take only an hour and then I will go home."

Which of the following is a correctly stated nursing diagnosis?

Why is the etiology of the nursing diagnosis statement important?

The identification of nursing diagnosis and goal setting should ideally be a collaborative process between the nurse and which other party?

A patient is in respiratory distress and placed on oxygen.Which is the most appropriate short-term goal?

A nurse reviewing a patient's care plan notes a goal of "Patient will ambulate 50 feet,three times in the hallway today." According to Bloom,what taxonomic category is this goal?

Which of the following is an independent nursing intervention?

Which of the following is an appropriate long-term goal to measure diabetes control for a patient in whom diabetes has been newly diagnosed?

Developing sound clinical judgment is a professional responsibility of the nurse.Which statements indicate behaviors that improve clinical judgment?

A patient is admitted with the diagnosis of bronchitis,congestive heart failure,and fever.The nurse's assessment finds a temperature of 101° F,peripheral edema,and rhonchi.Which of the following is the best etiology to support the nursing diagnosis of ineffective airway clearance?

A nursing student is complaining about writing care plans.Which response by the faculty is best to help the student see the importance of this activity?

Several methods have been developed to assist nurses in organizing patient data.They include

What does the process of analysis of patient data directly result in?

The nurse observes a patient lying rigidly in bed and taking shallow breaths.The patient reports a pain score of 4 out of 5 and says,"My leg hurts." The nurse determines that the objective and subjective data are

Which of the following is a characteristic of an accomplished critical thinker?

Which of the following is considered objective data obtained from the patient?

The use of standardized plans of care for different patient populations has

A nursing student asks a faculty member how to improve critical thinking.Which response by the faculty is best?

Which of the following represents an interdependent nursing action?

Nursing in Todays Evolving Health Care Environment

The History and Social Contexts of Nursing

Nursings Pathway to Professionalism

Nursing Education in an Evolving Health Care Environment

Becoming a Professional Nurse: Defining Nursing and Socialization Into Practice

Legal Aspects of Professional Nursing Practice

Ethics: Basic Concepts for Professional Nursing Practice

Conceptual and Philosophical Foundations of Professional Nursing Practice

Nursing Theory: The Basis for Professional Nursing

The Science of Nursing and Evidence-Based Practice

Communication and Collaboration in Professional Nursing Practice

Nurses,patients Families: Caring at the Intersection of Health,Illness Culture

Health Care in the United States

Political Activism in Nursing: Communities, Organizations, Government

Caring for Self, Caring Globally: The Challenge for Nurses in a Complex World

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Exam 11: Developing Nursing Judgment Through Critical Thinking

Which of the following is a correctly stated nursing diagnosis?

Why is the etiology of the nursing diagnosis statement important?

The identification of nursing diagnosis and goal setting should ideally be a collaborative process between the nurse and which other party?

A patient is in respiratory distress and placed on oxygen.Which is the most appropriate short-term goal?

A nurse reviewing a patient's care plan notes a goal of "Patient will ambulate 50 feet,three times in the hallway today." According to Bloom,what taxonomic category is this goal?

Which of the following is an independent nursing intervention?

Which of the following is an appropriate long-term goal to measure diabetes control for a patient in whom diabetes has been newly diagnosed?

Developing sound clinical judgment is a professional responsibility of the nurse.Which statements indicate behaviors that improve clinical judgment?

A patient is admitted with the diagnosis of bronchitis,congestive heart failure,and fever.The nurse's assessment finds a temperature of 101° F,peripheral edema,and rhonchi.Which of the following is the best etiology to support the nursing diagnosis of ineffective airway clearance?

A nursing student is complaining about writing care plans.Which response by the faculty is best to help the student see the importance of this activity?

Several methods have been developed to assist nurses in organizing patient data.They include

What does the process of analysis of patient data directly result in?

The nurse observes a patient lying rigidly in bed and taking shallow breaths.The patient reports a pain score of 4 out of 5 and says,"My leg hurts." The nurse determines that the objective and subjective data are

Which of the following is a characteristic of an accomplished critical thinker?

Which of the following is considered objective data obtained from the patient?

The use of standardized plans of care for different patient populations has

A nursing student asks a faculty member how to improve critical thinking.Which response by the faculty is best?

Which of the following represents an interdependent nursing action?

Nursing in Todays Evolving Health Care Environment

The History and Social Contexts of Nursing

Nursings Pathway to Professionalism

Nursing Education in an Evolving Health Care Environment

Becoming a Professional Nurse: Defining Nursing and Socialization Into Practice

Legal Aspects of Professional Nursing Practice

Ethics: Basic Concepts for Professional Nursing Practice

Conceptual and Philosophical Foundations of Professional Nursing Practice

Nursing Theory: The Basis for Professional Nursing

The Science of Nursing and Evidence-Based Practice

Communication and Collaboration in Professional Nursing Practice

Nurses,patients Families: Caring at the Intersection of Health,Illness Culture

Health Care in the United States

Political Activism in Nursing: Communities, Organizations, Government

Caring for Self, Caring Globally: The Challenge for Nurses in a Complex World

Filters