Exam 1: Critical Thinking and the Nursing Process

The nurse is caring for a patient with a painful back injury that occurred 6 months ago.Which three-part nursing diagnosis should the nurse use to guide this patient's care?

The nurse is planning a patient's care based on Maslow's hierarchy of needs.Which human need should the nurse identify as requiring his or her immediate attention?

While caring for a patient 4 hours after a surgical procedure,the LPN/LVN notes serosanguineous drainage on the patient's dressing.Which statement should the nurse use to document the finding?

The nurse approaches a person in a restaurant who appears to be experiencing respiratory distress.Which action should the nurse perform first?

During a class discussion,two nursing students demonstrated intellectual courage.What action did the nursing students perform?

The nurse is using the nursing process when caring for a patient.In which order should the nurse implement this process?

The nursing instructor is planning a teaching session on critical thinking for students.What should the instructor say when explaining critical thinking?

The nurse is planning care and setting goals for a newly admitted patient.Who should the nurse include when conducting these nursing actions?

After receiving morning report,which patient should the licensed practical nurse/licensed vocational nurse (LPN/LVN)assess first?

A patient with a family history of diabetes is experiencing high blood glucose levels,confusion,an unsteady gait,and dehydration.Which nursing diagnoses should the nurse identify as appropriate for this patient's care? (Select all that apply.)

The nurse is preparing to determine if a patient is meeting planned outcomes.What measurable information should the nurse use to make this determination?

During morning report,the LPN/LVN is assigned a group of patients.Which patient should the LPN/LVN see first?

The nurse is identifying outcomes for a patient with a Fluid Volume Deficit.Which outcome should the nurse use to guide the patient's care?

The nurse identifies the diagnosis Fluid Volume Overload as appropriate for a patient with heart failure.Which collected data should the nurse use to provide evidence for this diagnosis?

A patient with a history of respiratory disease is recovering from total hip replacement surgery.In which order should the nurse address the patient's diagnoses? (Place in order from 1 to 4.)

The nurse is reviewing data collected during patient care.Which data should the nurse document as objective?

The LPN/LVN is reviewing a patient's list of nursing diagnoses.Which diagnoses should the LPN/LVN identify as a priority for this patient?

While being taught to apply a topical medication,the patient begins to vomit.Which action should the nurse take to meet the patient's human needs?

The nurse is determining a patient's problems.What step of the nursing process is the nurse performing?

A patient with a newly fractured femur reports a pain level of 8/10,and analgesic medication is not due for another 50 minutes.Which actions should the nurse take?