Exam 1: Critical Thinking and the Nursing Process

The nurse is caring for a patient who is scheduled for surgery.Which data should the nurse collect to identify safety and security needs?

The nurse is caring for a patient with the diagnosis of Fluid Volume Excess.Which information should the LPN/LVN use to determine if care was effective?

The nurse finishes collecting data on a patient with injuries from a motor vehicle crash.Which data should the nurse document as objective? (Select all that apply.)

The nurse is caring for a patient recovering from a stroke.Use the nursing process to order the observations made or actions performed while caring for this patient (A-E).

The nursing staff is planning a celebratory dinner and cake for a newly licensed practical nurse.Which of the new nurse's human needs is supported by these actions?

After collecting data the nurse identifies diagnoses to guide the patient's care.Which diagnoses did the nurse document correctly? (Select all that apply.)

The RN implements an intervention to improve a patient's appetite.After implementing the intervention for two meals,the LPN/LVN notes no improvement in the patient's eating.What action should the LPN/LVN take?

A RN delegates a patient care assignment to the LPN/LVN.Which phase of the nursing process should the LPN/LVN perform independently?

The nurse suspects a patient is experiencing adverse effects to a newly prescribed antihypertensive medication.After being informed that the effects are expected,the nurse remains concerned and conducts an Internet search on the patient's manifestations.Which critical thinking behavior did the nurse implement?

The nurse identifies the diagnosis Potential for Ineffective Gas Exchange as appropriate for a patient with pneumonia.Which independent nursing actions should the nurse plan for this problem? (Select all that apply.)

The nurse is determining diagnoses appropriate for a patient recovering from surgery.Which nursing diagnoses should the nurse identify as the highest priority for this patient?

After identifying nursing diagnoses,the nurse plans outcomes for a patient with gastroesophageal reflux disease.Which outcome should the nurse use to evaluate this patient's care?