NR 509 week 1: Questions Answers

NR 509 week 1: Questions & 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.

• Objective
• Reflective
• Subjective
• Introspective

(Ans- A. Objective

A patient tells the nurse that he is very nervous, is nauseated and feels hot.These types of data would be

• Objective
• Reflective
• Subjective
• Introspective

(Ans- C. Subjective

The patients record, laboratory studies, objective data, and subjective data combine to form the

• Data base
• Admitting data
• Financial Statement
• Discharge Summary

(Ans- A. Data base

When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses next action should be to

• Immediately notify the patients physician 1 / 4

• Document the sound exactly as it was heard.
• Validate the data by asking a coworker to listen to breath sounds
• Assess it again in 20 minutes to note whether the sound is still present

(Ans- C. Validate the data by asking a coworker to listen to breath sounds

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:

• Intuition
• A set of rules
• Articles in journals
• Advice from supervisors

(Ans- b. A set of rules.

Expert nurses learn to attend to a pattern of assessment data and act

without consciously labeling it. These responses are referred to as:

• Intuition
• The nursing process
• Clinical knowledge
• Diagnostic reasoning

(Ans- A. Intuition

The nurse is reviewing information about EBP. Which statement best reflects EBP?

• EBP relies on tradition for support of best practices
• EBP is simply the use of best practice techniques for the treatment of

patients

• EBP emphasizes the use of best evidence with the clinicians experience
• The patients own preferences are not important with EBP.

(Ans- C. EBP emphasizes the use of best evidence with the clinicians experience

• / 4

The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an example of a first-level priority problem

• Patient with postoperative pain
• Newly diagnosed patient with diabetes who needs diabetic teaching
• Individual with a small laceration on the sole of the foot
• Individual with shortness of breath and respiratory distress

(Ans- D. Individual with shortness of breath and respiratory distress

When considering priority settings of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?

• Low self-esteem
• Lack of knowledge
• Abnormal laboratory values
• Severely abnormal vital signs

(Ans- C. Abnormal laboratory values

Which critical thinking skill helps see relationships among the data?

• Validation
• Clustering related cues
• Identifying gaps in data
• Distinguishing relevant from irrelevant

(Ans- B. Clustering related cues

The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the ________ diagnosis

• Nursing
• Medical
• Admission
• Collaborative

(Ans- A. Nursing

The nursing process is a sequential method of problem solving that nurses use and includes which steps?

• Assessment, treatment, planning, evaluation, discharge, and follow-up
• Admission, assessment, diagnosis, treatment and discharge planning 3 / 4

• Admission, diagnosis, treatment, evaluation and discharge planning
• Assessment, diagnosis, outcome identification, planning,

implementation, and evaluation (Ans- D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation

A newly admitted patient is in acute pain, has not been sleeping well lately, and is having difficulty breathing. How should the nurse prioritize these problems

• Breathing, pain, and sleep
• Breathing, sleep and pain
• Sleep, breathing and pain
• Sleep, pain and breathing

(Ans- A. Breathing, pain, and sleep

Which of these would be formulated by a nurse using diagnostic reasoning?

• Nursing diagnosis
• Medical diagnosis
• Diagnostic hypothesis
• Diagnostic assessment

(Ans- C. Diagnostic hypothesis

Barriers to EBP include:

• Nurses lack research skills in evaluating the quality of research studies
• Lack of significant research studies
• Insufficient clinical skills of nurses
• Inadequate physical assessment skills

(Ans- A. Nurses lack research skills in evaluating the quality of research studies

What step of the nursing process includes data collection by health history, physical examination and interview?

• Planning
• Diagnosis
• / 4