NR 509 Week 1 With 140 Questions & Correct 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 - ANSWER-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 - ANSWER-C. Subjective
The patients record, laboratory studies, objective data, and subjective data combine to form the
- Data base
- Admitting data
- Financial Statement 1 / 4
- Discharge Summary - ANSWER-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
- 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 -
ANSWER-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 - ANSWER-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 - ANSWER-A. Intuition 2 / 4
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. - ANSWER-C. EBP
emphasizes the use of best evidence with the clinicians experience
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 - ANSWER-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 - ANSWER-C. Abnormal laboratory values
Which critical thinking skill helps see relationships among the data?
- Validation
- Clustering related cues 3 / 4
- Identifying gaps in data
- Distinguishing relevant from irrelevant - ANSWER-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 - ANSWER-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
- Admission, diagnosis, treatment, evaluation and discharge planning
- Assessment, diagnosis, outcome identification, planning, implementation, and
evaluation - ANSWER-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 - ANSWER-A. Breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
- / 4