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NUR 215 EXAM 1 FUNDAMENTALS OF
NURSING REAL 200 EXAM QUESTIONS AND
CORRECT ANSWERS/ NURS 215 EXAM 1
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A nurse with a large caseload of patients needs to delegate some assessment tasks to other members of the health team. The nurse is unsure which tasks can be delegated to nursing assistive personnel (NAP) and which are appropriate for a licensed practical nurse (LPN) or a registered nurse (RN). To which sources should the nurse turn for the answer to his question? Choose all that are appropriate.
- The nurse practice act of his state
- The American Medical Association guidelines
- The Code of Ethics for Nurses
- The American Nurses Association's Scope and Standards of Practice -
ANSWER-a and d
Which of the following questions would be effective for obtaining information from a patient? Choose all that apply.
- "How did this happen to you?"
- "What was your first symptom?"
- "Why didn't you seek healthcare earlier?"
- "When did you start having symptoms?" - ANSWER-a, b, d
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pg. 2 Which situation is the most conducive to conducting a successful interview of an elderly woman whose husband and two children are in the hospital room visiting and watching television? The woman is alert and oriented.
- Provide enough chairs so the family and you are able to sit facing the client.
- Introduce yourself and ask, "Dear, what name do you prefer to go by?" before
- After the family leaves, ask the client if she is comfortable and willing to answer
- Ask the client if you can talk with her while her family is watching the
asking any questions.
a few questions.
television. - ANSWER-c.
Which critical-thinking skills will a nurse utilize when reviewing the health record of a new client to prepare a nursing diagnosis? Select all that apply. - ANSWER-1.Visualizing potential solutions to a problem
- Prioritizing or ranking data as needed
- Separating relevant from irrelevant data
The nurse is admitting a client to the clinic and performs a focused assessment.What makes a focused assessment different from a comprehensive assessment? - ANSWER-A focused assessment is more in-depth on specific issues, unlike a comprehensive assessment
Which action by a nurse is appropriate before beginning a physical examination of a client? - ANSWER-Perform hand hygiene before the examination in the examination room
Which individual typically would be responsible for collecting the subjective data on a client during the initial comprehensive assessment? - ANSWER-Nurse
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pg. 3 A nurse is preparing to interview a client who is a Seventh Day Adventist. The nurse does not agree with this religion's view of modern medicine. Reflection of the nurse on their personal feelings regarding this client and their religious beliefs prior to the initial encounter with a client may help to avoid the occurrence of what situation? - ANSWER-Formation of judgments that may interfere with the interview
The nurse enters a client's room to obtain a fasting blood glucose reading and notices the breakfast tray is in front of the client. Which action best indicates the nurse using critical thinking? - ANSWER-Asking the client if he or she has eaten any food yet
Rationale: The nurse understands the need to obtain more information before
making a decision, demonstrating critical thinking.
A client, sipping hot tea, is scheduled for routine vital signs. Which illustration shows the least appropriate method for the nurse to use to obtain an accurate temperature reading? - ANSWER-Oral
The nurse is taking routine vital signs toward the end of shift. A client's BP reads 204/148. The client's baseline BP has been in the 130's systolic. What should the nurse do first? - ANSWER-Retake the BP
Which statement best reflects a critical-thinking philosophy? - ANSWER-"Think about different interventions that can be used with this client."
A nurse with several years of experience in the intensive care unit obtains a new job in the newborn nursery at the healthcare facility. Which critical-thinking attitude would be best for the nurse to employ in this new setting when asking for guidance? - ANSWER-Intellectual humility Rationale: A nurse in a new care setting may use intellectual humility when asking for help during orientation or work. 3 / 4
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Which nursing action reflects the nurse assisting the client in maintaining belief as a component of caring? - ANSWER-Providing encouragement to a client with a new amputation
A nurse is ambulating a client in the hallway who says, "I feel a little dizzy." The nurse immediately grabs a chair and slides it behind the client, having him sit down. According to Tanner's Model of Clinical Judgment, which reasoning skill is the nurse using after hearing this statement? - ANSWER-B. Intuitive reasoning
Which of the nurse's questions demonstrates critical thinking? - ANSWER-"Have I gathered enough data to make a decision?"
An older adult client is thinking about several treatment options for a new diagnosis of cancer. The client's family is strongly encouraging the client to take the most aggressive medications despite the client's hesitation. The nurse is asked to provide an opinion. Which critical-thinking attitude should the nurse present? - ANSWER-Fair-mindedness
A nurse is working in a healthcare facility with a protocol stipulating that clients with pneumonia should turn, cough, and deep breathe. This nurse is assigned to care for a client admitted with pneumonia but does not encourage the client to cough because the client also has esophageal varices from cirrhosis. Which aspect of critical thinking is this nurse using to guide client care? - ANSWER-Individual differences
Which is the best example of intellectual courage? - ANSWER-A nurse fairly examines his or her own values and beliefs even when uncomfortable.
Which nursing action is part of the evaluation phase when performing wound care for a client? - ANSWER-Obtaining wound measurements once a week
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