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1. After completing an initial assessment of a patient, A
the nurse has charted that his respirations are eupne-
ic and his pulse is 58 beats per minute. These types of
data would be:
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective.
2. 2. A patient tells the nurse that he is very nervous, is C
nauseated, and feels hot. These types of data would
be:
a.
Objective.
b.
Reflective.
c.
Subjective.
d.
Introspective.
3. 3. The patients record, laboratory studies, objective A
data, and subjective data combine to form the:
a.
Data base.
b.
Admitting data.
c.
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Financial statement.
d.
Discharge summary.
4. 4. When listening to a patients breath sounds, the C
nurse is unsure of a sound that is heard. The nurses
next action should be to:
a.
Immediately notify the patients physician.
b.
Document the sound exactly as it was heard.
c.
Validate the data by asking a coworker to listen to the
breath sounds.
d.
Assess again in 20 minutes to note whether the sound
is still present.
5. 5. The nurse is conducting a class for new gradu- B
ate 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:
a.
Intuition.
b.
A set of rules.
c.
Articles in journals.
d.
Advice from supervisors.
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6. 6. Expert nurses learn to attend to a pattern of as- A
sessment data and act without consciously labeling it.
These responses are referred to as:
a.
Intuition.
b.
The nursing process.
c.
Clinical knowledge.
d.
Diagnostic reasoning.
7. 7. The nurse is reviewing information about evi- C
dence-based practice (EBP). Which statement best re-
flects EBP?
a.
EBP relies on tradition for support of best practices.
b.
EBP is simply the use of best practice techniques for
the treatment of patients.
c.
EBP emphasizes the use of best evidence with the
clinicians experience.
d.
The patients own preferences are not important with
EBP.
8. 8. The nurse is conducting a class on priority setting D
for a group of new graduate nurses. Which is an ex-
ample of a first-level priority problem?
a.
Patient with postoperative pain
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b.
Newly diagnosed patient with diabetes who needs
diabetic teaching
c.
Individual with a small laceration on the sole of the
foot
d.
Individual with shortness of breath and respiratory
distress
9. 9. When considering priority setting of problems, the C
nurse keeps in mind that second-level priority prob-
lems include which of these aspects?
a.
Low self-esteem
b.
Lack of knowledge
c.
Abnormal laboratory values
d.
Severely abnormal vital signs
10. 10. Which critical thinking skill helps the nurse see B
relationships among the data?
a.
Validation
b.
Clustering related cues
c.
Identifying gaps in data
d.
Distinguishing relevant from irrelevant