NURSING 101 FUNDAMENTALS OF
NURSING PRACTICE EXAM 1 –
PART 2
EXAM QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE
A nurse uses an institution's procedure manual to confirm how to insert
a Foley catheter. The level of critical thinking the nurse is using is:
A. Commitment
B. Scientific method
C. Basic critical thinking
D. Complex critical thinking - ANS✔✔---C. Basic critical thinking
At the basic level of critical thinking, a learner trusts the experts and
follows a procedure step by step. Complex critical thinkers separate
themselves from authorities and analyze and examine choices more
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,independently. Commitment is the third level of critical thinking in
which the person anticipates the need to make choices without
assistance from others. The scientific method is a process of problem
solving.
A nurse refers to a client's postsurgical written plan of care, noting that
the client has a drainage device collecting wound drainage. The
surgeon is to be notified when drainage in the device exceeds 100 ml
for the day. The nurse carefully notes the amount of drainage currently
in the device. This is an example of:
A. Planning
B. Evaluation
C. Assessment
D. Intervention - ANS✔✔---C. Assessment
Assessment is the process of observing and collecting data. Planning is
the step in which the diagnosis is analyzed for problem resolution.
Intervention consists of the steps actually taken after planning.
Evaluation measures the effectiveness of the plan.
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,The nurse asks a client how she feels about impending surgery for
breast cancer. Before initiating the discussion the nurse reviewed
information about loss and grief in addition to therapeutic
communication principles. The critical thinking component involved in
the nurse's review of the literature is:
A) Experience
B) Problem solving
C) Knowledge application
D) Clinical decision making - ANS✔✔---C. Knowledge application
The nurse sought appropriate information to be able to communicate
more knowledgeably with the client. Experience is acquired through
clinical learning situations. Problem solving is a series of steps to
resolve a problem. Clinical decision making is a process in which
critical thinking steps are followed for problem resolution.
Which of the following is the most accurate information to give a
nurse during change-of-shift reporting?
A) Client refuses to take medications.
B) Client reports sharp pain in left anterior knee.
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, C) Client encouraged to consume more fluids.
D) Client expressed concern about pending surgery. - ANS✔✔---B.
Client reports sharp pain in elft anterior knee
The information in option 2 represents objective data that the nurse can
use as part of baseline information. "Encouraged" and "more" are
vague terms. "Concern" is also vague; relating the exact concern would
be more accurate. Option 1 may be true, but accurate data would also
report why the client refused medication.
On entering a client's room during change-of-shift rounds, the nurse
notices that the client and spouse have their backs turned to each other,
and both have their arms folded across their chests. The best action for
the nurse to take at this time is to:
A) Introduce himself or herself and begin discharge teaching.
B) Proceed with the tasks the nurse was intending to perform.
C) Say nothing and leave quickly, closing the door behind.
D) Ask the client and spouse if they need some time alone right now.
-
ANS✔✔---D. Ask the client and spouse if they need smoe time alone
right now.
Page 4 of 114
NURSING PRACTICE EXAM 1 –
PART 2
EXAM QUESTIONS AND CORRECT
ANSWERS LATEST UPDATE
A nurse uses an institution's procedure manual to confirm how to insert
a Foley catheter. The level of critical thinking the nurse is using is:
A. Commitment
B. Scientific method
C. Basic critical thinking
D. Complex critical thinking - ANS✔✔---C. Basic critical thinking
At the basic level of critical thinking, a learner trusts the experts and
follows a procedure step by step. Complex critical thinkers separate
themselves from authorities and analyze and examine choices more
Page 1 of 114
,independently. Commitment is the third level of critical thinking in
which the person anticipates the need to make choices without
assistance from others. The scientific method is a process of problem
solving.
A nurse refers to a client's postsurgical written plan of care, noting that
the client has a drainage device collecting wound drainage. The
surgeon is to be notified when drainage in the device exceeds 100 ml
for the day. The nurse carefully notes the amount of drainage currently
in the device. This is an example of:
A. Planning
B. Evaluation
C. Assessment
D. Intervention - ANS✔✔---C. Assessment
Assessment is the process of observing and collecting data. Planning is
the step in which the diagnosis is analyzed for problem resolution.
Intervention consists of the steps actually taken after planning.
Evaluation measures the effectiveness of the plan.
Page 2 of 114
,The nurse asks a client how she feels about impending surgery for
breast cancer. Before initiating the discussion the nurse reviewed
information about loss and grief in addition to therapeutic
communication principles. The critical thinking component involved in
the nurse's review of the literature is:
A) Experience
B) Problem solving
C) Knowledge application
D) Clinical decision making - ANS✔✔---C. Knowledge application
The nurse sought appropriate information to be able to communicate
more knowledgeably with the client. Experience is acquired through
clinical learning situations. Problem solving is a series of steps to
resolve a problem. Clinical decision making is a process in which
critical thinking steps are followed for problem resolution.
Which of the following is the most accurate information to give a
nurse during change-of-shift reporting?
A) Client refuses to take medications.
B) Client reports sharp pain in left anterior knee.
Page 3 of 114
, C) Client encouraged to consume more fluids.
D) Client expressed concern about pending surgery. - ANS✔✔---B.
Client reports sharp pain in elft anterior knee
The information in option 2 represents objective data that the nurse can
use as part of baseline information. "Encouraged" and "more" are
vague terms. "Concern" is also vague; relating the exact concern would
be more accurate. Option 1 may be true, but accurate data would also
report why the client refused medication.
On entering a client's room during change-of-shift rounds, the nurse
notices that the client and spouse have their backs turned to each other,
and both have their arms folded across their chests. The best action for
the nurse to take at this time is to:
A) Introduce himself or herself and begin discharge teaching.
B) Proceed with the tasks the nurse was intending to perform.
C) Say nothing and leave quickly, closing the door behind.
D) Ask the client and spouse if they need some time alone right now.
-
ANS✔✔---D. Ask the client and spouse if they need smoe time alone
right now.
Page 4 of 114
