NUR 300 EXAM 2 QUESTIONS AND ANSWERS
Intuition - Answers - The nurse is caring for a patient who was admitted with abdominal
pain. The patient's complete blood count (CBC) is normal, but the nurse is still
concerned about the patient having a gastrointestinal bleed and monitors the patient
closely.
Which cognitive skill is the nurse displaying?
Asking if the child would like to have the scheduled snack before or after going for an x-
ray - Answers - Which action by the nurse indicates support for a preschooler's
decision-making ability?
-Soothing the child by rocking the child until calm
-Inviting the child to the interdisciplinary meeting
-Asking if the child would like to have the scheduled snack before or after going for an x-
ray
-Showing the child the materials that will be used to stitch up the wound in the child's
knee
Scheduling decision - Answers - The nurse decides to take vital signs and draw morning
blood work before the patient's family comes to visit. Which type of decision does the
nurse's action reflect?
-Priority decision
-Scheduling decision
-Value decision
-Time-management decision
Noticing - Answers - The nurse auscultates a patient's breath sounds after the patient
receives an albuterol nebulizer treatment secondary to wheezing. The nurse finds that
the patient is still wheezing despite the therapy.
Which aspect of Tanner's clinical judgment model is the nurse displaying?
-Interpreting
-Reflecting
-Responding
-Noticing
Inquiry - Answers - The nurse is caring for a neonate who requires nasogastric (NG)
tube feedings due to prematurity. The NG tube frequently slips out of position, and the
nurse tries different approaches to prevent this from happening. Which critical thinking
skill is the nurse demonstrating?
A. Inquiry
,B. Reflection
C. Reasoning
D. Intellect
The parents must provide consent. - Answers - The nurse is caring for a teenager who
requires surgery to repair a broken femur after a motor vehicle crash. Which statement
about patient consent is correct?
A. The parents must provide consent.
B. The parents must provide consent, and the teen must sign an assent form.
C. The teenager must sign the consent form.
D. The teenager must sign the consent form, and the parents must also provide assent.
"Both clinical decision making and critical thinking are important parts of nursing
judgment." - Answers - The nurse educator is teaching student nurses about nursing
judgment. Which statement by a student indicates effective learning?
A. "Both clinical decision making and critical thinking are important parts of nursing
judgment."
B. "Students must be skilled at using clinical judgment while in nursing school."
C. "Intuition is an important part of nursing judgment in the new nurse."
D. "Clinical decision making is scarcely used in nursing judgment."
Administer the patient's medication at 8:45 a.m. - Answers - The nurse is caring for a
patient who is scheduled to have a chest x-ray at 9:00 a.m. and will be off the unit. The
patient is also due to have medication at 9:00 a.m. Which action by the nurse is most
appropriate?
A. Administer the patient's medication at 8:45 a.m.
B. Administer the medication after the patient returns from x-ray.
C. Administer the patient's medication at the start of shift.
D. Wait to administer the medication at the next dosage time.
Reflecting - Answers - A new nurse is speaking with a mentor about a mistake made the
day before. The mentor encourages the nurse to review the situation and make a
mental note to respond differently the next time the situation occurs. Which process is
the mentor encouraging?
A. Responding
B. Noticing
C. Reflecting
D. Interpreting
Trial and error - Answers - The nurse is caring for a patient who is having back
discomfort. The nurse helps the patient change position several times until comfortable.
Which process is defined by this action?
,A. Intuition
B. Trial and error
C. The nursing process
D. Clinical decision making
Benner's skill acquisition model - Answers - The nurse manager is looking at models of
clinical judgment to use as an employee assessment tool. The nurse manager wishes to
use a model that can evaluate clinical competence in the workplace. Which is best
suited for the job?
A. Tanner's clinical judgment model
B. Benner's skill acquisition model
C. Lasater's clinical judgment rubric
D. Guided reflection
Focused on a specific patient problem when planning care. - Answers - The nurse
manager is preparing an annual performance appraisal for a staff nurse who has
worked on a medical-surgical care area for 2 years. The manager determines that the
staff nurse's level of proficiency is competent. Which action by the staff nurse prompts
the manager to make this decision?
A. Waited for direction from charge nurse before providing care.
B. Focused on a specific patient problem when planning care.
C. Determined how a new medication would impact a patient's other health problems.
D. Referred to the procedure manual to change the dressing at an intravenous (IV) site.
Interpreting - Answers - The nurse forgets to provide the patient with discharge papers.
When speaking with a coworker, the nurse states, "I should have remembered to bring
the papers into the patient's room, but I got distracted with another task." Which guided
reflection task is the nurse demonstrating?
A. Observing
B. Interpreting
C. Responding
D. Reflecting
Inductive reasoning - Answers - The nurse is working on the oncology floor of the
hospital and notes that many of the patients request internet access so that they can
communicate with loved ones more easily. Using this information, the nurse obtains a
grant to purchase several laptops for the patients to share. Which the of reasoning did
the nurse use to develop this protocol?
A. Careful reasoning
B. Clinical reasoning
C. Deductive reasoning
, D. Inductive reasoning
Awareness of self-limits - Answers - The nurse working in the intensive care unit (ICU)
has decided to attend a professional critical care conference. Which critical thinking
attitude is exemplified by the nurses actions?
A. Awareness of self-limits
B. Independence
C. Integrity
D. Confidence
The nurse administers an intravenous (IV) narcotic instead of an oral narcotic. -
Answers - Which clinical situation best exemplifies the nurse who is choosing between
alternatives when making clinical decision?
A. The nurse has a "gut reaction" to the patient's pain and calls the patient's physician.
B. The nurse changes the patient's portion numbers times until the patient appears in
less pain.
C. The nurse administers an intravenous (IV) narcotic instead of an oral narcotic.
D. The nurse determines that the patient's nursing diagnosis is pain, acute.
Proficient - Answers - The nurse is caring for a patient with a history of diabetes
mellitus. The nurse notices an upward trend to the patient's daily fasting serum blood
glucose and notifies the patient's healthcare provider. Which level best describes this
nurse according to Benner's skill acquisition model?
A. Proficient
B. Novice
C. Advanced beginner
D. Competent
-Intuition - Answers - The nurse with 15 years of obstetric experience is caring for a
patient in labor who is reporting extreme pain. The nurse knows that the patient is likely
getting very close to delivery but asks the provider to come and evaluate the patient.
Which decision-making process is reflected in this situation?
A. The scientific method
B. The nursing process
C. Trial and error
D. Intuition
"To learn from actions in order to make adjustments to future practice" - Answers - The
nurse educator is reviewing Tanner's clinical decision-making model and asks the
students about the purpose of reflecting.
Which response by a student is correct?
Intuition - Answers - The nurse is caring for a patient who was admitted with abdominal
pain. The patient's complete blood count (CBC) is normal, but the nurse is still
concerned about the patient having a gastrointestinal bleed and monitors the patient
closely.
Which cognitive skill is the nurse displaying?
Asking if the child would like to have the scheduled snack before or after going for an x-
ray - Answers - Which action by the nurse indicates support for a preschooler's
decision-making ability?
-Soothing the child by rocking the child until calm
-Inviting the child to the interdisciplinary meeting
-Asking if the child would like to have the scheduled snack before or after going for an x-
ray
-Showing the child the materials that will be used to stitch up the wound in the child's
knee
Scheduling decision - Answers - The nurse decides to take vital signs and draw morning
blood work before the patient's family comes to visit. Which type of decision does the
nurse's action reflect?
-Priority decision
-Scheduling decision
-Value decision
-Time-management decision
Noticing - Answers - The nurse auscultates a patient's breath sounds after the patient
receives an albuterol nebulizer treatment secondary to wheezing. The nurse finds that
the patient is still wheezing despite the therapy.
Which aspect of Tanner's clinical judgment model is the nurse displaying?
-Interpreting
-Reflecting
-Responding
-Noticing
Inquiry - Answers - The nurse is caring for a neonate who requires nasogastric (NG)
tube feedings due to prematurity. The NG tube frequently slips out of position, and the
nurse tries different approaches to prevent this from happening. Which critical thinking
skill is the nurse demonstrating?
A. Inquiry
,B. Reflection
C. Reasoning
D. Intellect
The parents must provide consent. - Answers - The nurse is caring for a teenager who
requires surgery to repair a broken femur after a motor vehicle crash. Which statement
about patient consent is correct?
A. The parents must provide consent.
B. The parents must provide consent, and the teen must sign an assent form.
C. The teenager must sign the consent form.
D. The teenager must sign the consent form, and the parents must also provide assent.
"Both clinical decision making and critical thinking are important parts of nursing
judgment." - Answers - The nurse educator is teaching student nurses about nursing
judgment. Which statement by a student indicates effective learning?
A. "Both clinical decision making and critical thinking are important parts of nursing
judgment."
B. "Students must be skilled at using clinical judgment while in nursing school."
C. "Intuition is an important part of nursing judgment in the new nurse."
D. "Clinical decision making is scarcely used in nursing judgment."
Administer the patient's medication at 8:45 a.m. - Answers - The nurse is caring for a
patient who is scheduled to have a chest x-ray at 9:00 a.m. and will be off the unit. The
patient is also due to have medication at 9:00 a.m. Which action by the nurse is most
appropriate?
A. Administer the patient's medication at 8:45 a.m.
B. Administer the medication after the patient returns from x-ray.
C. Administer the patient's medication at the start of shift.
D. Wait to administer the medication at the next dosage time.
Reflecting - Answers - A new nurse is speaking with a mentor about a mistake made the
day before. The mentor encourages the nurse to review the situation and make a
mental note to respond differently the next time the situation occurs. Which process is
the mentor encouraging?
A. Responding
B. Noticing
C. Reflecting
D. Interpreting
Trial and error - Answers - The nurse is caring for a patient who is having back
discomfort. The nurse helps the patient change position several times until comfortable.
Which process is defined by this action?
,A. Intuition
B. Trial and error
C. The nursing process
D. Clinical decision making
Benner's skill acquisition model - Answers - The nurse manager is looking at models of
clinical judgment to use as an employee assessment tool. The nurse manager wishes to
use a model that can evaluate clinical competence in the workplace. Which is best
suited for the job?
A. Tanner's clinical judgment model
B. Benner's skill acquisition model
C. Lasater's clinical judgment rubric
D. Guided reflection
Focused on a specific patient problem when planning care. - Answers - The nurse
manager is preparing an annual performance appraisal for a staff nurse who has
worked on a medical-surgical care area for 2 years. The manager determines that the
staff nurse's level of proficiency is competent. Which action by the staff nurse prompts
the manager to make this decision?
A. Waited for direction from charge nurse before providing care.
B. Focused on a specific patient problem when planning care.
C. Determined how a new medication would impact a patient's other health problems.
D. Referred to the procedure manual to change the dressing at an intravenous (IV) site.
Interpreting - Answers - The nurse forgets to provide the patient with discharge papers.
When speaking with a coworker, the nurse states, "I should have remembered to bring
the papers into the patient's room, but I got distracted with another task." Which guided
reflection task is the nurse demonstrating?
A. Observing
B. Interpreting
C. Responding
D. Reflecting
Inductive reasoning - Answers - The nurse is working on the oncology floor of the
hospital and notes that many of the patients request internet access so that they can
communicate with loved ones more easily. Using this information, the nurse obtains a
grant to purchase several laptops for the patients to share. Which the of reasoning did
the nurse use to develop this protocol?
A. Careful reasoning
B. Clinical reasoning
C. Deductive reasoning
, D. Inductive reasoning
Awareness of self-limits - Answers - The nurse working in the intensive care unit (ICU)
has decided to attend a professional critical care conference. Which critical thinking
attitude is exemplified by the nurses actions?
A. Awareness of self-limits
B. Independence
C. Integrity
D. Confidence
The nurse administers an intravenous (IV) narcotic instead of an oral narcotic. -
Answers - Which clinical situation best exemplifies the nurse who is choosing between
alternatives when making clinical decision?
A. The nurse has a "gut reaction" to the patient's pain and calls the patient's physician.
B. The nurse changes the patient's portion numbers times until the patient appears in
less pain.
C. The nurse administers an intravenous (IV) narcotic instead of an oral narcotic.
D. The nurse determines that the patient's nursing diagnosis is pain, acute.
Proficient - Answers - The nurse is caring for a patient with a history of diabetes
mellitus. The nurse notices an upward trend to the patient's daily fasting serum blood
glucose and notifies the patient's healthcare provider. Which level best describes this
nurse according to Benner's skill acquisition model?
A. Proficient
B. Novice
C. Advanced beginner
D. Competent
-Intuition - Answers - The nurse with 15 years of obstetric experience is caring for a
patient in labor who is reporting extreme pain. The nurse knows that the patient is likely
getting very close to delivery but asks the provider to come and evaluate the patient.
Which decision-making process is reflected in this situation?
A. The scientific method
B. The nursing process
C. Trial and error
D. Intuition
"To learn from actions in order to make adjustments to future practice" - Answers - The
nurse educator is reviewing Tanner's clinical decision-making model and asks the
students about the purpose of reflecting.
Which response by a student is correct?
