SOLUTION LATEST UPDATED 2026
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.
1. Objective
A.
B.Reflective
C.Subjective
D. Introspective
A patient tells the nurse that he is very nervous, is nauseated and feels
hot. These types of data would be
Objective
2. A.
B.Reflective
C.Subjective
D. Introspective
The patients record, laboratory studies, objective data, and subjective data
combine to form the
A. Data base
3. B. Admitting data
C. Financial Statement
D. Discharge Summary
When listening to a patients breath sounds, the nurse is unsure of a sound
that is heard. The nurses next action should be to
A. Immediately notify the patients physician
4. B.
Document the sound exactly as it was heard.
C. Validate the data by asking a coworker to listen to breath sounds
D. Assess it again in 20 minutes to note whether the sound is still present
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:
5. A. Intuition
B. A set of rules
C. Articles in journals
D. Advice from supervisors
Expert nurses learn to attend to a pattern of assessment data and act
, without consciously labeling it. These responses are referred to as:
6. Intuition
A.
B. The nursing process
C. Clinical knowledge
D. Diagnostic reasoning
7. The nurse is reviewing information about EBP. Which statement best reflects
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.
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
8. A.
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
When considering priority settings of problems, the nurse keeps in mind
that second-level priority problems include which of these aspects?
Low self-esteem
9. A.
B. Lack of knowledge
C.Abnormal laboratory values
D. Severely abnormal vital signs
Which critical thinking skill helps see relationships among the data?
A. Validation
10. B. Clustering
related cues
C. Identifying gaps in
data
D. Distinguishing relevant from irrelevant
The nurse knows that developing appropriate nursing interventions for a
patient relies on the appropriateness of the diagnosis
11. Nursing
A.
B. Medical
C. Admission
D. Collaborative
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
12.B. A.
Admission, assessment, diagnosis, treatment and discharge planning
C. Admission, diagnosis, treatment, evaluation and discharge planning
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
13. Breathing, pain, and sleep
B. A.
Breathing, sleep and pain
, C. Sleep, breathing and pain
D. Sleep, pain and breathing
14. Which of these would be formulated by a nurse using diagnostic
reasoning?
A. Nursing diagnosis
B. Medical diagnosis
C. Diagnostic hypothesis