RNSG 2539 FINAL PRACTICE:
CRITICAL THINKING AND CLINICAL
APPLICATION QUESTIONS AND
ANSWERS
(LATEST)
In disaster triage, which client is priority for immediate treatment? -
ANSWERS-Airway obstruction that can be opened with positioning.
What principle guides care during a mass casualty event? -
ANSWERS-Do the greatest good for the greatest number.
Which personality disorder is characterized by unstable relationships
and fear of abandonment? - ANSWERS-Borderline personality
disorder.
What nursing approach is best for borderline personality disorder? -
ANSWERS-Set clear consistent boundaries and use a calm approach.
Match the personality disorder clusters: 1. Cluster A, 2. Cluster B, 3.
Cluster C. - ANSWERS-1-B (Odd/eccentric), 2-C
(Dramatic/emotional/erratic), 3-A (Anxious/fearful).
Which disorder involves repeated violations of others' rights and lack
of remorse? - ANSWERS-Antisocial personality disorder.
,What is an example of therapeutic communication? - ANSWERS-Tell
me more about what happened.
Which are barriers to effective communication? - ANSWERS-
Medical jargon, interrupting, false reassurance, closed body posture.
What should a nurse do if a client refuses a recommended treatment
after education? - ANSWERS-Respect the informed refusal and
notify/document per policy.
What should a nurse do if a client does not understand the surgical
consent? - ANSWERS-Pause the process and notify the provider to
clarify.
Which action is outside the RN role? - ANSWERS-Diagnosing a
medical condition independently.
Which behaviors show professionalism? - ANSWERS-Accountability
for errors, respectful communication, maintaining confidentiality,
evidence-based practice.
What should a nurse do if a hospital policy conflicts with current
evidence? - ANSWERS-Use proper chain/shared governance to
advocate policy review.
,What remains the RN's responsibility after delegating a task? -
ANSWERS-Supervision and evaluation of outcome.
What is the best action if a nurse receives a confusing medication
order? - ANSWERS-Clarify the order before administering.
What is the best nursing response to a client's request for a spiritual
practice? - ANSWERS-Support the request and incorporate it into
care when possible.
What message is likely sent if a nurse says, 'I'm listening,' while
looking at the clock? - ANSWERS-Nonverbal behavior conflicts with
words.
Which documentation is most appropriate? - ANSWERS-Client
states, 'Pain is 8/10'; morphine 2 mg IV given per order; pain 3/10
after 30 min.
Which discharge actions support patient-centered care? - ANSWERS-
Use teach-back, assess barriers to obtaining medications, include
caregiver if client agrees, provide written instructions at appropriate
literacy level.
What actions are appropriate when a client with bruises whispers not
to tell their partner? - ANSWERS-Create a reason to speak with client
alone, assess immediate safety, provide resources/safety plan without
forcing decisions, document objective findings.
, What should the nurse anticipate if a client with sepsis has a MAP of
58 mmHg after a fluid bolus? - ANSWERS-Start/adjust vasopressor
therapy as ordered
What is the MAP for BP 90/54 using MAP = (SBP + 2(DBP))/3? -
ANSWERS-66 mmHg
Which intervention best addresses a client with a CVP of 1 mmHg
and signs of dehydration? - ANSWERS-Administer prescribed
isotonic fluids
Which provider order should the nurse question for a client with high
PAWP? - ANSWERS-Fluid bolus
What medication effect would help decrease afterload in a client with
severe hypertension? - ANSWERS-Vasodilation
Which findings suggest decreased cardiac output? (Select all that
apply) - ANSWERS-Confusion, Cool clammy skin, Urine output 15
mL/hr, Weak thready pulse
Which medication should the nurse prepare to give for a client with
sinus bradycardia at 38 bpm? - ANSWERS-Atropine
What is the priority concern for a client with an irregularly irregular
rhythm and no measurable P waves? - ANSWERS-Stroke
CRITICAL THINKING AND CLINICAL
APPLICATION QUESTIONS AND
ANSWERS
(LATEST)
In disaster triage, which client is priority for immediate treatment? -
ANSWERS-Airway obstruction that can be opened with positioning.
What principle guides care during a mass casualty event? -
ANSWERS-Do the greatest good for the greatest number.
Which personality disorder is characterized by unstable relationships
and fear of abandonment? - ANSWERS-Borderline personality
disorder.
What nursing approach is best for borderline personality disorder? -
ANSWERS-Set clear consistent boundaries and use a calm approach.
Match the personality disorder clusters: 1. Cluster A, 2. Cluster B, 3.
Cluster C. - ANSWERS-1-B (Odd/eccentric), 2-C
(Dramatic/emotional/erratic), 3-A (Anxious/fearful).
Which disorder involves repeated violations of others' rights and lack
of remorse? - ANSWERS-Antisocial personality disorder.
,What is an example of therapeutic communication? - ANSWERS-Tell
me more about what happened.
Which are barriers to effective communication? - ANSWERS-
Medical jargon, interrupting, false reassurance, closed body posture.
What should a nurse do if a client refuses a recommended treatment
after education? - ANSWERS-Respect the informed refusal and
notify/document per policy.
What should a nurse do if a client does not understand the surgical
consent? - ANSWERS-Pause the process and notify the provider to
clarify.
Which action is outside the RN role? - ANSWERS-Diagnosing a
medical condition independently.
Which behaviors show professionalism? - ANSWERS-Accountability
for errors, respectful communication, maintaining confidentiality,
evidence-based practice.
What should a nurse do if a hospital policy conflicts with current
evidence? - ANSWERS-Use proper chain/shared governance to
advocate policy review.
,What remains the RN's responsibility after delegating a task? -
ANSWERS-Supervision and evaluation of outcome.
What is the best action if a nurse receives a confusing medication
order? - ANSWERS-Clarify the order before administering.
What is the best nursing response to a client's request for a spiritual
practice? - ANSWERS-Support the request and incorporate it into
care when possible.
What message is likely sent if a nurse says, 'I'm listening,' while
looking at the clock? - ANSWERS-Nonverbal behavior conflicts with
words.
Which documentation is most appropriate? - ANSWERS-Client
states, 'Pain is 8/10'; morphine 2 mg IV given per order; pain 3/10
after 30 min.
Which discharge actions support patient-centered care? - ANSWERS-
Use teach-back, assess barriers to obtaining medications, include
caregiver if client agrees, provide written instructions at appropriate
literacy level.
What actions are appropriate when a client with bruises whispers not
to tell their partner? - ANSWERS-Create a reason to speak with client
alone, assess immediate safety, provide resources/safety plan without
forcing decisions, document objective findings.
, What should the nurse anticipate if a client with sepsis has a MAP of
58 mmHg after a fluid bolus? - ANSWERS-Start/adjust vasopressor
therapy as ordered
What is the MAP for BP 90/54 using MAP = (SBP + 2(DBP))/3? -
ANSWERS-66 mmHg
Which intervention best addresses a client with a CVP of 1 mmHg
and signs of dehydration? - ANSWERS-Administer prescribed
isotonic fluids
Which provider order should the nurse question for a client with high
PAWP? - ANSWERS-Fluid bolus
What medication effect would help decrease afterload in a client with
severe hypertension? - ANSWERS-Vasodilation
Which findings suggest decreased cardiac output? (Select all that
apply) - ANSWERS-Confusion, Cool clammy skin, Urine output 15
mL/hr, Weak thready pulse
Which medication should the nurse prepare to give for a client with
sinus bradycardia at 38 bpm? - ANSWERS-Atropine
What is the priority concern for a client with an irregularly irregular
rhythm and no measurable P waves? - ANSWERS-Stroke
