CHAMBERLAIN UNIVERSITY-ILLINOIS NR 226 EXAM 1 - REVIEW
QUESTIONS WITH ANSWERS QUESTIONS AND ANSWERS 100%
GUARANTEED PASS!
While assessing a patient, the nurse observes that the patient's intravenous (IV)
line is not infusing at the ordered rate. The nurse assesses the patient for pain at
the IV site, checks the flow regulator on the tubing, looks to see if the patient is
lying on the tubing, checks the point of connection between the tubing and the
IV catheter, and then checks the condition of the site where the intravenous
catheter enters the patient's skin. After the nurse readjusts the flow rate, the
infusion begins at the correct rate. This is an example of:
A. Inference.
B. Diagnostic reasoning.
C. Competency.
D. Problem solving. - CORRECT ANSWERS-D. Problem solving
-This is an example of problem solving. The nurse collects information and tries
options until she is able to find a solution to the slowed infusion rate. The focus
is on solving the problem with the patient's IV and not on solving the patient's
health problem; thus this is not the diagnostic reasoning process.
The nurse sits down to talk with a patient who lost her sister 2 weeks ago. The
patient reports she is unable to sleep, feels very fatigued during the day, and is
having trouble at work. The nurse asks her to clarify the type of trouble. The
patient explains she can't concentrate or even solve simple problems. The nurse
records the results of the assessment, describing the patient as having
ineffective coping. This is an example of:
A. Diagnostic reasoning.
B. Competency.
C. Inference.
,D. Problem solving. - CORRECT ANSWERS-A. Diagnostic reasoning
-In this example the nurse collects information about the patient, sees patterns
in the data collected, and makes a nursing diagnosis. This is an example of the
diagnostic process.
A nurse has worked on an oncology unit for 3 years. One patient has become
visibly weaker and states, "I feel funny." The nurse knows how patients often
have behavior changes before developing sepsis when they have cancer. The
nurse asks the patient questions to assess thinking skills and notices the patient
shivering. The nurse goes to the phone, calls the physician, and begins the
conversation by saying, "I believe that your patient is developing sepsis. I want
to report symptoms I'm seeing." What examples of critical thinking concepts
does the nurse show? (Select all that apply.)
A. Experience
B. Ethical
C. Analyticity
D. Self-confidence
E. Risk taking - CORRECT ANSWERS-C & D.
-Among critical thinking concepts, the nurse shows analyticity (analyzing
information, gathering additional findings, and sensing a problem), and self-
confidence (calling the physician, which shows trust in his own reasoning). The
nurse's experience would have influenced the familiarity of patient symptoms,
but in this text experience is considered a component of the critical thinking
model and not a concept. Acting ethically is a critical thinking standard.
.A nurse who is working on a surgical unit is caring for four different patients.
Patient A will be discharged home and is in need of instruction about wound
care. Patients B and C have returned from the operating room within an hour of
each other, and both require vital signs and monitoring of their intravenous (IV)
lines. Patient D is resting following a visit by physical therapy. Which of the
,following activities by the nurse represent(s) use of clinical decision making for
groups of patients? (Select all that apply.)
A. Consider how to involve patient A in deciding whether to involve the family
caregiver in wound care instruction.
B. Think about past experience with patients who develop postoperative
complications.
C. Decide which activities can be combined for patients B and C.
D. Carefully gather any assessment information and identify patient problems. -
CORRECT ANSWERS-A & C
-Considering how to involve patients in decisions and how to combine nursing
activities to be more organized and allow for resolving more than one problem
at a time are examples of clinical decision making for groups of patients.
Thinking about past experience with patients is an example of reflection, an
approach to strengthen critical thinking skills. Gathering assessment information
is part of the process of diagnostic reasoning, which should be applied to each
patient.
The surgical unit has initiated the use of a pain-rating scale to assess patients'
pain severity during their postoperative recovery. The registered nurse (RN)
looks at the pain flow sheet to see the pain scores recorded for a patient over
the last 24 hours. Use of the pain scale is an example of which intellectual
standard?
A. Deep
B. Relevant
C. Consistent
D. Significant - CORRECT ANSWERS-C. Consistent
-Use of the same pain scale for assessing pain acuity is an example of being
consistent.
, During a home health visit the nurse prepares to instruct a patient in how to
perform range-of-motion (ROM) exercises for an injured shoulder. The nurse
verifies that the patient took an analgesic 30 minutes before arrival at the
patient's home. After discussing the purpose for the exercises and
demonstrating each one, the nurse has the patient perform them. After two
attempts with only the second of three exercises, the patient stops and says,
"This hurts too much. I don't see why I have to do this so many times." The
nurse applies the critical thinking attitude of integrity in which of the following
actions?
A. "I understand your reluctance, but the exercises are necessary for you to
regain function in your shoulder. Let's go a bit more slowly and try to relax."
B. "I see that you're uncomfortable. I'll call your doctor to decide the next step."
C. "Show me exactly where your pain is and rate it for me on a scale o -
CORRECT ANSWERS-A. "I understand your reluctance, but the exercises are
necessary for you to regain function in your shoulder. Let's go a bit more slowly
and try to relax."
-The nurse reviews the position of requiring exercises to restore function and
decides to try a different approach to proceed, which is an example of integrity.
In calling the doctor for the next step, the nurse does not reinforce the
importance of exercises, which is likely the standard of care for this type of
patient. In asking the location and strength of the pain the nurse is interpreting
further to determine if any other physical problems are developing. In
attempting to learn if any other underlying problems exist, the nurse is showing
curiosity.
The nurse cared for a 14-year-old with renal failure who died near the end of the
work shift. The health care team tried for 45 minutes to resuscitate the child
with no success. The family was devastated by the loss, and, when the nurse
tried to talk with them, the mother said, "You can't make me feel better; you
don't know what it's like to lose a child." Which of the following examples of
journal entries might best help the nurse reflect and think about this clinical
experience? (Select all that apply.)
QUESTIONS WITH ANSWERS QUESTIONS AND ANSWERS 100%
GUARANTEED PASS!
While assessing a patient, the nurse observes that the patient's intravenous (IV)
line is not infusing at the ordered rate. The nurse assesses the patient for pain at
the IV site, checks the flow regulator on the tubing, looks to see if the patient is
lying on the tubing, checks the point of connection between the tubing and the
IV catheter, and then checks the condition of the site where the intravenous
catheter enters the patient's skin. After the nurse readjusts the flow rate, the
infusion begins at the correct rate. This is an example of:
A. Inference.
B. Diagnostic reasoning.
C. Competency.
D. Problem solving. - CORRECT ANSWERS-D. Problem solving
-This is an example of problem solving. The nurse collects information and tries
options until she is able to find a solution to the slowed infusion rate. The focus
is on solving the problem with the patient's IV and not on solving the patient's
health problem; thus this is not the diagnostic reasoning process.
The nurse sits down to talk with a patient who lost her sister 2 weeks ago. The
patient reports she is unable to sleep, feels very fatigued during the day, and is
having trouble at work. The nurse asks her to clarify the type of trouble. The
patient explains she can't concentrate or even solve simple problems. The nurse
records the results of the assessment, describing the patient as having
ineffective coping. This is an example of:
A. Diagnostic reasoning.
B. Competency.
C. Inference.
,D. Problem solving. - CORRECT ANSWERS-A. Diagnostic reasoning
-In this example the nurse collects information about the patient, sees patterns
in the data collected, and makes a nursing diagnosis. This is an example of the
diagnostic process.
A nurse has worked on an oncology unit for 3 years. One patient has become
visibly weaker and states, "I feel funny." The nurse knows how patients often
have behavior changes before developing sepsis when they have cancer. The
nurse asks the patient questions to assess thinking skills and notices the patient
shivering. The nurse goes to the phone, calls the physician, and begins the
conversation by saying, "I believe that your patient is developing sepsis. I want
to report symptoms I'm seeing." What examples of critical thinking concepts
does the nurse show? (Select all that apply.)
A. Experience
B. Ethical
C. Analyticity
D. Self-confidence
E. Risk taking - CORRECT ANSWERS-C & D.
-Among critical thinking concepts, the nurse shows analyticity (analyzing
information, gathering additional findings, and sensing a problem), and self-
confidence (calling the physician, which shows trust in his own reasoning). The
nurse's experience would have influenced the familiarity of patient symptoms,
but in this text experience is considered a component of the critical thinking
model and not a concept. Acting ethically is a critical thinking standard.
.A nurse who is working on a surgical unit is caring for four different patients.
Patient A will be discharged home and is in need of instruction about wound
care. Patients B and C have returned from the operating room within an hour of
each other, and both require vital signs and monitoring of their intravenous (IV)
lines. Patient D is resting following a visit by physical therapy. Which of the
,following activities by the nurse represent(s) use of clinical decision making for
groups of patients? (Select all that apply.)
A. Consider how to involve patient A in deciding whether to involve the family
caregiver in wound care instruction.
B. Think about past experience with patients who develop postoperative
complications.
C. Decide which activities can be combined for patients B and C.
D. Carefully gather any assessment information and identify patient problems. -
CORRECT ANSWERS-A & C
-Considering how to involve patients in decisions and how to combine nursing
activities to be more organized and allow for resolving more than one problem
at a time are examples of clinical decision making for groups of patients.
Thinking about past experience with patients is an example of reflection, an
approach to strengthen critical thinking skills. Gathering assessment information
is part of the process of diagnostic reasoning, which should be applied to each
patient.
The surgical unit has initiated the use of a pain-rating scale to assess patients'
pain severity during their postoperative recovery. The registered nurse (RN)
looks at the pain flow sheet to see the pain scores recorded for a patient over
the last 24 hours. Use of the pain scale is an example of which intellectual
standard?
A. Deep
B. Relevant
C. Consistent
D. Significant - CORRECT ANSWERS-C. Consistent
-Use of the same pain scale for assessing pain acuity is an example of being
consistent.
, During a home health visit the nurse prepares to instruct a patient in how to
perform range-of-motion (ROM) exercises for an injured shoulder. The nurse
verifies that the patient took an analgesic 30 minutes before arrival at the
patient's home. After discussing the purpose for the exercises and
demonstrating each one, the nurse has the patient perform them. After two
attempts with only the second of three exercises, the patient stops and says,
"This hurts too much. I don't see why I have to do this so many times." The
nurse applies the critical thinking attitude of integrity in which of the following
actions?
A. "I understand your reluctance, but the exercises are necessary for you to
regain function in your shoulder. Let's go a bit more slowly and try to relax."
B. "I see that you're uncomfortable. I'll call your doctor to decide the next step."
C. "Show me exactly where your pain is and rate it for me on a scale o -
CORRECT ANSWERS-A. "I understand your reluctance, but the exercises are
necessary for you to regain function in your shoulder. Let's go a bit more slowly
and try to relax."
-The nurse reviews the position of requiring exercises to restore function and
decides to try a different approach to proceed, which is an example of integrity.
In calling the doctor for the next step, the nurse does not reinforce the
importance of exercises, which is likely the standard of care for this type of
patient. In asking the location and strength of the pain the nurse is interpreting
further to determine if any other physical problems are developing. In
attempting to learn if any other underlying problems exist, the nurse is showing
curiosity.
The nurse cared for a 14-year-old with renal failure who died near the end of the
work shift. The health care team tried for 45 minutes to resuscitate the child
with no success. The family was devastated by the loss, and, when the nurse
tried to talk with them, the mother said, "You can't make me feel better; you
don't know what it's like to lose a child." Which of the following examples of
journal entries might best help the nurse reflect and think about this clinical
experience? (Select all that apply.)
