NURSING 2271
Foundational
Knowledge for Nursing
Practice
Q & A w/ Rationales
2024
,1. Which of the following statements accurately describes
the concept of evidence-based practice in nursing?
a) It relies solely on scientific research and disregards
clinical expertise.
b) It is the application of clinical expertise based on
knowledge from randomized controlled trials.
c) It involves incorporating patient preferences and values
into decision-making.
d) It involves implementing interventions without
considering research evidence.
Answer: c) It involves incorporating patient preferences
and values into decision-making.
Rationale: Evidence-based practice in nursing involves
integrating the best available research evidence with
clinical expertise and consideration of patient preferences
and values to guide decision-making and nursing practice.
This approach ensures a patient-centered approach to care.
2. When planning care for a patient with diabetes, which of
the following is an example of a specific, measurable,
attainable, relevant, and time-bound (SMART) goal?
a) "Promote healthy eating habits"
b) "Improve glycemic control by monitoring blood glucose
levels daily"
c) "Increase patient satisfaction with nursing care"
d) "Enhance overall patient well-being"
, Answer: b) "Improve glycemic control by monitoring
blood glucose levels daily"
Rationale: SMART goals are specific, measurable,
attainable, relevant, and time-bound. The goal of
monitoring blood glucose levels daily to improve glycemic
control meets all these criteria and can be objectively
measured.
3. A nurse is educating a patient with heart failure about
dietary modifications. Which of the following foods should
the nurse instruct the patient to limit due to their high
sodium content?
a) Fresh fruits
b) Lean meats
c) Whole grains
d) Canned soups
Answer: d) Canned soups
Rationale: Canned soups are often high in sodium, which
can contribute to fluid retention in patients with heart
failure. It is important for the nurse to educate the patient
about dietary modifications to manage their condition
effectively.
4. Which of the following assessment findings would a
nurse consider an early sign of hypoxia in a patient?
a) Cyanosis
Foundational
Knowledge for Nursing
Practice
Q & A w/ Rationales
2024
,1. Which of the following statements accurately describes
the concept of evidence-based practice in nursing?
a) It relies solely on scientific research and disregards
clinical expertise.
b) It is the application of clinical expertise based on
knowledge from randomized controlled trials.
c) It involves incorporating patient preferences and values
into decision-making.
d) It involves implementing interventions without
considering research evidence.
Answer: c) It involves incorporating patient preferences
and values into decision-making.
Rationale: Evidence-based practice in nursing involves
integrating the best available research evidence with
clinical expertise and consideration of patient preferences
and values to guide decision-making and nursing practice.
This approach ensures a patient-centered approach to care.
2. When planning care for a patient with diabetes, which of
the following is an example of a specific, measurable,
attainable, relevant, and time-bound (SMART) goal?
a) "Promote healthy eating habits"
b) "Improve glycemic control by monitoring blood glucose
levels daily"
c) "Increase patient satisfaction with nursing care"
d) "Enhance overall patient well-being"
, Answer: b) "Improve glycemic control by monitoring
blood glucose levels daily"
Rationale: SMART goals are specific, measurable,
attainable, relevant, and time-bound. The goal of
monitoring blood glucose levels daily to improve glycemic
control meets all these criteria and can be objectively
measured.
3. A nurse is educating a patient with heart failure about
dietary modifications. Which of the following foods should
the nurse instruct the patient to limit due to their high
sodium content?
a) Fresh fruits
b) Lean meats
c) Whole grains
d) Canned soups
Answer: d) Canned soups
Rationale: Canned soups are often high in sodium, which
can contribute to fluid retention in patients with heart
failure. It is important for the nurse to educate the patient
about dietary modifications to manage their condition
effectively.
4. Which of the following assessment findings would a
nurse consider an early sign of hypoxia in a patient?
a) Cyanosis
