lvn 121 midterm Exam With complete
solutions 2024/2025
In which of the following ways is critical thinking useful to the nursing process?
1 It highlights the solution to a problem.
2 It can lead to a better outcome for the patient.
3It simplifies the process.
4 It helps the nurse arrive at a solution more quickly. - ANSWER-2
Which nurse is exhibiting intellectual humility?
1 The nurse who is an expert at wound care
2The nurse who reports an error to the supervisor
3The nurse who tries to empathize with the patient
4The nurse who asks a coworker about a new procedure - ANSWER-4
Which of the following pieces of information is considered objective data?
1 The patient's respiratory rate is 28.
2 The patient states, "I feel short of breath."
3 The patient is short of breath.
4 The patient is feeling panicky. - ANSWER-1
The nurse is collecting data on a newly admitted patient who has
an ulcerated area on his left hip. It is 2 inches in diameter and 1 inch deep, with
yellow exudate. Which of the following statements best documents the findings in
the patient's database?
1 Wound on left hip, 2 inches diameter, 1 inch deep, infected
2 Left hip wound, large, deep, with yellow drainage
3 Pressure injury on left hip, yellow drainage
,4 Wound on left hip, 2 inches in diameter, 1 inch deep, yellow exudate - ANSWER-
4
A 34-year-old mother of three is newly admitted to a respiratory unit because she
has pneumonia. She has all the following problems. Based on the Maslow
hierarchy of human needs, place the problems in order of priority.
1 Frontal headache related to stress of hospital admission
2 Anxiety related to concern about leaving children
3 Shortness of breath related to newly diagnosed pneumonia
4 Deficient knowledge related to discharge plan - ANSWER-3,1,2,4
Place the steps of the nursing process in correct chronological order of use. Use
all options.
1 Nursing diagnosis
2 Evaluation
3 Data collection
4 Planning care
5 Implementation - ANSWER-This is the answer the book gives (3, 4, 1, 5, 2) It is a
typo. The book also states:
collecting data, formulating nursing diagnoses, and planning, implementing, and
evaluating care.
Correct answer : 3, 1, 4, 5, 2
Which of the following parts of the nursing process can be carried out
independently by a licensed practical nurse/licensed vocational nurse?
1 Implementation of interventions
2 Nursing diagnosis
3 Analysis of data
4 Evaluation of outcomes - ANSWER-1
The nurse teaches a patient the importance of stopping smoking. Which of the
following patient responses provides the best evidence that the teaching was
effective?
1"I have a brother who died of lung cancer. I know smoking is bad."
2 "I tried to quit 5 years ago, and I really would like to, but it is very hard."
3 "Thank you for the information. I will call the Smoke Stoppers organization
today."
, 4 "I know you are right. I should stop smoking." - ANSWER-3
The nurse requests the competency evaluated nursing assistant to help the
patient with oral care. Which of the following methods requested by the nurse
would be most appropriate to achieve evidence-based care?
1 Instruct the competency evaluated nursing assistant to have the patient rinse
the mouth with water after dinner.
2 Instruct the competency evaluated nursing assistant to give oral care using oral
swabs to clean the teeth and mouth.
3 Ask the competency evaluated nursing assistant to instruct the patient to use a
mouthwash rinse for the oral care.
4 Explain that oral care is best done by brushing the teeth and tongue with a
toothbrush and toothpaste. - ANSWER-4
The nurse is contributing to the plan of care for a patient. In considering
appropriate care, the nurse bases the care on which of the following to provide
excellent care?
1 Content taught throughout a nursing educational program
2 Orientation to the health care agency for new employees
3 A nurse's personal judgment of what is best for each patient
4 Evidence that is evaluated for the health care agency and each patient -
ANSWER-4
A policy and procedure committee is reviewing evidence for a new policy. When
considering the evidence, which of the following sources would generally be
safest for a health care agency to implement?
1 Joanna Briggs Institute evidence-based resource
2 One randomized controlled trial
3 Four quasi-experimental studies that show similar results
4 The opinion of a national nursing expert on the subject - ANSWER-1
solutions 2024/2025
In which of the following ways is critical thinking useful to the nursing process?
1 It highlights the solution to a problem.
2 It can lead to a better outcome for the patient.
3It simplifies the process.
4 It helps the nurse arrive at a solution more quickly. - ANSWER-2
Which nurse is exhibiting intellectual humility?
1 The nurse who is an expert at wound care
2The nurse who reports an error to the supervisor
3The nurse who tries to empathize with the patient
4The nurse who asks a coworker about a new procedure - ANSWER-4
Which of the following pieces of information is considered objective data?
1 The patient's respiratory rate is 28.
2 The patient states, "I feel short of breath."
3 The patient is short of breath.
4 The patient is feeling panicky. - ANSWER-1
The nurse is collecting data on a newly admitted patient who has
an ulcerated area on his left hip. It is 2 inches in diameter and 1 inch deep, with
yellow exudate. Which of the following statements best documents the findings in
the patient's database?
1 Wound on left hip, 2 inches diameter, 1 inch deep, infected
2 Left hip wound, large, deep, with yellow drainage
3 Pressure injury on left hip, yellow drainage
,4 Wound on left hip, 2 inches in diameter, 1 inch deep, yellow exudate - ANSWER-
4
A 34-year-old mother of three is newly admitted to a respiratory unit because she
has pneumonia. She has all the following problems. Based on the Maslow
hierarchy of human needs, place the problems in order of priority.
1 Frontal headache related to stress of hospital admission
2 Anxiety related to concern about leaving children
3 Shortness of breath related to newly diagnosed pneumonia
4 Deficient knowledge related to discharge plan - ANSWER-3,1,2,4
Place the steps of the nursing process in correct chronological order of use. Use
all options.
1 Nursing diagnosis
2 Evaluation
3 Data collection
4 Planning care
5 Implementation - ANSWER-This is the answer the book gives (3, 4, 1, 5, 2) It is a
typo. The book also states:
collecting data, formulating nursing diagnoses, and planning, implementing, and
evaluating care.
Correct answer : 3, 1, 4, 5, 2
Which of the following parts of the nursing process can be carried out
independently by a licensed practical nurse/licensed vocational nurse?
1 Implementation of interventions
2 Nursing diagnosis
3 Analysis of data
4 Evaluation of outcomes - ANSWER-1
The nurse teaches a patient the importance of stopping smoking. Which of the
following patient responses provides the best evidence that the teaching was
effective?
1"I have a brother who died of lung cancer. I know smoking is bad."
2 "I tried to quit 5 years ago, and I really would like to, but it is very hard."
3 "Thank you for the information. I will call the Smoke Stoppers organization
today."
, 4 "I know you are right. I should stop smoking." - ANSWER-3
The nurse requests the competency evaluated nursing assistant to help the
patient with oral care. Which of the following methods requested by the nurse
would be most appropriate to achieve evidence-based care?
1 Instruct the competency evaluated nursing assistant to have the patient rinse
the mouth with water after dinner.
2 Instruct the competency evaluated nursing assistant to give oral care using oral
swabs to clean the teeth and mouth.
3 Ask the competency evaluated nursing assistant to instruct the patient to use a
mouthwash rinse for the oral care.
4 Explain that oral care is best done by brushing the teeth and tongue with a
toothbrush and toothpaste. - ANSWER-4
The nurse is contributing to the plan of care for a patient. In considering
appropriate care, the nurse bases the care on which of the following to provide
excellent care?
1 Content taught throughout a nursing educational program
2 Orientation to the health care agency for new employees
3 A nurse's personal judgment of what is best for each patient
4 Evidence that is evaluated for the health care agency and each patient -
ANSWER-4
A policy and procedure committee is reviewing evidence for a new policy. When
considering the evidence, which of the following sources would generally be
safest for a health care agency to implement?
1 Joanna Briggs Institute evidence-based resource
2 One randomized controlled trial
3 Four quasi-experimental studies that show similar results
4 The opinion of a national nursing expert on the subject - ANSWER-1
