NSG-501 EXAM 1 PRACTICE QUESTIONS AND VERIFIED
ANSWERS GRADED A++
A nurse asks a student nurse to irrigate a patient's feeding tube. The student has
not performed the procedure other than in simulation laboratory. The student
approaches her clinical instructor and asks a clarifying question about the
amount of saline to use in the procedure. This is an example of which critical
thinking attitude? 1. Risk taking 2. Confidence 3. Consistency 4. Curiosity
2.
A nurse enters a heated discussion with a colleague over a work schedule
change. The nurse has a patient who asked for a pain medication 20 minutes
earlier. Another patient calls the nurse to request assistance. The nurse feels
tension in her neck and around her eyes, and she takes a 10-second time out.
This shows the nurse is aware of which of the following? (Select all that apply.) 1.
Stress affects accuracy of problem solving. 2. During stressful events, it is easier
to communicate concise information. 3. The level of stress can affect the nurse's
ability to speak clearly. 4. Stress improves recall of information. 5. Managing
emotions is difficult during stress.
1, 3, 5
You can use the REFLECT model to improve learning after providing patient care.
Place the steps of this model in the correct order. 1. Think about your thoughts
and actions at the time of the situation. 2. Review the knowledge you gained from
,the experience. 3. Review the facts of the situation. 4. Set a schedule for
completing your plan of action. 5. Consider options for handling a similar
situation in the future. 6. Recall any feelings you had at the time of the situation.
7. Create a plan for future situations
3,1,6,2,5,7,4
One element of clinical decision making is knowing the patient. Which of the
following activities affect a nurse's ability to know patients better? (Select all that
apply.) 1. Caring for similar groups of patients over time 2. Reading the evidence-
based practices appropriate to patients 3. Learning how patients typically
respond to a particular clinical situation 4. Observing patients 5. Engaging with
patients experiencing illness
1,3,4,5
While preparing medications for a patient, the nurse compares the name of the
medication on the label with the name of the medication on the physician's order.
At the bedside, the nurse checks the patient's name against the order as well. The
nurse is following which critical thinking attitude? 1. Responsible 2. Complete 3.
Accurate
1
A patient has regularly visited the outpatient wound clinic over the last 2 months
for treatment of a foot ulcer. The nurses have tried two types of dressings, but the
wound shows little improvement. During the patient's next visit, a nurse
recommends a hydrocolloid dressing and use of a foot boot to reduce pressure
on the ulcer when the patient walks. This approach to selecting an intervention
,employs which critical thinking attitude? 1. Significance 2. Curiosity 3.
Perseverance 4. Logic
3
A patient diagnosed with stage 4 breast cancer has undergone three different
chemotherapy trials. The patient has severe hip pain as a result of the cancer
spreading to the bones. The nurse and patient discuss the patient's expectations
for pain management and the approach she prefers for treatment while meeting
the Oncology Nurses Society (ONS) standards for pain management. The nurse
has applied which critical thinking standards? (Select all that apply.) 1. Specific
critical thinking 2. Evidence-based criteria 3. Standards of practice 4. Intellectual
standards 5. Ethical standards
2,5
A nurse working on a cardiac unit is assigned an 84-yearold patient who was just
admitted with symptoms of lung infection. When the nurse enters the room, the
nurse notices that the patient is short of breath. The patient continues to cough
and has a respiratory rate of 36 breaths/min. The patient is anxious and states "I
am scared." The nurse does an initial preliminary assessment and follows up 30
minutes later. The nurse's knowledge about the patient results in which of the
following assessment approaches? (Select all that apply.) 1. Problem-focused
approach 2. Structured comprehensive approach 3. Emotion-focused approach 4.
Using multiple visits to gather a complete patient database 5. Focusing on the
functional health pattern of role-relationship
1,4
, A patient has a pressure injury resulting from urinary incontinence and sustained
pressure over the coccyx. The nursing plan of care includes a goal of "Pressure
injury heals in 3 weeks." Which of the following is an evaluation measure for this
goal? (Select all that apply.) 1. Turn patient every 90 minutes. 2. Measure the
diameter of the pressure injury. 3. Measure urine output. 4. Monitor patient's
report of discomfort during turning. 5. Measure depth of pressure injury.
2, 5
. A nurse completes a respiratory assessment on a patient who had abdominal
surgery 1 day ago. During the assessment, the nurse auscultates crackles in both
lower lobes, and the patient coughs, producing light yellow sputum. The patient's
body temperature is 37.0°C (98.6°F), pulse is 110 beats/min, respiratory rate is 28
breaths/min, and blood pressure is 118/82 mm Hg. Pulse oximetry was 99% and is
now 93%. The nurse identifies a nursing diagnosis of Impaired Gas Exchange.
Which of following goals is appropriate for this patient? 1. Patient's pulse
oximetry will be greater than 95%. 2. Instruct patient to deep breathe and cough
every 2 hours. 3. Patient's lungs will be clear to auscultation. 4. Patient will be
able to sleep through the night.
3
During the implementation step of the nursing process, a nurse reviews and
revises the nursing care plan. Place the following steps of review and revision in
the correct order. 1. Review the care plan. 2. Decide whether the nursing
interventions remain appropriate. 3. Reassess the patient. 4. Compare
assessment findings to validate existing nursing diagnosis.
ANSWERS GRADED A++
A nurse asks a student nurse to irrigate a patient's feeding tube. The student has
not performed the procedure other than in simulation laboratory. The student
approaches her clinical instructor and asks a clarifying question about the
amount of saline to use in the procedure. This is an example of which critical
thinking attitude? 1. Risk taking 2. Confidence 3. Consistency 4. Curiosity
2.
A nurse enters a heated discussion with a colleague over a work schedule
change. The nurse has a patient who asked for a pain medication 20 minutes
earlier. Another patient calls the nurse to request assistance. The nurse feels
tension in her neck and around her eyes, and she takes a 10-second time out.
This shows the nurse is aware of which of the following? (Select all that apply.) 1.
Stress affects accuracy of problem solving. 2. During stressful events, it is easier
to communicate concise information. 3. The level of stress can affect the nurse's
ability to speak clearly. 4. Stress improves recall of information. 5. Managing
emotions is difficult during stress.
1, 3, 5
You can use the REFLECT model to improve learning after providing patient care.
Place the steps of this model in the correct order. 1. Think about your thoughts
and actions at the time of the situation. 2. Review the knowledge you gained from
,the experience. 3. Review the facts of the situation. 4. Set a schedule for
completing your plan of action. 5. Consider options for handling a similar
situation in the future. 6. Recall any feelings you had at the time of the situation.
7. Create a plan for future situations
3,1,6,2,5,7,4
One element of clinical decision making is knowing the patient. Which of the
following activities affect a nurse's ability to know patients better? (Select all that
apply.) 1. Caring for similar groups of patients over time 2. Reading the evidence-
based practices appropriate to patients 3. Learning how patients typically
respond to a particular clinical situation 4. Observing patients 5. Engaging with
patients experiencing illness
1,3,4,5
While preparing medications for a patient, the nurse compares the name of the
medication on the label with the name of the medication on the physician's order.
At the bedside, the nurse checks the patient's name against the order as well. The
nurse is following which critical thinking attitude? 1. Responsible 2. Complete 3.
Accurate
1
A patient has regularly visited the outpatient wound clinic over the last 2 months
for treatment of a foot ulcer. The nurses have tried two types of dressings, but the
wound shows little improvement. During the patient's next visit, a nurse
recommends a hydrocolloid dressing and use of a foot boot to reduce pressure
on the ulcer when the patient walks. This approach to selecting an intervention
,employs which critical thinking attitude? 1. Significance 2. Curiosity 3.
Perseverance 4. Logic
3
A patient diagnosed with stage 4 breast cancer has undergone three different
chemotherapy trials. The patient has severe hip pain as a result of the cancer
spreading to the bones. The nurse and patient discuss the patient's expectations
for pain management and the approach she prefers for treatment while meeting
the Oncology Nurses Society (ONS) standards for pain management. The nurse
has applied which critical thinking standards? (Select all that apply.) 1. Specific
critical thinking 2. Evidence-based criteria 3. Standards of practice 4. Intellectual
standards 5. Ethical standards
2,5
A nurse working on a cardiac unit is assigned an 84-yearold patient who was just
admitted with symptoms of lung infection. When the nurse enters the room, the
nurse notices that the patient is short of breath. The patient continues to cough
and has a respiratory rate of 36 breaths/min. The patient is anxious and states "I
am scared." The nurse does an initial preliminary assessment and follows up 30
minutes later. The nurse's knowledge about the patient results in which of the
following assessment approaches? (Select all that apply.) 1. Problem-focused
approach 2. Structured comprehensive approach 3. Emotion-focused approach 4.
Using multiple visits to gather a complete patient database 5. Focusing on the
functional health pattern of role-relationship
1,4
, A patient has a pressure injury resulting from urinary incontinence and sustained
pressure over the coccyx. The nursing plan of care includes a goal of "Pressure
injury heals in 3 weeks." Which of the following is an evaluation measure for this
goal? (Select all that apply.) 1. Turn patient every 90 minutes. 2. Measure the
diameter of the pressure injury. 3. Measure urine output. 4. Monitor patient's
report of discomfort during turning. 5. Measure depth of pressure injury.
2, 5
. A nurse completes a respiratory assessment on a patient who had abdominal
surgery 1 day ago. During the assessment, the nurse auscultates crackles in both
lower lobes, and the patient coughs, producing light yellow sputum. The patient's
body temperature is 37.0°C (98.6°F), pulse is 110 beats/min, respiratory rate is 28
breaths/min, and blood pressure is 118/82 mm Hg. Pulse oximetry was 99% and is
now 93%. The nurse identifies a nursing diagnosis of Impaired Gas Exchange.
Which of following goals is appropriate for this patient? 1. Patient's pulse
oximetry will be greater than 95%. 2. Instruct patient to deep breathe and cough
every 2 hours. 3. Patient's lungs will be clear to auscultation. 4. Patient will be
able to sleep through the night.
3
During the implementation step of the nursing process, a nurse reviews and
revises the nursing care plan. Place the following steps of review and revision in
the correct order. 1. Review the care plan. 2. Decide whether the nursing
interventions remain appropriate. 3. Reassess the patient. 4. Compare
assessment findings to validate existing nursing diagnosis.
