Understanding Medical-Surgical Nursing 6th Edition Williams Test
Bank (complete All chapters 1-57 Q&As)
Chapter 1. Critical Thinking and the Nursing Process
| | | | | | |
MULTIPLE |CHOICE
1. The |nurse |is |caring |for |a |group |of |patients |on |a |medical-surgical |unit. |Which |patient |should |the
|licensed |practical |nurse/licensed |vocational |nurse |(LPN/LVN) |assess |first?
1. A |patient |with |a |blood |glucose |of |42 |mg/dL
2. A |patient |who |reports |a |pain |level |of |2
3. A |patient |who |has |just |received |a |diagnosis |of |cancer
4. A |patient |who |has |a |respiratory |rate |of |22
ANS: | 1
Chapter: |Chapter |1 |Critical |Thinking |and |the |Nursing |Process
Objective: |7. |Prioritize |patient |care |activities |based |on |the |Maslow |hierarchy |of |human
|needs.
Pages: |6–7
Heading: |Prioritize |Care
Integrated |Process: |Clinical |Problem-Solving |Process |(Nursing |Process) |Client
|Need: |SECE—Coordinated |Care
Cognitive |Level: |Application |[Applying]
|Concept: |Patient-Centered |Care
|Difficulty: |Difficult
Feedback
1 This |patient |has |a |dangerously |low |blood |glucose |level |and |requires |immediate
|intervention.
2 This |patient |will |need |to |be |assessed, |but |is |not |as |high |a |priority.
3 According |to |Maslow, |psychosocial |needs |are |not |as |high |of |a |priority |as
|physiological |needs.
4 A |respiratory |rate |of |22 |is |within |normal |range.
PTS: 1 CON: | Patient-Centered |Care
2. The |LPN/LVN |enters |the |room |of |a |patient |who |is |angry |and |yells, |“I |asked |5 |minutes |ago
|for |my |pain |medication. |I’m |going |to |call |the |CEO |of |the |hospital |if |you |don’t |get |it |for |me
|now.” |Which |statement |by |the |nurse |demonstrates |intellectual |empathy?
1. “We |are |short-staffed |today, |so |it |will |take |me |longer |to |meet |your |needs.”
2. “I |am |sorry |you |had |to |wait, |I |know |you |must |be |in |a |lot |of |pain.”
3. “I |had |another |patient |who |had |severe |pain, |and |I |had |to |get |to |them |first.”
4. “I |will |get |you |the |number |for |the |CEO, |but |he |is |aware |of |how |busy |we |are.”
ANS: | 2
Chapter: |Chapter |1 |Critical |Thinking |and |the |Nursing |Process
Objective: |2. |Describe |attitudes |and |skills |that |promote |good |critical |thinking
|Page: |2
Heading: |Intellectual |Empathy
,Integrated |Process: |Communication |and |Documentation
|Client |Need: |Psychosocial |Integrity
, Cognitive |Level: |Application |[Applying]
|Concept: |Communication
Difficulty: |Moderate
Feedback
1 This |statement |does |not |consider |an |individual’s |situation.
2 This |statement |demonstrates |intellectual |empathy |by |considering |this |patient’s
|situation |and |will |likely |alleviate |the |patient’s |anger.
3 This |statement |does |not |consider |a |patient’s |situation |and |does |not |demonstrate
|intellectual |empathy.
4 This |statement |addresses |the |patient’s |statement |of |wanting |to |call |the |CEO, |but
|does |not |demonstrate |intellectual |empathy |by |considering |the |patient’s
situation.
PTS: 1 CON: | Communication
3. The |nurse |is |collecting |data |on |a |patient. |Which |data |are |described |as |subjective?
1. Respiratory |rate |of |26 |per |minute
2. Patient |report |of |shortness |of |breath
3. Coarse |lung |sounds |bilaterally
4. Cough |producing |green |sputum
ANS: | 2
Chapter: |Chapter |1 |Critical |Thinking |and |the |Nursing |Process
|Objective: |5. |Differentiate |between |objective |and |subjective |data.
|Page: |4
Heading: |Subjective |Data
Integrated |Process: |Communication |and |Documentation
|Client |Need: |Communication |and |Documentation
|Cognitive |Level: |Application |(Applying)
Concept: |Communication
|Difficulty: |Moderate
Feedback
1 Respiratory |rate |of |26 |per |minute |is |an |example |of |objective |data.
2 A |patient |reporting |symptoms |to |the |nurse |is |an |example |of |subjective |data.
3 Coarse |lung |sounds |is |an |example |of |objective |data.
4 A |productive |cough |is |an |example |of |objective |data.
PTS: 1 CON: | Communication
4. A |patient |with |a |newly |fractured |femur |reports |a |pain |level |of |8/10 |and |analgesic |medication |is
|not |due |for |another |50 |minutes. |Which |action |should |the |nurse |take |first?
1. Reposition |the |patient.
2. Give |the |medication |in |30 |minutes.
3. Notify |the |registered |nurse |(RN) |or |physician.
4. Tell |the |patient |it |is |too |early |for |pain |medication.
ANS: | 3
|
, Chapter: |Chapter |1 |Critical |Thinking |and |the |Nursing |Process
Objective: |4. |Identify |the |role |of |a |licensed |practical |nurse/licensed |vocational |nurse |in |using
|the |nursing |process.
Page: |3
Heading: |Clinical |Judgement
Integrated |Process: |Clinical |Problem-solving |Process |(Nursing |Process) |Client
|Need: |SECE—Coordinated |Care
Cognitive |Level: |Application |[Applying]
|Concept: |Patient-Centered |Care
|Difficulty: |Moderate
Feedback
1 The |patient |who |has |a |fractured |femur |is |having |acute |pain. |Repositioning |a |patient
|with |a |new |fracture |is |not |likely |to |relieve |pain.
2 Giving |the |medication |before |the |prescribed |time |is |beyond |the |nurse’s |scope
of |practice.
3 The |patient |should |not |have |to |wait |for |pain |relief, |so |the |LPN |should |inform |the
|RN |or |physician |so |new |pain |relief |orders |can |be |obtained.
4 The |nurse |needs |to |do |more |than |expect |the |patient |to |wait |for |pain |relief.
PTS: 1 CON: | Patient-Centered |Care
5. The |nurse |is |prioritizing |care |based |on |Maslow |hierarchy |of |needs. |Which |need |does |the
|nurse |identify |as |having |the |highest |priority?
1. Job-related |stress
2. Feeling |of |loneliness
3. Pain |level |of |9 |on |0-to-10 |scale
4. Lack |of |confidence
ANS: | 3
Chapter: |Chapter |1 |Critical |Thinking |and |the |Nursing |Process
Objective: |7. |Prioritize |patient |care |activities |based |on |the |Maslow |hierarchy |of |human
|needs
Page: |7
Heading: |Prioritize |Care
|Integrated |Process: |Caring
Client |Need: |SECE |– |Coordinated |Care
|Cognitive |Level: |Application |[Applying]
|Concept: |Patient-Centered |Care
|Difficulty: |Moderate
Feedback
1 Job-related |stress |falls |under |safety |according |to |Maslow |and |is |addressed |after
|physiological |needs.
2 According |to |Maslow, |loneliness |is |addressed |under |social |needs |following
|physiological |and |safety.
3 Pain |is |a |physiological |need |and |is |the |highest |priority.
4 Lack |of |confidence |falls |under |esteem |according |to |Maslow |and |is |addressed
following |physiological, |safety, |and |social |needs.
Bank (complete All chapters 1-57 Q&As)
Chapter 1. Critical Thinking and the Nursing Process
| | | | | | |
MULTIPLE |CHOICE
1. The |nurse |is |caring |for |a |group |of |patients |on |a |medical-surgical |unit. |Which |patient |should |the
|licensed |practical |nurse/licensed |vocational |nurse |(LPN/LVN) |assess |first?
1. A |patient |with |a |blood |glucose |of |42 |mg/dL
2. A |patient |who |reports |a |pain |level |of |2
3. A |patient |who |has |just |received |a |diagnosis |of |cancer
4. A |patient |who |has |a |respiratory |rate |of |22
ANS: | 1
Chapter: |Chapter |1 |Critical |Thinking |and |the |Nursing |Process
Objective: |7. |Prioritize |patient |care |activities |based |on |the |Maslow |hierarchy |of |human
|needs.
Pages: |6–7
Heading: |Prioritize |Care
Integrated |Process: |Clinical |Problem-Solving |Process |(Nursing |Process) |Client
|Need: |SECE—Coordinated |Care
Cognitive |Level: |Application |[Applying]
|Concept: |Patient-Centered |Care
|Difficulty: |Difficult
Feedback
1 This |patient |has |a |dangerously |low |blood |glucose |level |and |requires |immediate
|intervention.
2 This |patient |will |need |to |be |assessed, |but |is |not |as |high |a |priority.
3 According |to |Maslow, |psychosocial |needs |are |not |as |high |of |a |priority |as
|physiological |needs.
4 A |respiratory |rate |of |22 |is |within |normal |range.
PTS: 1 CON: | Patient-Centered |Care
2. The |LPN/LVN |enters |the |room |of |a |patient |who |is |angry |and |yells, |“I |asked |5 |minutes |ago
|for |my |pain |medication. |I’m |going |to |call |the |CEO |of |the |hospital |if |you |don’t |get |it |for |me
|now.” |Which |statement |by |the |nurse |demonstrates |intellectual |empathy?
1. “We |are |short-staffed |today, |so |it |will |take |me |longer |to |meet |your |needs.”
2. “I |am |sorry |you |had |to |wait, |I |know |you |must |be |in |a |lot |of |pain.”
3. “I |had |another |patient |who |had |severe |pain, |and |I |had |to |get |to |them |first.”
4. “I |will |get |you |the |number |for |the |CEO, |but |he |is |aware |of |how |busy |we |are.”
ANS: | 2
Chapter: |Chapter |1 |Critical |Thinking |and |the |Nursing |Process
Objective: |2. |Describe |attitudes |and |skills |that |promote |good |critical |thinking
|Page: |2
Heading: |Intellectual |Empathy
,Integrated |Process: |Communication |and |Documentation
|Client |Need: |Psychosocial |Integrity
, Cognitive |Level: |Application |[Applying]
|Concept: |Communication
Difficulty: |Moderate
Feedback
1 This |statement |does |not |consider |an |individual’s |situation.
2 This |statement |demonstrates |intellectual |empathy |by |considering |this |patient’s
|situation |and |will |likely |alleviate |the |patient’s |anger.
3 This |statement |does |not |consider |a |patient’s |situation |and |does |not |demonstrate
|intellectual |empathy.
4 This |statement |addresses |the |patient’s |statement |of |wanting |to |call |the |CEO, |but
|does |not |demonstrate |intellectual |empathy |by |considering |the |patient’s
situation.
PTS: 1 CON: | Communication
3. The |nurse |is |collecting |data |on |a |patient. |Which |data |are |described |as |subjective?
1. Respiratory |rate |of |26 |per |minute
2. Patient |report |of |shortness |of |breath
3. Coarse |lung |sounds |bilaterally
4. Cough |producing |green |sputum
ANS: | 2
Chapter: |Chapter |1 |Critical |Thinking |and |the |Nursing |Process
|Objective: |5. |Differentiate |between |objective |and |subjective |data.
|Page: |4
Heading: |Subjective |Data
Integrated |Process: |Communication |and |Documentation
|Client |Need: |Communication |and |Documentation
|Cognitive |Level: |Application |(Applying)
Concept: |Communication
|Difficulty: |Moderate
Feedback
1 Respiratory |rate |of |26 |per |minute |is |an |example |of |objective |data.
2 A |patient |reporting |symptoms |to |the |nurse |is |an |example |of |subjective |data.
3 Coarse |lung |sounds |is |an |example |of |objective |data.
4 A |productive |cough |is |an |example |of |objective |data.
PTS: 1 CON: | Communication
4. A |patient |with |a |newly |fractured |femur |reports |a |pain |level |of |8/10 |and |analgesic |medication |is
|not |due |for |another |50 |minutes. |Which |action |should |the |nurse |take |first?
1. Reposition |the |patient.
2. Give |the |medication |in |30 |minutes.
3. Notify |the |registered |nurse |(RN) |or |physician.
4. Tell |the |patient |it |is |too |early |for |pain |medication.
ANS: | 3
|
, Chapter: |Chapter |1 |Critical |Thinking |and |the |Nursing |Process
Objective: |4. |Identify |the |role |of |a |licensed |practical |nurse/licensed |vocational |nurse |in |using
|the |nursing |process.
Page: |3
Heading: |Clinical |Judgement
Integrated |Process: |Clinical |Problem-solving |Process |(Nursing |Process) |Client
|Need: |SECE—Coordinated |Care
Cognitive |Level: |Application |[Applying]
|Concept: |Patient-Centered |Care
|Difficulty: |Moderate
Feedback
1 The |patient |who |has |a |fractured |femur |is |having |acute |pain. |Repositioning |a |patient
|with |a |new |fracture |is |not |likely |to |relieve |pain.
2 Giving |the |medication |before |the |prescribed |time |is |beyond |the |nurse’s |scope
of |practice.
3 The |patient |should |not |have |to |wait |for |pain |relief, |so |the |LPN |should |inform |the
|RN |or |physician |so |new |pain |relief |orders |can |be |obtained.
4 The |nurse |needs |to |do |more |than |expect |the |patient |to |wait |for |pain |relief.
PTS: 1 CON: | Patient-Centered |Care
5. The |nurse |is |prioritizing |care |based |on |Maslow |hierarchy |of |needs. |Which |need |does |the
|nurse |identify |as |having |the |highest |priority?
1. Job-related |stress
2. Feeling |of |loneliness
3. Pain |level |of |9 |on |0-to-10 |scale
4. Lack |of |confidence
ANS: | 3
Chapter: |Chapter |1 |Critical |Thinking |and |the |Nursing |Process
Objective: |7. |Prioritize |patient |care |activities |based |on |the |Maslow |hierarchy |of |human
|needs
Page: |7
Heading: |Prioritize |Care
|Integrated |Process: |Caring
Client |Need: |SECE |– |Coordinated |Care
|Cognitive |Level: |Application |[Applying]
|Concept: |Patient-Centered |Care
|Difficulty: |Moderate
Feedback
1 Job-related |stress |falls |under |safety |according |to |Maslow |and |is |addressed |after
|physiological |needs.
2 According |to |Maslow, |loneliness |is |addressed |under |social |needs |following
|physiological |and |safety.
3 Pain |is |a |physiological |need |and |is |the |highest |priority.
4 Lack |of |confidence |falls |under |esteem |according |to |Maslow |and |is |addressed
following |physiological, |safety, |and |social |needs.
