1|Page
NURS 5220 TEST EXAM 2 MODULE 4, 7, 17, 18, 19, 20
WITH QUESTIONS AND DETAILED ANSWERS THE
LATEST UPDATED EXAM BANK INCLUDING EXPERT
VERIFIED SOLUTIONS FOR A SURE PASS
Unless a life-threatening situation exists, the best guide to determining the priority
for the patient's condition should be based on:
A. intuition.
B. probability and utility.
C. the use of algorithms.
D. the examiner's initial favorite hypothesis. - ANSWER: B Probability and
utility should always be your guides to sequencing your actions, unless a life-
threatening situation exists.
Which of the following should be considered when determining a need for
additional examination, testing, or procedures?
A. These should be done to obtain as much data as possible.
B. These should be done to attempt to get data that might be associated with
multiple problems.
C. These should be done only when it is absolutely necessary.
D. These should be done if they relate to the examiner's hypothesis. - ANSWER:
D: Clinical reasoning does not require a compulsive listing of all of the possible
options in diagnosis and management. Rather, it is dominated by hypothesis
development; asking whether a particular diagnosis should be made depending on
its probability; and whether a test may be indicated, depending on the likelihood
suggested by its sensitivity and specificity
,2|Page
Mr. Shaken is a 46-year-old patient who presents for a routine physical
examination. After you have identified and confirmed a problem, the next step is
to:
A. assess the data collected.
B. formulate a clinical opinion.
C. conduct further assessment.
D. determine the management plan. - ANSWER: D: Clinical reasoning is the
process by which the information gathered from the history and physical
examination is merged with clinical knowledge, experience, and the current best
evidence to formulate the next steps in patient care—development of the diagnostic
and management plans.
The use of a computer could potentially be detrimental to the examiner because:
A. It may become a substitute for critical thinking.
B. computer dysfunction makes it unreliable.
C. the computer is limited in the amount of data it can interpret.
D. the level of skill needed to run a diagnostic computer program is beyond the
computer skills of most examiners. - ANSWER: A: There is an unacceptable
temptation at times to substitute electronic support for critical thinking and
judgment. It is your responsibility to artfully merge subjective and objective data
with best evidence and your knowledge and experience to make a clinical
judgment.
The ethical principle of utilitarianism is involved:
A. when the duties of health care providers are established by tradition and cultural
context.
B. when health care providers "do no harm."
,3|Page
C. when decisions regarding health care include appropriate use of
resources for the good of the community. Correct
D. when the interview is conducted appropriately. - ANSWER: C: Utilitarianism
means you should consider appropriate use of resources with concern for the
greater good of the larger community.
Which is a guideline to sound decision making?
A. The underlying problem is always related to the chief complaint.
B Rare problems tend to have unusual presentations.
C. Common problems occur commonly, whereas rare ones do not.
D. A diagnosis should be made quickly to enhance patient confidence. -
ANSWER: C: Remember that common problems occur commonly, and rare ones
do not. Common problems can have unusual presentations and rare ones may have
a seemingly common complaint.
Laboratory tests should be used to:
A. confirm a presumed diagnosis.
B. develop a list of potential problems.
C. rule out all possible causes of symptoms and clinical findings.
D. assist the examiner only when the data do not point to a specific problem. -
ANSWER: A: After a match between the data (both subjective and objective) and
a presumed diagnosis is made, consider the appropriate laboratory or radiologic
studies to confirm the diagnosis.
, 4|Page
A problem is best identified as:
A. something that bothers the patient.
B. something that is out of the ordinary.
C. something that is unexplainable.
D. something that will need further evaluation and/or attention. - ANSWER: D: A
problem may be defined as anything that will need further evaluation and/or
attention.
Once a close match between the data and diagnosis is made, the next step in the
process is to:
A. return to the physical examination and repeat certain parts to validate the
presence of specific signs.
B. consider laboratory tests/consultations necessary for further evaluation.
C. confirm the presumptive diagnosis with patient.
D. reanalyze history data to determine where more information is needed. -
ANSWER: B: After a match between the data (both subjective and objective) and
a presumed diagnosis is made, consider the appropriate laboratory or radiologic
studies to confirm the diagnosis.
Mechanistic thinking is governed by the premise that:
A. knowledge is relevant and influenced by our thoughts, values, and ideas.
B. knowledge is patterned in a way that truth will eventually evolve and facilitate
our success.
C. knowledge must be certain and not subject to any beliefs, values, and attitudes
of the examiner and/or patient.
D. knowledge must be experienced by those who are responsible for its
dissemination and use. - ANSWER: C: Mechanistic (deterministic) thinking is
NURS 5220 TEST EXAM 2 MODULE 4, 7, 17, 18, 19, 20
WITH QUESTIONS AND DETAILED ANSWERS THE
LATEST UPDATED EXAM BANK INCLUDING EXPERT
VERIFIED SOLUTIONS FOR A SURE PASS
Unless a life-threatening situation exists, the best guide to determining the priority
for the patient's condition should be based on:
A. intuition.
B. probability and utility.
C. the use of algorithms.
D. the examiner's initial favorite hypothesis. - ANSWER: B Probability and
utility should always be your guides to sequencing your actions, unless a life-
threatening situation exists.
Which of the following should be considered when determining a need for
additional examination, testing, or procedures?
A. These should be done to obtain as much data as possible.
B. These should be done to attempt to get data that might be associated with
multiple problems.
C. These should be done only when it is absolutely necessary.
D. These should be done if they relate to the examiner's hypothesis. - ANSWER:
D: Clinical reasoning does not require a compulsive listing of all of the possible
options in diagnosis and management. Rather, it is dominated by hypothesis
development; asking whether a particular diagnosis should be made depending on
its probability; and whether a test may be indicated, depending on the likelihood
suggested by its sensitivity and specificity
,2|Page
Mr. Shaken is a 46-year-old patient who presents for a routine physical
examination. After you have identified and confirmed a problem, the next step is
to:
A. assess the data collected.
B. formulate a clinical opinion.
C. conduct further assessment.
D. determine the management plan. - ANSWER: D: Clinical reasoning is the
process by which the information gathered from the history and physical
examination is merged with clinical knowledge, experience, and the current best
evidence to formulate the next steps in patient care—development of the diagnostic
and management plans.
The use of a computer could potentially be detrimental to the examiner because:
A. It may become a substitute for critical thinking.
B. computer dysfunction makes it unreliable.
C. the computer is limited in the amount of data it can interpret.
D. the level of skill needed to run a diagnostic computer program is beyond the
computer skills of most examiners. - ANSWER: A: There is an unacceptable
temptation at times to substitute electronic support for critical thinking and
judgment. It is your responsibility to artfully merge subjective and objective data
with best evidence and your knowledge and experience to make a clinical
judgment.
The ethical principle of utilitarianism is involved:
A. when the duties of health care providers are established by tradition and cultural
context.
B. when health care providers "do no harm."
,3|Page
C. when decisions regarding health care include appropriate use of
resources for the good of the community. Correct
D. when the interview is conducted appropriately. - ANSWER: C: Utilitarianism
means you should consider appropriate use of resources with concern for the
greater good of the larger community.
Which is a guideline to sound decision making?
A. The underlying problem is always related to the chief complaint.
B Rare problems tend to have unusual presentations.
C. Common problems occur commonly, whereas rare ones do not.
D. A diagnosis should be made quickly to enhance patient confidence. -
ANSWER: C: Remember that common problems occur commonly, and rare ones
do not. Common problems can have unusual presentations and rare ones may have
a seemingly common complaint.
Laboratory tests should be used to:
A. confirm a presumed diagnosis.
B. develop a list of potential problems.
C. rule out all possible causes of symptoms and clinical findings.
D. assist the examiner only when the data do not point to a specific problem. -
ANSWER: A: After a match between the data (both subjective and objective) and
a presumed diagnosis is made, consider the appropriate laboratory or radiologic
studies to confirm the diagnosis.
, 4|Page
A problem is best identified as:
A. something that bothers the patient.
B. something that is out of the ordinary.
C. something that is unexplainable.
D. something that will need further evaluation and/or attention. - ANSWER: D: A
problem may be defined as anything that will need further evaluation and/or
attention.
Once a close match between the data and diagnosis is made, the next step in the
process is to:
A. return to the physical examination and repeat certain parts to validate the
presence of specific signs.
B. consider laboratory tests/consultations necessary for further evaluation.
C. confirm the presumptive diagnosis with patient.
D. reanalyze history data to determine where more information is needed. -
ANSWER: B: After a match between the data (both subjective and objective) and
a presumed diagnosis is made, consider the appropriate laboratory or radiologic
studies to confirm the diagnosis.
Mechanistic thinking is governed by the premise that:
A. knowledge is relevant and influenced by our thoughts, values, and ideas.
B. knowledge is patterned in a way that truth will eventually evolve and facilitate
our success.
C. knowledge must be certain and not subject to any beliefs, values, and attitudes
of the examiner and/or patient.
D. knowledge must be experienced by those who are responsible for its
dissemination and use. - ANSWER: C: Mechanistic (deterministic) thinking is
