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1. The nurse is preparing to examine a
6-year-old child. Which action is most
appropriate?
A. The thorax, abdomen, and genitalia
are examined before the head.
B. Talking about the equipment being
used is avoided because doing so
may increase the childs anxiety.
C. The nurse should keep in mind that
a child at this age will have a sense of
modesty.
D. The child is asked to undress from
the waist up.
2. After completing an initial assess- Ans: A. Objective
ment of a patient, the nurse has chart- Exp: objective data are what the
ed that his reparations are eupneic health professional observes by
and his pulse is 58 beats per minute. inspecting, percussing, palpating,
These types of data would be: and auscultating during the physi-
A. Objective cal examination. Subjective data is
B. Reflective what the person says about hm or
C. Subjective herself during history taking. The
D Introspective terms REFLECTIVE and INTRO-
SPECTIVE are not used to describe
data.
3. A patient tells the nurse that he is Ans: C. Subjective
very nervous, is nauseated, and feels Exp: subjective data are what the
hot. These types of data would be: person says about him or her-
A. Objective self during history taking. Objective
B. Reflective data are what the health profes-
C. Subjective sional observes by inspecting, per-
D Introspective cussing, palpating, and auscultat-
ing during the physical examination.
The terms REFLECTIVE and IN-
TROSPECTIVE are not used to de-
scribe data.
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4. The patients record, laboratory stud- Ans: A. Data base
ies, objective data, and subjective Exp: together with the patients
data combine to form the: record and laboratory studies, the
A. Data base objective and subjective data form
B. Admitting data the data base. The other items are
C. Financial statement not part of the patients record, lab-
D. Discharge summary oratory studies, or data.
5. When listening to a patients breath Ans: C. Validate the data by asking
sounds, the nurse is unsure of a a coworker to listen to the breath
sound that is heard. The nurses next sounds
action should be to: Exp: when unsure of a sound heard
A. Immediately notify the patients while listening to a patients breath
physician sounds, the nurse validates the
B. Document the sound exactly as it data to ensure accuracy. If the nurse
was heard has less experience in an area, then
C. Validate the data by asking a he or she asks an expert to listen.
coworker to listen to the breath
sounds
D. Asses again in 20 minutes to note
weather the sound is still present
6. The nurse is conducting a class Ans: B. A set of rules
for new graduate nurses. During the Exp: novice nurses operate from
teaching session, the nurse should a set of defined, structured rules.
keep in mind that novice nurses, with- The expert practitioner uses intu-
out a background of skills and expe- itive links.
rience from which to draw, are more
likely to make their decisions using:
A. Intuition
B. A set of rules
C. Articles in journals
D. Advice from supervisors
7. Expert nurses learn to attend to a Ans: A. Intuition
pattern of assessment data and act Exp: intuition is characterized by
without consciously labeling it. These pattern recognition expert nurses
responses are referred to as: learn to attend to a pattern of as-
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A. Intuition sessment data and act without con-
B. The nursing process sciously labeling it. The other op-
C. Clinical knowledge tions are not correct.
D. Diagnostic reasoning
8. The nurse is reviewing informa- Ans: C. EBP emphasizes the use
tion about evidence-based practice of best evidence with the clinicans
(EBP). Which statement best reflects experience
EBP? Exp: EBP is a systematic approach
A. EBP relies on tradition for support to practice that emphasizes the use
of best practices of best evidence in combination
B. EBP is simply the use of best prac- with the clinicians experience, as
tice techniques for the treatment of well as patient preferences and val-
patients ues, when making decisions about
C. EBP emphasizes the use of best care and treatment. EBP is more
evidence with the clinicians experi- than simply using the best prac-
ence tice techniques to treat patients,
D. The patients own preference are and questioning tradition is impor-
not important with EBP tant when no compelling and sup-
portive research evidence exists.
9. The nurse is conducting a class on Ans: D. Individual with shortness of
priority setting for a group of new breath and respiratory distress
graduate nurses. Which is an exam- Exp: First-level priority problems
ple of a first-level priority problem? are those that are emergent, life
A. Patient with postoperative pain threatening, and immediate (e.g.,
B. Newly diagnosed patient with dia- establishing an airway, supporting
betes who needs diabetic teaching breathing, maintaining circulation,
C. Individual with a small laceration monitoring abnormal vital signs.)
on the sole of the foot
D. Individual with shortness of breath
and respiratory distress
10. When considering priority setting of Ans: C. Abnormal laboratory values
problems, the nurse keeps in mind Exp: Second-level priority problems
that second-level priority problems are those that require prompt inter-
include which of these aspects? vention to forestall further deterio-
A. Low self-esteem ration (e.g., mental status change,
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B. Lack of knowledge acute pain, abnormal laboratory
C. Abnormal laboratory values values, risk to safety or security.)
D. Severely abnormal vital signs
11. Which critical thinking skill helps the Ans: B. Clustering related cues
nurse see relationships among the Exp: Clustering related cues helps
data? the nurse see relationships among
A. Validation the data.
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrele-
vant
12. The nurse knows that developing ap- Ans: A. Nursing
propriate nursing interventions for a Exp: An accurate nursing diagnosis
patient relies on the appropriateness provides the basis for the selection
of the ___________________ diagno- of nursing interventions to achieve
sis. outcomes for which the nurse is ac-
A. Nursing countable. The other items do not
B. Medical contribute to the development of ap-
C. Admission propriate nursing interventions.
D. Collaborative
13. The nursing process is a sequential Ans: D. Assessment, diagnosis, out-
method of problem solving that nurs- come identification, planning, im-
es use and includes which steps? plementation, and evaluation
A. Assessment, treatment, planning, Exp: The nursing process is a
evaluation, discharge, and follow-up method of problem solving that in-
B. Admission, assessment, diagno- cludes assessment, diagnosis, out-
sis, treatment, and discharge plan- come identification, planning, im-
ning plementation, and evaluation.
C. Admission, diagnosis, treatment,
evaluation, and discharge planning
D. Assessment, diagnosis, outcome
identification, planning, implementa-
tion, and evaluation
14.
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1. The nurse is preparing to examine a
6-year-old child. Which action is most
appropriate?
A. The thorax, abdomen, and genitalia
are examined before the head.
B. Talking about the equipment being
used is avoided because doing so
may increase the childs anxiety.
C. The nurse should keep in mind that
a child at this age will have a sense of
modesty.
D. The child is asked to undress from
the waist up.
2. After completing an initial assess- Ans: A. Objective
ment of a patient, the nurse has chart- Exp: objective data are what the
ed that his reparations are eupneic health professional observes by
and his pulse is 58 beats per minute. inspecting, percussing, palpating,
These types of data would be: and auscultating during the physi-
A. Objective cal examination. Subjective data is
B. Reflective what the person says about hm or
C. Subjective herself during history taking. The
D Introspective terms REFLECTIVE and INTRO-
SPECTIVE are not used to describe
data.
3. A patient tells the nurse that he is Ans: C. Subjective
very nervous, is nauseated, and feels Exp: subjective data are what the
hot. These types of data would be: person says about him or her-
A. Objective self during history taking. Objective
B. Reflective data are what the health profes-
C. Subjective sional observes by inspecting, per-
D Introspective cussing, palpating, and auscultat-
ing during the physical examination.
The terms REFLECTIVE and IN-
TROSPECTIVE are not used to de-
scribe data.
, 2024 Newest|LSUHSC HA|2024-2025 UPDATE|COMPREHENSIVE FRE-
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4. The patients record, laboratory stud- Ans: A. Data base
ies, objective data, and subjective Exp: together with the patients
data combine to form the: record and laboratory studies, the
A. Data base objective and subjective data form
B. Admitting data the data base. The other items are
C. Financial statement not part of the patients record, lab-
D. Discharge summary oratory studies, or data.
5. When listening to a patients breath Ans: C. Validate the data by asking
sounds, the nurse is unsure of a a coworker to listen to the breath
sound that is heard. The nurses next sounds
action should be to: Exp: when unsure of a sound heard
A. Immediately notify the patients while listening to a patients breath
physician sounds, the nurse validates the
B. Document the sound exactly as it data to ensure accuracy. If the nurse
was heard has less experience in an area, then
C. Validate the data by asking a he or she asks an expert to listen.
coworker to listen to the breath
sounds
D. Asses again in 20 minutes to note
weather the sound is still present
6. The nurse is conducting a class Ans: B. A set of rules
for new graduate nurses. During the Exp: novice nurses operate from
teaching session, the nurse should a set of defined, structured rules.
keep in mind that novice nurses, with- The expert practitioner uses intu-
out a background of skills and expe- itive links.
rience from which to draw, are more
likely to make their decisions using:
A. Intuition
B. A set of rules
C. Articles in journals
D. Advice from supervisors
7. Expert nurses learn to attend to a Ans: A. Intuition
pattern of assessment data and act Exp: intuition is characterized by
without consciously labeling it. These pattern recognition expert nurses
responses are referred to as: learn to attend to a pattern of as-
, 2024 Newest|LSUHSC HA|2024-2025 UPDATE|COMPREHENSIVE FRE-
QUENTLY MOST TESTED QUESTIONS AND VERIFIED ANSWERS|GET
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A. Intuition sessment data and act without con-
B. The nursing process sciously labeling it. The other op-
C. Clinical knowledge tions are not correct.
D. Diagnostic reasoning
8. The nurse is reviewing informa- Ans: C. EBP emphasizes the use
tion about evidence-based practice of best evidence with the clinicans
(EBP). Which statement best reflects experience
EBP? Exp: EBP is a systematic approach
A. EBP relies on tradition for support to practice that emphasizes the use
of best practices of best evidence in combination
B. EBP is simply the use of best prac- with the clinicians experience, as
tice techniques for the treatment of well as patient preferences and val-
patients ues, when making decisions about
C. EBP emphasizes the use of best care and treatment. EBP is more
evidence with the clinicians experi- than simply using the best prac-
ence tice techniques to treat patients,
D. The patients own preference are and questioning tradition is impor-
not important with EBP tant when no compelling and sup-
portive research evidence exists.
9. The nurse is conducting a class on Ans: D. Individual with shortness of
priority setting for a group of new breath and respiratory distress
graduate nurses. Which is an exam- Exp: First-level priority problems
ple of a first-level priority problem? are those that are emergent, life
A. Patient with postoperative pain threatening, and immediate (e.g.,
B. Newly diagnosed patient with dia- establishing an airway, supporting
betes who needs diabetic teaching breathing, maintaining circulation,
C. Individual with a small laceration monitoring abnormal vital signs.)
on the sole of the foot
D. Individual with shortness of breath
and respiratory distress
10. When considering priority setting of Ans: C. Abnormal laboratory values
problems, the nurse keeps in mind Exp: Second-level priority problems
that second-level priority problems are those that require prompt inter-
include which of these aspects? vention to forestall further deterio-
A. Low self-esteem ration (e.g., mental status change,
, 2024 Newest|LSUHSC HA|2024-2025 UPDATE|COMPREHENSIVE FRE-
QUENTLY MOST TESTED QUESTIONS AND VERIFIED ANSWERS|GET
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B. Lack of knowledge acute pain, abnormal laboratory
C. Abnormal laboratory values values, risk to safety or security.)
D. Severely abnormal vital signs
11. Which critical thinking skill helps the Ans: B. Clustering related cues
nurse see relationships among the Exp: Clustering related cues helps
data? the nurse see relationships among
A. Validation the data.
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrele-
vant
12. The nurse knows that developing ap- Ans: A. Nursing
propriate nursing interventions for a Exp: An accurate nursing diagnosis
patient relies on the appropriateness provides the basis for the selection
of the ___________________ diagno- of nursing interventions to achieve
sis. outcomes for which the nurse is ac-
A. Nursing countable. The other items do not
B. Medical contribute to the development of ap-
C. Admission propriate nursing interventions.
D. Collaborative
13. The nursing process is a sequential Ans: D. Assessment, diagnosis, out-
method of problem solving that nurs- come identification, planning, im-
es use and includes which steps? plementation, and evaluation
A. Assessment, treatment, planning, Exp: The nursing process is a
evaluation, discharge, and follow-up method of problem solving that in-
B. Admission, assessment, diagno- cludes assessment, diagnosis, out-
sis, treatment, and discharge plan- come identification, planning, im-
ning plementation, and evaluation.
C. Admission, diagnosis, treatment,
evaluation, and discharge planning
D. Assessment, diagnosis, outcome
identification, planning, implementa-
tion, and evaluation
14.
