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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. Ans: A. Objective After completing an initial assessment of
Exp: objective data are what the a patient, the nurse has charted that his
health professional observes by reparations are eupneic and his pulse is
inspecting, percussing, palpat- 58 beats per minute. These types of data
ing, and auscultating during the would be:
physical examination. Subjective A. Objective
data is what the person says B. Reflective
about hm or herself during his- C. Subjective
tory taking. The terms REFLEC- D Introspective
TIVE and INTROSPECTIVE are
not used to describe data.
3. Ans: C. Subjective A patient tells the nurse that he is very
Exp: subjective data are what the nervous, is nauseated, and feels hot.
person says about him or her- These types of data would be:
self during history taking. Objec- A. Objective
tive data are what the health pro- B. Reflective
fessional observes by inspect- C. Subjective
ing, percussing, palpating, and D Introspective
auscultating during the physical
examination. The terms REFLEC-
TIVE and INTROSPECTIVE are
not used to describe data.
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4. Ans: A. Data base The patients record, laboratory studies,
Exp: together with the patients objective data, and subjective data com-
record and laboratory studies, bine to form the:
the objective and subjective data A. Data base
form the data base. The other B. Admitting data
items are not part of the pa- C. Financial statement
tients record, laboratory studies, D. Discharge summary
or data.
5. Ans: C. Validate the data by ask- When listening to a patients breath
ing a coworker to listen to the sounds, the nurse is unsure of a sound
breath sounds that is heard. The nurses next action
Exp: when unsure of a sound should be to:
heard while listening to a pa- A. Immediately notify the patients physi-
tients breath sounds, the nurse cian
validates the data to ensure ac- B. Document the sound exactly as it was
curacy. If the nurse has less ex- heard
perience in an area, then he or C. Validate the data by asking a cowork-
she asks an expert to listen. er to listen to the breath sounds
D. Asses again in 20 minutes to note
weather the sound is still present
6. Ans: B. A set of rules The nurse is conducting a class for
Exp: novice nurses operate from new graduate nurses. During the teach-
a set of defined, structured rules. ing session, the nurse should keep in
The expert practitioner uses intu- mind that novice nurses, without a back-
itive links. ground of skills and experience 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. Ans: A. Intuition Expert nurses learn to attend to a pat-
Exp: intuition is characterized by tern of assessment data and act without
pattern recognition expert nurs- consciously labeling it. These responses
es learn to attend to a pattern of are referred to as:
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assessment data and act without A. Intuition
consciously labeling it. The other B. The nursing process
options are not correct. C. Clinical knowledge
D. Diagnostic reasoning
8. Ans: C. EBP emphasizes the use The nurse is reviewing information about
of best evidence with the clini- evidence-based practice (EBP). Which
cans experience statement best reflects EBP?
Exp: EBP is a systematic ap- A. EBP relies on tradition for support of
proach to practice that empha- best practices
sizes the use of best evidence B. EBP is simply the use of best practice
in combination with the clin- techniques for the treatment of patients
icians experience, as well as C. EBP emphasizes the use of best evi-
patient preferences and values, dence with the clinicians experience
when making decisions about D. The patients own preference are not
care and treatment. EBP is more important with EBP
than simply using the best prac-
tice techniques to treat patients,
and questioning tradition is im-
portant when no compelling and
supportive research evidence ex-
ists.
9. Ans: D. Individual with shortness The nurse is conducting a class on pri-
of breath and respiratory dis- ority setting for a group of new gradu-
tress ate nurses. Which is an example of a
Exp: First-level priority problems 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, support- betes who needs diabetic teaching
ing breathing, maintaining circu- C. Individual with a small laceration on
lation, monitoring abnormal vital the sole of the foot
signs.) D. Individual with shortness of breath
and respiratory distress
10. Ans: C. Abnormal laboratory val- When considering priority setting of
ues problems, the nurse keeps in mind that
Exp: Second-level priority prob- second-level priority problems include
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lems are those that require which of these aspects?
prompt intervention to forestall A. Low self-esteem
further deterioration (e.g., men- B. Lack of knowledge
tal status change, acute pain, ab- C. Abnormal laboratory values
normal laboratory values, risk to D. Severely abnormal vital signs
safety or security.)
11. Ans: B. Clustering related cues Which critical thinking skill helps the
Exp: Clustering related cues nurse see relationships among the
helps the nurse see relationships data?
among the data. A. Validation
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant
12. Ans: A. Nursing The nurse knows that developing ap-
Exp: An accurate nursing di- propriate nursing interventions for a pa-
agnosis provides the basis for tient relies on the appropriateness of the
the selection of nursing interven- ___________________ diagnosis.
tions to achieve outcomes for A. Nursing
which the nurse is accountable. B. Medical
The other items do not contribute C. Admission
to the development of appropri- D. Collaborative
ate nursing interventions.
13. Ans: D. Assessment, diagnosis, The nursing process is a sequential
outcome identification, planning, method of problem solving that nurses
implementation, and evaluation use and includes which steps?
Exp: The nursing process is a A. Assessment, treatment, planning,
method of problem solving that evaluation, discharge, and follow-up
includes assessment, diagnosis, B. Admission, assessment, diagnosis,
outcome identification, planning, treatment, and discharge planning
implementation, and evaluation. C. Admission, diagnosis, treatment,
evaluation, and discharge planning
D. Assessment, diagnosis, outcome
identification, planning, implementation,
and evaluation
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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. Ans: A. Objective After completing an initial assessment of
Exp: objective data are what the a patient, the nurse has charted that his
health professional observes by reparations are eupneic and his pulse is
inspecting, percussing, palpat- 58 beats per minute. These types of data
ing, and auscultating during the would be:
physical examination. Subjective A. Objective
data is what the person says B. Reflective
about hm or herself during his- C. Subjective
tory taking. The terms REFLEC- D Introspective
TIVE and INTROSPECTIVE are
not used to describe data.
3. Ans: C. Subjective A patient tells the nurse that he is very
Exp: subjective data are what the nervous, is nauseated, and feels hot.
person says about him or her- These types of data would be:
self during history taking. Objec- A. Objective
tive data are what the health pro- B. Reflective
fessional observes by inspect- C. Subjective
ing, percussing, palpating, and D Introspective
auscultating during the physical
examination. The terms REFLEC-
TIVE and INTROSPECTIVE are
not used to describe data.
, 2024 Newest|LSUHSC HA|2024-2025 UPDATE|COMPREHENSIVE FRE-
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4. Ans: A. Data base The patients record, laboratory studies,
Exp: together with the patients objective data, and subjective data com-
record and laboratory studies, bine to form the:
the objective and subjective data A. Data base
form the data base. The other B. Admitting data
items are not part of the pa- C. Financial statement
tients record, laboratory studies, D. Discharge summary
or data.
5. Ans: C. Validate the data by ask- When listening to a patients breath
ing a coworker to listen to the sounds, the nurse is unsure of a sound
breath sounds that is heard. The nurses next action
Exp: when unsure of a sound should be to:
heard while listening to a pa- A. Immediately notify the patients physi-
tients breath sounds, the nurse cian
validates the data to ensure ac- B. Document the sound exactly as it was
curacy. If the nurse has less ex- heard
perience in an area, then he or C. Validate the data by asking a cowork-
she asks an expert to listen. er to listen to the breath sounds
D. Asses again in 20 minutes to note
weather the sound is still present
6. Ans: B. A set of rules The nurse is conducting a class for
Exp: novice nurses operate from new graduate nurses. During the teach-
a set of defined, structured rules. ing session, the nurse should keep in
The expert practitioner uses intu- mind that novice nurses, without a back-
itive links. ground of skills and experience 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. Ans: A. Intuition Expert nurses learn to attend to a pat-
Exp: intuition is characterized by tern of assessment data and act without
pattern recognition expert nurs- consciously labeling it. These responses
es learn to attend to a pattern of are referred to as:
, 2024 Newest|LSUHSC HA|2024-2025 UPDATE|COMPREHENSIVE FRE-
QUENTLY MOST TESTED QUESTIONS AND VERIFIED ANSWERS|GET
100% ACCURATE!!
Study online at https://quizlet.com/_g1dy05
assessment data and act without A. Intuition
consciously labeling it. The other B. The nursing process
options are not correct. C. Clinical knowledge
D. Diagnostic reasoning
8. Ans: C. EBP emphasizes the use The nurse is reviewing information about
of best evidence with the clini- evidence-based practice (EBP). Which
cans experience statement best reflects EBP?
Exp: EBP is a systematic ap- A. EBP relies on tradition for support of
proach to practice that empha- best practices
sizes the use of best evidence B. EBP is simply the use of best practice
in combination with the clin- techniques for the treatment of patients
icians experience, as well as C. EBP emphasizes the use of best evi-
patient preferences and values, dence with the clinicians experience
when making decisions about D. The patients own preference are not
care and treatment. EBP is more important with EBP
than simply using the best prac-
tice techniques to treat patients,
and questioning tradition is im-
portant when no compelling and
supportive research evidence ex-
ists.
9. Ans: D. Individual with shortness The nurse is conducting a class on pri-
of breath and respiratory dis- ority setting for a group of new gradu-
tress ate nurses. Which is an example of a
Exp: First-level priority problems 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, support- betes who needs diabetic teaching
ing breathing, maintaining circu- C. Individual with a small laceration on
lation, monitoring abnormal vital the sole of the foot
signs.) D. Individual with shortness of breath
and respiratory distress
10. Ans: C. Abnormal laboratory val- When considering priority setting of
ues problems, the nurse keeps in mind that
Exp: Second-level priority prob- second-level priority problems include
, 2024 Newest|LSUHSC HA|2024-2025 UPDATE|COMPREHENSIVE FRE-
QUENTLY MOST TESTED QUESTIONS AND VERIFIED ANSWERS|GET
100% ACCURATE!!
Study online at https://quizlet.com/_g1dy05
lems are those that require which of these aspects?
prompt intervention to forestall A. Low self-esteem
further deterioration (e.g., men- B. Lack of knowledge
tal status change, acute pain, ab- C. Abnormal laboratory values
normal laboratory values, risk to D. Severely abnormal vital signs
safety or security.)
11. Ans: B. Clustering related cues Which critical thinking skill helps the
Exp: Clustering related cues nurse see relationships among the
helps the nurse see relationships data?
among the data. A. Validation
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant
12. Ans: A. Nursing The nurse knows that developing ap-
Exp: An accurate nursing di- propriate nursing interventions for a pa-
agnosis provides the basis for tient relies on the appropriateness of the
the selection of nursing interven- ___________________ diagnosis.
tions to achieve outcomes for A. Nursing
which the nurse is accountable. B. Medical
The other items do not contribute C. Admission
to the development of appropri- D. Collaborative
ate nursing interventions.
13. Ans: D. Assessment, diagnosis, The nursing process is a sequential
outcome identification, planning, method of problem solving that nurses
implementation, and evaluation use and includes which steps?
Exp: The nursing process is a A. Assessment, treatment, planning,
method of problem solving that evaluation, discharge, and follow-up
includes assessment, diagnosis, B. Admission, assessment, diagnosis,
outcome identification, planning, treatment, and discharge planning
implementation, and evaluation. C. Admission, diagnosis, treatment,
evaluation, and discharge planning
D. Assessment, diagnosis, outcome
identification, planning, implementation,
and evaluation
