NUR 120 FINAL EXAM NEWEST ACTUAL EXAM
COMPLETE 400 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
Which action should the nurse take when using critical thinking to make clinical decisions? -
ANSWERConsider what is important in a given situation
Which patient scenario of a surgical patient in pain is most indicative of critical thinking? -
ANSWERAsking the patient what pain-relief methods, pharmacological and non-
pharmacological have worked in the past
Which action indicates a RN is being responsible for making clinical decisions? -
ANSWERTakes immediate action when a patient's condition worsens
A charge nurse is supervising the care of a new nurse. Which action by a new nurse indicates
the charge nurse needs to intervene? - ANSWERMaking a clinical decision based on previous
shift assessments
Which action demonstrates a nurse utilizing reflection to improve clinical decision making? -
ANSWERImproves a plan of care while thinking back on interventions effectiveness
A nursing instructor needs to evaluate students' abilities to synthesize data and identify
relationships between nursing diagnoses. Which learning assignment is best suited for this
instructors needs? - ANSWERConcept mapping
A nurse is using a critical thinking model to provide care. Which component is first that helps a
nurse make clinical decisions? - ANSWERSpecific knowledge base
Which action by a nurse indicates application of the critical thinking model to make best clinical
decisions? - ANSWERUsing the nursing process
A nurse is using the critical thinking skill of evaluation. Which action will the nurse take? -
ANSWERReview the effectiveness of nursing actions
The patient appears to be in no apparent distress, but vital sights take by a CNA reveal an
extremely low pulse. The nurse auscultation an apical pulse pulse and ask the patient whether
there is any history of heart problems. The nurse is utilizing which critical thinking skill? -
ANSWERInterpretation
,A patient continues to report post surgical incision pain at a level of 9 out of 10 after medication.
The next dose of pain meds is not due for another hour. What should the critically thinking nurse
do first? - ANSWERExplore other options for pain relief
Which action should the nurse take to best develop critical thinking skills? - ANSWERActively
participate in clinical experiences
While caring for a hospitalized older-adult female post hip surgery, the nurse is faced with the
task of inserting an indwelling catheter, which involved rotating the hip into a contraindicated
position. Which action should the nurse take? - ANSWERAdapt the positioning technique to the
situation
The nurse enters a room to find a patient sitting up in bed crying. How will the nurse display a
critical thinking attitude for this situation? - ANSWERAsk the patient about the crying
A patient is having trouble reaching the water fountain while holding on to crutches. The nurse
suggests that the patient place the crutches against the wall while stabilizing him or herself with
two hands on the water fountain. Which critical thinking attitude did the nurse use in this
situation? - ANSWERCreativity
A nurse is pulled from the surgical unit to work on the oncology unit. Which action by the nurse
displays humility and responsibility? - ANSWERAsking for an orientation to the unit
The nurse is using professional standards to influence clinical decisions. What is the rationale
for the nurses actions? - ANSWERUses critical thinking for the highest level of quality nursing
care
A nurse who is caring for a patient with a pressure ulcer applies the recommended dressing
according to hospital policy. Which standard is the nurse following? - ANSWERInstitutional
practice guidelines
The nurse is reviewing care plans. Which findings, if identified in a plan I'd care, should the RN
review? - ANSWERNurses assumption about hospital discharge
Which findings will alert the nurse that stress is present when making a clinical decision? -
ANSWERTense muscles, reactive response, trouble concentrating, very tired feeling
The nurse is using critical thinking skills during the first phase of the nursing process. Which
action indicates the nurse is in the first phase? - ANSWERCompletes a comprehensive
database
A nurse is using the problem-oriented approach to data collection. Which action will the nurse
take first? - ANSWERFocus on the patients presenting situation
After reviewing the database, the RN discovers that the patients vital signs have not been
recorded by the CNA. Which clinical decision should the nurse make? - ANSWERAsk the CNA
to record the vitals before administering meds
The nurse is gathering data on a patient. Which data will the nurse report as objective data? -
ANSWERrespiration's of 16
, A patient expresses fear of going home and being alone. Vital signs are stable and the incision
is nearly healed. What can the RN infer from the subjective data? - ANSWERThe patient is
apprehensive about discharge
Which method of data collection will the nurse use to establish a patients database? -
ANSWERPerforming a physical examination
An RN is gathering information about a patients habits and lifestyle patterns. Which method of
data collection will the nurse use that will best obtain this information? - ANSWERPerform a
thorough nursing health history
While interviewing an older remake patient of Asian descent, the RN notices that the patient
looks at the ground when answering questions. What should the nurse do? - ANSWERConsider
cultural differences during this assessment
A nurse has already set the agenda during a patient-centered interview. What will the nurse do
next? - ANSWERAsk about the chief concerns or problems.
The nurse is attempting the patient to elaborate on the reports of daytime fatigue. Which
question should the nurse ask? - ANSWER"What reasons for you think are contributing to your
fatigue?"
A nurse is conducting a health history. Which component will the nurse address? -
ANSWERPatient expectations
While the patients lower extremity, which is in a cast, is assessed, the patient tells the nurse
about an inability to rest at night. The RN disregards this information, thinking that no correlation
has been noted. Which action would have been best for the nurse to take? - ANSWERAsk the
patient about usual sleep patterns and the onset of having difficulty sleeping
The nurse begins a shift assessment by examining a surgical dressing that is saturated with
serosanguineous drainage who has abdominal surgery yesterday. Which type of assessment
approach is the nurse taking? - ANSWERProblem-oriented
Which statement by a RN indicates a good understanding about the differences between data
validation and data interpretation? - ANSWERValidation involved comparing data with other
sources for accuracy
Which scenario best illustrate the nurse using data validation when making a nursing clinical
decision for a patient? - ANSWERThe RN determines to remove a wound dressing when the
patient reveals the time of last dressing change and notices new and old drainage
While completing an admission database, the nurse is interviewing a patient who states "I am
allergic to latex" which action will the nurse take first? - ANSWERAsk the patient to deceive the
type of reaction
A patient verbalizes a low pain level of 2 out of 10 but exhibits extreme facial grimacing while
movies around in bed. What is the nurses initial action in response to these observations? -
ANSWERAsk the patient about the facial grimacing with movement
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