NUR 514: Exam 1 Questions and Correct Answers the Latest Update
0 view 0 purchase
Course
Nur 514
Institution
Nur 514
A client comes to the walk-in clinic with reports of abdominal pain and diarrhea. While taking
the client's vital signs, the nurse is implementing which phase of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
A. Assessment
Rationale: The first step in the nu...
TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
NUR 514: Exam 1 Questions and Correct
Answers the Latest Update
A client comes to the walk-in clinic with reports of abdominal pain and diarrhea. While taking
the client's vital signs, the nurse is implementing which phase of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
✓ A. Assessment
✓ Rationale: The first step in the nursing process is assessment, the process of collecting
data. All subsequent phases of the nursing process (options 2, 3, and 4) rely on accurate
and complete data.
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
The nurse is measuring the client's urine output and straining the urine to assess for stones.
Which of the following should the nurse record as objective data?
A. The client reports abdominal pain
B. The client's urine output was 450 mL
C. The client states, "I didn't see any stones in my urine."
D. The client states, "I feel like I have passed a stone."
✓ B. The client's urine output was 450 mL.
✓ Rationale: Objective data is measurable data that can be seen, heard, or verified by the
nurse. The objective data is the measurement of the urine output. A client's statements and
reports of symptoms are documented as subjective data, such as the data found in options
1, 3, and 4.
The Joint Commission
✓ an independent, not-for-profit organization that evaluates and accredits healthcare
organizations
✓
✓ Core measures developed to improve the quality of health care by implementing a
national, standardized performance measurement system
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
When evaluating an elderly client's blood pressure (BP) of 146/78 mmHg, the nurse does
which of the following before determining whether the BP is normal or represents
hypertension?
A. Compare this reading against defined standards
B. Compare the reading with one taken in the opposite arm
C. Determine gaps in the vital signs in the client record
D. Compare the current measurement with previous ones
✓ A. Compare this reading against defined
✓ Rationale: Analysis of the client's BP requires knowledge of the normal BP range for an
older adult. The nurse compares the client's data against identified standards to determine
whether this reading is normal or abnormal. Measuring the BP in the other arm (option 2)
and comparing the reading to previous ones (option 4) will give additional client data,
but the comparison alone will not determine whether the BP is normal. Gaps in the record
(option 3) will not aid in interpreting the current measurement.
Patient Rights
✓ Right to accept or refuse treatment
✓ Right to dignity, respect, confidentiality and privacy
, TestTrackers: Unlock Your Exam Potential! | Quality Practice Materials | Boost Your Confidence Today!
Which of the following behaviors by the nurse demonstrates that the nurse is participating in
critical thinking? Select all that apply.
A. Admitting not knowing how to do a procedure and requesting help
B. Using clever and persuasive remarks to support an opinion or position
C. Accepting without question the values acquired in nursing school
D. Finding a quick and logical answer, even to complex questions
E. Gathering three assistants to transfer the client to a stretcher after noting the client weighs
300 lbs.
✓ A. Admitting not knowing how to do a procedure and requesting help
✓ E. Gathering three assistants to transfer the client to a stretcher after noting the client
weighs 300 lbs.
✓
✓ Rationale: Critical thinking in nursing is self-directed, supporting what nurses know and
making clear what they do not know. It is important for nurses to recognize when they
lack the knowledge they need to provide safe care for a client (option 1). Nurses must
also utilize their resources to acquire the support they need to care for a client safely
(option 5). Options 2, 3, and 4 do not demonstrate critical thinking.
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller TestTrackers. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.09. You're not tied to anything after your purchase.
