1. Which of the following is a true statement about critical thinking in nursing?
A) It involves purposeful, outcome-directed thinking.
B) It shows trends and patterns in client status.
C) It makes judgments based on conjecture.D) It supplies validation for reimbursement.
Ans: A
Introductory Medical Surgical Nursing 11th
Editionby Barbara K. Tim – Test Bank
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Introductory Medical Surgical Nursing 11th Edition by Barbara K. Tim – Test
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Sample Questions
1. Which of the following is a true statement about critical thinking in nursing?
A) It involves purposeful, outcome-directed thinking.
B) It shows trends and patterns in client status.
C) It makes judgments based on conjecture.
, D) It supplies validation for reimbursement.
Ans: A
Feedback:
In nursing, critical thinking involves purposeful, outcome-directed thinking. Critical th
Providing a foundation for evaluation and quality improvement and showing trends an
2. Which of the following is involved in the implementation step of the nursing process?
A) Selecting nursing interventions
B) Documenting nursing care and client responses
C) Documenting the plan of care
D) Identifying measurable outcomes
Ans: B
Feedback:
The implementation step in the nursing process involves documenting nursing care a
interventions, documenting the plan of care, and identifying measurable outcomes.
3. Which of the following is an important element of implementation?
, A) Client database
B) Critical thinking
C) Nursing orders
D) Documentation
Ans: D
Feedback:
An important element of implementation is documentation. The client database inclu
history. Physical examination and diagnostic studies are not an important element of
outcome-directed thinking. Developing good critical thinking skills will make nurses m
multiple interventions. Nursing orders are specific nursing directions so that all health
they are not an important element of implementation.
4. Which of the following pieces of information is included in the client database?
A) Nursing care
B) Diagnostic studies
C) Plan of care
D) Collaborative problems
Ans: B
Feedback:
The client database includes all the information obtained from the medical and nursin
, database does not include nursing care, plan of care, or collaborative problems.
5. Which type of nursing diagnosis statement begins with the stem readiness for enhanc
A) Health promotion
B) Syndrome
C) Risk
D) Actual
Ans: A
Feedback:
Health promotion nursing diagnoses reflect clinical judgment of a client’s motivation
behaviors. Risk nursing diagnoses identify potential problems and use the stem risk f
nursing diagnoses identify existing problems. Syndrome diagnoses describe specific d
collective interventions.
6. Which of the following is the highest level of human need according to Maslow (1968)
A) Physiologic
B) Love and belonging
C) Esteem and self-esteem
D) Self-actualization
, Ans: D
Feedback:
The highest level need is self-actualization. The first level of need is physiological nee
esteem are fourth-level needs.
7. Which phase of the nursing process enables the nurse to compare the actual outcome
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Ans: D
Feedback:
Evaluation is assessment and review of the quality and suitability of the care given
observation and evaluation of a client’s health status. Planning involves setting prior
specific nursing interventions, and recording the plan of care. Implementation means
monitoring the client’s status; and assessing and reassessing the client before, during
8. Which of the following is a true statement about critical thinking according to Alfaro-L
, A) It makes judgments based on conjecture.
B) It is based on the medical model.
C) It considers only the client’s needs.
D) It is guided by professional standards and codes of ethics.
Ans: D
Feedback:
Critical thinking is guided by professional standards and codes of ethics. It is based on
thinking makes judgments based on evidence rather than conjecture. It considers clie
9. Which type of nursing diagnosis has a goal to increase well-being and enhance specif
A) Health promotion
B) Risk
C) Wellness
D) Actual
Ans: A
Feedback:
Health promotion nursing diagnoses look for ways to enhance health. Risk nursing di
Risk for Impaired Skin Integrity related to inactivity. In wellness diagnoses, the diagn
does not include related factors or supporting data. Actual nursing diagnoses identify
,10. Which of the following identify a diagnosis associated with a cluster of other diagnose
A) Risk nursing diagnoses
B) Actual nursing diagnoses
C) Syndrome diagnoses
D) Health promotion nursing diagnoses
Ans: C
Feedback:
Syndrome diagnoses identify a diagnosis associated with a cluster of other diagnoses
problems and use the stem risk for, as in Risk for Impaired Skin Integrity related to in
of a client’s motivation and behavior to increase well-being and enhance health-seeki
11. The LPN states to an RN, “I don’t know why we have to follow a care plan. No one eve
What is the best response by the RN?
A) “I agree with you, and we should talk to the manager about eliminating t
B) “I think it is something we have always done, and we have to continue to
C) “It helps to provide a systematic method for us to plan and implement ca
D) “Physicians use our care plans in order to see what we are doing for the c
Ans: C
, Feedback:
The purpose of the nursing process is to provide a systematic method for nurses to p
learning principles of critical thinking and nursing process, it’s like using a calculator
divide” and is why the process should be complete with the paperwork. The other tw
the process.
12. A client is admitted to the hospital for control of diabetes mellitus. When does the LPN
A) When the client enters the healthcare system
B) Prior to the client being discharged
C) After the RN initiates the plan of care
D) When the physician writes the first order for care
Ans: A
Feedback:
The nursing process begins when a client enters the healthcare system. The other thr
13. The RN is obtaining a health history and performing a physical assessment for a clien
part of the nursing process does the LPN understand the RN is performing?
A) Planning
B) Implementation
, C) Evaluation
D) Assessment
Ans: D
Feedback:
Assessment is the careful observation and evaluation of a client’s health status. The
factors that contribute to health problems as well as client strengths. Planning is esta
goals. Implementation is putting the plan into action. Evaluation is determining the cl
14. The RN develops an outcome standard of “client will ambulate with an assistive devic
replacement. What part of the nursing process is involved with this outcome stateme
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Ans: B
Feedback:
Establishing the outcomes and actions will help the client achieve the overall goals of
client’s health status by the collection of data. Implementation is putting the plan into
care provided.
, 15. A client has been admitted to the hospital with a large sacral pressure ulcer. The phys
What would be a statement on the plan of care that would address the implementatio
A) A 6 cm × 4 cm wound with malodorous, yellow exudate
B) The client’s wound will heal by 1 cm by the end of 5 days.
C) The client’s wound has healed by 0.5 cm on day 3 of wound care.
D) Turn the client every 2 hours.
Ans: D
Feedback:
Turning the client every 2 hours is implementing care to allow the pressure ulcer to h
assessment phase of the nursing process. Option B is the planning phase of the nurs
process.
16. The LPN plays a vital role in the development of a nursing diagnosis for a client. What
A) Report information that suggests actual or potential health problems.
B) Examine and analyze the client database to formulate nursing diagnosis.
C) Inform the physician about the specific development of the nursing diagn
D) Evaluate the effectiveness of the nursing diagnosis and how it pertains to
Ans: A
Feedback:
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