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Nur 155 study exam guide latest update
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Nur 155 study exam guide latest update
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Nur 155 study exam guide latest updateWhich thinking skill belongs to the responding step in Tanner's? - ANS Providing the priority
care determined
Which thinking skill does the nurse use when determining if pain medication administered was
effective? - ANS Evaluating data
Which factors influence a nurse's ability to predict and manage complications? - ANS The
nurses experience level
The nurses knowledge level
Which thinking skill is demonstrated when reviewing the patients chart performing a physical
assessment, interviewing family and reviewing drs progress notes? - ANS Gathering
complete and accurate data
Which action in the following situation demonstrates using the critical judgement skill? - ANS
Mowing the grass a day earlier because the forecast calls for rain
How does a person best apply thinking skill of clustering, when preparing for vacation? -
ANS Organizing a list of items for the trip
Which thinking skill requires the nurse to collect information in a detailed method from various
sources - ANS Gathering accurate data
An employee notices a wallet in the restroom with a large amount of cash. Following policy,
they take it to the main office. Which thinking skill is the employee demonstrating - ANS
Using legal and ethical guidelines
parent has been helping their two children with homework and determines that one is
improving while the other is still doing poorly. Which thinking skill is the parent using in this
situation? - ANS Comparing and contrasting
A nurse is caring for a 56 yr old patient diagnosed with hypertension. The nurse completes the
Epworth sleepiness scale and the patient scores an 11. Which action will the nurse take? -
ANS Ask pt about their lifestyle
Subject data - ANS Pt complains
Nursing assistant reports patient's urine drainage bag appears to be infected. How will the nurse
determine accuracy and reliability of this information - ANS Contact the physician, request
an order for a urine culture
, 76 yr old from a long-term care facility is admitted with confusion and a large bump on their
forehead. What action will the nurse take first? - ANS Conduct a focused neuro assessment
Which question will the nurse ask to best identify signs and symptoms? - ANS What has
changed
Which thinking skill belongs to the interpreting step in Tanner's? - ANS Comparing and
contrasting
Which thinking skill does the nurse use when grouping similar information to help identify a
problem? - ANS Clustering related info
A Nurse is caring for elderly patient. The patient states he's been trying to lose weight over the
past 3 months but he's gained 15 lbs. What is the nurse's next action - ANS Conduct a
patient interview and research the patient's chart to identify possible reasons for weight gain.
Which step in Tanner's model of clinical judgement involves processing information
understanding the situation and planning interventions? - ANS Interpreting
The nurse is assigned to a patient with increased memory loss, confusion and at a high risk of
wandering off the unit. What action will the nurse take at the beginning of the shift? - ANS
Develop a plan to ensure frequent checks on this patient with the nursing assistants and other
staff for safety.
How do the Spices tool and Epworth sleepiness scale assist nurses in caring for older adults? -
ANS They both collect signs and symptoms to identify potential risks.
A thinking skill, evaluating data, what is the reason that assessment data is collected again after
actions have been performed? - ANS To determine the effectiveness of the actions and see
if outcomes were acceptable
A nurse is caring for a patient with a sudden change in health status while collecting data, which
thinking skill will the nurse use to determine what information is meaningful to the patient's
condition? - ANS Distinguishing relevant from irrelevant
A driver enters a zone where the speed limit drops from 55 to 35. The driver glances at all the
gauges on the dashboard, then gathers information from the speedometer to determine what to
do next. Which thinking skill is the driver using in this situation? - ANS Distinguishing
relevant from irrelevant
The LPN is assisting the RN in data collection, how can the LPN collect complete and accurate
data? - ANS Assess the patients eating, sleeping and socialization patterns.
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