NR224 EXAM 1 Questions & Answers with Solutions Graded A 2023

While assessing a patient, the nurse observes the patient's IV line is not infusing at the ordered rate. The nurse assesses the patient for pain at the IV site, checks the flow regulator on the tubing, looks to see if the patient is lying on the tubing, checks the point of connection between the tubing and the IV catheter, and then checks the condition of the site where the IV catheter enters the patient's skin. After the nurse readjusts the flow rate, the infusion begins at the correct rate. This is an example of: A. inference B. Diagnostic reasoning C. Competency D. Problem solving - D. Problem Solving The nurse sits down to talk with a patient who lost her sister 2 weeks ago. The patient reports she is unable to sleep, feels very fatigued during the day, and is having trouble at work. The nurse asks her to clarify the type of trouble. The patient explains she can't concentrate or even solve simple problems. The nurse records the results of the assessment, describing the patient as having ineffective coping. This is an example of : A. diagnostic reasoning B. Competency C. Inference D. Problem Solving - A. Diagnostic reasoning A patient on a surgical unit develops sudden shortness of breath and a drop in BP. The staff respond, but the patient dies 30 minutes later. the manager on the nursing unit calls the staff involved in the emergency response together, The staff discusses what occurred over the 30 minute time frame, the actions taken, and whether other steps should have been implemented. The nurses in this situation are: A. problem solving B. showing humility C. conducting reflective practice D. Exercising responsibility - C. Conducting reflective practice A nurse has worked on an oncology unit for 3 years. One patient has become visibly weaker and states, "I feel funny". The nurse knows how patients often have behavior changes before developing sepsis when they have cancer. The nurse asksthe patient questions to assess thinking skills and notices the patient shivering. The nurse goes to the phone, calls the physician, and begins the conversation by saying, "I believe that your patient is developing sepsis. I want to report symptoms I'm seeing." What examples of critical thinking concepts does the nurse show? (Select all that apply) A. Experience B. Ethical C. Analyticity D. Self-confidence E. Risk taking - C. Analyticity D. Self confidence A nurse who is working on a surgical unit is caring for four different patients. Patient A will be discharged home and is in need of instruction about wound care. Patients B and C have returned from the operating room within an hour of each other, and both require vital signs and monitoring of their intravenous (IV) lines. Patient D is resting following a visit by physical therapy. Which of the following activities by the nurse represent(s) use of clinical decision making for groups of patients? (Select all that apply.) A. consider how to involve patient A in deciding whether to involve the family caregiver in wound care instruction B. Think about past experience with patients who develop postoperative complications C. Decide which activities can be combined for patients B and C D. Carefully gather any assessment info and identify patient problems - A & C The surgical unit has initiated the use of a pain-rating scale to assess patients' pain severity during their postoperative recovery. The registered nurse (RN) looks at the pain flow sheet to see the pain scores recorded for a patient over the last 24 hours. Use of the pain scale is an example of which intellectual standard? A. deep B. Relevant C. Consistent D. Significant - C During a home health visit the nurse prepares to instruct a patient in how to perform range-of-motion (ROM) exercises for an injured shoulder. The nurse verifies that the patient took an analgesic 30 minutes before arrival at the patient's home. After discussing the purpose for the exercises and demonstrating each one,the nurse has the patient perform them. After two attempts with only the second of three exercises, the patient stops and says, "This hurts too much. I don't see why I have to do this so many times." The nurse applies the critical thinking attitude of integrity in which of the following actions?" A. "I understand your reluctance, but the exercises are necessary for you to regain function in your shoulder. Let's go a bit more slowly and try to relax" B. "I see that you're uncomfortable. I'll call your doctor to decide the next step." C. "Show me exactly where your pain is and rate it for me on a scale of 0 to 10." D. "Is anything else bothering you? Other than the pain, is there any other reason you might not want to do the exercises?" - A