1. After completing an initial assessment of a patient, the nurse has charted that his respirations
are eupneic (normal) and his pulse is 58 beats per minute. These types of data would be:
a. Objective.
.
2. A patien
...
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
are eupneic (normal) and his pulse is 58 beats per minute. These types of data would be:
a. Objective.
.
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of
data would be
C. Subjective.
.
3. The patient's record, laboratory studies, objective data, and subjective data combine to form
the:
a. Data base.
4. When listening to a patient's breath sounds, the nurse is unsure of a sound that is heard. The
nurses next action should be to:
C. Validate the data by asking a coworker to listen to the breath sounds.
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the
nurse should keep in mind that novice nurses, without a background of skills and experience
from which to draw, are more likely to make their decisions using:
b. A set of rules.
6. Expert nurses learn to attend to a pattern of assessment data and act without consciously
labeling it. These responses are referred to as:
a. Intuition.
7. The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects EBP?
C. EBP emphasizes the use of best evidence with the clinician's experience.
8. The nurse is conducting a class on priority setting for a group of new graduate nurses. Which
is an example of a first-level priority problem?
D. Individual with shortness of breath and respiratory distress
9. When considering priority setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects?
C. Abnormal laboratory values
10. Which critical thinking skill helps the nurse see relationships among the data?
b. Clustering related cues
11. The nurse knows that developing appropriate nursing interventions for a patient relies on the
appropriateness of the __________ diagnosis.
a. Nursing
12. The nursing process is a sequential method of problem solving that nurses use and includes
which steps?
D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is having
difficulty breathing. How should the nurse prioritize these problems?
a. Breathing, pain, and sleep
14. Which of these would be formulated by a nurse using diagnostic reasoning?
C. Diagnostic hypothesis
15. Barriers to incorporating EBP include:
a. Nurses lack of research skills in evaluating the quality of research studies.
16. What step of the nursing process includes data collection by health history, physical
examination, and interview?
D. Assessment
17. During a staff meeting, nurses discuss the problems with accessing research studies to
incorporate evidence-based clinical decision making into their practice. Which suggestion by the
nurse manager would best help these problems?
D. Teach the nurses how to conduct electronic searches for research studies.
18. When reviewing the concepts of health, the nurse recalls that the components of holistic
health include which of these?
D. Holistic health views the mind, body, and spirit as interdependent.
19. The nurse recognizes that the concept of prevention in describing health is essential
because:
C. Prevention places the emphasis on the link between health and personal behavior.
20. The nurse is performing a physical assessment on a newly admitted patient. An example of
objective information obtained during the physical assessment includes the:
D. 2 5 cm scar on the right lower forearm.
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