Exam 1 - Nursing 1

What will the nurse instruct nursing assistive personnel (NAP) to do when measuring an adult patient's radial pulse?

Which action would best assess the effect of exercise on a patient's radial pulse measurement?

During the admissions process, the nurse initially assesses the patient's radial pulse primarily for what purpose?

Inadequate oxygenation to the body will cause the radial pulse to become:

What is the nurse's priority action if a patient's radial pulse has an irregular rhythm?

A nursing student is taking care of a patient with possible appendicitis and is curious about the best method of diagnosing this disorder. What does the nursing student have to consider in formulating a question using the PICO format (patient, population, or problem; intervention; comparison intervention; outcomes) to determine evidence-based practice?

The nurse decides to access a systematic review database to determine evidence-based practice related to the patient’s treatment plan for a diagnosis of otitis media (i.e., ear infection). What database can provide that type of resource?

The nurse researcher provides participants with informed consent so that what ethical principle is upheld?

The nurse feels that the results of a recent literature search and analysis about handwashing should be implemented in the entire hospital system. With whom would the nurse be required to collaborate?

Knowledge gained from research in the 1970s about placing infants on their backs to prevent sudden infant death syndrome was not recommended to parents until the 1990s. This is an example of what barrier to evidence-based practice?

After reading various research articles and reviews on a subject, the nurse designs a practice change based on the literature. What stage of evidence-based practice is this?

The nurse facilitates the use of the intellectual standard of critical thinking of significance by posing which question to determine the patient’s understanding of his or her new diagnosis of type 1 diabetes mellitus on his or her lifestyle?

In providing care to a newly admitted patient, the nurse’s inferences are more accurate if based upon which of the following?

3. During the postoperative assessment on a patient, the nurse has a “hunch” that the patient has a postoperative complication based upon

In using intuition to address a clinical problem, the expert nurse bases his or her approach upon which of the following?

A new graduate nurse explains a new approach in the positioning of patients with chronic low back pain. The nurse preceptor responds, “That is not the way we do it here.” The preceptor’s response illustrates which error in critical thinking?

The nurse uses a case study presentation to present an educational offering to the staff on the unit. This strategy improves the staff nurses’ critical thinking through which of the following?

In preparing to administer medications to a patient, the nurse notes a medication that she has never administered. If the nurse administers the medication without researching the medication, this represents which error in critical thinking?

The nurse receives change of shift report on the five assigned patients and reviews prescriptions, treatments, and medications scheduled for the shift. Based on analysis of this information, the nurse chooses which patient to assess first. Which process of critical thinking best describes the nurse’s action?

In approaching a new clinical situation, the nurse uses which question to facilitate precision in critical thinking?

Which question would be most appropriate for the nurse to ask while evaluating the relevance of patient data?

The nurse is assigned to develop a plan of care for a patient with a medical diagnosis that is unknown to the nurse. Guided by critical thinking, which action should the nurse take first?

Which of the following actions reflects inductive reasoning?

The nurse is completing an assessment on a patient with sudden onset of abdominal pain. During the assessment, the nurse considers similar presentations and the underlying pathophysiology related to the patient’s clinical manifestations. Which critical-thinking skill should the nurse use first to determine the cause of the patient’s abdominal pain?

In providing care to a patient admitted to rule out human immunodeficiency virus (HIV) infection, wearing gloves during which activity may be an indication of bias?

During the assessment of a patient admitted for a total hip replacement, the nurse asks the patient to explain prior hospital experiences and, more specifically, any operative experiences. These questions reflect the nurse’s use of which intellectual standard of critical thinking?

On initial assessment of a patient, the nurse notices an area of redness over the right trochanter that, when pressed lightly, does not blanch. What does this assessment finding indicate to the nurse?

Four days after abdominal surgery, the patient is getting out of bed and feels something “pop” in his abdominal wound. An increase in amount of drainage from the wound is seen, and further examination shows that the sutured incision is now partially open, with tissue protruding from the wound. What is the nurse’s next action?

Which intervention should be initiated by the nurse caring for a patient with urinary or fecal incontinence?

Based on knowledge of areas at greatest risk for development of a pressure ulcer in the bedridden patient, the nurse identifies which position to minimize this risk?

A patient who has suffered a stroke is unable to maintain his position while seated in a chair without sliding down. His physician has ordered him to be up in a chair for part of the day. What does the nurse recognize as the patient’s greatest risk factor for development of pressure ulcers?

A patient has a stage III pressure ulcer on the coccyx. Which food will be most beneficial in improving the healing process?

Which technique is used to collect an aerobic culture specimen from a wound?

Which patient is at highest risk for impaired wound healing?

Which statement best describes the healing process for a surgical wound that has been closed with the use of sutures?

What does a Braden Score of 14 indicate to the nurse?

Which is the most appropriate treatment choice for a wound with a shallow pink wound bed and minimal drainage?

What does wound irrigation require?

What is the most appropriate dressing for a pressure ulcer that is draining a large amount of exudate, extends through the fascia and into the deeper tissues including muscles and bone, and has granulation tissue in the wound bed?

A patient who is on bed rest has a stage I pressure ulcer on the sacrum and is recovering from a pelvic injury sustained in a motor vehicle accident. What is the priority nursing diagnosis for this patient?

In planning care on the hospital unit, the nurse prioritizes care for assigned patients with regard to skin integrity. Which patient would be the nurse’s highest priority for skin issues?

Which is the most important strategy in the prevention of wound infections?

Which is correct concerning the use of pain medication in the care of a patient with a chronic wound such as a pressure ulcer?

The nurse is planning care for patients on the hospital unit. For which patient will it be most appropriate to use cold therapy?