NR224 Fundamentals Exam 1 (2024/2025): Comprehensive Skills Review with 91 Questions and 100% Verified A+ Answers - Well-Labeled and Highlighted for Easy Studying! 1. 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 exa mple of: A. inference B. Diagnostic reasoning C. Competency D. Problem solving – ANSWER -D. Problem Solving 2. 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 explai ns 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 – ANSWER -A. Diagnostic reasoning 3. 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 wh at 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 – ANSWER -C. Conducting reflective practice 4. 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 asks the patient questi ons 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 example s of critical thinking concepts does the nurse show? (Select all that apply) A. Experience B. Ethical C. Analyticity D. Self-confidence E. Risk taking 5. D. Self confidence ANSWER -C. Analyticity 6. 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 ANSWER -A & C 7. 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 hour s. Use of the pain scale is an example of which intellectual standard? A. deep B. Relevant C. Consistent D. Significant - ANSWER -C 8. 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 disc ussing 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 - ANSWER -A 9. The nurse cared for a 14 -year-old with renal failure who died near the end of the work shift. The health care team tried for 45 minutes to resuscitate the child with no success. The family was devastated by the loss, and, when the nurse tried to talk with them, the mother said, "You can't make me feel better; you don't know what it's like to lose a child." Which of the following examples of journal entries might best help the nurse reflect and think about this clinical experience? (Select all that apply.) A. Data entry of the time of day, who was present, and the condition or the child B. Description of the efforts to restore the child's BP, what was used, and questions about the child's response C. The meaning the experience had for the nurse with respect to her understanding of dealing with the patient's death D. A description of what the nurse said to the mother, the mother's response, and how the nurse might app - ANSWER -B, C, & D
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller markavagadro. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.39. You're not tied to anything after your purchase.
