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HAP Final Practice Book/557 Questions And Answers (A+)
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HAP Final Practice Book/557 Questions AndAnswers (A+)
Quiz :After completing an initial assessment on a patient, the nurse has charted
that his respirations are eupneic and his pulse is 58. This type of data would be:
1.objective.
2.reflective.
3.subjective.
4.introspective. - √Answer :ANS:1
Objective data are what the health professional observes by inspecting,
percussing, palpating, and auscultating during the physical exam
Quiz :A patient tells the nurse that he is very nervous, that he is nauseated,
and that he "feels hot." This type of data would be:
1.objective.
2.reflective.
3.subjective.
4.introspective. - √Answer :ANS: 3
Subjective data are what the person says about himself or herself during
history taking.
Quiz :The patient's record, laboratory studies, objective data, and subjective
data combine to form the:
1.database.
2.admitting data.
3.financial statement.
4.discharge summary. - √Answer :ANS: 1
Together with the patient's record and laboratory studies, the objective and
subjective data from the database.
Quiz :When listening to a patient's breath sounds, the nurse is unsure about a
sound that is heard. The nurse should:
1. notify the patient's physician immediately.
2.document the sound exactly as it was heard.
3.validate the data by asking a coworker to listen to the breath sounds.
4.assess again in 20 minutes to note whether the sound is still present. -
√Answer :ANS: 3
Validate any data that you need to make sure are accurate. If you have less
experience in an area, ask an expert to listen.
,Quiz :Novice nurses, without a background of skills and experience to draw
from, are more likely to make their decisions using:
1.intuition.
2.a set of rules.
3.articles in journals.
4.advice from supervisors. - √Answer :ANS: 2
Novice nurses operate from a set of rules (such as the nursing process).
Quiz :Expert nurses learn to attend to a pattern of assessment data and to act
without consciously labeling it. This is referred to as: - √Answer :ANS: 1
Intuition is characterized by pattern recognition—expert nurses learn to attend
to a pattern of assessment data and act without consciously labeling it.
Quiz :Critical thinking in the expert nurse is greatly enhanced by opportunities
to:
1.apply theory in real situations.
2.work with physicians to provide patient care.
3.follow physician orders in providing patient care.
4.develop nursing diagnoses for commonly occurring illnesses. - √Answer :ANS:
1
The depth and breadth of expert knowledge, largely gained from opportunities
to apply theory in real situations, greatly enhances a nurse's critical thinking
ability.
Quiz :Which of the following is an example of a first-level priority problem?
1. A patient with postoperative pain
2.A newly diagnosed diabetic who needs diabetic teaching
3.An individual with a small laceration on the sole of the foot
4.An individual with shortness of breath and respiratory distress -
√Answer :ANS: 4
First-level priority problems are those that are emergent, life-threatening, and
immediate (e.g., establishing an airway, supporting breathing, maintaining
circula- tion, and monitoring abnormal vital signs).
Quiz :Second-level priority problems include which of the following?
1.Low self-esteem
2.Lack of knowledge
3.Abnormal laboratory values
4.Severely abnormal vital signs - √Answer :ANS: 3
,Second-level priority problems are those that require prompt intervention to
forestall further deterioration (e.g., mental status change, acute pain,
abnormal laboratory values, or risks to safety or security).
Quiz :Which critical thinking skill helps the nurse to see relationships among
the data?
1.Validation
2.Clustering related cues
3.Identifying gaps in data
4.Distinguishing relevant from irrelevant - √Answer :ANS: 2
Clustering related cues helps the nurse to see relationships among the data.
Quiz :The nurse knows that developing appropriate nursing interventions for a
patient relies on the appropriateness of the:
1.nursing diagnosis.
2.medical diagnosis.
3.admission diagnosis.
4.collaborative diagnosis. - √Answer :An accurate nursing diagnosis provides
the basis for selection of nursing interventions to achieve outcomes for which
the nurse is accountable.
Quiz :The nursing process is a sequential method of problem solving that
includes which five steps?
1.Assessment, treatment, evaluation, discharge, follow-up
2.Admission, assessment, diagnosis, treatment, discharge planning
3.Admission, diagnosis, treatment, evaluation, discharge planning
4.Assessment, diagnosis, planning, implementation, evaluation -
√Answer :ANS: 4
The nursing process is a method of problem solving that includes assessment,
diagnosis, planning, implementation, and evaluation.
Quiz :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?
1.Breathing, pain, sleep
2.Breathing, sleep, pain
3.Sleep, breathing, pain
4.Sleep, pain, breathing - √Answer :ANS: 1
First-level priority problems are immediate priorities (remember the ABCs),
followed by second-level problems and then third-level problems.
, Quiz :Which of the following would be formulated by a nurse using diagnostic
reasoning?
1.Nursing diagnosis
2.Medical diagnosis
3.Diagnostic hypothesis
4.Diagnostic assessment - √Answer :ANS: 3
Diagnostic reasoning calls for the nurse to formulate a diagnostic hypothesis;
the nursing process calls for a nursing diagnosis.
Quiz :A nursing diagnosis made by a critical thinker using a dynamic nursing
process would diagnose the actual problem and would also:
1.continue to reassess.
2.predict potential problems.
3.check the appropriateness of goals.
4.modify the diagnosis if necessary. - √Answer :ANS: 2
A dynamic nursing process, as used by a critical thinker, would include under
diagnoses, diagnoses of actual problems, prediction of potential problems, and
identification of strengths.
Quiz :What is the step of the nursing process that includes data collection by
health history, physical examination, and interview?
1,Planning
2.Diagnosis
3.Evaluation
4.Assessment - √Answer :ANS: 4
Data collection, including performing the health history, physical examination,
and interview, is the assessment step of the nursing process.
Quiz :Which statement illustrates the biomedical model of Western traditional
views?
1.Health is viewed as the absence of disease.
2.Optimal health is viewed as high-level wellness.
3.Health and disease are considered a cyclical process.
4.The treatment of disease is nursing's primary focus. - √Answer :ANS: 1
The biomedical model of Western tradition views health as the absence of
disease.
Quiz :The public's concept of health has changed since the 1950s. Which of the
following statements most accurately describes this change?
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