Exam (elaborations)
NSG 100 Exam #1 Review Questions with Correct Answers
- Course
- Institution
NSG 100 Exam #1 Review Questions with Correct Answers
[Show more]
Content preview
NSG 100 Exam #1 Review Questionswith Correct Answers
Systematic decision-making method focusing on identifying and treating responses of
individuals or groups to actual or potential alterations in health best describes:
A. Critical Thinking
B. Clinical Reasoning
C. Clinical Judgement
D. Nursing Process - Answer-ANS: D
According to NANDA, the nursing process is a five-part systematic decision-making
method focusing on identifying and treating responses of individuals or groups to actual
or potential alterations in health. ACEN defines critical thinking as, the deliberate
nonlinear process of collecting, interpreting, analyzing, drawing conclusions about,
presenting, and evaluating information that is both factual and belief-based. Clinical
reasoning-thinking process by which a nurse reaches a clinical judgement. A clinical
judgment is the nurse's determination and provision of appropriate care to the patient,
refers to the result (outcome) of critical thinking or clinical reasoning-the conclusion,
decision, or opinion made.
A nurse is caring for a group of clients. Which of the following actions by the nurse
demonstrates the use of critical thinking skills?
A. Administer an influenza vaccine after asking a client about allergies.
B. Check a client's armband before dispensing daily thyroid medication to a client who
has hypothyroidism.
C. Give a client who has type 1 diabetes mellitus her morning dose of insulin after
checking her blood glucose level.
D. Intervene after reviewing arterial blood gas results for a client who is on mechanical
ventilation. - Answer-ANS: D
The nurse is using critical thinking when analyzing a client's critical issues and then
planning to intervene with an appropriate action.
The registered nurse (RN) is explaining Tanner's clinical judgment model to a student
nurse. Which element should the RN explain is needed first to make a clinical
judgment?
A. Intuition
B. Initiation of practice
C. Nursing school education
D. Multiple years of experience - Answer-ANS: C
According to Tanner's clinical judgment model, thinking like a nurse begins with nursing
education, which teaches fundamental nursing skills and knowledge. Intuition develops
,from experience and nursing knowledge over time. Initiation of practice does improve
critical thinking skills but is not the initiating factor.
During the process of reflection, what is the most appropriate question for a nurse to
ask himself or herself?
A. What could I have done differently?"
B ."What's going on right now?"
C ."How can the patient's status change?"
D." What should I do to communicate this information?" - Answer-ANS: A
Reflection is the action of retrospectively making sense of occurrences, experiences,
situations, or decisions and learning from them. What did or did not work? What could
have been done differently to achieve better outcomes?
Entering a room at 2:00 am, a nurse notes that the patient is not in bed; the patient is
sitting in the chair and states that she is having difficulty sleeping. Employing critical
thinking, the nurse responds by:
A. Assisting the patient back into bed
B. Asking more about the patient's sleep problem
C. Positioning the patient and providing a warm blanket
D. Obtaining an order for a hypnotic medication - Answer-ANS: B
Critical thinking involves collecting, interpreting, analyzing, drawing conclusions first
prior to acting. A, C and D are interventions.
Which of the following definitions best describes Critical Thinking?
A. The thinking process by which a nurse reaches a clinical judgement.
B. The result (outcome) of critical thinking or clinical reasoning-the conclusion, decision,
or opinion made
C. Systematic decision-making method focusing on identifying and treating responses
of individuals or groups to actual or potential alterations in health.
D. The deliberate nonlinear process of collecting, interpreting, analyzing, drawing
conclusions about, presenting, and evaluating information. - Answer-ANS: D
Critical thinking is a broad/umbrella term that includes reasoning outside and inside of
the clinical setting. Definition is from The Accreditation Commission for Education in
Nursing (ACEN). Critical thinking skills are necessary for sound clinical decision making.
Clinical Reasoning is the thinking process by which a nurse reaches a clinical
judgement. Clinical Judgement refers to the result (outcome) of critical thinking or
clinical reasoning-the conclusion, decision, or opinion made. Nursing Process: Five-part
systematic decision-making method focusing on identifying and treating responses of
individuals or groups to actual or potential alterations in health. (NANDA: North
American Nursing Diagnosis Association)
A nurse completes an initial assessment of a client. The nurse clusters related data,
recognizes a pattern, signs and symptoms and determines a diagnosis. The nurse is
engaged in which step of Tanner's clinical judgment model?
, A. Noticing
B. Interpreting
C. Responding
D. Reflecting - Answer-ANS: B
The step of interpreting in Tanner's clinal judgment model includes: Comparing and
contrasting data, clustering related information, recognizing inconsistencies, checking
accuracy and reliability, distinguishing relevant from irrelevant information and
determining the importance of information
Which of the statements best describes the purpose of the nursing process?
A. Deliver care to a client in an organized way.
B. Implement a plan that is close to the medical model.
C. Identify client needs and deliver care to meet those needs.
D. Make sure that standardized care is available to clients. - Answer-ANS: C
The purpose of the nursing process is to diagnose and treat human responses to actual
or potential health problems. Simply described as identifying a client's actual or potential
healthcare problems or needs, establishing plans to meet the identified needs, and
delivering specific nursing interventions to meet those needs. The Nursing Process is
the framework within which nurses provide care to patients in an organized and
effective manner, it is not the purpose. The nursing process is not part of the medical
model. The nursing process is individualized for each client's care plan. It is not about
standardizing care.
The nurse is planning care for a new patient with unstable blood glucose levels. Which
should be the priority action by the nurse?
A. Establish a specific nursing diagnosis.
B. Complete an assessment on the client.
C. Create a plan of nursing care for the client.
D. Carry out solutions to manage the problem. - Answer-ANS: B
The five steps of the nursing process are assessment, diagnosis, planning
implementation, and evaluation. The nurse should first perform a thorough assessment
and then create a nursing diagnosis based on the assessment data. The nurse should
then create a plan of care with nursing interventions to address the diagnosis, follow the
plan, and then evaluate the effectiveness of the nursing interventions.
Which patient should the nurse assess first after receiving the change-of-shift report?
A.A patient with type 1 diabetes mellitus with blood glucose of 82 mg/dL (range 70-
130mg/dL)
B.A patient with hypertension with a blood pressure of 168/88 mmHg (normal BP less
than 120mmHg/less than 80mmHg)
C.A patient with a bowel obstruction who is complaining of nausea
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 lectknancy. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $16.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
75632 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now