NU 518 Exam 1 - sound that is heard. The nurses next action sho...

NU 518 Exam 1

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When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The

nurses next action should be to:

a Immediately notify the patients physician.B Document the sound exactly as it was heard.C Validate the data by asking a coworker to listen to the breath sounds.D Assess again in 20 minutes to note whether the sound is still present. -ANSWER-C

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:

a Intuition.B A set of rules.C Articles in journals.D Advice from supervisors. -ANSWER-B

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.B The nursing process.C Clinical knowledge.D Diagnostic reasoning. -ANSWER-A

The nurse is reviewing information about evidence-based practice (EBP). Which statement best reflects EBP?

A EBP relies on tradition for support of best practices.B EBP is simply the use of best practice techniques for the treatment of patients.C EBP emphasizes the use of best evidence with the clinicians experience.D The patients own preferences are not important with EBP. -

ANSWER-C

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?A Patient with postoperative pain B Newly diagnosed patient with diabetes who needs diabetic teaching C Individual with a small laceration on the sole of the foot D Individual with shortness of breath and respiratory distress -

ANSWER-D

When considering priority setting of problems, the nurse keeps in mind that second-level priority problems include which of these aspects?A Low self-esteem B Lack of knowledge C Abnormal laboratory values D Severely abnormal vital signs -ANSWER-C

Which critical thinking skill helps the nurse see relationships among the data?A Validation B Clustering related cues C Identifying gaps in data D Distinguishing relevant from irrelevant -ANSWER-B

The nurse knows that developing appropriate nursing interventions for a patient relies on the appropriateness of the diagnosis.a Nursing b Medical

c Admission d Collaborative -ANSWER-A

The nursing process is a sequential method of problem solving that nurses use and includes which steps?a Assessment, treatment, planning, evaluation, discharge, and follow- up b Admission, assessment, diagnosis, treatment, and discharge planning c Admission, diagnosis, treatment, evaluation, and discharge planning d Assessment, diagnosis, outcome identification, planning, implementation, and evaluation -ANSWER-D

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 B Breathing, sleep, and pain C Sleep, breathing, and pain d Sleep, pain, and breathing -ANSWER-A

Which of these would be formulated by a nurse using diagnostic reasoning?A Nursing diagnosis B Medical diagnosis C Diagnostic hypothesis D Diagnostic assessment -ANSWER-C

Barriers to incorporating EBP include:

A Nurses lack of research skills in evaluating the quality of research studies.B Lack of significant research studies.C Insufficient clinical skills of nurses.D Inadequate physical assessment skills. -ANSWER-A

What step of the nursing process includes data collection by health history, physical examination, and interview?a Planning b Diagnosis c Evaluation d Assessment -ANSWER-D

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?A Form a committee to conduct research studies.B Post published research studies on the units bulletin boards.C Encourage the nurses to visit the library to review studies.D Teach the nurses how to conduct electronic searches for research studies. -ANSWER-D

When reviewing the concepts of health, the nurse recalls that the components of holistic health include which of these?A Disease originates from the external environment.B The individual human is a closed system.C Nurses are responsible for a patients health state.D Holistic health views the mind, body, and spirit as interdependent. -

ANSWER-D

The nurse recognizes that the concept of prevention in describing

health is essential because:

A Disease can be prevented by treating the external environment.B The majority of deaths among Americans under age 65 years are not preventable.C Prevention places the emphasis on the link between health and personal behavior.