Nurse labs - NCLEX Exam: Critical Thinking

Nurse labs - NCLEX Exam: Critical Thinking

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• Are important to use in nursing practice1. Critical thinking and the nursing process have which of the following in

common? Both:

• Are important to use in nursing practice
• Use an ordered series of steps
• Are patient-specific processes
• Were developed specifically for nursing
• Diagnosis2. In which step of the nursing process does the nurse analyze data and identify

client problems?

• Assessment
• Diagnosis
• Planning outcomes
• Evaluation
• In which phase of the nursing process does the nurse

decide whether her actions have successfully treated the client's health problem?

• Assessment
• Diagnosis
• Planning outcomes
• Evaluation
• Evaluation
• Identify personal biases that may affect his thinking

and actions

• What is the most basic reason that self-knowledge is important for nurses?

Because it helps the nurse to:

• Identify personal biases that may affect his thinking and actions
• Identify the most effective interventions for a patient
• Communicate more efficiently with colleagues, patients, and families
• Learn and remember new procedures and techniques

• A, E, C, D, B5. Arrange the steps of the nursing process in the sequence in which they

generally occur.

• Assessment
• Evaluation
• Planning outcomes
• Planning interventions
• Diagnosis

A. E, B, A, D, C

B. A, B, C, D, E

C. A, E, C, D, B

D. D, A, B, E, C

• Influences on the nurse's problem solving and decision

making

• How are critical thinking skills and critical thinking attitudes similar? Both are:
• Influences on the nurse's problem solving and decision making
• Like feelings rather than cognitive activities
• Cognitive activities rather than feelings
• Applicable in all aspects of a person's life
• The nurse is preparing to admit a patient from the

emergency department. The transferring nurse reports that the patient with chronic lung disease has a 30+ year history of tobacco use. The nurse used to smoke a pack of cigarettes a day at one time and worked very hard to quit smoking. She immediately thinks to herself, "I know I tend to feel negatively about people who use tobacco, especially when they have a serious lung condition I figure if I can stop smoking, they should be able to. I must remember how physically and psychologically difficult that is, and be very careful not to let be

judgmental of this patient." This best illustrates:

• Theoretical knowledge
• Self-knowledge
• Using reliable resources
• Use of the nursing process
• Self-knowledge
• The Joint Commission8. Which organization's standards require that all patients be assessed specifically

for pain?

• American Nurses Association (ANA)
• State nurse practice acts
• National Council of State Boards of Nursing (NCSBN)
• The Joint Commission
• The client states she feels feverish you measure the

oral temperature at 98°F

• Which of the following is an example of data that should be validated?
• The urinalysis report indicates there are white blood cells in the urine.
• The client states she feels feverish you measure the oral temperature at 98°F.
• The client has clear breath sounds you count a respiratory rate of 18.
• The chest x-ray report indicates the client has pneumonia in the right lower

lobe.

• Which of the following is an example of appropriate

behavior when conducting a client interview?

• Recording all the information on the agency-approved

form during the interview

• Asking the client, "Why did you think it was necessary

to seek health care at this time?"

• Using precise medical terminology when asking the

client questions

• Sitting, facing the client in a chair at the client's

bedside, using active listening

• Sitting, facing the client in a chair at the client's bedside, using active listening
• Maslow's hierarchy of needs
• Gordon's functional health patterns
• The nurse wishes to identify nursing diagnoses for a patient. She can best do

this by using a data collection form organized according to: Select all that apply.

• A body systems model
• A head-to-toe framework
• Maslow's hierarchy of needs
• Gordon's functional health patterns
• Used a vague generality
• Used a "waffle" word (e.g., appears)
• Recorded an inference rather than a cue
• The nurse is recording assessment data. She writes, "The patient seems worried

about his surgery. Other than that, he had a good night." Which errors did the nurse make? Select all that apply.

• Used a vague generality
• Did not use the patient's exact words
• Used a "waffle" word (e.g., appears)
• Recorded an inference rather than a cue
• Focused physical assessment13. A patient is admitted with shortness of breath, so the nurse immediately listens

to his breath sounds. Which type of assessment is the nurse performing?

• Ongoing assessment
• Comprehensive physical assessment
• Focused physical assessment
• Psychosocial assessment
• Sitting upright14. The nurse is assessing vital signs for a patient just admitted to the hospital.

Ideally, and if there are no contraindications, how should the nurse position the patient for this portion of the admission assessment?

• Sitting upright
• Lying flat on the back with knees flexed
• Lying flat on the back with arms and legs fully extended
• Side-lying with the knees flexed

• C, A, D, B15. For all body systems except the abdomen, what is the preferred order for the

nurse to perform the following examination techniques?

• Palpation
• Auscultation
• Inspection
• Percussion

A. D, B, A, C

B. C, A, D, B

C. B, C, D, A

D. A, B, C, D

• The nurse is assessing a patient admitted to the

hospital with rectal bleeding. The patient had a hip replacement 2 weeks ago. Which position should the nurse avoid when examining this patient's rectal area?

• Sims
• Supine
• Dorsal recumbent
• Semi-Fowler's
• Sims
• Demonstrate equipment before using it.17. How should the nurse modify the examination for a 7-year-old child?
• Ask the parents to leave the room before the examination.
• Demonstrate equipment before using it.
• Allow the child to help with the examination.
• Perform invasive procedures (e.g., otoscopic) last.
• Semi-Fowler's18. The nurse must examine a patient who is weak and unable to sit unaided or to

get out of bed. How should she position the patient to begin and perform most of the physical examination?

• Dorsal recumbent
• Semi-Fowler's
• Lithotomy
• Sims'
• Bowel sounds19. The nurse should use the diaphragm of the stethoscope to auscultate which of

the following?

• Heart murmurs
• Jugular venous hums
• Bowel sounds
• Carotid bruits