Question 1Question Show
What will the nurse instruct nursing assistive personnel (NAP) to do when measuring an adult patient's radial pulse? Answer
Question 2Question Which action would best assess the effect of exercise on a patient's radial pulse measurement? Answer
Question 3Question During the admissions process, the nurse initially assesses the patient's radial pulse primarily for what purpose? Answer
Question 4Question Inadequate oxygenation to the body will cause the radial pulse to become: Answer
Question 5Question What is the nurse's priority action if a patient's radial pulse has an irregular rhythm? Answer
Question 6Question A nursing student is taking care of a patient with possible appendicitis and is curious about the best method of diagnosing this disorder. What does the nursing student have to consider in formulating a question using the PICO format (patient, population, or problem; intervention; comparison intervention; outcomes) to determine evidence-based practice? Answer
Question 7Question The nurse decides to access a systematic review database to determine evidence-based practice related to the patient’s treatment plan for a diagnosis of otitis media (i.e., ear infection). What database can provide that type of resource? Answer
Question 8Question The nurse researcher provides participants with informed consent so that what ethical principle is upheld? Answer
Question 9Question The nurse feels that the results of a recent literature search and analysis about handwashing should be implemented in the entire hospital system. With whom would the nurse be required to collaborate? Answer
Question 10Question Knowledge gained from research in the 1970s about placing infants on their backs to prevent sudden infant death syndrome was not recommended to parents until the 1990s. This is an example of what barrier to evidence-based practice? Answer
Question 11Question 6. A patient is on the way to the hospital in an ambulance and is asked to participate in a research protocol for a new treatment for myocardial infarction. What is this an example of? (Select all that apply.) Answer
Question 12Question Patients are participating in a study to identify genetic disorders. What is a potential concern? (Select all that apply.) Answer
Question 13Question Which entity or document specifically addresses the role of the nurse in research? (Select all that apply.) Answer
Question 14Question Which of the following factors contributes to the nurse having difficulty keeping up with the latest patient care information? (Select all that apply.) Answer
Question 15Question After reading various research articles and reviews on a subject, the nurse designs a practice change based on the literature. What stage of evidence-based practice is this? Answer
Question 16Question The nurse facilitates the use of the intellectual standard of critical thinking of significance by posing which question to determine the patient’s understanding of his or her new diagnosis of type 1 diabetes mellitus on his or her lifestyle? Answer
Question 17Question In providing care to a newly admitted patient, the nurse’s inferences are more accurate if based upon which of the following? Answer
Question 18Question 3. During the postoperative assessment on a patient, the nurse has a “hunch” that the patient has a postoperative complication based upon Answer
Question 19Question In using intuition to address a clinical problem, the expert nurse bases his or her approach upon which of the following? Answer
Question 20Question A new graduate nurse explains a new approach in the positioning of patients with chronic low back pain. The nurse preceptor responds, “That is not the way we do it here.” The preceptor’s response illustrates which error in critical thinking? Answer
Question 21Question The nurse uses a case study presentation to present an educational offering to the staff on the unit. This strategy improves the staff nurses’ critical thinking through which of the following? Answer
Question 22Question In preparing to administer medications to a patient, the nurse notes a medication that she has never administered. If the nurse administers the medication without researching the medication, this represents which error in critical thinking? Answer
Question 23Question The nurse uses critical thinking to interpret data. Which of the following data sources are objective? (Select all that apply.) Answer
Question 24Question In preparing for a certification examination, the nurse chooses to develop a concept map to help understand the content. This strategy is based upon which characteristics of concept maps? (Select all that apply.) Answer
Question 25Question The nurse receives change of shift report on the five assigned patients and reviews prescriptions, treatments, and medications scheduled for the shift. Based on analysis of this information, the nurse chooses which patient to assess first. Which process of critical thinking best describes the nurse’s action? Answer
Question 26Question In approaching a new clinical situation, the nurse uses which question to facilitate precision in critical thinking? Answer
Question 27Question Which question would be most appropriate for the nurse to ask while evaluating the relevance of patient data? Answer
Question 28Question The nurse is assigned to develop a plan of care for a patient with a medical diagnosis that is unknown to the nurse. Guided by critical thinking, which action should the nurse take first? Answer
Question 29Question The nurse obtains a lower-than-normal (88% on room air) pulse oximetry reading on a patient. Which actions by the nurse result from accurately employing the critical-thinking skill of analysis in the nursing process? (Select all that apply. ) Answer
Question 30Question Which of the following actions reflects inductive reasoning? Answer
Question 31Question The nurse is completing an assessment on a patient with sudden onset of abdominal pain. During the assessment, the nurse considers similar presentations and the underlying pathophysiology related to the patient’s clinical manifestations. Which critical-thinking skill should the nurse use first to determine the cause of the patient’s abdominal pain? Answer
Question 32Question The nurse can facilitate critical thinking through the use of which interpersonal skills? (Select all that apply.) Answer
Question 33Question In providing care to a patient admitted to rule out human immunodeficiency virus (HIV) infection, wearing gloves during which activity may be an indication of bias? Answer
Question 34Question During the assessment of a patient admitted for a total hip replacement, the nurse asks the patient to explain prior hospital experiences and, more specifically, any operative experiences. These questions reflect the nurse’s use of which intellectual standard of critical thinking? Answer
Question 35Question On initial assessment of a patient, the nurse notices an area of redness over the right trochanter that, when pressed lightly, does not blanch. What does this assessment finding indicate to the nurse? Answer
Question 36Question Four days after abdominal surgery, the patient is getting out of bed and feels something “pop” in his abdominal wound. An increase in amount of drainage from the wound is seen, and further examination shows that the sutured incision is now partially open, with tissue protruding from the wound. What is the nurse’s next action? Answer
Question 37Question 3. Which features are characteristic of a closed drainage system such as a Jackson-Pratt (JP) drain? (Select all that apply.) Answer
Question 38Question Which intervention should be initiated by the nurse caring for a patient with urinary or fecal incontinence? Answer
Question 39Question Based on knowledge of areas at greatest risk for development of a pressure ulcer in the bedridden patient, the nurse identifies which position to minimize this risk? Answer
Question 40Question A patient who has suffered a stroke is unable to maintain his position while seated in a chair without sliding down. His physician has ordered him to be up in a chair for part of the day. What does the nurse recognize as the patient’s greatest risk factor for development of pressure ulcers? Answer
Question 41Question A patient has a stage III pressure ulcer on the coccyx. Which food will be most beneficial in improving the healing process? Answer
Question 42Question Which technique is used to collect an aerobic culture specimen from a wound? Answer
Question 43Question Which patient is at highest risk for impaired wound healing? Answer
Question 44Question Which statement best describes the healing process for a surgical wound that has been closed with the use of sutures? Answer
Question 45Question What does a Braden Score of 14 indicate to the nurse? Answer
Question 46Question Which is the most appropriate treatment choice for a wound with a shallow pink wound bed and minimal drainage? Answer
Question 47Question What does wound irrigation require? Answer
Question 48Question What is the most appropriate dressing for a pressure ulcer that is draining a large amount of exudate, extends through the fascia and into the deeper tissues including muscles and bone, and has granulation tissue in the wound bed? Answer
Question 49Question A patient who is on bed rest has a stage I pressure ulcer on the sacrum and is recovering from a pelvic injury sustained in a motor vehicle accident. What is the priority nursing diagnosis for this patient? Answer
Question 50Question In planning care on the hospital unit, the nurse prioritizes care for assigned patients with regard to skin integrity. Which patient would be the nurse’s highest priority for skin issues? Answer
Question 51Question Which is the most important strategy in the prevention of wound infections? Answer
Question 52Question Which is correct concerning the use of pain medication in the care of a patient with a chronic wound such as a pressure ulcer? Answer
Question 53Question The nurse is planning care for patients on the hospital unit. For which patient will it be most appropriate to use cold therapy? Answer
Question 54Question Which can be delegated to the unlicensed personnel on the nursing unit? (Select all that apply.) Answer
What instruction should the nurse give NAP regarding the appropriate technique when measuring the adult patient's apical pulse?What instruction should the nurse give nursing assistive personnel (NAP) regarding the appropriate technique when measuring the adult patient's apical pulse? Document the patient's pulse rate and rhythm. Place the patient in the right lateral position before measuring the apical pulse.
What will the nurse instruct nursing assistive personnel to do regarding the management of a patient pain?What will the nurse instruct nursing assistive personnel (NAP) to do regarding the management of a patient's pain? “Let me know at least 30 minutes before you transport her so I can administer her pain medication.” “Be sure to keep the room temperature high and the TV on at all times.”
Which instruction would the nurse give to nursing assistive personnel NAP that is exclusive of tympanic temperature assessment?Which instruction might the nurse give to nursing assistive personnel (NAP) that is applicable only to tympanic temperature assessment? Leave the probe in place until the reading is complete.
What is the proper technique for measuring a patient's radial pulse?Your radial pulse can be taken on either wrist. Use the tip of the index and third fingers of your other hand to feel the pulse in your radial artery between your wrist bone and the tendon on the thumb side of your wrist. Apply just enough pressure so you can feel each beat.
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