WCTC College Module 1 Nursing Process and Critical Thinking Quiz

LPN Progression Transition

Module 1 Nursing Process and Critical Thinking Quiz

Question 1Which of the following describes the nursing process? Select all that apply.

It is used in hospitals only by all health care providers

 It provides a framework for developing critical thinking and problem solving skills

 The gold standard of nursing theory and forms the basis for all nursing care

It is a systematic and organized method for planning and delivery of nursing care to patients in any setting

 Question 2Match the following definitions with correct step in the nursing process

The nurse sets measurable and achievable short- and long-range goals for this patient

 Action phase of the nursing process during which the patient is reassessed, the care plan is initiated and nursing actions & resulting client responses are documented in the patient’s medical record

 The nurse’s clinical judgment about the client’s response to actual or potential health conditions or needs.

 Revising the care plan, including nursing diagnoses, outcomes, interventions, as needed

 A systematic, dynamic way to collect and analyze data about a client

 Question 3 Which of the following are examples of objective data (select all that apply)

Patient eats a healthy diet

 Ambulates 100 feet

 one cm circular wound on left thigh

 Nausea

 Heart Rate 70

 Question 4Which of the  following are examples of subjective data (select all that apply)

Hypoactive bowel sounds

Dizziness

 BP 110/72

 History of Type 2 diabetes

 Blood sugar 265

 Question 5A nurse admits a patient to the unit after completing a comprehensive interview and physical examination. Which action does the nurse take to develop a nursing diagnosis?

Ask the client’s perceptions of the health problem.

 Refer to the standards of patient care.

 Analyze the assessment data.

   Select appropriate patient care interventions.

Question 6Which of these patient scenarios is most indicative of critical thinking

Explaining to the patient that his reports of severe pain are not consistent with the minor procedure that was performed

 Administering pain medication according to what was given last shift

 Asking a patient what pain relief methods, pharmacological and non-pharmacological, have worked in the past

 Offering pain relief medication based on physician order

  Question 7Which of the following is an example of an appropriate nursing diagnoses

   Fluid volume deficit r/t lasix

 Risk for falls r/t stroke

 Ineffective airway clearance r/t increased mucus production secondary to asthma

 Ineffective airway clearance r/t COPD

 Question 8Nursing interventions are; Select all that apply

Actions only prescribed by the medical provider

 Independent and collaborative

 Should be individualized and derived from the diagnosis

 Driven by research and Evidenced-based practice

 Based on a medical diagnosis

 Part of the assessment phase of the nursing process

 Question 9The nurse is assigned to the clinical care of a newly admitted patient. To know how best to care for the patient, the nurse develops a plan of care. Which action will the nurse initially perform?

   Plan outcomes

 Make a diagnosis

 Plan interventions

 Make an assessment

 Question 10The nurse is aware that nursing diagnoses are different from medical diagnoses. In which way does a nursing diagnosis differ from a medical diagnosis? A nursing diagnosis:

   Is integrated as part of the patient’s medical diagnosis

 Utilizes terminology for the patient’s disease or injury

 Defines the patient’s presenting signs and symptoms

 Is based on a patient’s response to a health problem

 Question 11The nurse is providing caring for a client with heart failure. The nurse obtains the client’s medical and personal histories, measures vital signs, and then auscultates breath sounds. Which aspect of the nursing process is the nurse demonstrating?

Assessment

 Evaluation

 Interventions

 Planning Outcomes

 Question 12The nurse gathers assessment data and notes several significant changes in the client’s health status. The client’s weight has increased by 5 pounds (2.27 kg) over the past 24 hours, the client is short of breath, and crackles are auscultated at both lung bases. To which step of the nursing process should the nurse proceed after organizing the data?

Implementation

 Evaluation

 Diagnosis

 Planning

 Question 13What does the acronym SMART stand for in reference to writing patient outcomes/goals

Simple, measurable, accurate, realistic, timebound

  Specific, measurable, attainable, realistic, timebound

 Specific, multifaceted, accurate, realistic, timely

 Simple, measurable, attainable, reasonable, therapeutic

  Question 14A desired outcome for a client with newly diagnosed type 2 diabetes reads: Client will state three actions for controlling blood sugar.  When the nurse evaluates the client's progress, the client is able to state that exercising and a healthy diet are ways for controlling blood sugar. What would be an appropriate evaluation statement for the nurse to write?

Goal not met: Client unable to state strategies for maintaining normal blood sugar

 Client understands the signs of high blood sugar

  Goal not met: Client able to name only two strategies for controlling blood sugar

 Goal met: Client stated exercising and a healthy diet are ways for controlling blood sugar

 Question 15A few nurses on a unit have proposed to the nurse manager changes in the process for documenting care on the unit. The nurses describe a completely new system. For which reason is it important for the nurse manager to have a critical attitude?

3. The nursing process needs to be applied to the proposed change.

 4. Past experience with documentation needs to be applied to the decision.

 All the possible advantages and disadvantages must be considered.

 An open mind about the proposed change needs to be maintained.

 Question 16Nurses are constantly confronted by situations and conditions requiring the application of various types of knowledge. Which is an example of practical knowledge?

The tricuspid valve is located between the right atrium and the ventricle.

 The pancreas does not produce enough insulin in type 1 diabetes.

 When assessing the abdomen, you should auscultate before palpating.

   Pain medication given intravenously acts faster than medication given by other routes.

 Question 17Caring is a central concept in nursing. Which of the following exemplifies a nurse exhibiting the concept of caring and the use of critical-thinking attitudes? Select all that apply.

Treating clients as unique individuals

Using the communication skill of active listening is correct. Connecting with others to give and receive help exemplifies caring and the use of the critical-thinking attitude intellectual humility. Nurses need to be willing to ask for and provide help for the benefit of the client.

Connecting with others to give and receive help

Acting in ways to preserve human dignity

Responding compassionately to client needs

Question 18The nurse is administering pain medication to an assigned patient every 4 hours as prescribed and based on patient-stated pain levels. The nurse’s actions are an example of which aspect of patient care?

Nursing Diagnosis

Assessment

Nursing Intervention

   Patient Outcome

  Question 19Which commonality is share by both critical thinking and the nursing process?

   They both use similar steps to solve a problem.

 They both use specific steps to solve a problem.

 They are both thinking methods used to solve a problem.

   They are both linear processes used to guide one’s thinking.

 Question 20The nurse works in an acute care facility with a culturally diverse client population. Using critical thinking, which aspects of healthcare does the nurse recognize as being affected by a client’s culture? Select all that apply.

Implementation has a positive effect on client health outcomes.

How the client views healthcare

   The model adequately uses all aspects of the nursing process.

Implementation enables nurses to complete their work on time.

No answer text provided.