NR 509 week 1 Quiz With Complete Solution (Real 2022 updated quiz)

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NR 509 week 1 Quiz With Complete Solution (Real 2022 updated quiz) After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic and his pulse is 58 b... eats per minute. These types of data would be. A. Objective B. Reflective C. Subjective D. Introspective Correct Answer- A. Objective A patient tells the nurse that he is very nervous, is nauseated and feels hot. These types of data would be A. Objective B. Reflective C. Subjective D. Introspective Correct Answer- C. Subjective The patients record, laboratory studies, objective data, and subjective data combine to form the A. Data base B. Admitting data C. Financial Statement D. Discharge Summary Correct Answer- A. Data base 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 physicianB. Document the sound exactly as it was heard. C. Validate the data by asking a coworker to listen to breath sounds D. Assess it again in 20 minutes to note whether the sound is still present Correct Answer- C. Validate the data by asking a coworker to listen to breath sounds 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 Correct Answer- b. A set of rules. 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 Correct Answer- A. Intuition The nurse is reviewing information about 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. Correct Answer- C. EBP emphasizes the use of best evidence with the clinicians experience 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 painB. 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 Correct Answer- D. Individual with shortness of breath and respiratory distress When considering priority settings 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 Correct Answer- C. Abnormal laboratory values Which critical thinking skill helps see relationships among the data? A. Validation B. Clustering related cues C. Identifying gaps in data D. Distinguishing relevant from irrelevant Correct Answer- B. Clustering related cues 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 Correct Answer- A. Nursing 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 planningD. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation Correct Answer- D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation 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 Correct Answer- A. Breathing, pain, and sleep Which of these would be formulated by a nurse using diagnostic reasoning? A. Nursing diagnosis B. Medical diagnosis C. Diagnostic hypothesis D. Diagnostic assessment Correct Answer- C. Diagnostic hypothesis Barriers to EBP include: A. Nurses lack 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 Correct Answer- A. Nurses lack research skills in evaluating the quality of research studies What step of the nursing process includes data collection by health history, physical examination and interview? A. Planning B. Diagnosis C. Evaluation D. Assessment Correct Answer- D. AssessmentDuring 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. Forma committee to conduct research studies B. Post published research studies on the units bulletin boards C. Encourage the nurse to visit the library to review studies D. Teach the nurses how to conduct electronic searchers for research studies Correct Answer- D. Teach the nurses how to conduct electronic searchers for research studies 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 Correct Answer- D. Holistic health views the mind, body, and spirit as interdependent 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 D. The means to prevention is through treatment provided by primary health care practitioners Correct Answer- C. Prevention places the emphasis on the link between health and personal behavior The nurse is performing a physical assessment on a newly admitted patient. An example of objective information obtained during the physical assessment includes the A. Patients history of allergies B. Patients use of medications at home C. Last menstrual period 1 month ago D. 2.5 cm scar on the right lower forearm Correct Answer- D. 2.5 cm scar on the right lower forearmA visiting nurse is making an initial home visit for a patient who has many chronic health problems. Which type of data base is most appropriate to collect in this setting? A. A follow-up data base to evaluate changes at appropriate intervals B. An episodic data base because of the continuing, complex medical problems of this patient C. A complete health data base because of the nurses primary responsibility for monitoring the patients health D. An emergency data base because of the need to collect information and make accurate diagnoses rapidly Correct Answer- C. A complete health data base because of the nurses primary responsibility for monitoring the patients health Which situation is most appropriate during which the nurse performs a focused or problem-centered history? A. Patient is admitted to a long-term care facility B. Patient has a sudden and severe shortness of breath C. Patient is admitted to the hospital for surgery the following day D. Patient in an outpatient clinic has cold and influenza-like symptoms Correct Answer- D. Patient in an outpatient clinic has cold and influenza-like symptoms A patient is in the clinic to have her blood pressure checked. She has been coming to the clinic weekly since she changed medications 2 months ago. The nurse should: A. Collect a follow-up data base and then check her blood pressure B. Ask her to read her health record and indicate any changes since her last visit C. Check only her blood pressure because her complete health history was documented 2 months ago D. Obtain a complete health history before checking her blood pressure because much of her history information may have changed Correct Answer- A. Collect a follow-up data base and then check her blood pressure A patient is brought by ambulance to the ED with multiple traumas received in an automobile accident. He is alert and cooperative, but his injuries are quite severe. How would the nurse proceed with data collection? A. Collect history information first, then perform a physical examination and institute life-saving measuresB. Simultaneously ask history questions while performing the examination and initiating life-saving measures C. Collect all information on the history form, including social support patterns, strengths, and coping patterns D. Perform life-saving measures and delay asking any history questions until the patient is transferred to the ICU. Correct Answer- B. Simultaneously ask history questions while performing the examination and initiating life-saving measures A 42-year-old patient of Asian descent is being seen at the clinic for an initial examination. The nurses knowns that including cultural information in his health assessment is important to: A. Identify the cause of his illness B. Make accurate disease diagnoses C. Provide cultural health rights for the individual D. Provide culturally sensitive and appropriate care Correct Answer- D. Provide culturally sensitive and appropriate care [Show More]

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