Nursing Fundamentals and Evidence-Based Practice, Exams of Nursing

Download Nursing Fundamentals and Evidence-Based Practice and more Exams Nursing in PDF only on Docsity! 1 / 26 NUR1024 Critical Thinking Exam 2 Questions with Answers 1.What are the five rights of delegation?: A. Right Task B.Right Circumstance C. Right Person D.Right direction or communication E. Right Supervision 2. The UAP talks to the nurse about a problem with a patient. What does the nurse do first after this?: Assess the Patient 3. Which type of data is this? Physical measurements and scores on surveys are collected, statistical re- sults from the study are explained.: Quantitive Data 4. Which type of data is this? This data summarizes the descriptive themes and ideas that arose from the researcher's analysis of data.: Qualitative Data 5.This type of experiment is a design that aims to establish a cause-and- effect relationship between an independent and dependent variable.: Quasi Expire- mental 6.An RCT is a true study that tightly controls conditions to eliminate bias with the goal of generalizing the results of the study to similar groups of subjects: Experimental 7.A complex process involving two or more people from various professional fields to achieve common outcomes for a patient.: Interprofessional collabora- tion 8.Focuses on patient priorities and improves coordination of all patient ther- apies and communication among all disiplines.: Interprofessional care plans 9.What does the P in PICOT stand for?: P= Patient population of interest Identify patient's by age, gender, ethnicity, and disease or health problem. 10.What study uses measurement in numbers?: Quantitive 11.What does I in PICOT stand for?: I= Interventions OR area of interest Which intervention is worthwhile to use in practice (e.g., a treatment, 2 / 26 diagnostic test, prognostic factor)? What area of interest influences a desired outcome (e.g., complementary therapy, motivational interviewing)? 12.What does EBP stand for?: Evidence-based practice 13.What are the steps of Evidence-Based Practice: 0. Cultivate a spirit of inquiry within an EBP culture and environment. 5 / 26 A. Delivery of radiation to the wrong body region B. Administration of a compatible blood transfusion C. Homicide of a client while at the facility D. Homicide of a staff member while at the facility E. Invasive surgical procedure at the wrong site: A. Delivery of radiation to the wrong body region C. Homicide of a client while at the facility D.Homicide of a staff member while at the facility E. Invasive surgical procedure at the wrong site 22.The nursing process is the foundation of professional nursing practice. As such, the nursing process can be defined as: A. A complex process during which nurses think about their thinking. B.The framework that nurses used to provide care. C.The process that allows nurses to collect essential data. D.Thinking like a nurse in developing plans of care.: B. The framework that nurses used to provide care. 23.The nurse makes the following entry on the patient's care plan: "Goal not met. Patient refuses to walk and states, 'I'm afraid of falling.'" The nurse should: A. modify the care plan in response to the patient's condition and wishes. B. ignore the patient's concern in evaluating goal attainment. C. document the patient's unwillingness to continue the plan of care. D. continue the plan of care as originally agreed upon.: A. modify the care plan in response to the patient's condition and wish 24.A patient is receiving an experimental drug for leukemia. The nurse is worried that the drug may cause a reduction in platelets leading to intestinal tract bleeding. Which type of nursing diagnosis should the nurse use to address this concern? A. Risk B. Health-promotion C. Actual D. Medical diagnosis: A. Risk 25. It is important for nurses to be critical thinkers because: 6 / 26 A. All nursing actions are based on theoretical knowledge B. All clients are unique and have individual needs and differences C. Nurses choose their actions primarily by following professional guidelines D. Nurses provide care based on individual client preferences: B. All clients are unique and have individual needs and differences 26.The nurse is caring for an older adult client with decreased energy who needs to get up to prevent the development of pressure ulcers. The client is unable to ambulate and wants to be alone. What should the nurse do? A. Gain knowledge about the client from family to gain compliance. B. Notify the healthcare provider of the client's noncompliance. C. Proceed to get help to get the client out of bed. D. Leave the client alone until ready to get out of bed: A. Gain knowledge about the client from family to gain compliance. 27.An older adult client with heart failure is experiencing activity intolerance due to dyspnea on exertion. Which nursing intervention is a priority for the client? A. Complete all nursing care in the morning. B. Complete all nursing care at the end of the shift. C. Delegate care for the client to an aide. D. Pace nursing care throughout the shift.: D. Pace nursing care throughout the shift. 28.A nurse has recently joined an orthopedic unit in the United States that specializes in perioperative care of clients undergoing knee or hip replace- ment. Which nursing plan of care is this nurse likely to use most often? A. Clinical pathway B. Column plan C. Standardized plan D. Concept map: C. Standardized plan 29.A nurse asks the patient if pain was relieved after receiving medication. What is the purpose of the evaluation phase of the nursing process? 7 / 26 A. To establish if the patient agrees that the nursing care provided was satis- factory B. To decide whether the patient's health problems have been completely resolved C. To document the nursing care plan in the progress notes of the medical record D.To determine if interventions have been effective in meeting patient out- comes: D. To determine if interventions have been effective in meeting patient 30.The nurse is caring for a client who continues to develop pressure sores despite measures the nurses have taken to protect the client's skin. The nurses have participated in a client conference and outlined various meth- ods for protecting this particular client's skin. What design of evidence-based research study is the nursing staff using? A. Case study B. Meta-analysis C. Case control study D. Cohort study: A. Case study 31.A nurse preceptor is working with a graduate nurse and explains that the hospital uses evidence-based practice (EBP) as its approach to nursing because of what reason? A. EBP provides credibility of the profession. B. EBP helps determine the clients preferences for care. C. Care cannot be given unless it is backed by research. D. EBP assist in the evaluation of nurses' performance.: A. EBP provides cred- ibility of the profession. 32.The nurse is caring for a newly admitted client on the unit. When formulating the plan of care, the nurse recognizes that evidence- based practice is most helpful to a nurse in which situation? A. Determining the client's dietary needs B. Collecting data regarding the client's current medications C. Determining the client's nursing diagnoses D. Evaluating the client's outcomes of care: D. Evaluating the client's outcomes of care 10 / 47. During , a researcher asks a PICOT question, reviews the highest level of evidence available for a well-defined area of study, summa- 11 / rizes what is currently known about the area of study, and reports whether current evidence supports a change in practice or whether further study is needed.: Meta-analysis 48.A patient in the ICU experiences a sentinel event related to central line catheter care that resulted in serious injury. What PI model should the unit use to identify errors that led to the sentinel event? 1. Six Sigma 2. Root cause analysis 3. PDSA 4. Balanced scorecard: Root cause analysis 49. In what order are the scientific method steps supposed to be in? a. Conduct a study using scientific rigor b. Make an observation c. Ask questions about observation d. Analyze the data and draw conclusions. e. Analyze the literature and form research question.: b. Make an observation c. Ask questions about observation e. Analyze the literature and form research question. a. Conduct a study using scientific rigor d. Analyze the data and draw conclusions. 50."Does the use of guided imagery compared with standard care affect the postoperative pain in hospitalized adolescents?" Name the (O) Outcome. A. Adolescents receiving standard care B. Postoperative pain C. Hospitalized adolescents D. Guided imagery: B. Postoperative pain 51."Does the use of guided imagery compared with standard care affect the postoperative pain in hospitalized adolescents?" Name the (C) Comparison. 12 / A. Adolescents receiving standard care 15 / C. Decreased creatinine 16 / D. Increased troponin: D. Increased troponin Rationale: An elevated Troponin can signify the patient has had a cardiac event, all the other labs are not as relevant to the reason the patient has come to the ER. 65.Your patient has been admitted for a UTI. They have significant hematuria and an elevated specific gravity. Which of the following results on a urinalysis would require the nurse to notify the physician? A. Increased BUN and creatinine B. Platelet count WNL C. Positive WBC D. Increased K+ in urine: A. Increased BUN and creatinine 66.A new nurse is starting her shift and feels there was not enough informa- tion given during report. When looking at the patient assignment and the Nursing Diagnoses, the RN chooses to see which patient first? A. Imbalanced Nutrition: Less than Body Requirements B. Ineffective Breathing Pattern C. Ineffective Health Maintenance D. Anxiety: B. Ineffective Breathing Pattern 67.The nurse is preparing to administer 20 mEq of potassium chloride to a client who has been vomiting. Which information about the purpose of this medication should the nurse explain to the client? A. It controls and regulates water balance in the body. B. It is used to synthesize protein and DNA within the body's cells. C. It is vital in regulating muscle contraction and relaxation. D. It is needed to maintain skeletal, cardiac, and neuromuscular activity.: D. It is needed to maintain skeletal, cardiac, and neuromuscular activity. 68.A home health nurse is providing care for a client diagnosed with heart 17 / failure. The client is taking furosemide (Lasix). The nurse reviews the client's 20 / A.Administer an antihypertensive medication from the stock supply, and then notify the health care provider. B.Review the most recent lab results for the patient's potassium level. C. Follow the clinical protocol for a stroke. D. Assess the patient for other symptoms or problems, and then notify the health care provider.: D. Assess the patient for other symptoms or problems, and then notify the health care provider. 73.Can a UAP educate client on medication?: NOPE. 74.Name the term of the definition. This event is an unexpected occurrence causing serious injury or death.: Sen- tinel Events 75.The 3 types of nursing diagnostic statements are... 1. 2. 3.: - Actual - Risk - Health promotion 76.Critical thinking is important because....: All clients are unique and have indivudal needs and differences. 77.The only people who can administer medications are...?: RN and LPN 78.Name the term of the definition. coordinates and links health care services across all levels of care for patients and their families while streamlining costs and maintaining quality.: Case management 79.Which of the following was delegated inappropriately? A. Assistance with toileting by the UAP B. Assistance with eating breakfast by the UAP C. Interpretation of abnormal lab results to the UAP D. Personal hygiene by the UAP: C. Interpretation of abnormal lab results to the UAP 80.What would be a priority nursing intervention for a patient with lung disease who is presenting with dyspnea, HR of 140 bpm and labored respi- rations? A. Call respiratory therapy B. Administer oxygen at 6L NC with added humidity 21 / C. Elevate the head of the bed D. Assist the patient to cough: C. Elevate the head of the bed 81.The medical-surgical nurse is planning the day immediately after receiving report. Which should be the primary nursing intervention when prioritizing care? A. Assigning staff to clients B. Analyzing collected data C. Assessing clients D. Ascertaining interventions: C. Assessing clients 82.The nurse delegates vital signs and daily weights of assigned clients to the unlicensed assistive personnel (UAP) on duty. Which is the reason for the nurse to assess each client throughout the shift? A.The nurse maintains the authority to care for the clients. B.The UAP is not trustworthy. C.The nurse remains accountable for the clients' care. D.The UAP cannot report to the next shift.: C. The nurse remains accountable for the clients' care. 83.The nurse is participating in a quality improvement process related to improving care for clients at risk for skin breakdown. Which best describes the purpose of this process? A.To fulfill legal requirements B.To improve client outcomes C.To advance the nurse's career D.To maintain accreditation: B. To improve client outcomes 84.True or false? Informed consent requires the written consent of a study participant.: True 85.Which intervention can the nurse delegate to nursing personnel (NAP) in caring for a patient with a wound? A. Opening a sterile dressing kit B. Reporting the presence of wound odor C. Removing a soiled dressing 22 / D. Assessing the site for site for signs of redness or swelling: B. Reporting the presence of wound odor 86.The following would be found on an admission (face) sheet? Select all that apply. A. Laboratory reports B. Food or drug allergies C. Address D. Legal name, birth date, age, gender E. Admitting physician: B. Food or drug allergies C. Address D.Legal name, birth date, age, gender E. Admitting physician 87.True or false? The clinical or patient record is admissible in court as a legal document.: True 88.What framework does the establishment of priorities of care during the planning phase of the nursing process often use? A. Freud's classifications B. Piaget's cognitive table C. Maslow's hierarchy of needs D. Erikson's developmental tasks: C. Maslow's hierarchy of needs 89.Which desired outcome written by the nurse is correctly written and mea- surable? A. Client will have a normal bowel pattern by April 2 B.The client will breathe better after resting for 10 minutes C.The client will lose 4 lbs. within next 2 weeks D.The nurse will provide skin care at least 3 times each day: C. The client will lose 4 lbs. within next 2 weeks 90.Which of the following are true related to nursing diagnoses? Select All That Apply A. Includes descriptors and risk factors 25 / A.To make sure all documentation is complete 26 / B. To ensure client safety C. To avoid lawsuits D. To facilitate quality improvement: B. To ensure client safety 94.A nurse has just been hired as a medical information system (MIS) trainer at a hospital where an electronic medical record system is being installed. The nurse has been asked to assess the security of clients' medical records. According to HIPAA's Security Rule, which recommendations by the nurse will enhance security? Select all that apply. A.Assign each unit unique passwords. B. Assign each staff member a unique username and password. C. Store computer-generated worksheets in a locked vault. D. Turn monitors away from view when unattended. E. Install a firewall.: B. Assign each staff member a unique username and pass- word. E. Install a firewall. 95.When applying research to practice, the nurse finds that: A. bedside care is not directly related to research. B. it is usually easy to access information at the bedside. C. research articles are clear in defining nursing practice. D. nursing research should be used to improve care.: D. nursing research should be used to improve care. 96.A nurse has collected several research findings for evidence-based prac- tice. Which article will be the best for the nurse to use? A.An article that is an opinion of expert committees B. An article that uses qualitative research C. An article that is peer-reviewed D. An article that uses randomized controlled trials (RCT): D. An article that uses randomized controlled trials (RCT) 97.Name the research below. 27 / research improves the health and welfare of people who are under- 30 / 110. When a(n) study is completed, the researcher will know if the intervention leads to better outcomes than the standard of care.: Randomized controlled trial (RCT) 111. In a(n) study is completed, the researcher will NOT test BOTH GROUPS with a new drug. One group would be the control group and not receive the drug.: Randomized controlled trial (RCT) 112. True or false? In developing a PICOT question, P and O can be skipped/not used.: False I, C, and T can be skipped, but not P and O. 113. True or false? The sequence of P, I, C, O, T is mandatory in developing the PICOT question.- : False You can skip I, C and T but not P and O. The entire PICOT is not mandatory, only P and O are. 114. Which letters in the PICOT format are used in this following research question: "How do pts with cervical cancer rate their quality of life?": P and O P (Patients of interest): Pts with cervical cancer O (Outcome): "Rate their quality of life" 115. Which database is the following?: gives clinical guidelines and evidence summaries: AHRQ 116. Define the following study: A(n) study is research done on a small scale. If the evidence ac- quired through the varied research is not strong enough to apply in practice, the next option for the nurse is to conduct a(n)study.: Pilot study 117. Which type of research are the highest level of EXPERIMENTAL re- search?: RTC 31 / 118. According to Maslow's Hierarchy of Needs, should be met first.: Basic Physiological Needs They include the need for rest, food, air, water, temperature regulation, elimination, sex, and physical activity. 119. is the primary cause of sentinel events, making client safety the primary objective of the handoff communication process.: - Ineffective communication 120. is the name for the processes used by an agency to measure and improve aspects of client care, including overall outcomes.: - Quality improvemnt 121. Who remains accountable over UAPs? Primary care doctors or Nurse: The nurse remains accountable for the care of clients during delegation to the UAP. 122. Some interventions originate from health care provider orders. These are interventions.: Dependent nursing interventions 123. True or false? Neutrophils, lymphocytes, and erythrocytes are used to monitor the return of renal function.: False. Creatinine is the metabolic end product and is excreted via the kidneys. BUN, a measurement of the nitrogen portion of urea, is also excreted in urine and is a good indicator of renal function. 124. Name the type of study. A(n) is a study over time that follows two groups, and measures and compares the outcomes of an exposure group with those of a non-exposure group.: Cohort study 125. Name the type of study. A(n) study is where individuals with and without a specific condition are compared to identify predictive variables.: Case Control 32 / study 35 / 136. True or false? Administration of an incompatible blood transfusion would be a sentinel event.: True. 137. There are 5 rights of delegation. What is the missing right? Right ? Right Circumstance Right Person Right direction or communication Right Supervision: Right task 138. There are 5 rights of delegation. What is the missing right? Right ? Right Task Right Person Right direction or communication Right Supervision: right Circumstance 139. There are 5 rights of delegation. What is the missing right? Right ? Right Circumstance Right Person Right direction or communication Right Task: Right supervision 140. An unexpected occurrence involving death or serious physical or psy- chological injury, or the risk thereof.: Sentile Events 141. There are 5 rights of delegation. 36 / What is the missing right? Right ? Right Circumstance Right Person 37 / Right Supervision Right Task: Right direction or communication 142. What are the 2 missing terms? research seeks to understand the causal or correlational rela- tionship between variables through testing hypotheses, whereas research seeks to understand a phenomenon within a real-world context through the use of interviews and observation.: Quantitative research seeks to understand the causal or correlational relationship between variables through test- ing hypotheses, whereas qualitative research seeks to understand a phenomenon within a real-world context through the use of interviews and observation. 143. What type of data are the examples below? Interview transcripts, focus group feedback, and journal entries detailing people's experiences and feelings.: Qualatative data 144. What type of data are the examples below? age, weight, temperature, or the number of people suffering from diabetes.: - Quantitative data 145. True or false? Unlicensed assistive personnel (UAP) is the same as a nursing assistive personnel (NAP): True. 146. What type of personnel is described below? -- Able to feed pts (except those at risk of aspiration) -- Able to give hygiene/groom/toilet pts -- Ambulate pts -- Specimen collection -- I and O's -- Take routine vital signs of stable pts: CNA/UAP/NAP 147. What type of personnel is described below? -- Vital signs -- Administer some, not all, medications -- Reinforce teaching -- Ostomy care -- Tube latency and feedings through tube: LPN/LVN