Understanding Medical Surgical Nursing 5th Edition by Linda S. Williams - Test Bank
Chapter 1. Critical Thinking and the Nursing Process
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. After receiving morning report, which patient should the licensed practical nurse/licensed vocational nurse (LPN/LVN) assess first?
|
a. |
A patient who needs discharge teaching |
|
b. |
A patient who needs assistance to ambulate |
|
c. |
A patient who states, “No one cares about me.” |
|
d. |
A patient who has a temperature of 106°F (41.1°C) |
____ 2. During a class discussion, two nursing students demonstrated intellectual courage. What action did the nursing students perform?
|
a. |
Considered being in the other person’s situation |
|
b. |
Expected proof that the use of restraints is safe |
|
c. |
Conducted additional research on the use of restraints in patient care |
|
d. |
Listened to each other’s point of view regarding the use of patient restraints |
____ 3. The nursing staff is planning a celebratory dinner and cake for a newly licensed practical nurse. Which of the new nurse’s human needs is supported by these actions?
|
a. |
Self-esteem |
|
b. |
Physiological |
|
c. |
Self-actualization |
|
d. |
Safety and security |
____ 4. A patient with a newly fractured femur reports a pain level of 8/10, and analgesic medication is not due for another 50 minutes. Which actions should the nurse take?
|
a. |
Reposition the patient. |
|
b. |
Give the medication in 30 minutes. |
|
c. |
Notify the registered nurse (RN) or physician. |
|
d. |
Tell the patient it is too early for pain medication. |
____ 5. The nursing instructor is planning a teaching session on critical thinking for students. What should the instructor say when explaining critical thinking?
|
a. |
“Collect data concerning the patient’s problem.” |
|
b. |
“Think of different ways to help relieve a patient’s problem.” |
|
c. |
“Determine if an action worked to eliminate a patient problem.” |
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d. |
“Use knowledge and skills to make the best decision for patient care.” |
____ 6. The nurse is planning care and setting goals for a newly admitted patient. Who should the nurse include when conducting these nursing actions?
|
a. |
Patient |
|
b. |
Nurse manager |
|
c. |
Patient’s family members |
|
d. |
Patient’s health care provider (HCP) |
____ 7. While caring for a patient 4 hours after a surgical procedure, the LPN/LVN notes serosanguineous drainage on the patient’s dressing. Which statement should the nurse use to document the finding?
|
a. |
“Normal drainage noted.” |
|
b. |
“Moderate drainage recently noted.” |
|
c. |
“Scant serosanguineous drainage seen on dressing.” |
|
d. |
“Pale pink drainage, 2 cm by 1 cm, noted on dressing.” |
____ 8. The nurse is caring for a patient who is scheduled for surgery. Which data should the nurse collect to identify safety and security needs?
|
a. |
Meal patterns |
|
b. |
Sleep patterns |
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c. |
Anxiety about surgery |
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d. |
Effectiveness of pain medication |
____ 9. The nurse is reviewing data collected during patient care. Which data should the nurse document as objective?
|
a. |
Patient is pleasant. |
|
b. |
Urine output is 300 mL. |
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c. |
“It has been a good day.” |
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d. |
Patient’s appetite is poor. |
____ 10. The nurse is determining diagnoses appropriate for a patient r
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