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Question 1
Free
Multiple Choice

The patient is complaining of severe incisional pain 2 days after surgery. The patient has Morphine ordered intravenously or by mouth. The nurse chooses to give the medication orally. This is an example of:

Choose correct answer/s
A

decision making.

B

reasoning.

C

problem solving.

D

judgment.

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Question 2
Free
Multiple Choice

The nurse is reviewing the last 3 days of a patient's pain history and notes that the pain level has remained constant. The nurse validates the pain level with the patient and decides to contact the physician for further orders. In this scenario the nurse is using the process of:

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A

decision making.

B

reasoning.

C

problem solving.

D

judgment.

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Question 3
Free
Multiple Choice

The nurse has been hired for her first job and is nervous about making errors in clinical judgment. It is important for the nurse to realize that clinical reasoning and the ability to make decisions in a clinical setting:

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A

has been instilled in the content covered in nursing school.

B

is solely based in clinical experience.

C

develops over time with increased knowledge and expertise.

D

is an expectation of all nurses regardless of experience.

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Question 4
Free
Multiple Choice

The nurse is taking an advanced cardiac life support (ACLS) recertification class. As part of that class, the nurse, and other nurses in the group, rotates responsibilities during multiple mock code exercises simulating cardiac arrest scenarios. The process of assigning nurses to different responsibilities is known as:

Choose correct answer/s
A

concept mapping.

B

simulation.

C

role playing.

D

literature review.

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Question 5
Free
Multiple Choice

The nurse is preparing to administer an anticoagulant when the patient says, "Why do I have these bruises on my arms?" The nurse reviews the patient's blood tests and notes an abnormal bleeding time. Based on the findings, the nurse decides to hold the medication and notifies the health care provider. This action, by the nurse, is an example of:

Choose correct answer/s
A

thinking aloud.

B

reviewing the literature.

C

applying knowledge .

D

role playing.

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Question 6
Multiple Choice

The nurse is preparing to restart a patient's intravenous line and discovers that the patient has no usable veins in either arm. To solve this problem, the nurse should:

Choose correct answer/s
A
discuss the problem with the nurse in charge.
B
not start the intravenous line.
C
conduct an internet search for infusion journal articles.
D
contact the physician and report the concern.
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Question 7
Multiple Choice

The nurse has finished her shift and is on her way home. During the shift, one of the patients attempted to climb out of bed and fell. On her way home the nurse is thinking about what she could have done differently to prevent the fall. This is an example of using:

Choose correct answer/s
A
evidence
B
standards
C
attributes or traits.
D
reflection
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Question 8
Multiple Choice

To develop critical thinking, the nurse needs to develop a critical-thinking character that includes:

Choose correct answer/s
A
developing honesty and confidence.
B
learning from experiences.
C
enhancing self-reliance.
D
growing a "thick skin" to withstand criticism.
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Question 9
Multiple Choice

The nurse is caring for a patient scheduled for a heart catheterization. During shift report, the nurse describes an overheard telephone conversation regarding the patient's HIV-positive son-in-law. This information should be evaluated for:

Choose correct answer/s
A
accuracy.
B
depth.
C
breadth.
D
relevance.
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Question 10
Multiple Choice

A patient arrives at the urgent care clinic and complains of vague pains in the legs. The nurse asks the patient to describe this pain. This type of question meets the intellectual standard of precision. As with any skill, critical thinking questions:

Choose correct answer/s
A
are used to avoid repetition in providing care.
B
can be enhanced through practice.
C
should be based in thought and not spontaneity.
D
become dull when used routinely.
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Question 11
Multiple Choice

The nurse is planning care for a group of patients. Which of the following activities may be delegated to unlicensed assistive personnel?

Choose correct answer/s
A
Analysis of the patient's physical condition
B
Morning vital signs, height, and weight.
C
Evaluation of whether colostomy drainage is normal
D
Determining patient readiness for postsurgical learning
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Question 12
Multiple Choice

The nurse is caring for a patient who is suspected of having early stages of dementia. The nurse observes mild confusion, short-term memory loss, and restlessness. The nurse conducts a mini-mental status exam. The nurse is using which of the following components of critical thinking?

Choose correct answer/s
A
Validation
B
Interpretation
C
Intuition
D
Reasoning
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Question 13
Multiple Choice

The nursing student is admitting a patient with abdominal distention and severe nausea. The physician orders the insertion of a nasogastric tube. The student reviews the procedure, gathers the supplies, and tells the instructor, "I'm ready to begin." Which of the following critical thinking traits suggest that the student is prepared for the task?

Choose correct answer/s
A
Risk taking
B
Curiosity
C
Confidence
D
Perseverance
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Question 14
Multiple Choice

A patient has been instructed in self-administration of insulin injections. The nurse observes the patient attempting to recap the needle and realizes that further teaching is needed. The nurse is applying which critical-thinking skill of the nursing process?

Choose correct answer/s
A
Interpretation
B
Analysis
C
Inference
D
Evaluation
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Question 15
Multiple Choice

The nurse completes the health interview and physical exam on a patient admitted with an infection of the gallbladder. The nurse reviews the medical record and compares the abnormal lab results to the normal standards. Which critical thinking skill is the nurse using in this part of the nursing process?

Choose correct answer/s
A
Interpretation
B
Analysis
C
Evaluation
D
Inference
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Question 16
Multiple Choice

A patient, frequently admitted to the hospital for chronic back pain, asks the medication nurse for additional pain medication. The nurse has seen patients like this before, and "knows" that the only reason that these people come to the hospital is to get their pain medication. The nurse is demonstrating:

Choose correct answer/s
A
illogical thinking.
B
a bias.
C
closed-mindedness.
D
an erroneous assumption.
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Question 17
Multiple Choice

The nurse has received advanced orders for a patient that she is expecting to be admitted from the emergency room (ER). The patient's name is Mr. Herman Goldstein. Trying to get ahead on her task, the nurse changes the patient's diet from "Regular" to "Kosher." When the patient reaches the unit, the nurse discovers that the patient is Catholic even though his father is Jewish. The nurse is guilty of giving in to:

Choose correct answer/s
A
illogical thinking.
B
a bias.
C
closed-mindedness.
D
an erroneous assumption.
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Question 18
Multiple Choice

The nursing student is observing a staff nurse demonstrating a subcutaneous injection during a skills competency fair. The student tells the nurse that nursing textbooks indicate that aspirating for blood is not necessary. The nurse replies, "I prefer to check for blood, just in case. This is the way I learned to give shots and it works for me." The nurse's response is most likely related to:

Choose correct answer/s
A
illogical thinking.
B
a bias.
C
closed-mindedness.
D
an erroneous assumption.
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Question 19
Multiple Choice

The nurse is preparing to teach Foley insertion techniques to a group of graduate nurses. Which of the following teaching-learning strategies would the nurse find most useful in teaching this skill?

Choose correct answer/s
A
Concept mapping
B
Simulation
C
Role playing
D
Literature review
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Question 20
Multiple Choice

The nurse is administering medications to a patient with high blood pressure. The patient states, "This pill made me so sick yesterday. Are you sure I have to take it now?" The nurse should:

Choose correct answer/s
A
give the medication because no one gets sick on this pill.
B
hold the medication and check the order since there may be a lack of information.
C
give the medication since he/she is the nurse and knows what should be done.
D
give the medication since the nurse did not see the doctor come so the order is valid.
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