NCLEX Review Questions - Chapter 7

A student nurse performs a sterile dressing change on an abdominal incision site. What should the student nurse expect to assess as a consequence of this procedure?

A) Incision will be free of signs and symptoms of infection. RATIONALE: Implications or consequences are defined through outcomes and can be expected or unexpected. An expected consequence of a sterile dressing change would be that the site will be free of signs and symptoms of infection. How often the incision site is redressed is not considered a consequence. It is an intervention. An unexpected consequence would be purulent fluid drainage from the site. This would be a sign of potential infection. A foul odor could indicate infection and would be an unexpected consequence.

When discussing patients' symptoms in clinical preconference, nursing students are implementing Pearson's RED model of critical thinking. This model involves recognizing symptoms, evaluating and arguments. What is the fourth component of this process?

B) Drawing conclusions RATIONALE: Pearson's RED model of critical thinking involves recognizing symptoms, evaluating arguments, and drawing conclusions.

A nurse is caring for a patient in the acute care setting. When performing the morning head-to-toe assessment, the nurse documents that the patient's condition has remained unchanged from the previous shift. However, the nurse perceives that something about the patient's appearance does not seem right. What is this perception considered?

C) Intuitive thought RATIONALE: Intuitive thought involves one's sixth sense, instincts, or insight. Reflection involves looking back and reconsidering ideas, thoughts, beliefs, and actions. Rational thought is fueled by knowledge gained through study and experience. Curiosity drives the nurse to seek knowledge with regard to the situation at hand. It is the desire to understand what something is or how it works.

____________________ is perceptive understanding of a situation based on knowledge, empirical data, theory, and scientific inquiry.

Clinical judgment RATIONALE: --None given-- However, Definition is in Textbook

A nurse manager is reviewing a performance evaluation with a staff nurse. The nurse manager comments that the staff nurse is a cultivated thinker. What other descriptive words can be used in this performance evaluation? (Select all that apply.)

Evolve options and their "Correct" v.s "Incorrect" Answers compared to the rationale below. Take note: Evolve has the incorrect answers. Evolve answers [] Arrogant [] Spontaneous ----------------------- Actual answers [] Educated [] Sensible RATIONALE: Cultivated thinkers are educated. Cultivated thinkers obtain relevant data and sort and prioritize it in a coherent matter. They are able to make sense of information. Cultivated thinkers are not arrant and recognize traits that interfere with the ability to gain knowledge. Cultivated thinkers are organized. Cultivated thinkers seek the latest and best information available to make the most appropriate decisions. The cultivated thinker does not assume that he or she has gathered all pertinent information. They seek the latest and best information available to make the most appropriate decisions.

____________________ is discriminating and prudent and does not allow emotion, feelings, or prejudices to skew decisions.

Reasoned thought RATIONALE: Reasoned thought is discriminating and prudent and does not allow emotion, feelings, or prejudices to skew decisions.

A group of nursing students is discussing critical thinking in class. What should the instructor explain about critical thinking? (Select all that apply.)

Take note: Evolve has the incorrect answers. Evolves Answers: [] it is an irrational process of thought (Evolve states this is a correct Answer. However, it is wrong, critical thinking is NOT irrational-see rationale below) [] it is necessary in the nursing process [] it uses available facts [] it is purposeful [] it assists in decision making ___________________________________________ [] it is goal directed (Evolve states this is an incorrect answer. However, it is correct-see rationale below) RATIONALE: Critical thinking is considered a skill that is necessary in the nursing process. Critical thinking uses available facts principles, theories, and abstractions to analyze, make inferences, solve problems, or arrive at decisions. Critical thinking is a purposeful, goal-directed process of inquiry. Critical thinking is a rational process of thought.