Chapter 2 NCLEX Practice PREP U

A nurse on a busy acute medical unit asks a nurse educator for suggestions on how to best develop expertise in using diagnostic reasoning skills to arrive at correct conclusions. Which statement, by the nurse educator, would be most appropriate?

"This skill comes with accumulating experience."

A nurse is collecting data on a client's chief complaint, which is a spell of numbness and tingling on her left side. Which of the following questions would be best for eliciting information related to associated factors?

"What other symptoms occurred during the spell?"

What is pivotal to determining how to move from each client problem to its goals?

Clinical reasoning process

Revising the plan as needed occurs in what part of the nursing process?

Evaluation

Essential characteristics for the development of critical thinking skills include all the following except:

Following instructions

Your client has been directly admitted from the doctor's office. The only paperwork he has brought with him is his admission orders. You are gathering your admission data when ordered lab work is collected. When documenting your history, physical examination, assessment, and plan, what would you write under the heading "Laboratory Data"?

None currently

A nurse has completed data analysis. Which of the following would the nurse identify first as the result?

Nursing Diagnosis

When documenting clinical data after an assessment of the client's neck, what might you write in the physical assessment?

Thyroid isthmus barely palpable, lobes not felt

After collecting subjective and objective data for the admission database, what is the nurse's next action?

Validate the client's identified problems.

The emergency department has collected extensive data from a client who has presented with a new onset of severe abdominal pain. What nursing action should the nurse perform before proceeding with data analysis?

Validate the collected data.

The nurse is collecting data from a client. Which of the following best reflects objective data?

appearance

Which statement would demonstrate the correct method for writing an evaluation of client progress after implementing the nursing process?

client ambulated 3/3 times during a planned 8-hour period

A client who is 2 days postoperative reports pain and requests pain medication. After assessing the client's pain level, the nurse decides to give the client oral oxycodone hydrochloride-acetaminophen instead of intravenous morphine. This nurse is doing which step of the nursing process?

implementation

A nursing instructor is describing why data analysis is considered a very difficult step in the nursing process. Which of the following would the instructor identify?

it requires diagnostic

A client with diabetes is admitted to the medical unit for the fifth time in 6 months because of elevated blood glucose level. The nurse caring for the client immediately states, "I knew she would be back. It was just a matter of time. She is so noncompliant." This is an example of which of the following?

not hypothesizing several diagnoses

A nursing student is learning how to use critical thinking in formulating a plan of care. The student understands which of the following to be things needed to demonstrate that the process of thinking critically has begun? (Select all that apply.)

reserves a final opinion until further collecting data explores other alternatives before making a decision uses past knowledge and experience to analyze data

The nursing instructor realizes that the nursing student understands all the criteria necessary for developing expertise when making clinical professional judgments by identifying the following as being a barrier to diagnostic reasoning.

seeing things as only right or wrong

The nursing instructor informs the students that there are pitfalls that decrease the reliability of cues and decrease diagnostic reasoning. The first set of pitfalls is related to the collection of data and includes which of the following?

too many or too few data

A client who is overweight tells the nurse that he wants to lose weight but he doesn't know the best way to begin. The client states that he participates in routine exercise, but wants to increase the intensity of his workout. Which type of nursing diagnosis should the nurse choose for this client based on this information?

Wellness diagnosis

When the nurse clusters the data to make a judgment or statement about the client's condition, this is known as what?

diagnosis