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    Exam Review

    1. A nurse educator asks students to identify similarities and differences between the nursing process and the clinical judgment process. Which statements are correct? (Select all that apply)(SATA)
      A)Clinical judgment emphasizes contextual factors and pattern recognition more than the nursing process.
      B)Both require prioritization based on patient needs.
      C)The nursing process is linear, while clinical judgment is more dynamic and iterative.
      D)Both involve assessment and evaluation phases
      E)The nursing process excludes patient preferences, while clinical judgment includes them.
    2. A nurse is explaining the difference between the nursing process and the clinical judgment process to a student. Which statements are accurate? (Select all that apply.)(SATA)
      A)Clinical judgment adapts to rapidly changing patient conditions
      B)The nursing process is always predictable and linear
      C)Both processes require critical thinking
      D)The nursing process includes assessment, diagnosis, planning, implementation, and evaluation
      E)Clinical judgment involves noticing, interpreting, responding, and reflecting
    3. A nurse observes a coworker bypassing a safety step during medication administration. The nurse independently evaluates the situation and decides to report the unsafe practice. Which actions demonstrate intellectual autonomy? (Select all that apply.)(SATA)
      A)Determining independently that the action was unsafe
      B)Thinking critically about what was observed
      C)Waiting for someone else to notice the issue
      D)Speaking up to report the unsafe behavior
      E)Following the coworker's lead to avoid conflict
    4. A nurse is precepting a new LPN who is unsure how to operate a new infusion pump. The nurse overhears the LPN say, "I don't know how to use this, but I'll find out." This statement demonstrates which critical thinking trait?
      A)Intellectual humility
      B)Intellectual autonomy
      C)Intellectual integrity
      D)Intellectual perseverance
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    Exam Review

    1. Which findings may indicate a patient is a victim of human trafficking? (Select all that apply.)(SATA)
      A)The patient has no identification
      B)The patient has limited English proficiency
      C)A companion insists on answering all questions
      D)The patient avoids eye contact
      E)The patient refuses to discuss their work or living situation
    2. A nurse is planning care for a patient with a chronic respiratory condition. Which intervention best supports health promotion and effective long term management?
      A)Teaching the patient how to recognize early signs of exacerbation
      B)Focusing only on medication administration during visits
      C)Advising the patient to rely solely on the healthcare team for decisions
      D)Encouraging the patient to rest and avoid all physical activity
    3. A nurse calls the provider about a patient with chest pain. Which SBAR statement is correct?
      A)"Situation: Patient is resting. Background: No complaints. Assessment: Stable. Recommendation: No action."
      B)"Situation: Patient has chest pain. Background: History of CAD. Assessment: Pain 8/10, BP 90/60. Recommendation: Request immediate evaluation."
      C)"Situation: Patient needs discharge. Background: No complications. Assessment: Ready to go. Recommendation: Discharge now."
      D)"Situation: The patient is stable. Background: No history. Assessment: No issues. Recommendation: Continue care."
    4. A nurse notices bruises on an older adult patient that do not match the caregiver's explanation. What is the nurse's legal responsibility?
      A)Wait for more evidence
      B)Report the suspicion to the appropriate agency
      C)Confront the caregiver
      D)Document the findings and take no further action
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    Exam Review

    1. A nurse has four tasks to complete. Which should be prioritized first according to Maslow's hierarchy? (Select all that apply)(SATA)
      A)Assist a patient with toileting needs
      B)Apply a warm blanket to a patient who feels cold
      C)Administer oxygen to a patient with dyspnea
      D)Provide emotional support to a patient anxious about surgery
      E)Teach a patient about a low-sodium diet
    2. A nurse is caring for a patient whose blood pressure suddenly drops. The nurse reassesses the patient, checks the IV site, reviews medications, and notifies the provider with accurate, organized information. This demonstrates that critical thinking is essential in nursing because it:
      A)Helps nurses make informed, evidence based decisions
      B)Ensures nurses follow orders without question
      C)Eliminates the need for reassessment
      D)Allows nurses to rely solely on intuition
    3. Which actions help a nurse provide quality care while reducing liability risk? (Select all that apply.)(SATA)
      A)Communicating clearly with the healthcare team
      B)Documenting assessments and interventions promptly
      C)Relying on verbal orders instead of written ones
      D)Delegating tasks without verifying competency
      E)Following facility policies and procedures
    4. A nurse is caring for a patient receiving a high-alert medication. Which action best demonstrates vigilance?
      A)Documenting only at the end of the shift
      B)Delegating all medication checks to the pharmacy
      C)Maintaining continuous attention to changes in patient condition and potential risks
      D)Relying on alarms instead of direct observation
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    Exam Review

    1. A nurse is caring for a patient whose condition suddenly changes. The nurse quickly gathers new data, interprets the findings, and adjusts the plan of care. This demonstrates why critical thinking and clinical judgment are essential in nursing because they
      A)Help nurses make safe, timely, patient centered decisions
      B)Ensure nurses rely solely on provider orders
      C)Allow nurses to follow routines without deviation
      D)Reduce the need for ongoing assessment
    2. A newly licensed LPN asks where they can find the legal scope and limitations of their practice. The nurse should direct them to:
      A)Hospital policy manual
      B)State Nurse Practice Act
      C)Professional nursing organizations
      D)Federal health regulations
    3. A nurse realizes they documented a wound assessment incorrectly. The nurse immediately corrects the entry and notifies the charge nurse. This behavior reflects which intellectual trait?
      A)Intellectual integrity
      B)Intellectual courage
      C)Intellectual autonomy
      D)Intellectual humility
    4. A nurse is developing a wellness plan for a 52 year old patient during an annual physical exam. Which goals are appropriate for promoting health in middle adulthood? (Select all that apply.)(SATA)
      A)Supporting stress management strategies
      B)Encouraging routine screenings such as mammograms or colonoscopies
      C)Promoting regular physical activity
      D)Providing reminiscence therapy
      E)Focusing primarily on end of life planning
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    Exam Review

    1. What is a nursing care goal for those in middle adulthood? Select all that apply.(SATA)
      A)To promote positive lifestyle choices
      B)То provide education on vaccinations
      C)To identify confusion
      D)To empower patients to make healthy changes
      E)To provide reminiscence therapy
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