Online Practice Test 10

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Site Title: Kozier & Erb's Fundamentals of Nursing Book Title: Kozier & Erb's Fundamentals of Nursing Location on Site: Chapter 10 > NCLEX® Review Date/Time Submitted: July 5, 2012 at 3:52 PM (UTC/GMT)

Summary of Results 60% Correct of 10 Scored items: 6 Correct:  60% 4 Incorrect:  40% More information about scoring

1.		A coworker asserts: "men always seem to exaggerate pain," the nurse who is thinking critically might ask: Your Answer: "What evidence do you have for that?"
		Objective: Discuss the skills and attitudes of critical thinking. Rationale: The importance of critical thinking is valued in nursing. Skills to hone critical thinking can be obtained through education and experience. Answers 1, 2, and 4 are merely asking for further information. Nursing Process: Implementation Client Need: Safe, Effective Care Environment Cognitive Level: Analysis Strategy: Use nursing knowledge and the process of elimination to make a selection.
2.		When a 4-year old child refuses to take a medication in pill form because it is "too big and it hurts when I swallow," the nurse demonstrates critical thinking by: Your Answer: Checking with the pharmacy to see if the medication can be dispensed in liquid form
		Objective: Describe the significance of developing critical thinking abilities in order to practice safe, effective, and professional nursing care. Rationale: Part of critical thinking is being creative in approaches to difficult situations. Asking the mother how she gets him to cooperate may be helpful, but is not using critical thinking. It is never correct for the nurse to allow the child to skip a dose. Asking the nurse-manager what to do may be helpful, but it is not critical thinking. Nursing Process: Implementation Client Need: Physiological Integrity Cognitive Level: Application Strategy: Decide what is the best action for client and situation.
3.		The novice nurse can best demonstrate critical thinking by: Your Answer: Admitting uncertainty about how to do a particular procedure and asking for assistance
		Objective: Describe the significance of developing critical thinking abilities in order to practice safe, effective, and professional nursing care. Rationale: The critical thinker has an awareness of her own level of knowledge. Asking questions does not acknowledge uncertainty. Reading about the procedure in the Policy and Procedure Manual is not acknowledging uncertainty. Relying on what she has seen other nurses do in this situation is not critical thinking, because the other situations may have some variations that the novice nurse may not be aware. Nursing Process: Implementation Client Need: Safe and Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
4.		When inductive reasoning is applied to the research process, the nurse expects to: Your Answer: Identify appropriate theories to test during the research Correct Answer: Develop a theory from the research results
		Objective: Discuss the relationships among the nursing process, critical thinking, the problem-solving process, and the decision-making process. Rationale: When using inductive reasoning, the nurse expects to form generalizations from facts or observations. The nurse expects to take isolated data and develop a theory. Identifying appropriate theories to test during the research is deductive reasoning. Proposing one or more hypotheses prior to initiating the research study is not a generalization. Hypotheses are formed prior to beginning a study. Nursing Process: Assessment Client Need: Safe, Effective Care Environment Cognitive Level: Comprehension Strategy: Use nursing knowledge and the process of elimination to make a selection
5.		When applying critical thinking to the assessment phase of the nursing process, the nurse will: Your Answer: Ask culturally sensitive questions
		Objective: Explore ways of demonstrating critical thinking. Rationale: The assessment phase requires the nurse to gather as much data as possible in a manner that is culturally sensitive. Data will be more complete if the nurse is culturally aware and sensitive. Setting goals comes after assessment is complete. Implementation comes after goals are established. Some questions are appropriate close ended as well as open ended. Nursing Process: Assessment Client Need:Safe and Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection
6.		When an elderly client brings up the possibility of entering a nursing home, the nurse who is critically thinking may ask: Your Answer: "What is bothering you?" Correct Answer: "Why are you considering a nursing home?"
		Objective: Discuss the relationships among the nursing process, critical thinking, the problem-solving process, and the decision-making process. Rationale: The nurse who is using critical thinking is able to suspend judgment and individualize care. The nurse is assuming the individual is planning for the future. In Answer 1 the nurse is assuming that someone else is trying to plan for the client's future residence. In Answer 3, the nurse is assuming that a decision already has been made. In answer 4, the client may not be bothered by anything, and the nurse is making an assumption. Nursing Process: Assessment Client Need: Safe and Effective Care Environment Cognitive Level: Application Strategy: Decide what is the best action for client and situation
7.		When a new policy that forbids nurses from carrying tape in their pockets is introduced, the nurse demonstrates intellectual courage by: Your Answer: Asking for the rationale for the new policy
		Objective: Describe the significance of developing critical thinking abilities in order to practice safe, effective, and professional nursing care. Rationale: Intellectual courage requires the nurse to examine all sides of an issue or idea or policy. The nurse suspends judgment and is willing to consider the rationale for the policy change. The nurse who thinks critically does not jump to conclusions. In Answer 2, the nurse is not willing to consider other possibilities and is not displaying intellectual courage. In attacking the new policy, the nurse is not willing to consider the rationale for the policy change and is not displaying intellectual courage. Nursing Process: Implementation Client Need: Safe and Effective Care Environment Cognitive Level: Application Strategy: Use nursing knowledge and the process of elimination to make a selection.
8.		A client who is in pain refuses to be repositioned. In making a decision about what to do, what should the nurse consider first? Your Answer: What are the alternatives Correct Answer: Why a decision is needed
		Objective: Discuss the relationships among the nursing process, critical thinking, the problem-solving process, and the decision-making process. Rationale: Decision making requires the nurse to select the best action to meet a desired goal. When a decision is needed comes after determining why a decision is needed. Who actually makes the decision is important, but not the first thing to consider. What the alternatives are comes after determining why a decision is needed, who makes the decision, and when a decision is needed. Nursing Process: Planning Client Need: Physiological Integrity Cognitive Level: Analysis Strategy: Read question and prioritize nursing actions.
9.		The nurse knows that the nursing diagnosis of Fluid Volume Excess may be related to altered circulation or an electrolyte imbalance. As a result, the nurse reviews lab results and checks the blood pressure and ankles for swelling in a client who recently had cardiac surgery. What kind of reasoning is the nurse using? Your Answer: Deductive
		Objective: Discuss the skills and attitudes of critical thinking. Rationale: When the nurse begins with knowledge of a nursing diagnosis, it is in keeping with deductive reasoning to look for specific data to support that diagnosis. Inductive is starting with the data and forming a generalization, opposite of what the nurse is doing in this case. Scientific method is not related to the reasoning the nurse is doing with respect to the nursing process. Intuition is a "gut feeling," and is not related to the reasoning the nurse is doing with respect to nursing process. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Application Strategy: Understand contemporary nursing practice and relationship to critical thinking.
10.		After examining her client's abdomen and finding it firm and round, even though the client says it doesn't hurt, the nurse says to a colleague, "I think something is going on here; I am going to check the latest assessment." This nurse is using: Your Answer: Modified scientific method Correct Answer: Intuition
		Objective: Discuss the relationships among the nursing process, critical thinking, the problem-solving process, and the decision-making process. Rationale: Intuition is the "gut feeling" one has without the conscious use of reasoning. Deductive reasoning is reasoning from the general to the specific. Trial and error is a problem-solving process that requires trying one or more approaches until one works. Modified scientific method is a logical, systematic approach to problem solving that the nurse is not using in this case. Nursing Process: Assessment Client Need: Physiological Integrity Cognitive Level: Application Strategy: Understand contemporary nursing practice and relationship to critical thinking.