1. Which one of the following is a nursing diagnosis?
1. Peptic ulcer
2. Pneumonia
3. Ineffective airway clearance
4. Myocardial infarction
2. Which
... [Show More] one of the following is a medical diagnosis?
1. Hiatal hernia
2. Impaired mobility
3. Powerlessness
4. Anxiety
3. An LPN wishes to learn why a patient’s lung sounds have crackles and questions the physician during morn- ing rounds. Which critical thinking attitude is the nurse exhibiting?
1. Intellectual humility
2. Intellectual sense of justice
3. Intellectual empathy
4. Intellectual integrity
Patient's Patient's
perceptionperceptionperceptionperceptionperception perceptionperceptionperceptionperception
WhereWhere is it?it?it?
QualityQuality QualityQuality
Aggravating Aggravating Aggravating andand
alleviatingalleviatingalleviatingalleviatingalleviatingalleviatingalleviatingalleviatingalleviatingalleviatingalleviating factors factors
HeadacheHeadacheHeadacheHeadache HeadacheHeadacheHeadache
UsefulUsefulUsefulUsefulUsefulUseful otherother other
data
Severity Severity
TimingTimingTimingTimingTimingTiming
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4 Understanding Health Care Issues
4. The LVN is caring for a patient with diabetes. In what order should the nurse carry out the nursing process? Place all steps in correct sequential order.
1. Implement plan of care
2. Assist with evaluation
3. Collect data
4. Assist with development of nursing diagnoses
5. Assist with planning of outcomes and interventions
5. Which of the following statements best defines critical thinking?
1. Orderly, goal-directed thinking
2. Clear thinking during critical situations
3. Constructive feedback about nursing actions
4. Critical evaluation of patient responses to care
Choose the best answer unless directed otherwise.
6. The LPN is reviewing the nursing care plan for a patient with acute pain related to a fractured ankle. Which of the following would determine whether the care plan is effective?
1. Assessment of the patient’s ability to walk
2. Evaluation of the patient’s fracture on X-ray
3. Elevating the patient’s foot on two pillows
4. Evaluation of the patient’s pain rating on a 10-point scale.
7. A patient with a history of cardiac disease reports a feel- ing of tightness in the chest that radiates down the left arm. Which of the following actions by the LPN should be carried out immediately?
1. Check the patient’s vital signs.
2. Formulate nursing diagnoses related to an acute myocardial infarction.
3. Determine the patient’s outcome after nitroglycerin has been administered.
4. Plan interventions to reduce long-term cardiac damage.
8. The LPN is documenting patient data. Which of the fol- lowing should the nurse document under objective data?
1. Denies nausea
2. Shortness of breath
3. Heart rate 72 beats per minute
4. Midsternal chest pain
9. A patient is admitted with chest pain, which has re- solved. The patient states, “I hope I can live a normal life.” According to Maslow’s hierarchy of needs, which of the following levels is best reflected by
this statement?
1. Physiological needs
2. Safety and security
3. Love and belonging
4. Self-esteem
10. A patient has a nursing diagnosis of impaired swallow- ing related to muscle weakness as evidenced by drool- ing, coughing, and choking. Which of the following outcomes is appropriate for this patient’s nursing diagnosis?
1. Improved airway clearance within 8 hours as evi- denced by clear lung sounds and productive cough
2. Baseline body weight maintained as evidenced by no weight loss
3. Improved muscle strength as evidenced by ability to sit up while eating
4. Improved swallowing within 48 hours as evidenced by no coughing or choking
11. The LPN is providing care for a patient with a medical diagnosis of congestive heart failure who is very short of breath. Which of the following is a nursing diagno- sis that is correctly stated in the PES (problem, etiology, and signs and symptoms) format?
1. Deficient knowledge related to disease process and self-care for shortness of breath
2. Impaired gas exchange related to excess interstitial fluid as evidenced by respiratory rate of 32 per minute and patient stating he feels short of breath
3. Congestive heart failure related to decreased cardiac output as evidenced by abnormal arterial blood gasses
4. Acute dyspnea related to congestive heart failure as evidenced by swollen lower extremities and confusion.
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