Med Surg Chapter 1 Questions – Flashcards

Which one of the following is a nursing diagnosis? 1. peptic ulcer 2. pneumonia 3. ineffective airway clearance 4. myocardial infarction

Which one the following is a medical diagnosis? 1. Hiatal hernia 2. impaired mobility 3. powerlessness 4. anxiety

An LPN wishes to learn why a patient's lung sounds have crackles and questions the physician during morning rounds. Which is critical thinking attitude is the nurse exhibiting? 1. intellectual humility 2. intellectual sense of justice 3. intellectual empathy 4. intellectual integrity

The LVN is caring for pt. with diabetes. In what order should the nurse carry out the nursing process? 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

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

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

A patient with a history of cardiac disease reports a feeling 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.

The LPN is documenting patient data. Which of the following 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

A patient is admitted with chest pain, which has resolved. 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

A patient has a nursing diagnosis of impaired swallowing related to muscle weakness as evidenced by drooling, coughing, and choking. Which of the following outcomes is appropriate for this patient's nursing diagnosis? 1. Improved airway clearance within 8 hours as evidenced 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

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 diagnosis 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

in which of the following ways is critical thinking useful to the nursing process? 1. it highlights the solution to a problem 2. it can lead to a better outcome for the patient 3. it simplifies the process 4. it helps the nurse arrive at a solution more quickly

which nurse is exhibiting intellectual humility? 1. the nurse who is an expert at wound care 2. the nurse who reports an error to the supervisor. 3. the nurse who tries o empathize with the patient 4. the nurse who ask a coworker about a new procedure

Which of the following pieces of information is considered objective data? 1. the patients respiratory rate is 28 2. the patient states, I feel short of breath 3. the patient is short of breath 4. the patient is feeling panicky

an LPN/LVN is collecting data on a newly admitted patient who has an ulcerated area on his left hip. it is 2 inches in diameter and 1 inch deep, with yellow exudate. Which of the following statements best documents the findings in the patient's database? 1. wound on left hip, 2 inches diameter, 1 inch deep, infected 2. left hip wound is large, deep and has yellow drainage 3. pressure ulcer on left hip, yellow drainage 4. wound on left hip, 2 inches in diameter, 1 inch deep, yellow exudate

A 34-year old mother of three children is admitted to a respiratory unit with pneumonia. She has all the following problem. Based on Maslow hierarchy of needs, which problem should the nurse address first? 1. Frontal headache related to stress of hospital admission 2. Anxiety related to concern about leaving children 3. shortness of breath related to newly diagnosed pneumonia 4. deficient knowledge related to treatment plan

place the steps of the nursing process in correct chronological order of use. Use all options 1. nursing diagnosis 2. evaluation 3. assessment 4. planning care 5. implementation

Which of the following parts of the nursing process can be carried out by the an LPN/LVN? 1. implementation of interventions 2. nursing diagnosis 3. analysis of data 4. evaluation of outcomes

which of the following is a nursing diagnosis 1. stroke 2. renal failure 3. fracture 4. acute pain

a nurse teaches a patient the importance of stopping smoking. Which of the following patient response provides the best evidence that the teaching was effective? 1. "I have a brother who died of lung cancer. I know smoking is bad." 2. "I tried to quit 5 years ago, and i really would like to but it is very hard" 3. "Thank you for your information, I will call the smoke stopper organization today." 4. "I know you are right; i should stop smoking"