Expert nurses assess and make decisions through the use of:

Critical Thinking

Diagnostic reasoning

Clinical Knowledge

The Nursing Process

Answer and Explanation

The Correct Answer is A

A. Critical Thinking:
Critical thinking is the foundation of sound clinical judgment and decision-making.

B. Diagnostic reasoning:
Part of critical thinking, but it's more focused on identifying a diagnosis rather than the broader assessment and decision process.

C. Clinical Knowledge:
Clinical knowledge is necessary, but alone, it doesn’t drive decision-making without critical thinking.

D. The Nursing Process:
The nursing process is a framework, but critical thinking underpins how the process is applied.

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Correct Answer is D

Explanation

A. Performs the examination from the left side of the bed:
The standard is to approach from the right side of the bed for consistency in technique.

B. Follows the same examination sequence, regardless of the patient's age or condition:
The sequence may need to be adjusted depending on patient needs (e.g., very ill or pediatric clients).

C. Examines tender or painful areas first to help relieve the patient's anxiety:
Painful areas should be examined last to avoid unnecessary discomfort or guarding.

D. Organizes the assessment to ensure that the patient does not change positions too often:
Promotes comfort and efficiency during the exam.

A. Bronchial B. Tracheal C. Bronchovesicular D. Vesicular

Correct Answer is C

Explanation

A. Bronchial:
Heard over the trachea and larynx, not over the main bronchi.

B. Tracheal:
Harsh sounds heard over the trachea only.

C. Bronchovesicular:
Heard over the main bronchi-moderate pitch and intensity, equal inspiration and expiration.

D. Vesicular:
Heard over peripheral lung fields-not over the bronchi.

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Expert nurses assess and make decisions through the use of:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is preparing to perform a physical assessment. The correct action by the nurse is reflected by which statement? The nurse:

Correct Answer is D

Explanation

What is the expected breath sounds noted over the main bronchi of an adult?

Correct Answer is C

Explanation

Which of the following is accurate regarding the first heart sound or S1?

When performing a female breast examination, the nurse notes the left breast to be larger than the right. What should the nurse tell the patient?

Expert nurses assess and make decisions through the use of:

During a visit to the clinic, a patient states, "The doctor just told me he thought I ought to stop smoking. He doesn't understand how hard I've tried. I just don't know the best way to do it. What should I do?" The nurse's most appropriate response in this case would be:

When listening to heart sounds, the nurse knows the valve closures that can be heard best at the base of the heart are:

In performing a breast examination, the nurse knows that examining the upper outer quadrant of the breast is especially important. The reason for this is that the upper outer quadrant is:

As a nurse, how would you define spirituality?

Which describes an individual's ability to recognize their own illness, need for treatment and consequences stemming from the diagnosed illness?