Question 16
Type: MCSA
A client with unstable cardiac dysrhythmias has orders for medications, one of which is by oral route, the other by
IV delivery. The nurse realizes that the IV route would be fastest, but is also concerned about the side effects that
this drug may produce and the fact that the client has never taken the drug, so any adverse effect is unknown.
Which part of the decision-making process is the nurse using?
1. Identify the purpose
2. Seek alternatives
3. Project
4. Implement
Question 17
Type: MCSA
Prior to providing client care, the nurse reviews previous shift charting and the responses to nursing interventions.
Which decision-making action is the nurse using?
1. Set the criteria
2. Examine alternatives
3. Implement
4. Evaluate the outcome
Question 18
Type: MCSA
Parents ask why invasive diagnostic tests were prescribed for their ill child. The nurse has just gotten out of report
and has not had a chance to review additional information. What should the nurse respond to the parents?
1. “I’m not sure I can answer your question just now.”
2. “It’s a good idea to listen to what your physician wants.”
3. “Your child’s doctor is the best there is. I don’t see why you wouldn’t follow his advice.”
4. “Maybe you should get another opinion if you’re not comfortable with your doctor.”
Question 19
Type: MCSA
A client complaining of “extreme” low back pain is pale and diaphoretic and walks bent at the waist. Before
taking vital signs, the nurse suspects that the blood pressure and heart rate will be elevated. What thought process
did the nurse use to come to this conclusion?
1. Fact
2. Inference
3. Judgment
4. Opinion
Question 20
Type: MCSA
The nurse completes collecting data from a client and determines a list of problems. Which step in the nursing
process should the nurse perform next?
1. Assess
2. Diagnose
3. Plan
4. Evaluate
Question 21
Type: MCSA
While caring for a client of a different culture, the nurse becomes disturbed when the client’s spouse makes all the
decisions about care and treatments. What behavior is this nurse demonstrating?
1. Inference
2. Judgment
3. Opinion
4. Evaluation
Question 22
Type: MCSA
The staff nurse asks why unlicensed assistive personnel are responsible for stocking the unit refrigerator with
refreshments when dietary personnel place the items on the shelf in the kitchen. What characteristic of critical
thinking is this nurse demonstrating?
1. Curiosity
2. Clinical reasoning
3. Setting priorities
4. Developing rationales
Question 23
Type: MCSA
A clinical instructor senses that a student has been struggling with clinical skills learned in lab. To combat this,
the educator pairs the student with a staff nurse who has clients with a variety of treatments and cares. Which type
of problem solving is the instructor using?
1. Trial and error
2. Intuition
3. Research process
4. Experience
Question 24
Type: MCMA
The nurse desires to improve critical thinking skills when providing client care. On which attributes should the
nurse focus when developing these skills?
Standard Text: Select all that apply.
1. Independence
2. Egocentricity
3. Intellectual humility
4. Fair-mindedness
5. Confidence
6. Perseverance
Question 25
Type: MCMA
During a clinical conference, a staff nurse states that critical thinking is essential when providing client care. What
additional statements should this nurse make to support the use of critical thinking?
Standard Text: Select all that apply.
1. “Patient acuity is so much greater than it was even 10 years ago.”
2. “Care delivery systems are only as good as the nurses delivering care.”
3. “Nurses have always relied on commonsense thinking to provide quality, appropriate nursing care.”
4. “With health care being so expensive, nursing has to take on responsibility to keep the costs controlled.”
5. “My practice involves caring for clients who require care that didn’t even exist when I went to school.”
Question 26
Type: MCMA
The nurse manager determines that a new staff nurse is demonstrating characteristics of a critical thinker. What
did the manager observe the nurse perform?
Standard Text: Select all that apply.
1. Listening with empathy to a client who recently has been diagnosed.
2. Waiting for the medical team to determine the focus of the client’s supportive care.
3. Questioning a medication order that does not appear to meet the client’s needs for pain management.
4. Exhibiting a willingness to try alternate methods of addressing a client’s care needs.
5. Practicing nursing in a culturally competent fashion.
New Questions:
Question 27
Type: MCMA
The staff nurse is helping a new graduate understand the relationship between care concepts and planned
interventions. What value would it be for the staff nurse to encourage the new graduate to use a concept map?
Standard Text: Select all that apply.
1. Used to highlight key areas
2. Provides a visual representation
3. Can be quicker than taking notes
4. Takes years to study how to create
5. Aids in developing critical thinking
Question 28
Type: MCMA
The nurse is planning to create a concept map to explain relationships between concepts and associated attributes.
Which types of concept maps should the nurse consider creating?
Standard Text: Select all that apply.
1. Spider
2. Systems
3. Flowchart
3. Definitions
5. Hierarchical
