NUR 514 Exam 1 Questions With
Answers 2026/2027 Updated.
A client comes to the walk-in clinic with reports of abdominal pain and diarrhea. While
taking the client's vital signs, the nurse is implementing which phase of the nursing
process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation - Answer A. Assessment
Rationale: The first step in the nursing process is assessment, the process of collecting
data. All subsequent phases of the nursing process (options 2, 3, and 4) rely on
accurate and complete data.
Six Competencies of QSEN - Answer Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics
The nurse is measuring the client's urine output and straining the urine to assess for
stones. Which of the following should the nurse record as objective data?
A. The client reports abdominal pain
B. The client's urine output was 450 mL
C. The client states, "I didn't see any stones in my urine."
D. The client states, "I feel like I have passed a stone." - Answer B. The client's urine
output was 450 mL.
Rationale: Objective data is measurable data that can be seen, heard, or verified by the
nurse. The objective data is the measurement of the urine output. A client's statements
and reports of symptoms are documented as subjective data, such as the data found in
options 1, 3, and 4.
The Joint Commission - Answer an independent, not-for-profit organization that
evaluates and accredits healthcare organizations
,Core measures developed to improve the quality of health care by implementing a
national, standardized performance measurement system
emergency preparedness (internal/external)
When evaluating an elderly client's blood pressure (BP) of 146/78 mmHg, the nurse
does which of the following before determining whether the BP is normal or represents
hypertension?
A. Compare this reading against defined standards
B. Compare the reading with one taken in the opposite arm
C. Determine gaps in the vital signs in the client record
D. Compare the current measurement with previous ones - Answer A. Compare this
reading against defined
Rationale: Analysis of the client's BP requires knowledge of the normal BP range for an
older adult. The nurse compares the client's data against identified standards to
determine whether this reading is normal or abnormal. Measuring the BP in the other
arm (option 2) and comparing the reading to previous ones (option 4) will give additional
client data, but the comparison alone will not determine whether the BP is normal. Gaps
in the record (option 3) will not aid in interpreting the current measurement.
Patient Rights - Answer Right to accept or refuse treatment
Right to dignity, respect, confidentiality and privacy
Right to an informed consent
Right to an advance directive
Right to information and communication
Right to personal safety
Right to understand cost and coverage
Which of the following behaviors by the nurse demonstrates that the nurse is
participating in critical thinking? Select all that apply.
A. Admitting not knowing how to do a procedure and requesting help
B. Using clever and persuasive remarks to support an opinion or position
C. Accepting without question the values acquired in nursing school
D. Finding a quick and logical answer, even to complex questions
E. Gathering three assistants to transfer the client to a stretcher after noting the client
weighs 300 lbs. - Answer A. Admitting not knowing how to do a procedure and
requesting help
E. Gathering three assistants to transfer the client to a stretcher after noting the client
weighs 300 lbs.
Rationale: Critical thinking in nursing is self-directed, supporting what nurses know and
making clear what they do not know. It is important for nurses to recognize when they
lack the knowledge they need to provide safe care for a client (option 1). Nurses must
, also utilize their resources to acquire the support they need to care for a client safely
(option 5). Options 2, 3, and 4 do not demonstrate critical thinking.
Nurse's role in the informed consent process is: - Answer Nurses witness informed
consents
Ensure provider gave the necessary information
Ensure patient is competent and understood
Have patient sign the document
Notify the provider if the patient appears not to understand or still has questions
The nurse has documented the following outcome goal in the care plan: "The client will
transfer from bed to chair with two-person assist." The charge nurse tells the nurse to
add which of the following to complete the goal?
A. Client behavior
B. Conditions or modifiers
C. Performance criteria
D. Target time - Answer D. Target time
Rationale: The outcome goal does not state the target timeframe for when the nurse
should expect to see the client behavior ("transfer"). The condition or modifier is present
("with two assists"). The performance criterion is "from bed to chair."
Nurses Role in Advance Directives - Answer Provide written information about advance
directives
Document the client's advance directives status
Ensure that the advance directives reflect the client's current decisions
Inform all members of the health care team of the client's advance directives
6 Rights of Medication Administration - Answer Right dose
Right time
Right patient
Right route
Right documentation
Right medication
The nurse who documents on the client's care plan the outcome goal "Anxiety will be
relieved within 20 to 40 minutes following administration of lorazepam (Ativan)" is
engaged in which step of the nursing process?
A. Assessment
B. Planning
C. Implementation
D. Evaluation - Answer B. Planning
Answers 2026/2027 Updated.
A client comes to the walk-in clinic with reports of abdominal pain and diarrhea. While
taking the client's vital signs, the nurse is implementing which phase of the nursing
process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation - Answer A. Assessment
Rationale: The first step in the nursing process is assessment, the process of collecting
data. All subsequent phases of the nursing process (options 2, 3, and 4) rely on
accurate and complete data.
Six Competencies of QSEN - Answer Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics
The nurse is measuring the client's urine output and straining the urine to assess for
stones. Which of the following should the nurse record as objective data?
A. The client reports abdominal pain
B. The client's urine output was 450 mL
C. The client states, "I didn't see any stones in my urine."
D. The client states, "I feel like I have passed a stone." - Answer B. The client's urine
output was 450 mL.
Rationale: Objective data is measurable data that can be seen, heard, or verified by the
nurse. The objective data is the measurement of the urine output. A client's statements
and reports of symptoms are documented as subjective data, such as the data found in
options 1, 3, and 4.
The Joint Commission - Answer an independent, not-for-profit organization that
evaluates and accredits healthcare organizations
,Core measures developed to improve the quality of health care by implementing a
national, standardized performance measurement system
emergency preparedness (internal/external)
When evaluating an elderly client's blood pressure (BP) of 146/78 mmHg, the nurse
does which of the following before determining whether the BP is normal or represents
hypertension?
A. Compare this reading against defined standards
B. Compare the reading with one taken in the opposite arm
C. Determine gaps in the vital signs in the client record
D. Compare the current measurement with previous ones - Answer A. Compare this
reading against defined
Rationale: Analysis of the client's BP requires knowledge of the normal BP range for an
older adult. The nurse compares the client's data against identified standards to
determine whether this reading is normal or abnormal. Measuring the BP in the other
arm (option 2) and comparing the reading to previous ones (option 4) will give additional
client data, but the comparison alone will not determine whether the BP is normal. Gaps
in the record (option 3) will not aid in interpreting the current measurement.
Patient Rights - Answer Right to accept or refuse treatment
Right to dignity, respect, confidentiality and privacy
Right to an informed consent
Right to an advance directive
Right to information and communication
Right to personal safety
Right to understand cost and coverage
Which of the following behaviors by the nurse demonstrates that the nurse is
participating in critical thinking? Select all that apply.
A. Admitting not knowing how to do a procedure and requesting help
B. Using clever and persuasive remarks to support an opinion or position
C. Accepting without question the values acquired in nursing school
D. Finding a quick and logical answer, even to complex questions
E. Gathering three assistants to transfer the client to a stretcher after noting the client
weighs 300 lbs. - Answer A. Admitting not knowing how to do a procedure and
requesting help
E. Gathering three assistants to transfer the client to a stretcher after noting the client
weighs 300 lbs.
Rationale: Critical thinking in nursing is self-directed, supporting what nurses know and
making clear what they do not know. It is important for nurses to recognize when they
lack the knowledge they need to provide safe care for a client (option 1). Nurses must
, also utilize their resources to acquire the support they need to care for a client safely
(option 5). Options 2, 3, and 4 do not demonstrate critical thinking.
Nurse's role in the informed consent process is: - Answer Nurses witness informed
consents
Ensure provider gave the necessary information
Ensure patient is competent and understood
Have patient sign the document
Notify the provider if the patient appears not to understand or still has questions
The nurse has documented the following outcome goal in the care plan: "The client will
transfer from bed to chair with two-person assist." The charge nurse tells the nurse to
add which of the following to complete the goal?
A. Client behavior
B. Conditions or modifiers
C. Performance criteria
D. Target time - Answer D. Target time
Rationale: The outcome goal does not state the target timeframe for when the nurse
should expect to see the client behavior ("transfer"). The condition or modifier is present
("with two assists"). The performance criterion is "from bed to chair."
Nurses Role in Advance Directives - Answer Provide written information about advance
directives
Document the client's advance directives status
Ensure that the advance directives reflect the client's current decisions
Inform all members of the health care team of the client's advance directives
6 Rights of Medication Administration - Answer Right dose
Right time
Right patient
Right route
Right documentation
Right medication
The nurse who documents on the client's care plan the outcome goal "Anxiety will be
relieved within 20 to 40 minutes following administration of lorazepam (Ativan)" is
engaged in which step of the nursing process?
A. Assessment
B. Planning
C. Implementation
D. Evaluation - Answer B. Planning
