with Guaranteed Pass Solutions 2025-
2026 Updated.
According to the American Nurses Association, the professional nurse's role involves four broad
areas that define nursing practice. True or False - Answer True
Diagnostic reasoning is a seven-step process of _________ thinking; the nurse gathers and
clusters data, draws inferences, and develops nursing diagnoses. - Answer critical
Health assessment is the first step of the nursing process and includes the health assessment,
which is ___________ data, and the physical assessment, which is objective data. - Answer
subjective
The U.S. Department of Health and Human Services has developed a national model for health
promotion and ___________ reduction strategies called Healthy People. - Answer risk
Organizing frameworks for assessment include functional, head-to-toe, and ___________
systems. - Answer body
_________ -based nursing provides individualized nursing care from best research and scientific
findings. - Answer Evidence
The nursing process consists of three parts: assessment, planning, and evaluation. True or False
- Answer False
The purpose of the nurse performing the health assessment is to discover symptoms that
support the medical diagnosis. True or False - Answer False
Five nursing values are used by the nurse to guide professional roles. True or False - Answer
True
The type of assessment used during a life-threatening situation is the focused assessment. True
or False - Answer False
A patient needs vital signs assessed, capillary blood tests, and assistance with feeding. Which
members of the healthcare team who are appropriate for working with this patient? Select all
that apply.
Nursing assistive personnel
,LPN/LVN
RN
Physician's assistant
Respiratory therapist - Answer Nursing assistive personnel
LPN/LVN
RN
Who is ultimately responsible for delegated care?
The person assigned the delegated task
The RN
The unlicensed assistive personnel
The LPN/LVN - Answer The RN
Which task can be delegated to a nurse's aide?
Administering oral (PO) medications
Toileting a patient
Reinforcing teaching
Developing a plan of care - Answer Toileting a patient
Which is not one of the five rights of delegation?
Right task
Right circumstance
Right person
Right degree - Answer Right degree
An RN is making an assignment. Which patient is best assigned to the LPN/LVN?
A patient who needs 2 units packed red blood cells
A patient who needs two IV push medications
A patient 2 days' postoperative cholecystectomy who is ambulating
A patient with a pulse oximetry reading of 84% on 15 L non-rebreather - Answer A patient 2
days' postoperative cholecystectomy who is ambulating
What does the base of the hierarchy pyramid, the physiologic needs category, include?
Emotional components
Love and belonging
,Food and oxygen
Self-esteem - Answer Food and oxygen
Where would infection prevention efforts fall on Maslow's Hierarchy of Needs?
Physiologic needs
Safety and security needs
Love and belonging needs
Self-actualization needs - Answer Safety and security needs
Which quality would indicate that a person has achieved the self-actualization level in Maslow's
Hierarchy of Needs?
Ability to be objective
Poor self-esteem
Judgment of others
Discriminatory beliefs - Answer Ability to be objective
What is the purpose of Maslow's Hierarchy of Needs?
To determine appropriate growth and development
To properly diagnose a patient with a disorder
To categorize medical diagnoses for insurance purposes
To understand relationships among requirements to establish priorities - Answer To
understand relationships among requirements to establish priorities
A patient with substance misuse disorder who is unhoused arrives to the emergency
department. They have not showered, and they say they are hungry and tired. Based on
Maslow's Hierarchy of Needs, what is the lowest priority nursing intervention for this patient?
Providing a safe space for personal hygiene
Providing a meal
Facilitating rest
Educating them about the harmful effects of substance use - Answer Educating them about
the harmful effects of substance use
What is the first step of the Clinical Judgment Measurement Model?
Evaluate outcomes.
Prioritize hypotheses.
Analyze cues.
, Recognize cues. - Answer Recognize cues.
The NCSBN Clinical Judgment Measurement Model reflects which framework?
Maslow's Hierarchy of Needs
SBAR
The nursing process
SOAP - Answer The nursing process
The NCSBN Clinical Judgment Measurement Model was created for what purpose?
To measure decision-making skills
To measure diagnostic skills
To measure fundamental skills
To measure ability to read lab values. - Answer To measure decision-making skills
The NCSBN Clinical Judgment Measurement Model was created for which exam?
Traditional NCLEX
Next-Generation NCLEX
Medical-Surgical Nursing final exam
Advanced practice nursing licensing exam - Answer Next-Generation NCLEX
Which step of the Clinical Judgment Measurement Model reflects the planning phase of the
nursing process?
Analyze cues.
Evaluate outcomes.
Generate solutions.
Take action. - Answer Generate solutions.
What action is completed during the assessment phase of the nursing process?
Choosing interventions
Obtaining subjective and objective data
Determining the best course of action
Assessing if current interventions are working - Answer Obtaining subjective and objective
data
What is the correct order of the nursing process?