TO REAL 2025/26 VERSION EXAM
Q.1 : The nurse in charge identifies a patient's responses to actual or potential
health problems during which step of the nursing process?
a) Assessing
b) Diagnosing
c) Planning
d) Evaluating
Q.2 : A nurse is revising a client's care plan. During which step of the nursing
process does such a revision take place?
a) Assessment
b) Planning
c) Implementation
d) Evaluation
Q.3 Using Maslow's hierarchy of needs, a nurse assigns the highest priority to which
client need?
a) Elimination
b) Security
c) Safety
d) Belonging
Q.4 : The most important nursing intervention to correct skin
dryness is:
a) avoid bathing until the condition is remedied and notify
physician
b) ask physician to refer the patient to a dermatologist
c) Consult the dietitian about increasing fat intake, and take necessary
measures to prevent infection
D. encourage the patient to increase fluid intake, use nonirritating soap, and apply
lotion to involved areas.
Q.5 In emergency Situation, Nurse should go first for the assisment of
a) Bone fracture
b) Circulation
c) Airway
, d) Pulse
Q.6 : The nurse repositions a client who has difficulty breathing. Which nursing
action, when performed following the intervention, demonstrates evaluation?
a) Instructing the client the importance of mobility
b) Arranging the pillows behind the client's back
c) Checking the client's respiratory status
, d) Changing the rate of flow for the oxygen delivery system
Q.7: The nurse is caring for a one day postoperative client with a new colostomy. What
nursing diagnosis would be the primary concern for the nurse?
a) Activity intolerance
b) Ineffective Health Maintenance
c) Impaired bowel elimination
d) Ineffective coping
Q. 8: assessments can be done with an initial assessment. They
identify new or overlooked problems. They are important because they
can "flag" existing problems.
a) Initial
b) Focused
c) On-going
d) Emergency
Q. 9: Time lapsed assessments compare current status to the data
a) Subjective
b) Projected
c) Objective
d) Baseline
Q.10: is the conscious and deliberate use of the five senses to gather data
a) Assessment
b) Interview
c) Observation
Q. 11: The step of the nursing process interprets and analyzes data gathered
a) Assessment
b) Diagnosis
c) Implementation
d) Evaluation
Q. 12: A permanent, confidential, legal collection of medical information
that includes assessments, implementations, evaluations, management
plans, and progress notes.
a) Care Tracker
b) Resident Care plan
c) Resident Medical Record
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, d) ADLs
Q. 13: Which is not included in care plans?
a) level of independence in ADLs
b) treatments
c) statement of issues
d) none of the above
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