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TEST BANK
Fundamentals For Nursing 11th Edition By Patricia Potter, Anne Perry, Patricia
Stockert Army Hall | (2026) Complete Questions And Answers A+ Grade
, Page |2
The nurse is using critical thinking skills during the first phase of the nursing process.
Which action indicates the nurse is in the first phase?
a. Completes a comprehensive database.
b. Identifies pertinent nursing diagnoses.
c. Intervenes based on priorities of patient care.
d. Determines whether outcomes have been achieved.
ANS: A
The assessment phase of the nursing process involves data collection to complete a
thorough patient database and is the first phase. Identifying nursing diagnoses occurs
during the diagnosis phase or second phase. the nurse carries out interventions during the
implementation phase (fourth phase) and determining whether outcomes have been
achieved takes place during the evaluation phase (fifth phase) of the nursing process.
A nurse is using the problem-specific approach to data collection. Which action will
the nurse take first?
a. Completing the questions in chronological order
b. Focusing on the patient's presenting situation
c. Making accurate interpretations of the data
d. Conducting an observational overview
ANS: B
A problem-specific approach focuses on the patient's current problem or presenting
situation rather than on an observational overview. the database is not always completed
using a chronological approach if focusing on the current problem. Making interpretations
of the data is not data collection. Data interpretation occurs while appropriate nursing
diagnoses are assigned. the question is asking about data collection.
After reviewing the database, the nurse discovers that the patient's vital signs have
not been recorded by the nursing assistive personnel (NAP). Which clinical decision
should the nurse make?
a. Administer scheduled medications assuming that theNAP would have reported
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abnormal vital signs.
b. Have the patient transported to the radiology department for a scheduled x-ray and
review vital signs upon return.
c. Ask theNAP to record the patient's vital signs before administering medications.
d. Omit the vital signs because the patient is presently in no distress.
ANS: C
The nurse should ask the nursing assistive personnel to record the vital signs for review
before administering medicines or transporting the patient to another department. the
nurse should not make assumptions when providing high-quality patient care, and omitting
the vital signs is not an appropriate action.
The nurse is gathering data on a patient. Which data will the nurse report as objective
data?
a. States ―doesn't feel good‖
b. Reports a headache
c. Respirations 16
d. Nauseated
ANS: C
Objective data are observations or measurements of a patient's health status, like
respirations. Inspecting the condition of a surgical incision or wound, describing an
observed behavior, and measuring blood pressure are examples of objective data. States
―doesn't feel good,‖ reports a headache, and nausea are all subjective data. Subjective
data include thepatient's feelings, perceptions, and reported symptoms. Only patients
provide subjective data relevant to their health condition.
A patient expresses fear of going home and being alone. Vital signs are stable, and the
incision is nearly completely healed. What can thenurse infer from the subjective
data?
a. The patient can now perform the dressing changes without help.
b. The patient can begin retaking all of the previous medications.
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c. The patient is fearful of being discharged.
d. The patient's surgery was not successful.
ANS: C
Subjective data include expressions of fear of going home and being alone. These data
indicate (use inference) that the patient is apprehensive about discharge. Expressing fear is
not an appropriate sign that a patient is able to perform dressing changes independently.
An order from a health care provider is required before a patient is taught to resume
previous medications. the nurse cannot infer that surgery was not successful if the incision
is nearly completely healed.
Which method of data collection will the nurse use to establish a patient's database?
a. Reviewing the current literature to determine evidence-based nursing actions
b. Checking orders for diagnostic and laboratory tests
c. Performing a physical examination
d. Ordering medications
ANS: C
You will learn to conduct different types of assessments: the patient-centered interview
during a nursing health history, a physical examination, and the periodic assessments you
make during rounding or administering care. A nursing database includes a physical
examination. the nurse reviews the current literature in the implementation phase of the
nursing process to determine evidence-based actions, and the health care provider is
responsible for ordering medications. the nurse uses results from the diagnostic and
laboratory tests to establish a patient database, not checking orders for tests.
A nurse is gathering information about a patient's habits and lifestyle patterns. Which
method of data collection will the nurse use that will best obtain this information?
a. Carefully review lab results.
b. Conduct the physical assessment.
c. Perform a thorough nursing health history.
d. Prolong the termination phase of the interview.
TEST BANK
Fundamentals For Nursing 11th Edition By Patricia Potter, Anne Perry, Patricia
Stockert Army Hall | (2026) Complete Questions And Answers A+ Grade
, Page |2
The nurse is using critical thinking skills during the first phase of the nursing process.
Which action indicates the nurse is in the first phase?
a. Completes a comprehensive database.
b. Identifies pertinent nursing diagnoses.
c. Intervenes based on priorities of patient care.
d. Determines whether outcomes have been achieved.
ANS: A
The assessment phase of the nursing process involves data collection to complete a
thorough patient database and is the first phase. Identifying nursing diagnoses occurs
during the diagnosis phase or second phase. the nurse carries out interventions during the
implementation phase (fourth phase) and determining whether outcomes have been
achieved takes place during the evaluation phase (fifth phase) of the nursing process.
A nurse is using the problem-specific approach to data collection. Which action will
the nurse take first?
a. Completing the questions in chronological order
b. Focusing on the patient's presenting situation
c. Making accurate interpretations of the data
d. Conducting an observational overview
ANS: B
A problem-specific approach focuses on the patient's current problem or presenting
situation rather than on an observational overview. the database is not always completed
using a chronological approach if focusing on the current problem. Making interpretations
of the data is not data collection. Data interpretation occurs while appropriate nursing
diagnoses are assigned. the question is asking about data collection.
After reviewing the database, the nurse discovers that the patient's vital signs have
not been recorded by the nursing assistive personnel (NAP). Which clinical decision
should the nurse make?
a. Administer scheduled medications assuming that theNAP would have reported
, Page |3
abnormal vital signs.
b. Have the patient transported to the radiology department for a scheduled x-ray and
review vital signs upon return.
c. Ask theNAP to record the patient's vital signs before administering medications.
d. Omit the vital signs because the patient is presently in no distress.
ANS: C
The nurse should ask the nursing assistive personnel to record the vital signs for review
before administering medicines or transporting the patient to another department. the
nurse should not make assumptions when providing high-quality patient care, and omitting
the vital signs is not an appropriate action.
The nurse is gathering data on a patient. Which data will the nurse report as objective
data?
a. States ―doesn't feel good‖
b. Reports a headache
c. Respirations 16
d. Nauseated
ANS: C
Objective data are observations or measurements of a patient's health status, like
respirations. Inspecting the condition of a surgical incision or wound, describing an
observed behavior, and measuring blood pressure are examples of objective data. States
―doesn't feel good,‖ reports a headache, and nausea are all subjective data. Subjective
data include thepatient's feelings, perceptions, and reported symptoms. Only patients
provide subjective data relevant to their health condition.
A patient expresses fear of going home and being alone. Vital signs are stable, and the
incision is nearly completely healed. What can thenurse infer from the subjective
data?
a. The patient can now perform the dressing changes without help.
b. The patient can begin retaking all of the previous medications.
, Page |4
c. The patient is fearful of being discharged.
d. The patient's surgery was not successful.
ANS: C
Subjective data include expressions of fear of going home and being alone. These data
indicate (use inference) that the patient is apprehensive about discharge. Expressing fear is
not an appropriate sign that a patient is able to perform dressing changes independently.
An order from a health care provider is required before a patient is taught to resume
previous medications. the nurse cannot infer that surgery was not successful if the incision
is nearly completely healed.
Which method of data collection will the nurse use to establish a patient's database?
a. Reviewing the current literature to determine evidence-based nursing actions
b. Checking orders for diagnostic and laboratory tests
c. Performing a physical examination
d. Ordering medications
ANS: C
You will learn to conduct different types of assessments: the patient-centered interview
during a nursing health history, a physical examination, and the periodic assessments you
make during rounding or administering care. A nursing database includes a physical
examination. the nurse reviews the current literature in the implementation phase of the
nursing process to determine evidence-based actions, and the health care provider is
responsible for ordering medications. the nurse uses results from the diagnostic and
laboratory tests to establish a patient database, not checking orders for tests.
A nurse is gathering information about a patient's habits and lifestyle patterns. Which
method of data collection will the nurse use that will best obtain this information?
a. Carefully review lab results.
b. Conduct the physical assessment.
c. Perform a thorough nursing health history.
d. Prolong the termination phase of the interview.
