Nursing Process Approach 11e McCuistion
2026/2027 – Complete Chapters
MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the following
steps, EXCEPT:
a. Assessment
b. Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2)
patient problem, 3) planning, 4) implementation, and 5) evaluation. ―Right drug‖ is one of the
―Six Rights‖ of medication administration.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Management of Care
2. The nurse is using data collected to set goals or expected outcomes and interventions that
address the patient‘s problems. Which step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected outcomes
and interventions which address the patient‘s problems. The data was collected during the
―Assessment‖ and ―Patient problem‖ steps. During the ―Evaluation‖ phase the nurse would
determine whether the goals and objectives set during the planning phase were met.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
of hyperglycemia. The parents tell the nurse that they can‘t keep track of everything that has
to be done to care for their child. The nurse reviews medications, diet, and symptom
management with the parents and draws up a daily checklist for the family to use. These
activities are completed in which step of the nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C
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, The implementation phase is the part of the nursing process in which the nurse provides
education, drug administration, patient care, and other interventions necessary to assist the
patient in accomplishing established medication goals.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care
4. The nurse is preparing to administer a medication and reviews the patient‘s chart for drug
allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The nurse‘s actions are
reflective of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A
Assessment involves gathering information about the patient and the drug, including any
previous use of the drug.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
5. Which assessment is categorized as objective data?
a. A list of herbal supplements regularly used
b. Lab values associated with the drugs the patient is taking
c. The ages and relationship to the patient of all household members
d. Usual dietary patterns and fNo o d intake
ANS: B
Objective data are measured and detected by another person and would include lab values.
The other examples are subjective data.
DIF: Cognitive Level: Understanding (Comprehension)
TOP: Nursing Process: Assessment MSC: NCLEX: Management of Care
6. The nurse reviews a patient‘s database and learns that the patient lives alone, is forgetful, and
does not have an established routine. The patient will be sent home with three new
medications to be taken at different times of the day. The nurse develops a daily medication
chart and enlists a family member to put the patient‘s pills in a pill organizer. This is an
example of which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C
The implementation phase involves education and patient care in order to assist the patient to
accomplish the goals of treatment.
DIF: Cognitive Level: Applying (Application)
TOP: Nursing Process: Nursing Intervention
TESTBANKWORLD.ORG
, MSC: NCLEX: Management of Care
7. A patient who is hospitalized for chronic obstructive pulmonary disease (COPD) wants to go
home. The nurse and the patient discuss the patient‘s situation and decide that the patient may
go home when able to perform self-care without dyspnea and hypoxia. This is an example of
which phase of the nursing process?
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: D
Planning involves goal setting, which, for this patient, means being able to perform self-care
activities without dyspnea and hypoxia.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning
MSC: NCLEX: Management of Care
8. A patient will be sent home with a metered-dose inhaler, and the nurse is providing teaching.
Which is a correctly written goal for this process?
a. The nurse will demonstrate the correct use of a metered-dose inhaler to the patient.
b. The nurse will teach the patient how to administer medication with a metered-dose
inhaler.
c. The patient will know how to self-administer the medication using the
metered-dose inhaler.
d. The patient will independently administer the medication using the metered-dose
inhaler at the end of the session.
N
ANS: D
Goals must be patient-centered and clearly state the outcome with a reasonable deadline and
should identify components for evaluation.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Management of Care
9. The nurse is developing a plan of care for a patient who has chronic lung disease and hypoxia.
The patient has been admitted for increased oxygen needs above a baseline of 2 L/min. The
nurse develops a goal stating, ―The patient will have oxygen saturations of >95% on room air
at the time of discharge from the hospital.‖ What is wrong with this goal?
a. It cannot be evaluated.
b. It is not measurable.
c. It is not patient-centered.
d. It is not realistic.
ANS: D
This goal is not realistic because the patient is not usually on room air and should not be
expected to attain that goal by discharge from this hospitalization.
DIF: Cognitive Level: Applying (Application) TOP: Nursing Process: Planning
MSC: NCLEX: Management of Care
TESTBANKWORLD.ORG
, 10. The jnnurse jnis jndeveloping jna jnteaching jnplan jnfor jnan jnelderly jnpatient jnwho jnwill jnbegin
jntaking jnan jnantihypertensive jndrug jnthat jncauses jndizziness jnand jnorthostatic jnhypotension.
jnWhich jnpatient jnproblem jndocumented jnby jnthe jnnurse jnis jnappropriate jnfor jnthis jnpatient?
a. Deficient jnknowledge jnrelated jnto jndrug jnside jneffects
b. Ineffective jnhealth jnmaintenance jnrelated jnto jnage
c. Readiness jnfor jnenhanced jnknowledge jnrelated jnto jnmedication jnside jneffects
d. Risk jnfor jninjury jnrelated jnto jnside jneffects jnof jnthe jnmedication
ANS: j n D
This jnpatient jnhas jnan jnincreased jnrisk jnfor jninjury jnbecause jnof jndrug jnside jneffects, jnso jnthis jnis
jnan jnappropriate jnpatient jnproblem jnto jndirect jnthe jntype jnof jncare jnand jnfollow-up jnthe jnpatient jnwill
jnreceive.
DIF: Cognitive jnLevel: jnApplying
jn(Application) jnTOP: jnNursing jnProcess:
jnNursing jnDiagnosis jnMSC: j n NCLEX:
jnManagement jnof jnCare
11. An jnolder jnpatient jnmust jnlearn jnto jnadminister jna jnmedication jnusing jna jndevice jnthat jnrequires
manual jndexterity. jnThe jnpatient jnbecomes jnfrustrated jnand jnexpresses jnlack jnof jnself-confidence
jn
in jnperforming jnthis jntask. jnWhich jnaction jnwill jnthe jnnurse jnperform jnnext?
jn
a. Ask jnthe jnpatient jnto jnkeep jntrying jnuntil jnthe jnskill jnis jnlearned.
b. Provide jnwritten jninstructions jnwith jnillustrations jnshowing jneach jnstep jnof jnthe jnskill.
c. Schedule jnmultiple jnsessions jnand jnpractice jneach jnstep jnseparately.
d. Teach jnthe jnprocedure jnto jnfamily jnmembers jnwho jncan jnadminister jnthe jnmedication jnfor
jnthe jnpatient.
ANS: j n C
Nurses jnshould jnbe jnsensitive jnto jnpatient‘s jnlevel jnof jnfrustration jnwhen jnteaching jnskills. jnIn jnthis jncase,
jnbreaking jnthe jnsteps jndown jninto jninN
dividual jnparts jnwill jnhelp jnwith jnthis jnpatient‘s jnfrustration jnlevel.
DIF: Cognitive jnLevel: jnApplying jn(Application) TOP: j n Nursing jnProcess:
jnPlanning jnMSC: j n NCLEX: jnManagement jnof jnCare
12. A jnschool-age jnchild jnwill jnbegin jntaking jna jnmedication jnto jnbe jnadministered jnat jn5 jnmL jnthree
jntimes jndaily. jnThe jnchild‘s jnparent jntells jnthe jnnurse jnthat, jnwith jna jnprevious jnuse jnof jnthe
jndrug, jnthe jnchild jnrepeatedly jnforgot jnto jnbring jnthe jnmedication jnhome jnfrom jnschool,
jnresulting jnin jnmissed jnevening jndoses. jnWhat jnwill jnthe jnnurse jnrecommend?
a. Asking jnthe jnprovider jnif jnthe jnmedication jnmay jnbe jntaken jnbefore jnschool, jnafter
jnschool, jnand jnat jnbedtime
b. Putting jna jnnote jnon jnthe jnchild‘s jnlocker jnto jnencourage jnthe jnchild jnto jntake
jnresponsibility jnfor jnmedication jnadministration
c. Asking jnthe jnprovider jnif jn7.5 jnmL jnmay jnbe jntaken jnin jnthe jnmorning jnand jn7.5 jnmL
jnmay jnbe jntaken jnin jnthe jnevening jnso jnthat jnthe jncorrect jnamount jnis jngiven jndaily
d. Taking jnthe jnnoon jndose jnto jnschool jnevery jnday jnand jngiving jnit jnto jnthe jnschool
jnnurse jnto jnadminister
ANS: j n C
For jnbusy jnfamilies jnwith jnschool-age jnchildren, jnit jnmay jnbe jnnecessary jnto jnadjust jnthe jnmedication
jnschedule jnto jnone jnthat jnfits jntheir jnschedule. jnThe jnnurse jnshould jnask jnthe jnprovider jnif jna jnrevised
jnschedule jnis jnpossible. jnIn jnthis jncase, jnthe jnmost jneffective jnrevised jnschedule jnwould jninvolve jnnot
jntaking jnthe jnmedication jnwhile jnat jnschool. jnPutting jna jnnote jnon jnthe jnlocker jnis jnnot jnlikely jnto jnbe
jneffective. jn It jnis jnnot jncorrect jnto jnadjust jnthe jndose.
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