WITH VERIFIED ANSWER 2026
a. Assessment - CORRECT ANSWER A nurse is collecting data on a patient who is
being admitted into hospice care. The nurse collects data from both the patient
and the family so that a clear picture of the patient status is obtained. The nurse is
currently involved in which step of the nursing process?
a.
Assessment
b.
Implementation
c.
Evaluation
d.
Diagnosing
c. Assessment - CORRECT ANSWER The nurse is admitting a patient to the unit and
asks the patient about the health history. The nurse is engaged in which
component of the nursing process?
a.
Evaluation
b.
Diagnosis
,c.
Assessment
d.
Planning
a. Cue - CORRECT ANSWER A postoperative patient is continuing to have incisional
pain. As part of the nurses assessment, the nurse notes that the patient is
grimacing when he or she changes position. The patients grimace can be useful in
the assessment and can be described as which of the following?
a.
Cue
b.
Inference
c.
Diagnosis
d.
Health pattern
b. Inference - CORRECT ANSWER A postoperative patient has denied the need for
pain medication. The nurse has noted that the patient describes the pain as a 1 on
a 0 to 10 scale. The nurse also notes that the patient grimaces when he or she
changes position and guards the incision. The nurse believes that the patient is
experiencing pain based on the information gathered in the assessment. What is
this phenomenon known as?
,a.
Cue
b.
Inference
c.
Diagnosis
d.
Health pattern
d. Sharp, burning pain - CORRECT ANSWER A nurse is collecting data during the
assessment of a patient. During the assessment, the nurse collects both subjective
and objective data. Which information should the nurse consider as subjective
data?
a.
Heart rate of 96
b.
Incisional erythema
c.
Emesis of 150 mL
d.
Sharp, burning pain
, a. The patients toes of right foot are warm and pink - CORRECT ANSWER The
nurse has just completed an assessment on a patient with a fractured right femur.
Which data will the nurse categorize as objective?
a.
The patients toes of right foot are warm and pink.
b.
The patient reports a dull ache in the right hip.
c.
The patient says feels tired all the time.
d.
The patient is concerned about insurance coverage.
c. States, I want a registered nurse to do my assessment - CORRECT ANSWER A
student nurse is responsible for assessing a patient, who is abrupt and requests
that the assessment be done later by a nurse. As the student nurse charts the
interaction, which statement is the best way to document what happened?
a.
Appears to be in pain as evidenced by grouchy behavior
b.
Behavior is inappropriate, requests registered nurse do the assessment
c.
States, I want a registered nurse to do my assessment
d.