Test Bank Fundamentals of Nursing,
Nursing Process // 90+ review
questions and answers //Complete
Test bank//
A nurse is applying the nursing process while assessing a patient with shortness of breath. Which
action best represents the assessment phase?
A. Starting oxygen therapy immediately
B. Collecting respiratory rate, oxygen saturation, and patient history ✔️✔️
C. Writing a nursing diagnosis of impaired gas exchange
D. Evaluating patient response to treatment
A patient complains of pain after surgery. Which statement best reflects a nursing diagnosis?
A. Administer morphine 5mg IV
B. Pain related to tissue injury as evidenced by patient report ✔️✔️
C. Monitor vital signs every 2 hours
D. Encourage deep breathing exercises
Which action belongs to the planning stage of the nursing process?
A. Identifying patient problems
B. Setting measurable goals for patient recovery ✔️✔️
C. Performing wound dressing
D. Recording patient vital signs
A nurse is implementing care for a patient with dehydration. Which action is part of
implementation?
A. Diagnosing fluid volume deficit
B. Giving prescribed IV fluids ✔️✔️
C. Evaluating hydration status
D. Identifying risk factors
What is the primary purpose of the nursing process?
A. To replace medical diagnosis
B. To provide structured patient-centered care ✔️✔️
C. To reduce hospital paperwork
D. To assign duties to nurses
A nurse evaluates whether a patient’s pain has reduced after medication. This step is called:
A. Assessment
B. Diagnosis
1
,C. Implementation
D. Evaluation ✔️✔️
Which data is considered subjective during assessment?
A. Blood pressure reading
B. Temperature measurement
C. Patient stating “I feel dizzy” ✔️✔️
D. Oxygen saturation level
Which is an example of an objective finding?
A. “I feel nauseated”
B. “I am tired”
C. Elevated heart rate of 110 bpm ✔️✔️
D. “I feel anxious”
A nurse identifies risk for infection in a patient. This is classified as:
A. Actual diagnosis
B. Risk nursing diagnosis ✔️✔️
C. Medical diagnosis
D. Collaborative problem
Which statement best describes evaluation in nursing process?
A. Collecting patient data
B. Comparing outcomes with expected goals ✔️✔️
C. Administering medication
D. Formulating diagnosis
Which phase follows assessment in the nursing process?
A. Evaluation
B. Planning
C. Diagnosis ✔️✔️
D. Implementation
Which is a correctly written nursing goal?
A. Patient will feel better
B. Patient will reduce pain
C. Patient will report pain level below 3/10 within 24 hours ✔️✔️
D. Nurse will give pain medication
What is the focus of the diagnosis phase?
A. Treatment execution
B. Patient problems and responses ✔️✔️
C. Equipment preparation
D. Discharge planning only
2
, Which action is part of evaluation?
A. Recording baseline vitals
B. Checking if interventions achieved expected outcomes ✔️✔️
C. Administering antibiotics
D. Identifying allergies
A nurse prioritizes patient problems using ABC principle. What does ABC stand for?
A. Activity, Bathing, Care
B. Airway, Breathing, Circulation ✔️✔️
C. Assessment, Behavior, Comfort
D. Anxiety, Blood, Care
Which tool is commonly used during assessment?
A. Nursing diagnosis handbook
B. Stethoscope ✔️✔️
C. Care plan sheet only
D. Medication chart
Which is an example of a nursing intervention?
A. Diagnosing pneumonia
B. Teaching deep breathing exercises ✔️✔️
C. Identifying lab results
D. Writing medical prescription
A patient is unable to move independently. Which is the first step in addressing this problem?
A. Evaluation
B. Assessment ✔️✔️
C. Implementation
D. Documentation
What is a collaborative problem in nursing?
A. Managed independently by nurse
B. Requires both nurse and physician input ✔️✔️
C. Only medical diagnosis
D. Only patient concern
Which is NOT part of the nursing process?
A. Assessment
B. Diagnosis
C. Prescription writing ✔️✔️
D. Evaluation
Which action shows critical thinking in nursing process?
A. Following orders blindly
B. Adjusting care based on patient response ✔️✔️
3
Nursing Process // 90+ review
questions and answers //Complete
Test bank//
A nurse is applying the nursing process while assessing a patient with shortness of breath. Which
action best represents the assessment phase?
A. Starting oxygen therapy immediately
B. Collecting respiratory rate, oxygen saturation, and patient history ✔️✔️
C. Writing a nursing diagnosis of impaired gas exchange
D. Evaluating patient response to treatment
A patient complains of pain after surgery. Which statement best reflects a nursing diagnosis?
A. Administer morphine 5mg IV
B. Pain related to tissue injury as evidenced by patient report ✔️✔️
C. Monitor vital signs every 2 hours
D. Encourage deep breathing exercises
Which action belongs to the planning stage of the nursing process?
A. Identifying patient problems
B. Setting measurable goals for patient recovery ✔️✔️
C. Performing wound dressing
D. Recording patient vital signs
A nurse is implementing care for a patient with dehydration. Which action is part of
implementation?
A. Diagnosing fluid volume deficit
B. Giving prescribed IV fluids ✔️✔️
C. Evaluating hydration status
D. Identifying risk factors
What is the primary purpose of the nursing process?
A. To replace medical diagnosis
B. To provide structured patient-centered care ✔️✔️
C. To reduce hospital paperwork
D. To assign duties to nurses
A nurse evaluates whether a patient’s pain has reduced after medication. This step is called:
A. Assessment
B. Diagnosis
1
,C. Implementation
D. Evaluation ✔️✔️
Which data is considered subjective during assessment?
A. Blood pressure reading
B. Temperature measurement
C. Patient stating “I feel dizzy” ✔️✔️
D. Oxygen saturation level
Which is an example of an objective finding?
A. “I feel nauseated”
B. “I am tired”
C. Elevated heart rate of 110 bpm ✔️✔️
D. “I feel anxious”
A nurse identifies risk for infection in a patient. This is classified as:
A. Actual diagnosis
B. Risk nursing diagnosis ✔️✔️
C. Medical diagnosis
D. Collaborative problem
Which statement best describes evaluation in nursing process?
A. Collecting patient data
B. Comparing outcomes with expected goals ✔️✔️
C. Administering medication
D. Formulating diagnosis
Which phase follows assessment in the nursing process?
A. Evaluation
B. Planning
C. Diagnosis ✔️✔️
D. Implementation
Which is a correctly written nursing goal?
A. Patient will feel better
B. Patient will reduce pain
C. Patient will report pain level below 3/10 within 24 hours ✔️✔️
D. Nurse will give pain medication
What is the focus of the diagnosis phase?
A. Treatment execution
B. Patient problems and responses ✔️✔️
C. Equipment preparation
D. Discharge planning only
2
, Which action is part of evaluation?
A. Recording baseline vitals
B. Checking if interventions achieved expected outcomes ✔️✔️
C. Administering antibiotics
D. Identifying allergies
A nurse prioritizes patient problems using ABC principle. What does ABC stand for?
A. Activity, Bathing, Care
B. Airway, Breathing, Circulation ✔️✔️
C. Assessment, Behavior, Comfort
D. Anxiety, Blood, Care
Which tool is commonly used during assessment?
A. Nursing diagnosis handbook
B. Stethoscope ✔️✔️
C. Care plan sheet only
D. Medication chart
Which is an example of a nursing intervention?
A. Diagnosing pneumonia
B. Teaching deep breathing exercises ✔️✔️
C. Identifying lab results
D. Writing medical prescription
A patient is unable to move independently. Which is the first step in addressing this problem?
A. Evaluation
B. Assessment ✔️✔️
C. Implementation
D. Documentation
What is a collaborative problem in nursing?
A. Managed independently by nurse
B. Requires both nurse and physician input ✔️✔️
C. Only medical diagnosis
D. Only patient concern
Which is NOT part of the nursing process?
A. Assessment
B. Diagnosis
C. Prescription writing ✔️✔️
D. Evaluation
Which action shows critical thinking in nursing process?
A. Following orders blindly
B. Adjusting care based on patient response ✔️✔️
3
