HONDROS NUR 200 QUIZ 1 |
Answered | Nursing
Fundamentals | Hondros College |
Pass Guaranteed - A+ Graded
## [DOMAIN 1: NURSING PROCESS (ADPIE) & CRITICAL THINKING - 25 Questions]
* *1. What is the primary purpose of the nursing process?**
A) To document patient care for legal protection
B) To provide a systematic, problem-solving approach to patient care
C) To assign tasks to unlicensed assistive personnel
D) To reduce healthcare costs
**Rationale:** The nursing process is a systematic, client-centered, goal-directed method for
planning, implementing, and evaluating care. It originated in 1955 and guides all nursing actions
to ensure quality outcomes .
**B) [CORRECT]**
* *2. Which of the following is the FIRST step of the nursing process (ADPIE)?**
A) Diagnosis
B) Planning
C) Assessment
D) Implementation
**Rationale:** Assessment is the first phase, involving continuous data collection from the
moment the nurse meets the patient. It includes gathering both subjective and objective data .
**C) [CORRECT]**
* *3. A nurse is gathering information from a patient who states, "I feel dizzy and nauseated."
This is an example of:**
A) Objective data
B) Secondary data
C) Subjective data
D) Tertiary data
**Rationale:** Subjective data includes symptoms, feelings, and perceptions that the patient
describes and cannot be observed through the nurse's senses .
**C) [CORRECT]**
,* *4. During physical examination, the nurse observes a patient's skin rash and documents a
blood pressure of 142/88 mmHg. This represents:**
A) Subjective data
B) Objective data
C) Primary source data
D) Both B and C
**Rationale:** Objective data consists of observable, measurable signs (rash, BP reading). Data
obtained directly from the patient or through nurse observation is primary source data .
**D) [CORRECT]**
* *5. The nurse uses the NANDA-I taxonomy to:**
A) Prescribe medications
B) Formulate nursing diagnoses
C) Bill insurance companies
D) Schedule patient procedures
**Rationale:** NANDA-I provides standardized nursing diagnosis language. A nursing diagnosis
is a clinical judgment about human responses to health conditions, distinct from medical
diagnoses .
**B) [CORRECT]**
* *6. A proper three-part nursing diagnosis statement includes:**
A) Problem, medical diagnosis, physician orders
B) Problem (NANDA label), etiology, defining characteristics
C) Medication, dose, frequency
D) Vital signs, lab values, symptoms
**Rationale:** The PES format states: Problem (P) related to etiology (E) as evidenced by
signs/symptoms (S). Example: Impaired physical mobility related to incisional pain as evidenced
by restricted turning .
**B) [CORRECT]**
* *7. During the Planning phase, goals must be:**
A) Vague and flexible
B) Determined solely by the physician
C) SMART (Specific, Measurable, Attainable, Relevant, Time-bound)
D) Long-term only
**Rationale:** SMART goals ensure outcomes are measurable and achievable. Example:
"Patient will ambulate 50 feet with assistance by discharge" .
**C) [CORRECT]**
* *8. Which of the following is an independent nursing intervention?**
A) Administering prescribed morphine
B) Inserting a Foley catheter per physician order
C) Teaching a patient about deep breathing exercises
, ) Initiating IV fluids per protocol
D
**Rationale:** Independent interventions require no supervision or physician order. Patient
teaching falls within the nurse's autonomous scope of practice .
**C) [CORRECT]**
* *9. A dependent nursing intervention requires:**
A) No supervision
B) A physician's order or supervision
C) Patient consent only
D) Institutional policy only
**Rationale:** Dependent interventions (e.g., medication administration, invasive procedures)
require specific orders from authorized providers .
**B) [CORRECT]**
* *10. The final step of the nursing process involves:**
A) Discharging the patient
B) Evaluating whether goals were met
C) Writing the care plan
D) Obtaining vital signs
**Rationale:** Evaluation determines effectiveness of care, allows care plan revision, and may
lead to discontinuing or modifying interventions based on patient response .
**B) [CORRECT]**
* *11. Critical thinking in nursing is best defined as:**
A) Memorizing textbook information
B) Purposeful, outcome-directed thinking driven by patient needs
C) Following physician orders without question
D) Avoiding complex patient situations
**Rationale:** Critical thinking involves active, organized cognitive processes including
recognizing issues, analyzing information, evaluating data, and making conclusions .
**B) [CORRECT]**
* *12. Which component is NOT one of the five elements of critical thinking in nursing?**
A) Knowledge base
B) Experience
C) Emotional reactivity
D) Nursing process competencies
**Rationale:** The five components are: knowledge base, experience, nursing process
competencies, attitudes (confidence, fairness, humility), and intellectual/professional standards .
**C) [CORRECT]**
* *13. Tanner's Clinical Judgment Model includes which four domains?**
A) Assessment, Diagnosis, Planning, Evaluation
B) Noticing, Interpreting, Responding, Reflecting
, ) Admission, Treatment, Discharge, Follow-up
C
D) Safety, Quality, Leadership, Professionalism
**Rationale:** Tanner's model describes how nurses develop clinical judgment through noticing
(identifying cues), interpreting (making sense of data), responding (taking action), and reflecting
(evaluating outcomes) .
**B) [CORRECT]**
* *14. A novice nurse uses theoretical knowledge to make hypotheses about patient care. This
describes:**
A) Intuitive reasoning
B) Analytic reasoning
C) Narrative reasoning
D) Reflective reasoning
**Rationale:** Analytic reasoning involves deliberate, step-by-step analysis based on theoretical
knowledge. Intuitive reasoning is pattern-based and typical of expert nurses .
**B) [CORRECT]**
* *15. Evidence-based practice (EBP) integrates:**
A) Nurse preference only
B) Best research evidence, clinical expertise, and patient values
C) Cost containment strategies
D) Physician orders exclusively
**Rationale:** EBP combines the best available research with clinical expertise and patient
characteristics/preferences to optimize outcomes .
**B) [CORRECT]**
* *16. A nurse clusters data about a patient's elevated temperature, increased heart rate, and
flushed skin to identify a pattern. This is called:**
A) Implementation
B) Data interpretation
C) Diagnostic reasoning
D) Both B and C
**Rationale:** Clustering related information and recognizing patterns are key steps in
diagnostic reasoning, which leads to accurate nursing diagnoses .
**D) [CORRECT]**
* *17. Which term describes taking something for granted without supporting evidence?**
A) Inference
B) Assumption
C) Cue
D) Validation
**Rationale:** Identifying assumptions is part of the "noticing" phase in Tanner's model. Nurses
must recognize when they are making unsupported conclusions .
**B) [CORRECT]**
Answered | Nursing
Fundamentals | Hondros College |
Pass Guaranteed - A+ Graded
## [DOMAIN 1: NURSING PROCESS (ADPIE) & CRITICAL THINKING - 25 Questions]
* *1. What is the primary purpose of the nursing process?**
A) To document patient care for legal protection
B) To provide a systematic, problem-solving approach to patient care
C) To assign tasks to unlicensed assistive personnel
D) To reduce healthcare costs
**Rationale:** The nursing process is a systematic, client-centered, goal-directed method for
planning, implementing, and evaluating care. It originated in 1955 and guides all nursing actions
to ensure quality outcomes .
**B) [CORRECT]**
* *2. Which of the following is the FIRST step of the nursing process (ADPIE)?**
A) Diagnosis
B) Planning
C) Assessment
D) Implementation
**Rationale:** Assessment is the first phase, involving continuous data collection from the
moment the nurse meets the patient. It includes gathering both subjective and objective data .
**C) [CORRECT]**
* *3. A nurse is gathering information from a patient who states, "I feel dizzy and nauseated."
This is an example of:**
A) Objective data
B) Secondary data
C) Subjective data
D) Tertiary data
**Rationale:** Subjective data includes symptoms, feelings, and perceptions that the patient
describes and cannot be observed through the nurse's senses .
**C) [CORRECT]**
,* *4. During physical examination, the nurse observes a patient's skin rash and documents a
blood pressure of 142/88 mmHg. This represents:**
A) Subjective data
B) Objective data
C) Primary source data
D) Both B and C
**Rationale:** Objective data consists of observable, measurable signs (rash, BP reading). Data
obtained directly from the patient or through nurse observation is primary source data .
**D) [CORRECT]**
* *5. The nurse uses the NANDA-I taxonomy to:**
A) Prescribe medications
B) Formulate nursing diagnoses
C) Bill insurance companies
D) Schedule patient procedures
**Rationale:** NANDA-I provides standardized nursing diagnosis language. A nursing diagnosis
is a clinical judgment about human responses to health conditions, distinct from medical
diagnoses .
**B) [CORRECT]**
* *6. A proper three-part nursing diagnosis statement includes:**
A) Problem, medical diagnosis, physician orders
B) Problem (NANDA label), etiology, defining characteristics
C) Medication, dose, frequency
D) Vital signs, lab values, symptoms
**Rationale:** The PES format states: Problem (P) related to etiology (E) as evidenced by
signs/symptoms (S). Example: Impaired physical mobility related to incisional pain as evidenced
by restricted turning .
**B) [CORRECT]**
* *7. During the Planning phase, goals must be:**
A) Vague and flexible
B) Determined solely by the physician
C) SMART (Specific, Measurable, Attainable, Relevant, Time-bound)
D) Long-term only
**Rationale:** SMART goals ensure outcomes are measurable and achievable. Example:
"Patient will ambulate 50 feet with assistance by discharge" .
**C) [CORRECT]**
* *8. Which of the following is an independent nursing intervention?**
A) Administering prescribed morphine
B) Inserting a Foley catheter per physician order
C) Teaching a patient about deep breathing exercises
, ) Initiating IV fluids per protocol
D
**Rationale:** Independent interventions require no supervision or physician order. Patient
teaching falls within the nurse's autonomous scope of practice .
**C) [CORRECT]**
* *9. A dependent nursing intervention requires:**
A) No supervision
B) A physician's order or supervision
C) Patient consent only
D) Institutional policy only
**Rationale:** Dependent interventions (e.g., medication administration, invasive procedures)
require specific orders from authorized providers .
**B) [CORRECT]**
* *10. The final step of the nursing process involves:**
A) Discharging the patient
B) Evaluating whether goals were met
C) Writing the care plan
D) Obtaining vital signs
**Rationale:** Evaluation determines effectiveness of care, allows care plan revision, and may
lead to discontinuing or modifying interventions based on patient response .
**B) [CORRECT]**
* *11. Critical thinking in nursing is best defined as:**
A) Memorizing textbook information
B) Purposeful, outcome-directed thinking driven by patient needs
C) Following physician orders without question
D) Avoiding complex patient situations
**Rationale:** Critical thinking involves active, organized cognitive processes including
recognizing issues, analyzing information, evaluating data, and making conclusions .
**B) [CORRECT]**
* *12. Which component is NOT one of the five elements of critical thinking in nursing?**
A) Knowledge base
B) Experience
C) Emotional reactivity
D) Nursing process competencies
**Rationale:** The five components are: knowledge base, experience, nursing process
competencies, attitudes (confidence, fairness, humility), and intellectual/professional standards .
**C) [CORRECT]**
* *13. Tanner's Clinical Judgment Model includes which four domains?**
A) Assessment, Diagnosis, Planning, Evaluation
B) Noticing, Interpreting, Responding, Reflecting
, ) Admission, Treatment, Discharge, Follow-up
C
D) Safety, Quality, Leadership, Professionalism
**Rationale:** Tanner's model describes how nurses develop clinical judgment through noticing
(identifying cues), interpreting (making sense of data), responding (taking action), and reflecting
(evaluating outcomes) .
**B) [CORRECT]**
* *14. A novice nurse uses theoretical knowledge to make hypotheses about patient care. This
describes:**
A) Intuitive reasoning
B) Analytic reasoning
C) Narrative reasoning
D) Reflective reasoning
**Rationale:** Analytic reasoning involves deliberate, step-by-step analysis based on theoretical
knowledge. Intuitive reasoning is pattern-based and typical of expert nurses .
**B) [CORRECT]**
* *15. Evidence-based practice (EBP) integrates:**
A) Nurse preference only
B) Best research evidence, clinical expertise, and patient values
C) Cost containment strategies
D) Physician orders exclusively
**Rationale:** EBP combines the best available research with clinical expertise and patient
characteristics/preferences to optimize outcomes .
**B) [CORRECT]**
* *16. A nurse clusters data about a patient's elevated temperature, increased heart rate, and
flushed skin to identify a pattern. This is called:**
A) Implementation
B) Data interpretation
C) Diagnostic reasoning
D) Both B and C
**Rationale:** Clustering related information and recognizing patterns are key steps in
diagnostic reasoning, which leads to accurate nursing diagnoses .
**D) [CORRECT]**
* *17. Which term describes taking something for granted without supporting evidence?**
A) Inference
B) Assumption
C) Cue
D) Validation
**Rationale:** Identifying assumptions is part of the "noticing" phase in Tanner's model. Nurses
must recognize when they are making unsupported conclusions .
**B) [CORRECT]**
