|Chamberlain College
1. A nurse is conducting an initial assessment of a newly admitted patient.
Which of the following is considered subjective data?
A. The patient’s blood pressure is 145/90 mmHg.
B. The patient states, ‘I feel like my heart is racing.’
C. The patient’s surgical incision is red and swollen.
D. The patient’s oxygen saturation is 92% on room air.
Answer: B
Rationale: Subjective data are the patient’s perceptions, feelings, or descriptions of
symptoms. Objective data are measurable and observable by the nurse.
2. When applying the nursing process, which step involves the nurse setting
priorities and establishing measurable goals?
A. Assessment
B. Planning
C. Implementation
D. Evaluation
Answer: B
Rationale: In the planning phase, the nurse prioritizes nursing diagnoses, sets patient-
centered goals, and selects nursing interventions.
,3. A nurse uses the SMART acronym to develop patient goals. What does the ‘R’
in SMART stand for?
A. Reliable
B. Realistic
C. Reasonable
D. Rational
Answer: B
Rationale: SMART stands for Specific, Measurable, Attainable, Realistic, and Timely.
4. The nurse is caring for a patient who is experiencing difficulty breathing.
According to Maslow’s Hierarchy of Needs, which need must be addressed first?
A. Physiological needs
B. Safety and security
C. Self-esteem
D. Love and belonging
Answer: A
Rationale: Physiological needs, such as oxygenation, nutrition, and elimination, are the
most basic and must be met before higher-level needs.
5. Which of the following best describes the ‘Implementation’ phase of the
nursing process?
A. Collecting data through physical examination.
B. Analyzing data to identify patient problems.
C. Carrying out nursing interventions to achieve goals.
D. Determining if the patient met the expected outcomes.
Answer: C
Rationale: Implementation is the action phase where the nurse performs the interventions
identified in the planning phase.
, 6. In the ‘Evaluation’ phase, what is the nurse’s primary focus?
A. Formulating a nursing diagnosis.
B. Documenting the patient’s history.
C. Assigning tasks to unlicensed assistive personnel.
D. Assessing the patient’s response to interventions.
Answer: D
Rationale: Evaluation involves comparing the patient’s current status with the desired
outcomes to see if interventions were effective.
7. Which critical thinking skill involves looking back at a clinical situation to
identify what was done well and what could be improved?
A. Analysis
B. Inference
C. Explanation
D. Reflection
Answer: D
Rationale: Reflection is a purposeful process of looking back at experiences to improve
future clinical decision-making.
8. A nurse identifies that a patient has a risk for falls. Which type of nursing
diagnosis is this considered?
A. Problem-focused diagnosis
B. Risk diagnosis
C. Health promotion diagnosis
D. Syndrome diagnosis
Answer: B
Rationale: A risk diagnosis describes human responses to health conditions that may
develop in a vulnerable individual.