Question 1
The student is learning the steps of the nursing process. What is the first thing that the student should realize about the purpose of this
process?
1. Deliver care to a client in an organized way.
2. Implement a plan that is close to the medical model.
3. Identify client needs and deliver care to meet those needs.
4. Make sure that standardized care is available to clients.
Question 2
While conducting a dressing change, the nurse notes a new area of skin breakdown that was caused from the tape used to secure the
dressing. In which phase of the nursing process is the nurse working?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Question 4
, Family of a client demonstrating confusion state that this is not the client’s usual behavior. How should the nurse document this data?
1. Inference
2. Subjective data
3. Objective data
4. Secondary subjective data
Question 5
The nurse provides a back rub to a client after administering a pain medication with the hope that these two actions will help decrease the
client's pain. Which phase of the nursing process is this nurse implementing?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Question 6
A new client has been admitted to the care area. How soon should the nurse plan to complete a physical assessment on this patient?
1. 1 hour
2. 12 hours
3. 48 hours
4. 24 hours
Question 7
The nurse is admitting an infant to the care area. The parents and grandmother are present. What should the nurse use as the best source
of data for this client?
1. Medical record from the child's birth
2. Grandmother
3. Parents