Nursing Process Practice Questions With Correccct Detailed Answers.
Which patient statements provide subjective data? Select all that apply.
1. _____ "I'm not sure that I am going to be able to manage at home by myself."
2. _____" I can call a home-care agency if I feel I need help at home."
3. _____" What should I do if I have uncontrollable pain at home?"
4. _____" Will a home health aide help me with my care at home?"
5. _____" I'm afraid because I live alone and I'm on my own." - ANSWER- 1, 5
Which nursing action reflects an activity associated with the analysis step of the
nursing process? Select all that apply.
1. _____Formulating a plan of care
2. _____Identifying the patient's potential risks
3. _____Categorizing data into meaningful relationships
4. _____Designing ways to minimize a patient's stressors
5. _____Making decisions about the effectiveness of patient care - ANSWER- 2, 3
A nurse is interviewing a patient. Which patient statements are examples of
objective data? Select all that apply.
1. _____" I am hungry."
2. _____" I feel very warm."
3. _____" I ate half my lunch."
4. _____" I have a rash on my arm."
5. _____" I have the urge to urinate."
6. _____" I vomit every time I eat something." - ANSWER- 3, 4, 6
Which statement indicates that the nurse is using inductive reasoning? Select all
that apply.
1. A patient is admitted with a diagnosis of dehydration and the nurse assesses the
patient's skin for tenting.
2. A nurse observes a patient falling out of bed on the right hip and immediately
assesses the patient for pain in the right hip.
3. A patient has an elevated white blood cell count and a fever. The nurse concludes
that the patient may have an infection.
4. A patient is scheduled for surgery and is crying, trembling, and has a rapid pulse.
The nurse makes the inference that the patient is anxious. 5. A nurse receives a call
from the admission department that a patient with hypoglycemia is being admitted
to the unit. The nurse plans to assess the patient for pale, cool, clammy skin and a
low blood glucose level. - ANSWER- 3, 4
The following statements reflect steps in the nursing process. Place the statements
in order as the nurse advances through the steps of the nursing process, beginning
with assessment and ending with evaluation.
1. "The patient is encouraged to attempt to defecate after meals."
, 2. "The patient reports not having had a bowel movement for 8 days." 3. "The patient
has constipation related to limited mobility and inadequate fluid intake."
4. "The patient will have a bowel movement within 2 days that is of normal
consistency."
5. "The patient's stool is still hard and dry 2 days after initiating an increase in fluids
and activity." - ANSWER- 2, 3, 4, 1, 5
A nurse is interviewing a patient at the change of shift. Which patient statements
reflect subjective data? Select all that apply.
1. _____" When I lift my head up off the bed I feel like vomiting."
2. _____" I just went in the urinal and it needs to be emptied."
3. _____" My pain feels like a 5 on a scale of 0 to 5."
4. _____" The physician said I can go home today."
5. _____" I ate only 50% of my breakfast." - ANSWER- 1, 3
A patient is transferred from the emergency department to a medical-surgical unit at
6:30 p.m. The nurse arriving on duty at 8 p.m. reviews the patient's clinical record.
Which information documented in the clinical record reflects the evaluation step of
the nursing process?
1. Productive cough
2. Seek order for chest physiotherapy
3. No dizziness reported by the patient
4. Acetaminophen 650 mg administered at 5 p.m. - ANSWER- 3
The nurse assesses a patient and collects a variety of data. Identify the human
responses that are subjective data. Select all that apply.
1. _____Nausea
2. _____Jaundice
3. _____Dizziness
4. _____Diaphoresis
5. _____Hypotension - ANSWER- 1, 3
During which of the five steps in the nursing process does the nurse determine
whether outcomes of care are achieved?
1. Implementation
2. Evaluation
3. Planning
4. Analysis - ANSWER- 2
When considering the nursing process, the word "observe" is to "assess" as the word
"explore" is to which of the following words?
1. Plan
2. Analyze
3. Evaluate
4. Implement - ANSWER- 2
Which patient statements provide subjective data? Select all that apply.
1. _____ "I'm not sure that I am going to be able to manage at home by myself."
2. _____" I can call a home-care agency if I feel I need help at home."
3. _____" What should I do if I have uncontrollable pain at home?"
4. _____" Will a home health aide help me with my care at home?"
5. _____" I'm afraid because I live alone and I'm on my own." - ANSWER- 1, 5
Which nursing action reflects an activity associated with the analysis step of the
nursing process? Select all that apply.
1. _____Formulating a plan of care
2. _____Identifying the patient's potential risks
3. _____Categorizing data into meaningful relationships
4. _____Designing ways to minimize a patient's stressors
5. _____Making decisions about the effectiveness of patient care - ANSWER- 2, 3
A nurse is interviewing a patient. Which patient statements are examples of
objective data? Select all that apply.
1. _____" I am hungry."
2. _____" I feel very warm."
3. _____" I ate half my lunch."
4. _____" I have a rash on my arm."
5. _____" I have the urge to urinate."
6. _____" I vomit every time I eat something." - ANSWER- 3, 4, 6
Which statement indicates that the nurse is using inductive reasoning? Select all
that apply.
1. A patient is admitted with a diagnosis of dehydration and the nurse assesses the
patient's skin for tenting.
2. A nurse observes a patient falling out of bed on the right hip and immediately
assesses the patient for pain in the right hip.
3. A patient has an elevated white blood cell count and a fever. The nurse concludes
that the patient may have an infection.
4. A patient is scheduled for surgery and is crying, trembling, and has a rapid pulse.
The nurse makes the inference that the patient is anxious. 5. A nurse receives a call
from the admission department that a patient with hypoglycemia is being admitted
to the unit. The nurse plans to assess the patient for pale, cool, clammy skin and a
low blood glucose level. - ANSWER- 3, 4
The following statements reflect steps in the nursing process. Place the statements
in order as the nurse advances through the steps of the nursing process, beginning
with assessment and ending with evaluation.
1. "The patient is encouraged to attempt to defecate after meals."
, 2. "The patient reports not having had a bowel movement for 8 days." 3. "The patient
has constipation related to limited mobility and inadequate fluid intake."
4. "The patient will have a bowel movement within 2 days that is of normal
consistency."
5. "The patient's stool is still hard and dry 2 days after initiating an increase in fluids
and activity." - ANSWER- 2, 3, 4, 1, 5
A nurse is interviewing a patient at the change of shift. Which patient statements
reflect subjective data? Select all that apply.
1. _____" When I lift my head up off the bed I feel like vomiting."
2. _____" I just went in the urinal and it needs to be emptied."
3. _____" My pain feels like a 5 on a scale of 0 to 5."
4. _____" The physician said I can go home today."
5. _____" I ate only 50% of my breakfast." - ANSWER- 1, 3
A patient is transferred from the emergency department to a medical-surgical unit at
6:30 p.m. The nurse arriving on duty at 8 p.m. reviews the patient's clinical record.
Which information documented in the clinical record reflects the evaluation step of
the nursing process?
1. Productive cough
2. Seek order for chest physiotherapy
3. No dizziness reported by the patient
4. Acetaminophen 650 mg administered at 5 p.m. - ANSWER- 3
The nurse assesses a patient and collects a variety of data. Identify the human
responses that are subjective data. Select all that apply.
1. _____Nausea
2. _____Jaundice
3. _____Dizziness
4. _____Diaphoresis
5. _____Hypotension - ANSWER- 1, 3
During which of the five steps in the nursing process does the nurse determine
whether outcomes of care are achieved?
1. Implementation
2. Evaluation
3. Planning
4. Analysis - ANSWER- 2
When considering the nursing process, the word "observe" is to "assess" as the word
"explore" is to which of the following words?
1. Plan
2. Analyze
3. Evaluate
4. Implement - ANSWER- 2
