1. Which of the following group of terms best defines assessing in the nursing process?
A) problem focused, time lapsed, emergency based
B) design a plan of care, implement nursing interventions
C) collection, validation, communication of patient data---
D) nurse focused, establishing nursing goals
3. Which of the following statements best describes the relationship between nursing
diagnosis and medical diagnosis?
A) The nursing diagnosis confirms the medical diagnosis.
B) The nursing diagnosis duplicates the medical diagnosis.
C) There is no relationship between nursing and medical diagnoses.
D) The nursing diagnosis is based on patient response to the medical diagnosis.---
7. Of the following data, what type would be collected during a physical assessment?
A) color, moisture, and temperature of the skin---
B) type, amount, and duration of pain
C) foods eaten that cause nausea
D) specific allergies resulting in itching
10. After completing assessments, a nurse uses the data collected to identify appropriate
nursing diagnoses for a patient. What are the nursing diagnoses used for?
A) selecting nursing interventions to meet expected outcomes----
B) establishing a database of information for future comparison
C) mutually establishing desired outcomes of the plan of care
D) evaluating the effectiveness of the established plan of care
11. A nurse is reviewing the health history and physical assessment findings for a patient
who is having respiratory problems. Of the following data collected, what data from the
health history would be a cue to a nursing diagnosis for this problem?
A) “I often have diarrhea after I eat spicy foods.”
B) “My skin is so dry I just can't keep from scratching.”
C) “I get out of breath when I walk a few steps.”---
D) “I just feel so bad about myself these days.”
12. Of the following types of nursing diagnoses, which one is validated by the presence of
major defining characteristics?
A) risk nursing diagnosis
B) actual nursing diagnosis---
C) possible nursing diagnosis
D) wellness diagnosis
14. What is the primary purpose of the outcome identification and planning step of the
nursing process?
A) to collect and analyze data to establish a database
B) to interpret and analyze data to identify health problems
C) to write appropriate patient-centered nursing diagnoses
D) to design a plan of care for and with the patient---
15. A nurse is developing outcomes for a specific problem statement. What is one of the
most important considerations the nurse should have?
A) that the written outcomes are designed to meet nursing goals
B) to encourage the patient and family to be involved---
C) to discourage additions by other healthcare providers
D) why the nurse believes the outcome is important
17. What activity is carried out during the implementing step of the nursing process?
A) Assessments are made to identify human responses to health problems.
B) Mutual goals are established and desired patient outcomes are determined.
C) Planned nursing actions (interventions) are carried out.---
D) Desired outcomes are evaluated and, if necessary, the plan is modified.
18. A nurse is catheterizing a patient. What action illustrates respect for the patient's
privacy?
A) explaining the procedure to the family
B) leaving the patient's pajamas on
C) closing the door to the room---
D) asking another nurse if he wants to watch
19. A nurse delegates a specific intervention to a UAP. What implications does this have for
the nurse?
A) The UAP is responsible and accountable for his or her own actions.
B) Nurses do not have authority to delegate interventions.
C) The nurse transfers responsibility but is accountable for the outcome.---
D) The UAP can function in an independent role for all interventions.
20. According to the American Nurses Association, who determines the scope of nursing
practice?
A) Nurses---
B) lawyers
C) physicians
D) consumers
21. Which of the following best summarizes the evaluating step of the nursing process?
A) The nurse completes a health assessment to establish a database.
B) The patient and family have met healthcare goals and no longer need care.
C) The nurse and patient identify nursing diagnoses and appropriate interventions.
D) The nurse and patient measure achievement of planned outcomes of care. ----