Nursing Practice (SET 1) | Questions and
Answers | 2026 Update | 100% Correct.
1. Jake is complaining of shortness of breath. The nurse assesses his respiratory rate to
be 30 breaths per minute and documents that Jake is tachypneic. The nurse
understands that tachypnea means:
A. Pulse rate greater than 100 beats per minute
B. Blood pressure of 140/90
C. Respiratory rate greater than 20 breaths per minute
D. Frequent bowel sounds - ✔✔✔✔ANSW✔✔..1. (C) Respiratory rate greater than 20
breaths per minute.
A respiratory rate of greater than 20 breaths per minute is tachypnea. A blood pressure
of 140/90 is considered hypertension. Pulse greater than 100 beats per minute is
tachycardia. Frequent bowel sounds refer to hyper-active bowel sounds.
2. The nurse listens to Mrs. Sullen's lungs and notes a hissing sound or musical sound.
The nurse documents this as:
A. Wheezes
B. Rhonchi
C. Gurgles
D. Vesicular - ✔✔✔✔ANSW✔✔..(A) Wheezes.
Wheezes are indicated by continuous, lengthy, musical; heard during inspiration or
expiration. Rhonchi are usually coarse breath sounds. Gurgles are loud gurgling,
bubbling sound. Vesicular breath sounds are low pitch, soft intensity on expiration.
3. The nurse in charge measures a patient's temperature at 101 degrees F. What is the
equivalent centigrade temperature?
A. 36.3 degrees C
B. 37.95 degrees C
C. 40.03 degrees C
D. 38.01 degrees C - ✔✔✔✔ANSW✔✔..(B) 37.95 degrees C.
To convert °F to °C use this formula, ( °F - 32 ) (0.55).
,While when converting °C to °F use this formula, ( °C x 1.8) + 32. Note that 0.55 is 5/9
and 1.8 is 9/5
4. Which approach to problem solving tests any number of solutions until one is found
that works for that particular problem?
A. Intuition
B. Routine
C. Scientific method
D. Trial and error - ✔✔✔✔ANSW✔✔..(D) Trial and error.
The trial and error method of problem solving isn't systematic (as in the scientific
method of problem solving) routine, or based on inner prompting (as in the intuitive
method of problem solving).
5. What is the order of the nursing process?
A. Assessing, diagnosing, implementing, evaluating, planning
B. Diagnosing, assessing, planning, implementing, evaluating
C. Assessing, diagnosing, planning, implementing, evaluating
D. Planning, evaluating, diagnosing, assessing, implementing - ✔✔✔✔ANSW✔✔..(C)
Assessing, diagnosing, planning, implementing, evaluating.
The correct order of the nursing process is assessing, diagnosing, planning,
implementing, evaluating.
6. During the planning phase of the nursing process, which of the following is the
outcome?
A. Nursing history
B. Nursing notes
C. Nursing care plan
D. Nursing diagnosis - ✔✔✔✔ANSW✔✔..(C) Nursing care plan.
The outcome, or the product of the planning phase of the nursing process is a Nursing
care plan.
7. What is an example of a subjective data?
A. Heart rate of 68 beats per minute
B. Yellowish sputum
C. Client verbalized, "I feel pain when urinating."
D. Noisy breathing - ✔✔✔✔ANSW✔✔..(C) Client verbalized, "I feel pain when
urinating."
, Subjective data are those that can be described only by the person experiencing it.
Therefore, only the patient can describe or verify whether he is experiencing pain or not.
8. Which expected outcome is correctly written?
A. "The patient will feel less nauseated in 24 hours."
B. "The patient will eat the right amount of food daily."
C. "The patient will identify all the high-salt food from a prepared list by discharge."
D. "The patient will have enough sleep." - ✔✔✔✔ANSW✔✔..(C) "The patient will identify
all the high-salt food from a prepared list by discharge."
Expected outcomes are specific, measurable, realistic statements of goal attainment.
The phrases "right amount", "less nauseated" and "enough sleep" are vague and not
measurable.
9. Which of the following behaviors by Nurse Jane Robles demonstrates that she
understands well the elements of effecting charting?
A. She writes in the chart using a no. 2 pencil.
B. She noted: appetite is good this afternoon.
C. She signs on the medication sheet after administering the medication.
D. She signs her charting as follow: J.R - ✔✔✔✔ANSW✔✔..(C) She signs on the
medication sheet after administering the medication.
A nurse should record a nursing intervention (ex. Giving medications) after performing
the nursing intervention (not before). Recording should also be done using a pen, be
complete, and signed with the nurse's full name and title.
10. What is the disadvantage of computerized documentation of the nursing process?
A. Accuracy
B. Legibility
C. Concern for privacy
D. Rapid communication - ✔✔✔✔ANSW✔✔..(C) Concern for privacy.
A patient's privacy may be violated if security measures aren't used properly or if
policies and procedures aren't in place that determines what type of information can be
retrieved, by whom, and for what purpose.
11. The theorist who believes that adaptation and manipulation of stressors are related
to foster change is:
A. Dorothea Orem
B. Sister Callista Roy
C. Imogene King
D. Virginia Henderson - ✔✔✔✔ANSW✔✔..(B) Sister Callista Roy.