Exam 2026 – Actual Exam Questions &
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(Lilley, Ch. 1) The nurse is developing a human needs statement for a patient who has a
new diagnosis of heart failure. Identification of human needs statements occur with
which of these activities?
a. Collection of patient data
b. Administering interventions
c. Deciding on patient outcomes
d. Documenting the patient's behavior
Collection of patient data
(Lilley, Ch. 1) The patient is to receive oral guaifenesin twice a day. Today, the nurse
was busy and gave the medication 2 hours after the scheduled dose was due. What
type of problem does this represent?
a. Right time
b. Right dose
c. Right route
d. Right medication
Right time
(Lilley, Ch. 1) The nurse has been monitoring the patient's progress on a new drug
regimen since the first dose and documenting the patient's therapeutic response to
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,the medication. Which phase of the nursing process do these actions illustrate?
a. Human needs statement
b. Planning
c. Implementation
d. Evaluation
Evaluation
(Lilley, Ch. 1) The nurse is assigned to a patient who is newly diagnosed with type 1
diabetes mellitus. Which statement best illustrates an outcome criterion for this
patient?
a. The patient will follow instructions.
b. The patient will not experience complications.
c. The patient will adhere to the new insulin treatment regimen.
d. The patient will demonstrate correct blood glucose testing technique.
The patient will demonstrate correct blood glucose testing technique.
(Lilley, Ch. 1) Which activity best reflects the implementation phase of the nursing
process for the patient who is newly diagnosed with hypertension?
a. Providing education on keeping a journal of blood pressure readings
b. Setting goals and outcome criteria with the patient's input
c. Recording a drug history regarding OTC meds used at home
d. Formulating human needs statements regarding deficient knowledge related to the new
treatment regimen
Formulating human needs statements regarding deficient knowledge related to the new
treatment regimen
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,(Lilley, Ch. 1) The medication order reads, "Give ondansetron 4 mg, 30 minutes before
beginning chemotherapy to prevent nausea." The nurse notes that the route is missing
from the order. What is the nurse's best action?
a. Give the medication intravenously because the patient might vomit.
b. Give the medication orally because the tablets are available in 4mg doses.
c. Contact the prescriber to clarify the route of the medication ordered.
d. Hold the medication until the prescriber returns to make rounds.
Contact the prescriber to clarify the route of the medication ordered.
(Lilley, Ch. 1) When the nurse considers the timing of a drug dose, which factor is
appropriate to consider when deciding when to give a drug?
a. The patient's ability to swallow
b. The patient's height
c. The patient's last meal
d. The patient's allergies
The patient's last meal
(Lilley, Ch. 1) The nurse is performing an assessment of a newly admitted patient.
Which is an example of subjective data?
a. Weight 155 pounds
b. Pulse 72 beats/minute
c. The patient reports that he uses the herbal product ginkgo
d. The patient's complete blood count results
The patient reports that he uses the herbal product ginkgo
(Lilley, Ch. 1) When giving medications, the nurse will follow the rights of medication
administration. The rights include the right documentation, the right reason, the right
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, response, and the patient's right to refuse. Which of these are additional rights?
(Select all that apply.)
a. Right drug
b. Right route
c. Right dose
d. Right diagnosis
e. Right time
f. Right patient
ANS: A, B, C, E, F
Right drug
Right route
Right dose
Right time
Right patient
(Lilley, Ch. 1) Place the phases of the nursing process in the correct order, with 1 as the
first phase and 5 as the last phase.
a. Planning
b. Evaluation
c. Assessment
d. Implementation
e. Human needs statement
ANS: C, E, A, D, B
1: Assessment
2: Human needs statement
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