Comprehensive Nursing Process and Clinical
Judgment Mastery Examination: Assessment and
Data Collection Strategies, Subjective and
Objective Cue Analysis, Primary and Secondary
Data Sources, Data Clustering and Problem
Identification, NANDA-I Nursing Diagnosis
Classification, Actual Risk Wellness and Syndrome
Diagnoses, Outcome Identification and Measurable
Goal Development, Evidence-Based Care Planning,
Maslow Hierarchy Priority Framework, Patient-
Centered Intervention Design, Implementation and
Documentation Standards, Evaluation and Variance
Analysis, Clinical Pathways and Multidisciplinary
Care Maps, Critical Thinking and Decision-Making
Skills, Head-to-Toe and Focused Assessment
Techniques, Risk Factor Recognition, Quality
Improvement Principles, Interprofessional
Collaboration, Holistic Individualized Care Delivery
Exam Questions Verified and Complete with A+
Graded Rationales Latest Updated 2026
1. What best defines the nursing process?
a. A method to ensure that the health care provider's orders are implemented
correctly.
b. A series of assessments that isolate a patient's health problem.
c. A framework for the organization of individualized nursing care.
d. A preset formula for the design of nursing care.
c. A framework for the organization of individualized nursing care.
The nursing process is a framework by which to organize individualized nursing care. Problem
,solving approach that enable the nurse to identify patient problems and potential problems.
6 dynamic and interrelated phase
1. Assessment
2. Diagnosis
3. Outcomes identificaiton
4. Planning
5. Implementation
6. Evaluation
The nurse is able to plan, deliver and evaluate nursing care is an orderly, scientific manner
2. All of the following patients have been admitted to the acute care setting. On admission,
which patient should receive a focused assessment?
a. 53-year-old admitted with a perforated ulcer
b. 5-year-old admitted for the implant of grommets in the middle ear
c. 76-year-old admitted for a knee replacement
d. 40-year-old admitted for possible bowel obstruction
a. 53-year-old admitted with a perforated ulcer
A patient with a perforated ulcer is considered to be critically ill. Therefore, this patient should
receive a focused assessment. The remaining options are not considered critical illnesses.
-focus assessment is when the patient:
1.critically ill
2.disoriented
3.unable to respond.
Gather information about a SPECIFIC health problem.
Desired outcomes and performing nurse-patient contact through out (objective date) are also
focus assessment.
Assessment = systematic, dynamic way to collect and analyze date about the client.
pg 81
3. What subjective data does the nurse record following a head-to-toe examination?
, a. Rash on back
b. Prolonged nausea
c. Blood pressure of 190/100
d. White blood cell count of 19,000
b. Prolonged nausea
Another term for subjective data is symptoms, which cannot be observed or measured. This
data must come from the patient
can be hidden until shared by the patient.
Ex. nausea, pain, fatigue, and anxiety
other terms: symptoms, subjective system, subjective cue
4. What objective data should the nurse include after a patient assessment?
a. Headache of 3 days' duration
b. Severe stomach cramps
c. Flatulence
d. Anxiety
c. Flatulence
Objective data are observable and measurable by people other than the patient
5. What is classified as information provided by the family when a patient is unable to provide
data during assessment?
a. Primary
b. Secondary
c. Unreliable
d. Biased
b. Secondary
Date is obtained by Primary and Secondary sources
Primary source is the PATIENT
Secondary sources include:
Judgment Mastery Examination: Assessment and
Data Collection Strategies, Subjective and
Objective Cue Analysis, Primary and Secondary
Data Sources, Data Clustering and Problem
Identification, NANDA-I Nursing Diagnosis
Classification, Actual Risk Wellness and Syndrome
Diagnoses, Outcome Identification and Measurable
Goal Development, Evidence-Based Care Planning,
Maslow Hierarchy Priority Framework, Patient-
Centered Intervention Design, Implementation and
Documentation Standards, Evaluation and Variance
Analysis, Clinical Pathways and Multidisciplinary
Care Maps, Critical Thinking and Decision-Making
Skills, Head-to-Toe and Focused Assessment
Techniques, Risk Factor Recognition, Quality
Improvement Principles, Interprofessional
Collaboration, Holistic Individualized Care Delivery
Exam Questions Verified and Complete with A+
Graded Rationales Latest Updated 2026
1. What best defines the nursing process?
a. A method to ensure that the health care provider's orders are implemented
correctly.
b. A series of assessments that isolate a patient's health problem.
c. A framework for the organization of individualized nursing care.
d. A preset formula for the design of nursing care.
c. A framework for the organization of individualized nursing care.
The nursing process is a framework by which to organize individualized nursing care. Problem
,solving approach that enable the nurse to identify patient problems and potential problems.
6 dynamic and interrelated phase
1. Assessment
2. Diagnosis
3. Outcomes identificaiton
4. Planning
5. Implementation
6. Evaluation
The nurse is able to plan, deliver and evaluate nursing care is an orderly, scientific manner
2. All of the following patients have been admitted to the acute care setting. On admission,
which patient should receive a focused assessment?
a. 53-year-old admitted with a perforated ulcer
b. 5-year-old admitted for the implant of grommets in the middle ear
c. 76-year-old admitted for a knee replacement
d. 40-year-old admitted for possible bowel obstruction
a. 53-year-old admitted with a perforated ulcer
A patient with a perforated ulcer is considered to be critically ill. Therefore, this patient should
receive a focused assessment. The remaining options are not considered critical illnesses.
-focus assessment is when the patient:
1.critically ill
2.disoriented
3.unable to respond.
Gather information about a SPECIFIC health problem.
Desired outcomes and performing nurse-patient contact through out (objective date) are also
focus assessment.
Assessment = systematic, dynamic way to collect and analyze date about the client.
pg 81
3. What subjective data does the nurse record following a head-to-toe examination?
, a. Rash on back
b. Prolonged nausea
c. Blood pressure of 190/100
d. White blood cell count of 19,000
b. Prolonged nausea
Another term for subjective data is symptoms, which cannot be observed or measured. This
data must come from the patient
can be hidden until shared by the patient.
Ex. nausea, pain, fatigue, and anxiety
other terms: symptoms, subjective system, subjective cue
4. What objective data should the nurse include after a patient assessment?
a. Headache of 3 days' duration
b. Severe stomach cramps
c. Flatulence
d. Anxiety
c. Flatulence
Objective data are observable and measurable by people other than the patient
5. What is classified as information provided by the family when a patient is unable to provide
data during assessment?
a. Primary
b. Secondary
c. Unreliable
d. Biased
b. Secondary
Date is obtained by Primary and Secondary sources
Primary source is the PATIENT
Secondary sources include:
