AND CURRENTLY UPDATED STUDY GUIDE COMPLETE
ACCURATE EXAM APPROVED QUESTIONS WITH WELL
ELABORATED ANSWERS AND DETAILED RATIONALES (100%
CORRECT VERIFIED ANSWERS) A NEW UPDATED VERSION 2026
EDITION |GUARANTEED PASS A+|FULL REVISED NR 667 CEA
APPROVED EXAM |JUST RELEASED
The nurse is preparing to administer a medication and reviews the
patient's chart for drug allergies, serum creatinine, and blood urea
nitrogen (BUN) levels. The nurse's actions are reflective of which
step of the Clinical Judgment Measurement Model (NCJMM)?
A) Recognize Cues (Assessment)
B) Analyze Cues & Prioritize Hypotheses (Analysis)
C) Generate Solutions (Planning)
D) Take Action (Implementation)
Correct Answer: B
Rationale: While reviewing laboratory values involves gathering
objective data, the action of specifically checking serum creatinine
and BUN before administering a medication represents analysis of
cues to determine if the medication is safe to give based on renal
function. Recognizing cues is the initial gathering of all data; analysis
involves interpreting that data to form hypotheses. The nurse is
,analyzing the lab values to determine if the medication is renally
safe.
All of the following would be considered subjective data, EXCEPT:
A) Patient-reported health history
B) Patient-reported signs and symptoms of their illness
C) Financial barriers reported by the patient's caregiver
D) Vital signs obtained from the medical record
Correct Answer: D
Rationale: Subjective data is based on what patients or family
members communicate to the nurse. Patient-reported health history,
signs and symptoms, and caregiver-reported barriers are subjective.
Vital signs obtained from the medical record are objective data.
Differentiating subjective from objective data is critical for accurate
nursing assessment.
The nursing process is a five-step decision-making approach that
includes all of the following steps, EXCEPT:
A) Assessment
B) Patient problem
C) Planning
D) Right drug
,Correct Answer: D
Rationale: The nursing process consists of five steps: assessment,
patient problem (diagnosis), planning, implementation, and
evaluation. "Right drug" is one of the "Six Rights" of medication
administration, not a step in the nursing process. This is a common
NCLEX trick—don't confuse the nursing process with medication
administration rights.
A nurse is caring for a patient who is receiving a newly prescribed
medication. Which action best demonstrates the evaluation phase of
the nursing process?
A) Asking the patient about their medication history
B) Setting a goal to reduce pain to 3/10 within 1 hour
C) Administering the medication via the prescribed route
D) Assessing the patient's response 30 minutes after
administration
Correct Answer: D
Rationale: Evaluation involves assessing the patient's response to the
medication and determining if goals have been met. Asking about
history is assessment, setting goals is planning, and administering is
implementation.
, The nurse is using data collected to define a set of interventions to
achieve the most desirable outcomes. Which step of the nursing
process is the nurse applying?
A) Recognizing cues (assessment)
B) Analyze cues and prioritize hypothesis (analysis)
C) Generate solutions (planning)
D) Take action (nursing interventions)
Correct Answer: C
Rationale: When generating solutions (planning), the nurse identifies
expected outcomes and defines interventions to achieve the most
desirable outcomes. Assessment is gathering cues; analysis involves
organizing and ranking patient problems; implementation (taking
action) is executing the interventions.
A patient is receiving a drug that is known to be highly protein-
bound. Which finding would the nurse expect if the patient has low
serum albumin levels?
A) Reduced drug effect
B) Increased risk of drug toxicity
C) Decreased drug absorption
D) Faster drug excretion