Test Bank - Basic Nursing: Thinking, Doing, and Caring, 3rd Edition
(Treas, 2022) | 250 Original Exam-Style Questions | Chapters 1–41 |
ISBN 9781719642071
Nursing-process overview
Assess Diagnose Plan Implement Evaluate
Nursing-process overview
Chapter 1: Nursing Past & Present
1. Which historical development most directly strengthened nursing as a distinct profession?
Removing nursing from public health
Replacing nurses with unlicensed attendants
Formal nursing education and standards of practice
Limiting nurses to household care
2. A nurse demonstrates the full-spectrum nursing role primarily by doing which action?
Performing only technical procedures
Delegating every bedside activity
Using clinical judgment while coordinating and providing care
Following medical orders without assessment
3. Which statement best reflects Florence Nightingale's contribution?
She linked environmental conditions with patient outcomes and used data to improve care
She developed the first electronic health record
She created the modern nursing diagnosis taxonomy
She established the first paramedic service
4. A novice nurse asks why continuing competence matters after graduation. Which response is best?
Nursing knowledge and technology change, so competence requires ongoing learning
Experience alone replaces evidence-based learning
Only managers need continuing education
Graduation means competence is permanent
5. Which activity is most consistent with professional nursing accountability?
Performing a skill without verifying competence
Identifying a safety concern and taking appropriate action
Allowing another discipline to document for the nurse
Ignoring a policy because it is inconvenient
6. A nurse notices that a patient's needs exceed the nurse's current expertise. What is the most professional
response?
Document the limitation only after the procedure
Proceed independently to avoid appearing inexperienced
Ask the patient to find another nurse
Seek appropriate assistance while maintaining responsibility for the patient
Original exam-style practice questions • Not an official publisher test bank Page 1
, Chapter 2: Critical Thinking and Nursing Process
7. A nurse receives several assessment findings. Which action demonstrates critical thinking?
Accept the first explanation that comes to mind
Choose the intervention that is easiest to perform
Compare the findings with the patient's baseline and expected patterns
Ignore findings that are not in the original plan
8. Which finding requires the nurse to recognize a priority cue?
A routine preference for breakfast
New confusion in a patient with a sudden drop in oxygen saturation
A stable blood pressure documented yesterday
A patient requesting a blanket
9. Clinical judgment is best described as the nurse's ability to:
Memorize every possible diagnosis
Interpret cues, prioritize concerns, act, and evaluate outcomes
Perform procedures without reassessment
Follow the same intervention for every patient
10. When a patient's condition changes unexpectedly, the nurse should first:
Wait until the next scheduled assessment
Reassess the patient and validate the new cues
Immediately complete discharge paperwork
Ask a family member to determine the cause
11. Which statement about intuition in nursing is most accurate?
Intuition is the same as guessing
Intuition should prompt focused assessment and be integrated with evidence
Intuition is never useful for experienced nurses
Intuition should replace objective data
12. A nurse asks, 'What else could explain this finding?' This question most directly supports:
Avoiding patient assessment
Delegating clinical judgment
Completing documentation faster
Considering alternative explanations before deciding
Chapter 3: Assessment
13. Which nursing-process step involves collecting subjective and objective data?
Planning
Diagnosis
Assessment
Evaluation
14. Which statement is an example of a nursing diagnosis rather than a medical diagnosis?
Acute pain related to tissue injury
Heart failure
Appendicitis
Pneumonia
Original exam-style practice questions • Not an official publisher test bank Page 2
, 15. A measurable patient-centered goal should include:
Only the nurse's preferred intervention
A list of medical treatments
A broad statement such as 'feel better'
A specific observable outcome and a time frame
16. During evaluation, the nurse determines that an outcome was not met. What should the nurse do next?
Assume the patient was noncompliant
Stop all nursing interventions
Analyze why the outcome was not met and revise the plan as indicated
Delete the outcome
17. Which finding is subjective data?
Temperature is 38.4°C
Respirations are 24/min
The patient reports a pain level of 7/10
Skin is cool and pale
Human assessment
Head-to-toe zones (original schematic)
assessment zones
lungs / heart
abdomen
lower extremities Human assessment zones (original schematic)
18. Why is the nursing process considered dynamic?
Each step is completed only once
Information and patient responses can require the nurse to move back and forth among steps
The nurse never changes the plan after implementation
The process is used only for acute illness
Chapter 4: Nursing Process: Diagnosis
19. Evidence-based practice combines the best available evidence with:
The nurse's personal opinion only
The oldest available textbook
Hospital tradition alone
Clinical expertise and patient preferences/values
20. A nurse asks a focused clinical question before searching databases. This step helps the nurse:
Replace patient preferences
Guarantee that all studies will agree
Avoid evaluating research quality
Define the evidence needed to answer the practice problem
21. Which source generally provides the strongest evidence for a question about intervention effectiveness?
A well-designed systematic review of randomized trials
A single expert opinion
An anecdotal case report
An unsourced social-media post
Original exam-style practice questions • Not an official publisher test bank Page 3
, 22. When evaluating a research article, the nurse should first consider whether:
The article has the longest title
The authors agree with the nurse's prior beliefs
The study uses the most technical language
The methods are appropriate to the question and the findings are credible
23. A nursing theory is useful because it can:
Eliminate the need for research
Organize concepts and guide how nurses understand and address patient phenomena
Replace all clinical assessment
Guarantee a specific patient outcome
24. A unit wants to reduce catheter-associated infection. Which action best reflects evidence-based practice?
Adopt the newest idea without measuring outcomes
Change practice without informing staff
Use only the preference of the most senior nurse
Review current evidence, assess local data, implement an evidence-supported change, and evaluate results
Chapter 5: Planning Outcomes
25. Which developmental task is most associated with infancy?
Establishing a career identity
Developing trust through consistent responsive care
Achieving generativity
Resolving integrity versus despair
26. A toddler's behavior is best supported when the nurse:
Uses punishment for normal exploration
Provides lengthy abstract explanations
Offers simple choices within safe limits
Expects complete impulse control
27. Which finding is most expected in a preschool child?
Loss of interest in peer interaction
Stable adult-like reasoning
Complete independence in all self-care
Increasing imaginative play and initiative
28. School-age children often benefit from:
Only abstract explanations
Concrete explanations and opportunities for mastery
Being told that procedures will not hurt regardless of reality
Being excluded from care decisions
29. A key developmental focus of adolescence is:
Developing identity and increasing independence
Achieving retirement adjustment
Learning object permanence
Developing basic trust
30. Which nursing action best supports development in a hospitalized child?
Original exam-style practice questions • Not an official publisher test bank Page 4
(Treas, 2022) | 250 Original Exam-Style Questions | Chapters 1–41 |
ISBN 9781719642071
Nursing-process overview
Assess Diagnose Plan Implement Evaluate
Nursing-process overview
Chapter 1: Nursing Past & Present
1. Which historical development most directly strengthened nursing as a distinct profession?
Removing nursing from public health
Replacing nurses with unlicensed attendants
Formal nursing education and standards of practice
Limiting nurses to household care
2. A nurse demonstrates the full-spectrum nursing role primarily by doing which action?
Performing only technical procedures
Delegating every bedside activity
Using clinical judgment while coordinating and providing care
Following medical orders without assessment
3. Which statement best reflects Florence Nightingale's contribution?
She linked environmental conditions with patient outcomes and used data to improve care
She developed the first electronic health record
She created the modern nursing diagnosis taxonomy
She established the first paramedic service
4. A novice nurse asks why continuing competence matters after graduation. Which response is best?
Nursing knowledge and technology change, so competence requires ongoing learning
Experience alone replaces evidence-based learning
Only managers need continuing education
Graduation means competence is permanent
5. Which activity is most consistent with professional nursing accountability?
Performing a skill without verifying competence
Identifying a safety concern and taking appropriate action
Allowing another discipline to document for the nurse
Ignoring a policy because it is inconvenient
6. A nurse notices that a patient's needs exceed the nurse's current expertise. What is the most professional
response?
Document the limitation only after the procedure
Proceed independently to avoid appearing inexperienced
Ask the patient to find another nurse
Seek appropriate assistance while maintaining responsibility for the patient
Original exam-style practice questions • Not an official publisher test bank Page 1
, Chapter 2: Critical Thinking and Nursing Process
7. A nurse receives several assessment findings. Which action demonstrates critical thinking?
Accept the first explanation that comes to mind
Choose the intervention that is easiest to perform
Compare the findings with the patient's baseline and expected patterns
Ignore findings that are not in the original plan
8. Which finding requires the nurse to recognize a priority cue?
A routine preference for breakfast
New confusion in a patient with a sudden drop in oxygen saturation
A stable blood pressure documented yesterday
A patient requesting a blanket
9. Clinical judgment is best described as the nurse's ability to:
Memorize every possible diagnosis
Interpret cues, prioritize concerns, act, and evaluate outcomes
Perform procedures without reassessment
Follow the same intervention for every patient
10. When a patient's condition changes unexpectedly, the nurse should first:
Wait until the next scheduled assessment
Reassess the patient and validate the new cues
Immediately complete discharge paperwork
Ask a family member to determine the cause
11. Which statement about intuition in nursing is most accurate?
Intuition is the same as guessing
Intuition should prompt focused assessment and be integrated with evidence
Intuition is never useful for experienced nurses
Intuition should replace objective data
12. A nurse asks, 'What else could explain this finding?' This question most directly supports:
Avoiding patient assessment
Delegating clinical judgment
Completing documentation faster
Considering alternative explanations before deciding
Chapter 3: Assessment
13. Which nursing-process step involves collecting subjective and objective data?
Planning
Diagnosis
Assessment
Evaluation
14. Which statement is an example of a nursing diagnosis rather than a medical diagnosis?
Acute pain related to tissue injury
Heart failure
Appendicitis
Pneumonia
Original exam-style practice questions • Not an official publisher test bank Page 2
, 15. A measurable patient-centered goal should include:
Only the nurse's preferred intervention
A list of medical treatments
A broad statement such as 'feel better'
A specific observable outcome and a time frame
16. During evaluation, the nurse determines that an outcome was not met. What should the nurse do next?
Assume the patient was noncompliant
Stop all nursing interventions
Analyze why the outcome was not met and revise the plan as indicated
Delete the outcome
17. Which finding is subjective data?
Temperature is 38.4°C
Respirations are 24/min
The patient reports a pain level of 7/10
Skin is cool and pale
Human assessment
Head-to-toe zones (original schematic)
assessment zones
lungs / heart
abdomen
lower extremities Human assessment zones (original schematic)
18. Why is the nursing process considered dynamic?
Each step is completed only once
Information and patient responses can require the nurse to move back and forth among steps
The nurse never changes the plan after implementation
The process is used only for acute illness
Chapter 4: Nursing Process: Diagnosis
19. Evidence-based practice combines the best available evidence with:
The nurse's personal opinion only
The oldest available textbook
Hospital tradition alone
Clinical expertise and patient preferences/values
20. A nurse asks a focused clinical question before searching databases. This step helps the nurse:
Replace patient preferences
Guarantee that all studies will agree
Avoid evaluating research quality
Define the evidence needed to answer the practice problem
21. Which source generally provides the strongest evidence for a question about intervention effectiveness?
A well-designed systematic review of randomized trials
A single expert opinion
An anecdotal case report
An unsourced social-media post
Original exam-style practice questions • Not an official publisher test bank Page 3
, 22. When evaluating a research article, the nurse should first consider whether:
The article has the longest title
The authors agree with the nurse's prior beliefs
The study uses the most technical language
The methods are appropriate to the question and the findings are credible
23. A nursing theory is useful because it can:
Eliminate the need for research
Organize concepts and guide how nurses understand and address patient phenomena
Replace all clinical assessment
Guarantee a specific patient outcome
24. A unit wants to reduce catheter-associated infection. Which action best reflects evidence-based practice?
Adopt the newest idea without measuring outcomes
Change practice without informing staff
Use only the preference of the most senior nurse
Review current evidence, assess local data, implement an evidence-supported change, and evaluate results
Chapter 5: Planning Outcomes
25. Which developmental task is most associated with infancy?
Establishing a career identity
Developing trust through consistent responsive care
Achieving generativity
Resolving integrity versus despair
26. A toddler's behavior is best supported when the nurse:
Uses punishment for normal exploration
Provides lengthy abstract explanations
Offers simple choices within safe limits
Expects complete impulse control
27. Which finding is most expected in a preschool child?
Loss of interest in peer interaction
Stable adult-like reasoning
Complete independence in all self-care
Increasing imaginative play and initiative
28. School-age children often benefit from:
Only abstract explanations
Concrete explanations and opportunities for mastery
Being told that procedures will not hurt regardless of reality
Being excluded from care decisions
29. A key developmental focus of adolescence is:
Developing identity and increasing independence
Achieving retirement adjustment
Learning object permanence
Developing basic trust
30. Which nursing action best supports development in a hospitalized child?
Original exam-style practice questions • Not an official publisher test bank Page 4
