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Answer key
1. A nurse is following the goals of healthy people a. Create social and physical en-
2020 to provide care. Which action should the vironments that promote good
nurse take? health
a. Crate social and physical environments that pro-
mote good health
b. Allow people to continue current behavior to
reduce the stress of change.
c.Focus on illness treatment to provide fast recu-
peration
d. Focus only on health changes that will leas to
better local communities.
2. 1- A nurse is teaching about the goals of healthy c. Eliminate health disparities in
people 2020. Which information should the nurse America
include in the teaching session?
a. Eliminate health life in America
b. Eliminate health behavior in America
c. Eliminate health disparities in America
d. Eliminate quality of life in America
3. 1- In which order will the nurse use the nursing a. 2, 4, 3, 5, 1
process steps during the clinical decision-making
process? 2. Assessing patient needs
1. Evaluating goals 4. Determining nursing diag-
2. Assessing patient needs noses
3. Planning priorities of care 3. Planning priorities of care
4. Determining nursing diagnoses 5. Implementing nursing inter-
5. Implementing nursing interventions ventions
1. Evaluating goals
a. 2, 4, 3, 5, 1
b. 4, 3, 2, 1, 5
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Answer key
c. 1, 2, 4, 5, 3
d. 5, 1, 2, 3, 4
4. The nurse is using critical thinking skills during the a. Completes a comprehensive
first phase of the nursing process. Which action database.
indicates the nurse is in the first phase?
Assessment: data
a. Completes a comprehensive database.
b. Identifies pertinent nursing diagnoses.
c. Intervenes based on priorities of patient care.
d. Determines whether outcomes have been
achieved.
5. A nurse is using a critical thinking model to provide c. Nursing process
care. Which component is first that helps a nurses
make clinical decisions?
a.Attitude
b.Experience
c.Nursing process
d.Specific knowledge base
6. Which method of data collection will the nurse use c. Performing a physical exami-
to establish a patient's database? nation
a. Reviewing the current literature to determine
evidence-based nursing actions
b. Checking orders for diagnostic and laboratory
tests
c. Performing a physical examination
d. Ordering medications
7. The nurse is reviewing a patient's database for a.Diagnosis
significant changes and discovers that the patient
has not voided in over 8 hours. The patient's kid-
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Answer key
ney function lab results are abnormal, and the pa-
tient's oral intake has significantly decreased since
previous shifts. Which step of the nursing process
should the nurse proceed to after this review?
a.Diagnosis
b.Planning
c.Implementation
d.Evaluation
8. The nurse completes a thorough assessment of a c. Planning
patient and analyzes the data to identify nursing
diagnoses. Which step will the nurse take next in
the nursing process?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
9. A nurse is providing nursing care to patients after Implementation
completing a care plan from nursing diagnoses. In
which step of the nursing process is the nurse?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
10. Which action should the nurse take first during the d. Reassess the patient.
initial phase of implementation?
a. Determine patient outcomes and goals.
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Answer key
b. Prioritize patient's nursing diagnoses.
c. Evaluate interventions.
d. Reassess the patient.
11. A nurse determines that the patient's condition d. Evaluation
has improved and has met expected outcomes.
Which step of the nursing process is the nurse
exhibiting?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation
12. A nurse completes a thorough database and car- d. Evaluation
ries out nursing interventions based on priority
diagnoses. Which action will the nurse take next?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation
13. Which nursing actions will the nurse perform in b. Determine whether out-
the evaluation phase of the nursing process? (Se- comes or standards are met.
lect all that apply.) d. Document results of goal
achievement.
a. Set priorities for patient care. e. Use self-reflection and cor-
b. Determine whether outcomes or standards are rect errors.
met.
c. Ambulate patient 25 feet in the hallway.
d. Document results of goal achievement.
e. Use self-reflection and correct errors.
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Fundamentals Test Bank final
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Answer key
1. A nurse is following the goals of healthy people a. Create social and physical en-
2020 to provide care. Which action should the vironments that promote good
nurse take? health
a. Crate social and physical environments that pro-
mote good health
b. Allow people to continue current behavior to
reduce the stress of change.
c.Focus on illness treatment to provide fast recu-
peration
d. Focus only on health changes that will leas to
better local communities.
2. 1- A nurse is teaching about the goals of healthy c. Eliminate health disparities in
people 2020. Which information should the nurse America
include in the teaching session?
a. Eliminate health life in America
b. Eliminate health behavior in America
c. Eliminate health disparities in America
d. Eliminate quality of life in America
3. 1- In which order will the nurse use the nursing a. 2, 4, 3, 5, 1
process steps during the clinical decision-making
process? 2. Assessing patient needs
1. Evaluating goals 4. Determining nursing diag-
2. Assessing patient needs noses
3. Planning priorities of care 3. Planning priorities of care
4. Determining nursing diagnoses 5. Implementing nursing inter-
5. Implementing nursing interventions ventions
1. Evaluating goals
a. 2, 4, 3, 5, 1
b. 4, 3, 2, 1, 5
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Answer key
c. 1, 2, 4, 5, 3
d. 5, 1, 2, 3, 4
4. The nurse is using critical thinking skills during the a. Completes a comprehensive
first phase of the nursing process. Which action database.
indicates the nurse is in the first phase?
Assessment: data
a. Completes a comprehensive database.
b. Identifies pertinent nursing diagnoses.
c. Intervenes based on priorities of patient care.
d. Determines whether outcomes have been
achieved.
5. A nurse is using a critical thinking model to provide c. Nursing process
care. Which component is first that helps a nurses
make clinical decisions?
a.Attitude
b.Experience
c.Nursing process
d.Specific knowledge base
6. Which method of data collection will the nurse use c. Performing a physical exami-
to establish a patient's database? nation
a. Reviewing the current literature to determine
evidence-based nursing actions
b. Checking orders for diagnostic and laboratory
tests
c. Performing a physical examination
d. Ordering medications
7. The nurse is reviewing a patient's database for a.Diagnosis
significant changes and discovers that the patient
has not voided in over 8 hours. The patient's kid-
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Fundamentals Test Bank final
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Answer key
ney function lab results are abnormal, and the pa-
tient's oral intake has significantly decreased since
previous shifts. Which step of the nursing process
should the nurse proceed to after this review?
a.Diagnosis
b.Planning
c.Implementation
d.Evaluation
8. The nurse completes a thorough assessment of a c. Planning
patient and analyzes the data to identify nursing
diagnoses. Which step will the nurse take next in
the nursing process?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
9. A nurse is providing nursing care to patients after Implementation
completing a care plan from nursing diagnoses. In
which step of the nursing process is the nurse?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation
10. Which action should the nurse take first during the d. Reassess the patient.
initial phase of implementation?
a. Determine patient outcomes and goals.
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Answer key
b. Prioritize patient's nursing diagnoses.
c. Evaluate interventions.
d. Reassess the patient.
11. A nurse determines that the patient's condition d. Evaluation
has improved and has met expected outcomes.
Which step of the nursing process is the nurse
exhibiting?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation
12. A nurse completes a thorough database and car- d. Evaluation
ries out nursing interventions based on priority
diagnoses. Which action will the nurse take next?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation
13. Which nursing actions will the nurse perform in b. Determine whether out-
the evaluation phase of the nursing process? (Se- comes or standards are met.
lect all that apply.) d. Document results of goal
achievement.
a. Set priorities for patient care. e. Use self-reflection and cor-
b. Determine whether outcomes or standards are rect errors.
met.
c. Ambulate patient 25 feet in the hallway.
d. Document results of goal achievement.
e. Use self-reflection and correct errors.
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