NURSING FUNDAMENTALS TEST 1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS VERIFIED 2027 EDITION
1. What are the five steps of the Nursing Process
Assess Diagnosis Planning Implementation Evaluation
2. What is an assessment?
Systematic and continuous collection, analysis, validation, and communication of patient data.
3. What are some sources of assessment data?
Clients, family, friend, neighbor, significant others, test results, reports, consultations.
4. What are some characteristics of nursing assessments?
Purposeful, prioritized, complete, systematic, factual and accurate, relevant, recorded in a standard
manner.
5. What are the four types of nursing assessments?
Comprehensive initial, focused, emergency, and time-lapsed.
6. What is an initial comprehensive assessment?
Performed shortly after admittance to hospital. Performed to establish a complete database for problem
identification and care planning. Performed by the nurse to collect data on all aspects.
7. What is a focused assessment?
May be performed during initial assessment or as routine ongoing data collection. Performed to gather
data about a specific problem already identified, or to identify new or overlooked problems. Performed by
the nurse to collect data about the specific problem.
8. What is an emergency assessment?
Performed when a physiologic crisis or presents. Performed to identify life-threatening problems.
Performed by the nurse to gather data about a life-threatening problem.
9. What is a time-lapsed assessment?
Performed to compare a patient's current status to baseline data obtained earlier. Performed to reassess
health status and make necessary revisions in care plan. Performed by the nurse to collect data about
current health status of patient.
10. Which one of the following assessments would be performed on a patient to gather data about his
previously diagnosed liver cancer? A. Initial comprehensive assessment B. Focused assessment C.
Emergency assessment D. Time-lapsed assessment
B.
11. What is objective data?
Observable and measurable data that can be seen, heard, or felt by someone other than the person
experiencing them.
12. What are some examples of observable data?
Elevated temperature, skin moisture, and vomiting.
13. What is subjective data?
What the patient tells you. Information perceived only by the affected person.
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, 14. What are examples of subjective data?
Pain experience, feeling dizzy, and feeling anxious.
15. What is the skill of nursing observation?
Determines the patient's current responses (physical and emotional). Determines the patient's current
about to manage care. Determines the immediate environment and it's safety. Determines the larger
environment (hospital or community).
16. Tell whether the following statements is true or false. A patient rates his pain a "7" on a pain
rating scale. This rating is considered to be objective data. A. True B. False
B.
17. What are some Nursing history components?
Patients profile: name, dob, race, and education. Why are they here? Health literacy (why is this
important?) Mental and physical health Communication Cultural considerations Usual habits Medications
Advanced directives How the patient will participate in care.
18. What are the four phases of a nursing interview?
Preparatory phase-gather info Introduction-relationship established Working phase-patient and nurse
work together to meet needs/nurse gives assistance Termination-change of shift, patient discharged,
goals are met.
19. Why do you use clinical reasoning during assessment?
Assessing systematically and comprehensively. Detecting bias and determined the credibility of
information sources. (Use what patient said without judgement) Distinguishing normal from abnormal
findings and identifying the risks for abnormal irrelevant. Making judgements about the significance of
data, distinguishing relevant from irrelevant. Identifying assumptions and inconsistencies, checking
accuracy and reliablitly, and recognizing missing information.
20. How do we validate data?
Performing a physical exmaination using proper equipment and procedure. Using clarifying statements.
Analyzing cues. Sharing inferences with other team members. Checking findings with research reports.
Comparing cues to knowledge base normal function. Checking consistency of cues.
21. How to do the documentation of data.
Immediately give verbal reporting of data when we a critical change in the patient's health status is
assessed. Enter initial database into computer or record in ink on designated forms the same day patient
is admitted. Summarize objective and subjective data in concise, comprehensive, and a easily retrievable
manner. Use good grammar and standard medical abbreviations. Whenever possible, use the patient's
own words. Avoid nonspecific terms subject to individual interpretation or definition.
22. How the phases of assessment set the stage for diagnosis.
Assessment (collecting data, identifying cues and making inferences, validating data, clustering relation
data and identifying patterns, and reporting and recording data. Clinical reasoning (analyzing,
synthesizing, reflecting, making judgements, and drawing conclusions). Diagnosis.
23. What is the purpose of the diagnosing step?
Identify how an individual, group, or community responds to actual or potential health and life processes.
Identify factors that contribute to, or cause, health problems (etiologies). Identify resources or strengths
on which the individual, group, or community can draw to prevent or resolve problems.
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CORRECT ANSWERS VERIFIED 2027 EDITION
1. What are the five steps of the Nursing Process
Assess Diagnosis Planning Implementation Evaluation
2. What is an assessment?
Systematic and continuous collection, analysis, validation, and communication of patient data.
3. What are some sources of assessment data?
Clients, family, friend, neighbor, significant others, test results, reports, consultations.
4. What are some characteristics of nursing assessments?
Purposeful, prioritized, complete, systematic, factual and accurate, relevant, recorded in a standard
manner.
5. What are the four types of nursing assessments?
Comprehensive initial, focused, emergency, and time-lapsed.
6. What is an initial comprehensive assessment?
Performed shortly after admittance to hospital. Performed to establish a complete database for problem
identification and care planning. Performed by the nurse to collect data on all aspects.
7. What is a focused assessment?
May be performed during initial assessment or as routine ongoing data collection. Performed to gather
data about a specific problem already identified, or to identify new or overlooked problems. Performed by
the nurse to collect data about the specific problem.
8. What is an emergency assessment?
Performed when a physiologic crisis or presents. Performed to identify life-threatening problems.
Performed by the nurse to gather data about a life-threatening problem.
9. What is a time-lapsed assessment?
Performed to compare a patient's current status to baseline data obtained earlier. Performed to reassess
health status and make necessary revisions in care plan. Performed by the nurse to collect data about
current health status of patient.
10. Which one of the following assessments would be performed on a patient to gather data about his
previously diagnosed liver cancer? A. Initial comprehensive assessment B. Focused assessment C.
Emergency assessment D. Time-lapsed assessment
B.
11. What is objective data?
Observable and measurable data that can be seen, heard, or felt by someone other than the person
experiencing them.
12. What are some examples of observable data?
Elevated temperature, skin moisture, and vomiting.
13. What is subjective data?
What the patient tells you. Information perceived only by the affected person.
1
, 14. What are examples of subjective data?
Pain experience, feeling dizzy, and feeling anxious.
15. What is the skill of nursing observation?
Determines the patient's current responses (physical and emotional). Determines the patient's current
about to manage care. Determines the immediate environment and it's safety. Determines the larger
environment (hospital or community).
16. Tell whether the following statements is true or false. A patient rates his pain a "7" on a pain
rating scale. This rating is considered to be objective data. A. True B. False
B.
17. What are some Nursing history components?
Patients profile: name, dob, race, and education. Why are they here? Health literacy (why is this
important?) Mental and physical health Communication Cultural considerations Usual habits Medications
Advanced directives How the patient will participate in care.
18. What are the four phases of a nursing interview?
Preparatory phase-gather info Introduction-relationship established Working phase-patient and nurse
work together to meet needs/nurse gives assistance Termination-change of shift, patient discharged,
goals are met.
19. Why do you use clinical reasoning during assessment?
Assessing systematically and comprehensively. Detecting bias and determined the credibility of
information sources. (Use what patient said without judgement) Distinguishing normal from abnormal
findings and identifying the risks for abnormal irrelevant. Making judgements about the significance of
data, distinguishing relevant from irrelevant. Identifying assumptions and inconsistencies, checking
accuracy and reliablitly, and recognizing missing information.
20. How do we validate data?
Performing a physical exmaination using proper equipment and procedure. Using clarifying statements.
Analyzing cues. Sharing inferences with other team members. Checking findings with research reports.
Comparing cues to knowledge base normal function. Checking consistency of cues.
21. How to do the documentation of data.
Immediately give verbal reporting of data when we a critical change in the patient's health status is
assessed. Enter initial database into computer or record in ink on designated forms the same day patient
is admitted. Summarize objective and subjective data in concise, comprehensive, and a easily retrievable
manner. Use good grammar and standard medical abbreviations. Whenever possible, use the patient's
own words. Avoid nonspecific terms subject to individual interpretation or definition.
22. How the phases of assessment set the stage for diagnosis.
Assessment (collecting data, identifying cues and making inferences, validating data, clustering relation
data and identifying patterns, and reporting and recording data. Clinical reasoning (analyzing,
synthesizing, reflecting, making judgements, and drawing conclusions). Diagnosis.
23. What is the purpose of the diagnosing step?
Identify how an individual, group, or community responds to actual or potential health and life processes.
Identify factors that contribute to, or cause, health problems (etiologies). Identify resources or strengths
on which the individual, group, or community can draw to prevent or resolve problems.
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