AND CORRECT ANSWERS | GRADED AND THE
LATEST SERIES
During which of the five steps in the nursing process does the nurse determine
whether outcomes of care are achieved?
a. Implementation
b. Evaluation
c. Planning
d. Analysis
Ans: b. Evaluation
Question: Which statement is related to the concept that is central to the
nursing process?
a. It is dynamic rather than static
b. It focuses on the role of the nurse
c. It moves from the simple to the complex
d. It is based on the patient's medical problem
Ans: a. It is dynamic rather than static
Question: A nurse teaches a patient to use visualization to cope with chronic
pain. Which step of the nursing diagnosis is directly related to this concept?
,a. Planning
b. Analysis
c. Evaluation
d. Implementation
Ans: d. Implementation
Question: Which action reflects the assessment step of the nursing process?
a. Taking a patient's apical pulse every 2 hours after being admitted for an
episode of chest pain
b. Scheduling a patient's fluid intake over 12 hours when the patient has a fluid
restriction
c. Examining a patient for injury after a patient falls in the bathroom
d. Obtaining a patient's respiratory rate after a nebulizer treatment
Ans: c. Examining a patient for injury after a patient falls in the bathroom
Question: A nurse is caring for a patient with a fever. Which is a well-
designed goal for this patient?
a. The patient will have a lower temperature
b. The patient will be taught how to take an accurate temperature
c. The patient will maintain fluid intake adequate to prevent dehydration
,d. The patient will be given aspirin every eight hours whenever necessary
Ans: c. The patient will maintain fluid intake adequate to prevent dehydration
Question: During which step of the nursing process does determining which
actions will be employed to meet the needs of a patient occur?
a. Implementation
b. Assessment
c. Planning
d. Analysis
Ans: c. Planning
Question: Which is the primary goal of the assessment phase of the nursing
process?
a. Build trust
b. Collect data
c. Establish goals
d. Validate the medical diagnosis
Ans: b. Collect data
, Question: When two nursing diagnoses appear closely related, which should
the nurse do first to determine which diagnosis most accurately reflects the needs
of the patient?
a. Reassess the patient
b. Examine the related to factors
c. Analyze the secondary to factors
d. Review the defining characteristics
Ans: d. Review the defining characteristics
Question: Which is the primary reason why a nurse performs a physical
assessment of a newly admitted patient?
a. Identify if the patient is at risk for falls
b. Ensure that the patient's skin is totally intact
c. Identify important information about the patient
d. Establish a therapeutic relationship with the patient
Ans: c. Identify important information about the patient
Question: A nurse evaluates a patient's response to a nursing intervention. To
which aspect of the nursing process is this evaluation most directly related?
a. Goal