,MULTIPLE CHOICE b
1. The nursing process is a five-step decision-making approach that includes all of the
b b b b b b b b b b b b
followingsteps, EXCEPT:
b b b
a. Assessment
b. Patient problem b
c. Planning
d. Right Drug b
ANS: D b
The nursing process is a five-step decision-making approach that includes: 1) assessment,
b b b b b b b b b b b
2) patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is
b b b b b b b b b b b b b
one of the“Six Rights” of medication administration.
b b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) b b b TOP: Nursing Process: b b
PlanningMSC: NCLEX: Management of Care
b b b b b b
2. The nurse is using data collected to set goals or expected outcomes and
b b b b b b b b b b b b
interventions thataddress the patient’s problems. Which step of the nursing
b b b b b b b b b b b
process is the nurse applying?
b b b b b
a. Assessment
b. Patient problem b
c. Planning N
d. Evaluation
ANS: C b
During the planning phase, the nurse uses the data collected to set goals or expected
b b b b b b b b b b b b b b
outcomesand interventions which address the patient’s problems. The data was collected
b b b b b b b b b b b b
during the “Assessment” and “Patient problem” steps. During the “Evaluation” phase
b b b b b b b b b b b
the nurse would determine whether the goals and objectives set during the planning
b b b b b b b b b b b b b
phase were met.
b b b
DIF: Cognitive Level: Understanding b b
(Comprehension)TOP: Nursing Process: Nursing
b b b b b
Intervention
b
MSC: NCLEX: Management of Care
b b b b
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
b b b b b b b b b b b b
episodesof hyperglycemia. The parents tell the nurse that they can’t keep track of
b b b b b b b b b b b b b b
everything that has to be done to care for their child. The nurse reviews medications,
b b b b b b b b b b b b b b b
diet, and symptom management with the parents and draws up a daily checklist for
b b b b b b b b b b b b b b
the family to use. These activities are completed in which step of the nursing process?
b b b b b b b b b b b b b b b
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C b
, The implementation phase is the part of the nursing process in which the nurse
b b b b b b b b b b b b b
provides education, drug administration, patient care, and other interventions
b b b b b b b b b
necessary to assist thepatient in accomplishing established medication goals.
b b b b b b b b b b
DIF: Cognitive Level: Understanding b b
(Comprehension)TOP: Nursing Process: Nursing
b b b b b
Intervention
b
MSC: NCLEX: Management of Care
b b b b
4. The nurse is preparing to administer a medication and reviews the patient’s chart
b b b b b b b b b b b b
for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The
b b b b b b b b b b b b
nurse’s actions arereflective of which phase of the nursing process?
b b b b b b b b b b b
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A b
Assessment involves gathering information about the patient and the drug,
b b b b b b b b b
including anyprevious use of the drug.
b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) b b b
TOP: Nursing Process: Assessment
b MSC: NCLEX: Management of Careb b b b b b
5. Which assessment is categorized as objective data?
b b b b b b
a. A list of herbal supplements regularly used
b b b b b b
b. Lab values associated with the drugs the patient is taking
b b b b b b b b b
c. The ages and relationship to the patient of all household members
b b b b b b b b b b
d. Usual dietary patterns and fNood intake
b b b b b
ANS: B b
Objective data are measured and detected by another person and would include lab
b b b b b b b b b b b b
values.The other examples are subjective data.
b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) b b b
TOP: Nursing Process: Assessment
b MSC: NCLEX: Management of Careb b b b b b
6. The nurse reviews a patient’s database and learns that the patient lives alone, is
b b b b b b b b b b b b b
forgetful, anddoes not have an established routine. The patient will be sent home with
b b b b b b b b b b b b b b b
three new medications to be taken at different times of the day. The nurse develops a
b b b b b b b b b b b b b b b b
daily medication chart and enlists a family member to put the patient’s pills in a pill
b b b b b b b b b b b b b b b b
organizer. This is an example of which phase of the nursing process?
b b b b b b b b b b b b
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C b
, The implementation phase involves education and patient care in order to assist the
b b b b b b b b b b b b
patient to
b b
1. The nursing process is a five-step decision-making approach that includes all of the
b b b b b b b b b b b b
followingsteps, EXCEPT:
b b b
a. Assessment
b. Patient problem b
c. Planning
d. Right Drug b
ANS: D b
The nursing process is a five-step decision-making approach that includes: 1) assessment,
b b b b b b b b b b b
2) patient problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is
b b b b b b b b b b b b b
one of the“Six Rights” of medication administration.
b b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) b b b TOP: Nursing Process: b b
PlanningMSC: NCLEX: Management of Care
b b b b b b
2. The nurse is using data collected to set goals or expected outcomes and
b b b b b b b b b b b b
interventions thataddress the patient’s problems. Which step of the nursing
b b b b b b b b b b b
process is the nurse applying?
b b b b b
a. Assessment
b. Patient problem b
c. Planning N
d. Evaluation
ANS: C b
During the planning phase, the nurse uses the data collected to set goals or expected
b b b b b b b b b b b b b b
outcomesand interventions which address the patient’s problems. The data was collected
b b b b b b b b b b b b
during the “Assessment” and “Patient problem” steps. During the “Evaluation” phase
b b b b b b b b b b b
the nurse would determine whether the goals and objectives set during the planning
b b b b b b b b b b b b b
phase were met.
b b b
DIF: Cognitive Level: Understanding b b
(Comprehension)TOP: Nursing Process: Nursing
b b b b b
Intervention
b
MSC: NCLEX: Management of Care
b b b b
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for
b b b b b b b b b b b b
episodesof hyperglycemia. The parents tell the nurse that they can’t keep track of
b b b b b b b b b b b b b b
everything that has to be done to care for their child. The nurse reviews medications,
b b b b b b b b b b b b b b b
diet, and symptom management with the parents and draws up a daily checklist for
b b b b b b b b b b b b b b
the family to use. These activities are completed in which step of the nursing process?
b b b b b b b b b b b b b b b
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C b
, The implementation phase is the part of the nursing process in which the nurse
b b b b b b b b b b b b b
provides education, drug administration, patient care, and other interventions
b b b b b b b b b
necessary to assist thepatient in accomplishing established medication goals.
b b b b b b b b b b
DIF: Cognitive Level: Understanding b b
(Comprehension)TOP: Nursing Process: Nursing
b b b b b
Intervention
b
MSC: NCLEX: Management of Care
b b b b
4. The nurse is preparing to administer a medication and reviews the patient’s chart
b b b b b b b b b b b b
for drug allergies, serum creatinine, and blood urea nitrogen (BUN) levels. The
b b b b b b b b b b b b
nurse’s actions arereflective of which phase of the nursing process?
b b b b b b b b b b b
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: A b
Assessment involves gathering information about the patient and the drug,
b b b b b b b b b
including anyprevious use of the drug.
b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) b b b
TOP: Nursing Process: Assessment
b MSC: NCLEX: Management of Careb b b b b b
5. Which assessment is categorized as objective data?
b b b b b b
a. A list of herbal supplements regularly used
b b b b b b
b. Lab values associated with the drugs the patient is taking
b b b b b b b b b
c. The ages and relationship to the patient of all household members
b b b b b b b b b b
d. Usual dietary patterns and fNood intake
b b b b b
ANS: B b
Objective data are measured and detected by another person and would include lab
b b b b b b b b b b b b
values.The other examples are subjective data.
b b b b b b b
DIF: Cognitive Level: Understanding (Comprehension) b b b
TOP: Nursing Process: Assessment
b MSC: NCLEX: Management of Careb b b b b b
6. The nurse reviews a patient’s database and learns that the patient lives alone, is
b b b b b b b b b b b b b
forgetful, anddoes not have an established routine. The patient will be sent home with
b b b b b b b b b b b b b b b
three new medications to be taken at different times of the day. The nurse develops a
b b b b b b b b b b b b b b b b
daily medication chart and enlists a family member to put the patient’s pills in a pill
b b b b b b b b b b b b b b b b
organizer. This is an example of which phase of the nursing process?
b b b b b b b b b b b b
a. Assessment
b. Evaluation
c. Implementation
d. Planning
ANS: C b
, The implementation phase involves education and patient care in order to assist the
b b b b b b b b b b b b
patient to
b b