ULL NURSING 204 EXAM 1 2026 TEST
BANK COMPLETE QUESTIONS
SOLUTIONS GRADED A+
◉ ANA Scope and Standards of Practice Standard 2. Diagnosis.
Answer: The RN analyzes assessment data to determine actual or
potential diagnoses, problems, and issues
◉ ANA Scope and Standards of Practice Standard 3. Outcome
identification.
Answer: The RN identifies expected outcomes for a plan individualized
to the healthcare consumer or the situation
◉ ANA Scope and Standards of Practice Standard 4. Planning.
Answer: The RN develops a plan that prescribes strategies to attain
expected, measurable outcomes.
◉ ANA Scope and Standards of Practice Standard 5. Implementation.
Answer: The RN implements the identified plan.
•5A Coordination of Care
5B Health Teaching and Health Promotion
◉ ANA Scope and Standards of Practice Standard 6. Evaluation.
Answer: The RN evaluates progress toward attainment of goals and
outcomes
,◉ Nursing Process.
Answer: Dynamic, systematic clinical management tool:
The primary means of directing the sequence, planning, implementation,
and evaluation of nursing care to achieve specific health goals.
◉ communication plays a major role in the Nursing Process.
Answer: •Establish & maintain a therapeutic relationship
•Promote, maintain, or restore health, or facilitate a peaceful death
•Manage difficult health care issues
•Provide quality nursing care that is safe and efficient
◉ ADPIE - Nursing Process.
Answer: These phases/steps - flexible & overlapping
•Because of this - can be modified at any phase
•Starts with first encounter
•Ends with Discharge or Referral/Transfer off unit/Death
Communication is used for all phases/steps.
◉ Assessment.
Answer: Collection, Analysis & Verification of information (is ongoing)
•Begins: first encounter between nurse & patient/family
•Next step: obtain information about the patient's current and past
problems. The entire experiences are questioned.
,********If the current situation changes -
DO ANOTHER ASSESSMENT!
Find out what is going on!
•Ends: with discharge or referral
◉ Assessment-collecting data.
Answer: •History/Interview Patient
•Past records & tests
•Other members of Health Care Team
•Family
•Nurse's own observations; Physical Exam
•Current tests, measurements
NOTE: strengths, limitations, resources available and changes in
condition or status.
◉ Subjective (Stated) data.
Answer: •patient's perception of data & what patient or family says
about the data
Document: Patient states, "..."
◉ Objective (observed) data.
Answer: •data directly observed or verified through physical exam or
tests
Document in specific measurable terms
, ◉ Analysis of collected data.
Answer: *Analyze Data: organizes cluster behaviors
*Make inferences on the Subjective & the Objective data.
*Combine with personal and scientific nursing knowledge.
-Question to ask: What do I think is going on based on the data I
collected?
◉ verification of collected data.
Answer: Ensure validity by verifying the data and the inferences with
the patient.
•?? Is the information I gathered correct ??
◉ Diagnosis.
Answer: Identify health care needs/problems & formulates a
biopsychosocial statement
Analyze assessment information obtained
Identify gaps
•Compare against normal health standards
•Look for functional vs. dysfunctional patterns
-Normal functioning vs. abnormal functioning
-Emotional and/or physically
-Possibly related to disease or impairment
BANK COMPLETE QUESTIONS
SOLUTIONS GRADED A+
◉ ANA Scope and Standards of Practice Standard 2. Diagnosis.
Answer: The RN analyzes assessment data to determine actual or
potential diagnoses, problems, and issues
◉ ANA Scope and Standards of Practice Standard 3. Outcome
identification.
Answer: The RN identifies expected outcomes for a plan individualized
to the healthcare consumer or the situation
◉ ANA Scope and Standards of Practice Standard 4. Planning.
Answer: The RN develops a plan that prescribes strategies to attain
expected, measurable outcomes.
◉ ANA Scope and Standards of Practice Standard 5. Implementation.
Answer: The RN implements the identified plan.
•5A Coordination of Care
5B Health Teaching and Health Promotion
◉ ANA Scope and Standards of Practice Standard 6. Evaluation.
Answer: The RN evaluates progress toward attainment of goals and
outcomes
,◉ Nursing Process.
Answer: Dynamic, systematic clinical management tool:
The primary means of directing the sequence, planning, implementation,
and evaluation of nursing care to achieve specific health goals.
◉ communication plays a major role in the Nursing Process.
Answer: •Establish & maintain a therapeutic relationship
•Promote, maintain, or restore health, or facilitate a peaceful death
•Manage difficult health care issues
•Provide quality nursing care that is safe and efficient
◉ ADPIE - Nursing Process.
Answer: These phases/steps - flexible & overlapping
•Because of this - can be modified at any phase
•Starts with first encounter
•Ends with Discharge or Referral/Transfer off unit/Death
Communication is used for all phases/steps.
◉ Assessment.
Answer: Collection, Analysis & Verification of information (is ongoing)
•Begins: first encounter between nurse & patient/family
•Next step: obtain information about the patient's current and past
problems. The entire experiences are questioned.
,********If the current situation changes -
DO ANOTHER ASSESSMENT!
Find out what is going on!
•Ends: with discharge or referral
◉ Assessment-collecting data.
Answer: •History/Interview Patient
•Past records & tests
•Other members of Health Care Team
•Family
•Nurse's own observations; Physical Exam
•Current tests, measurements
NOTE: strengths, limitations, resources available and changes in
condition or status.
◉ Subjective (Stated) data.
Answer: •patient's perception of data & what patient or family says
about the data
Document: Patient states, "..."
◉ Objective (observed) data.
Answer: •data directly observed or verified through physical exam or
tests
Document in specific measurable terms
, ◉ Analysis of collected data.
Answer: *Analyze Data: organizes cluster behaviors
*Make inferences on the Subjective & the Objective data.
*Combine with personal and scientific nursing knowledge.
-Question to ask: What do I think is going on based on the data I
collected?
◉ verification of collected data.
Answer: Ensure validity by verifying the data and the inferences with
the patient.
•?? Is the information I gathered correct ??
◉ Diagnosis.
Answer: Identify health care needs/problems & formulates a
biopsychosocial statement
Analyze assessment information obtained
Identify gaps
•Compare against normal health standards
•Look for functional vs. dysfunctional patterns
-Normal functioning vs. abnormal functioning
-Emotional and/or physically
-Possibly related to disease or impairment
