2026/2027
NV 180 Exam 3 Nursing and Health
Care II Complete Study Guide with
Detailed Practice Exams, Review
Questions and Exam Success
Strategies 2026/2027
Question 1
Who is credited with developing the nursing process that remains foundational in
modern nursing practice?
A. Florence Nightingale
B. Virginia Henderson
C. Ida Jean Orlando
D. Hildegard Peplau
Correct Answer: C. Ida Jean Orlando
Rationale: Ida Jean Orlando developed the nursing process theory emphasizing the
nurse-patient interaction and purposeful nursing actions based on patient behavior.
Florence Nightingale focused on environmental theory, Henderson emphasized basic
needs, and Peplau focused on interpersonal relations in psychiatric nursing.
Question 2
The nursing process is best defined as:
A. A rigid checklist used for nursing documentation
B. A systematic method of critical thinking guiding patient care
C. A physician-directed plan of treatment
D. A diagnostic tool used only in emergencies
Correct Answer: B. A systematic method of critical thinking guiding patient care
Rationale: The nursing process is a structured, rational, and scientific method used to
deliver holistic, patient-centered care. It relies on critical thinking and clinical
judgment. It is not rigid, physician-directed, or limited to emergencies.
Question 3
,2026/2027
Which sequence correctly represents the nursing process (ADPIE)?
A. Assessment, Diagnosis, Planning, Implementation, Evaluation
B. Analysis, Data collection, Planning, Intervention, Examination
C. Assessment, Decision, Planning, Intervention, Evaluation
D. Action, Diagnosis, Planning, Implementation, Examination
Correct Answer: A. Assessment, Diagnosis, Planning, Implementation,
Evaluation
Rationale: ADPIE is the standardized nursing process framework used globally. Other
options distort the correct clinical sequence.
Question 4
Which is a key purpose of the nursing process?
A. Replace physician judgment
B. Eliminate the need for documentation
C. Provide systematic and individualized patient care
D. Focus only on disease management
Correct Answer: C. Provide systematic and individualized patient care
Rationale: The nursing process ensures organized, patient-centered care. It does not
replace physicians, eliminate documentation, or focus solely on disease.
Question 5
Which phase of the nursing process is primarily responsible for identifying patient
problems?
A. Planning
B. Diagnosis
C. Evaluation
D. Implementation
Correct Answer: B. Diagnosis
Rationale: Nursing diagnosis involves analyzing assessment data to identify human
responses to health problems. Planning develops goals, implementation delivers care,
and evaluation assesses outcomes.
Question 6
,2026/2027
What type of assessment is performed immediately after patient admission?
A. Emergency assessment
B. Time-lapsed assessment
C. Comprehensive initial assessment
D. Focused assessment
Correct Answer: C. Comprehensive initial assessment
Rationale: This assessment collects baseline data upon admission. Emergency
assessments are crisis-driven, focused assessments target specific problems, and time-
lapsed assessments compare past and current data.
Question 7
Which assessment involves data collection during a physiological or psychological
crisis?
A. Focused assessment
B. Emergency assessment
C. Initial assessment
D. Time-lapsed assessment
Correct Answer: B. Emergency assessment
Rationale: Emergency assessments prioritize life-threatening conditions. Other
assessments are routine or condition-specific but not crisis-focused.
Question 8
Which data source is considered secondary data?
A. Patient interview
B. Physical examination
C. Family member report
D. Nurse observation
Correct Answer: C. Family member report
Rationale: Secondary data comes from sources other than the patient, such as family,
records, or other healthcare providers.
Question 9
Which method is NOT part of physical examination (IPPA)?
, 2026/2027
A. Inspection
B. Palpation
C. Percussion
D. Assessment
Correct Answer: D. Assessment
Rationale: IPPA stands for Inspection, Palpation, Percussion, and Auscultation.
Assessment is the overall process, not a physical exam technique.
Question 10
What is the most important skill during nursing history and physical assessment?
A. Writing
B. Observation
C. Diagnosis
D. Delegation
Correct Answer: B. Observation
Rationale: Observation allows nurses to detect subtle physical and behavioral changes
essential for accurate assessment.
Question 11
Nursing diagnosis is best described as:
A. Medical identification of disease
B. Clinical judgment about human response to health conditions
C. A physician-prescribed treatment plan
D. A laboratory test interpretation
Correct Answer: B. Clinical judgment about human response to health
conditions
Rationale: Nursing diagnosis focuses on patient responses, not diseases themselves. It
guides nursing interventions.
Question 12
Which organization standardizes nursing diagnoses globally?
A. WHO
B. NANDA-I
NV 180 Exam 3 Nursing and Health
Care II Complete Study Guide with
Detailed Practice Exams, Review
Questions and Exam Success
Strategies 2026/2027
Question 1
Who is credited with developing the nursing process that remains foundational in
modern nursing practice?
A. Florence Nightingale
B. Virginia Henderson
C. Ida Jean Orlando
D. Hildegard Peplau
Correct Answer: C. Ida Jean Orlando
Rationale: Ida Jean Orlando developed the nursing process theory emphasizing the
nurse-patient interaction and purposeful nursing actions based on patient behavior.
Florence Nightingale focused on environmental theory, Henderson emphasized basic
needs, and Peplau focused on interpersonal relations in psychiatric nursing.
Question 2
The nursing process is best defined as:
A. A rigid checklist used for nursing documentation
B. A systematic method of critical thinking guiding patient care
C. A physician-directed plan of treatment
D. A diagnostic tool used only in emergencies
Correct Answer: B. A systematic method of critical thinking guiding patient care
Rationale: The nursing process is a structured, rational, and scientific method used to
deliver holistic, patient-centered care. It relies on critical thinking and clinical
judgment. It is not rigid, physician-directed, or limited to emergencies.
Question 3
,2026/2027
Which sequence correctly represents the nursing process (ADPIE)?
A. Assessment, Diagnosis, Planning, Implementation, Evaluation
B. Analysis, Data collection, Planning, Intervention, Examination
C. Assessment, Decision, Planning, Intervention, Evaluation
D. Action, Diagnosis, Planning, Implementation, Examination
Correct Answer: A. Assessment, Diagnosis, Planning, Implementation,
Evaluation
Rationale: ADPIE is the standardized nursing process framework used globally. Other
options distort the correct clinical sequence.
Question 4
Which is a key purpose of the nursing process?
A. Replace physician judgment
B. Eliminate the need for documentation
C. Provide systematic and individualized patient care
D. Focus only on disease management
Correct Answer: C. Provide systematic and individualized patient care
Rationale: The nursing process ensures organized, patient-centered care. It does not
replace physicians, eliminate documentation, or focus solely on disease.
Question 5
Which phase of the nursing process is primarily responsible for identifying patient
problems?
A. Planning
B. Diagnosis
C. Evaluation
D. Implementation
Correct Answer: B. Diagnosis
Rationale: Nursing diagnosis involves analyzing assessment data to identify human
responses to health problems. Planning develops goals, implementation delivers care,
and evaluation assesses outcomes.
Question 6
,2026/2027
What type of assessment is performed immediately after patient admission?
A. Emergency assessment
B. Time-lapsed assessment
C. Comprehensive initial assessment
D. Focused assessment
Correct Answer: C. Comprehensive initial assessment
Rationale: This assessment collects baseline data upon admission. Emergency
assessments are crisis-driven, focused assessments target specific problems, and time-
lapsed assessments compare past and current data.
Question 7
Which assessment involves data collection during a physiological or psychological
crisis?
A. Focused assessment
B. Emergency assessment
C. Initial assessment
D. Time-lapsed assessment
Correct Answer: B. Emergency assessment
Rationale: Emergency assessments prioritize life-threatening conditions. Other
assessments are routine or condition-specific but not crisis-focused.
Question 8
Which data source is considered secondary data?
A. Patient interview
B. Physical examination
C. Family member report
D. Nurse observation
Correct Answer: C. Family member report
Rationale: Secondary data comes from sources other than the patient, such as family,
records, or other healthcare providers.
Question 9
Which method is NOT part of physical examination (IPPA)?
, 2026/2027
A. Inspection
B. Palpation
C. Percussion
D. Assessment
Correct Answer: D. Assessment
Rationale: IPPA stands for Inspection, Palpation, Percussion, and Auscultation.
Assessment is the overall process, not a physical exam technique.
Question 10
What is the most important skill during nursing history and physical assessment?
A. Writing
B. Observation
C. Diagnosis
D. Delegation
Correct Answer: B. Observation
Rationale: Observation allows nurses to detect subtle physical and behavioral changes
essential for accurate assessment.
Question 11
Nursing diagnosis is best described as:
A. Medical identification of disease
B. Clinical judgment about human response to health conditions
C. A physician-prescribed treatment plan
D. A laboratory test interpretation
Correct Answer: B. Clinical judgment about human response to health
conditions
Rationale: Nursing diagnosis focuses on patient responses, not diseases themselves. It
guides nursing interventions.
Question 12
Which organization standardizes nursing diagnoses globally?
A. WHO
B. NANDA-I
