2026/2027 | WITH COMPLETE REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED A+
(MOST RECENT!!)
SECTION 1: NURSING PROCESS (ADPIE)
1. 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
Answer: B. Evaluation
Rationale: Evaluation is the final step where the nurse compares actual outcomes
with expected outcomes to determine goal achievement and modify the care plan
as needed.
2. Which statement is related to the concept that is central to the nursing
process?
A. The nursing process is linear and does not require revision
B. The nursing process is a variation of scientific reasoning
C. The nursing process focuses only on physical needs
D. The nursing process is completed once per hospitalization
Answer: B. The nursing process is a variation of scientific reasoning
Rationale: The nursing process is a systematic, critical-thinking framework
adapted from scientific reasoning, involving assessment, diagnosis, planning,
implementation, and evaluation.
3. What is the primary purpose of the assessment phase of the nursing process?
A. To establish nursing diagnoses
B. To collect comprehensive data about the patient
C. To implement nursing interventions
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,D. To evaluate the effectiveness of care
Answer: B. To collect comprehensive data about the patient
Rationale: Assessment is the first step, focused on gathering subjective and
objective data to establish a baseline for the patient's health status.
4. Which of the following is a correctly stated nursing diagnosis?
A. Pneumonia related to ineffective airway clearance
B. Impaired Gas Exchange related to pneumonia
C. Impaired Gas Exchange related to alveolar-capillary membrane changes
D. Pneumonia: Impaired Gas Exchange
Answer: C. Impaired Gas Exchange related to alveolar-capillary membrane
changes
Rationale: A nursing diagnosis uses NANDA-I approved terminology, includes a
problem and etiology linked by "related to," and avoids medical diagnoses (like
pneumonia) as the problem.
5. A nurse is developing a care plan for a patient with impaired mobility. Which is
an appropriate, measurable goal?
A. The patient will ambulate more
B. The patient will walk down the hall
C. The patient will ambulate 50 feet with a walker by day 3
D. The patient will try to walk
Answer: C. The patient will ambulate 50 feet with a walker by day 3
Rationale: Goals must be SMART (Specific, Measurable, Attainable, Realistic,
Time-bound). Option C provides a specific distance, assistive device, and time
frame.
6. Which nursing action is part of the evaluation phase when performing wound
care?
A. Obtaining wound measurements once a week
B. Irrigating the wound with normal saline
C. Observing the drainage of the fresh wound
D. Discussing goals for wound management with the client
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,Answer: A. Obtaining wound measurements once a week
Rationale: Evaluation involves reassessing the patient's response to interventions.
Measuring wound size over time determines if the wound is healing (goal met) or
not.
7. A nurse is prioritizing care for four patients. Which patient should be assessed
first?
A. Patient with stable angina reporting mild chest pain that resolves with rest
B. Patient with a new onset of confusion and hypotension
C. Patient with a scheduled wound dressing change
D. Patient requesting pain medication for chronic back pain
Answer: B. Patient with new onset of confusion and hypotension
Rationale: New confusion with hypotension may indicate poor cerebral perfusion
or sepsis – an acute, life-threatening change requiring immediate assessment
(ABCs and neurological status).
8. The nurse is writing an expected outcome for a patient with impaired skin
integrity. Which statement is most appropriate?
A. "Wound will heal completely by discharge."
B. "Patient will demonstrate wound care by next shift."
C. "Wound size will decrease by 50% in 5 days."
D. "Patient will report less pain."
Answer: C. "Wound size will decrease by 50% in 5 days."
Rationale: This is specific, measurable, and time-bound. "Heal completely" is
vague, and "demonstrate" is about behavior, not wound healing.
9. Which step of the nursing process includes the nurse's actions to carry out the
plan of care?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Answer: D. Implementation
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, Rationale: Implementation is the action phase where nursing interventions are
executed, documented, and delegated.
10. A patient's goal is "Patient will maintain oxygen saturation >95% on room air."
This is an example of which type of goal?
A. Cognitive
B. Psychomotor
C. Affective
D. Physiologic
Answer: D. Physiologic
Rationale: Physiologic goals relate to physical functioning (e.g., oxygenation,
circulation, nutrition). Cognitive goals involve knowledge, psychomotor involve
motor skills, affective involve feelings/attitudes.
11. The nurse identifies a nursing diagnosis of "Risk for Falls" for an elderly
patient. What is the most appropriate intervention?
A. Restrain the patient to prevent falls
B. Keep side rails up at all times
C. Place the bed in the lowest position and use bed alarm
D. Tell the patient to call for help before getting up
Answer: C. Place the bed in the lowest position and use bed alarm
Rationale: Fall prevention includes environmental modifications. Restraints are a
last resort; side rails can be a restraint if fully raised; passive interventions like bed
alarms are appropriate.
12. Which data is considered subjective?
A. Blood pressure 140/90 mmHg
B. Patient states, "I feel dizzy when I stand up"
C. Heart rate 110 bpm
D. Skin is warm and dry
Answer: B. Patient states, "I feel dizzy when I stand up"
Rationale: Subjective data are what the patient tells you (symptoms). Objective
data are measurable/observable (vital signs, physical exam findings).
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