Q&A | Professional Nursing Practice
1. A nurse is preparing to administer a medication to a patient. According to
the nursing process, which step is the nurse performing?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
Correct Answer: Implementation
Rationale: Implementation is the step of the nursing process where the nurse
carries out the interventions identified in the care plan. Administering
medication is a direct nursing intervention, placing it in the implementation
phase.
2. The nurse is caring for a patient who is at risk for falls. The nurse places
the call light within the patient's reach and ensures the bed is in the lowest
position. Which phase of the nursing process does this represent?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Correct Answer: Implementation
Rationale: Implementation involves executing the nursing interventions
designed to achieve patient goals. Fall prevention measures are
interventions carried out during this phase.
,3. A nurse is evaluating a patient's response to pain medication. The patient
reports that their pain has decreased from 8 to 3 on a 0-10 scale. This action
represents which step of the nursing process?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Correct Answer: Evaluation
Rationale: Evaluation is the final step of the nursing process, where the nurse
determines whether the patient's goals have been met. Reassessing pain
after an intervention is a key part of evaluation.
4. Which of the following is an example of subjective data?
A) The patient's blood pressure is 140/90 mmHg
B) The patient's skin is warm and dry
C) The patient reports feeling anxious about surgery
D) The patient's oxygen saturation is 95%
Correct Answer: The patient reports feeling anxious about surgery
Rationale: Subjective data consists of information provided by the patient
that cannot be independently verified by the nurse. The patient's report of
anxiety is subjective, while vital signs and physical assessment findings are
objective.
5. Which of the following is an example of objective data?
A) The patient states, "I am in severe pain."
,B) The patient reports feeling dizzy when standing.
C) The nurse observes that the patient's incision is red and draining.
D) The patient states, "I haven't slept well in days."
Correct Answer: The nurse observes that the patient's incision is red and
draining.
Rationale: Objective data is information that is observable and measurable,
which the nurse gathers through physical examination or direct observation.
A wound assessment is a classic example.
6. A nurse is performing a comprehensive admission assessment on a newly
admitted patient. What is the primary purpose of this type of assessment?
A) To establish a baseline for future comparisons
B) To diagnose medical conditions
C) To evaluate the effectiveness of treatment
D) To obtain information for billing purposes
Correct Answer: To establish a baseline for future comparisons
Rationale: A comprehensive admission assessment provides a complete
baseline of the patient's health status, which is essential for identifying
changes and evaluating the effectiveness of interventions over time.
7. According to Maslow's Hierarchy of Needs, which patient need should the
nurse address first?
A) Self-esteem needs
B) Love and belonging
C) Safety and security
, D) Physiological needs
Correct Answer: Physiological needs
Rationale: Maslow's hierarchy prioritizes basic physiological needs such as
breathing, food, water, and shelter as the most fundamental. These must be
met before higher-level needs can be addressed.
8. A nurse is providing care to a patient from a different cultural background.
Which action best demonstrates cultural competence?
A) Avoiding discussion of the patient's cultural beliefs
B) Assuming the patient's health practices are based on their culture
C) Asking the patient about their health beliefs and practices
D) Encouraging the patient to adopt the dominant culture's practices
Correct Answer: Asking the patient about their health beliefs and practices
Rationale: Cultural competence involves respecting and incorporating the
patient's cultural beliefs and practices into their care. Asking the patient
directly is the best way to understand their unique perspective.
9. The primary goal of professional nursing is to:
A) Provide basic care only
B) Diagnose diseases independently
C) Promote health, prevent illness, and advocate for patients
D) Focus on administrative duties
Correct Answer: Promote health, prevent illness, and advocate for patients