TEST BANK ACTUAL 2026/2027 PRACTICE QUESTIONS AND
CURRENTLY UPDATED STUDY GUIDE COMPLETE
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1. Which phase of the nursing process involves collecting subjective
and objective data?
A) Diagnosis
B) Planning
C) Implementation
D) Assessment
Correct Answer: D) Assessment
Rationale: Assessment is the first step of the nursing process, during
which the nurse gathers both subjective data (what the patient says)
,and objective data (measurable findings). Diagnosis follows analysis
of data, planning sets goals, and implementation carries out the
planned interventions.
2. A patient's potassium level is 3.0 mEq/L. The nurse identifies this
as a problem. This step is:
A) Assessment
B) Diagnosis
C) Planning
D) Evaluation
Correct Answer: B) Diagnosis
Rationale: The diagnosis phase involves analyzing assessment data
to identify actual or potential health problems. The nurse uses
clinical judgment to formulate nursing diagnoses based on the data
collected. The potassium level of 3.0 mEq/L represents
hypokalemia, which is a nursing diagnosis.
,3. What is the correct sequence of the five steps of the nursing
process?
A) Assessment, Planning, Diagnosis, Implementation, Evaluation
B) Assessment, Diagnosis, Planning, Implementation, Evaluation
C) Diagnosis, Assessment, Planning, Implementation, Evaluation
D) Planning, Assessment, Diagnosis, Implementation, Evaluation
Correct Answer: B) Assessment, Diagnosis, Planning,
Implementation, Evaluation
Rationale: The five steps of the nursing process in order are
Assessment, Diagnosis, Planning, Implementation, and Evaluation
(ADPIE). This systematic approach guides nursing care and clinical
decision-making.
4. Which of the following best describes the primary purpose of
documentation in nursing?
A) To satisfy hospital administrative requirements only
, B) To communicate patient information and ensure continuity of
care
C) To protect the nurse from all legal liability
D) To provide data exclusively for research studies
Correct Answer: B) To communicate patient information and
ensure continuity of care
Rationale: Documentation serves multiple purposes, but its primary
purpose is to communicate patient information and ensure
continuity of care among healthcare providers. Legal protection,
administrative requirements, and research are secondary purposes.
5. The nurse is collecting data for a newly admitted school-age child
who is sitting in the lap of a parent. Which action should the nurse
take to facilitate effective communication?
A) Sit in a chair across the room
B) Sit eye level with the child