NUR 155 Exam 1 Questions & Verified
Answers | Nursing Process, Assessing,
Diagnosing, Planning, Implementing &
Evaluating, ABCs, Maslow’s Hierarchy,
Skin Lesions, Nail Assessment & Vesicular
Lung Sounds | Complete Nursing Exam
Rev
Section I: Nursing Process & Clinical Judgment
1. A nursing instructor is teaching a group of students about the nursing process. Which
statement correctly describes the purpose of the assessment phase?
A. To identify client strengths and health problems that can be prevented or resolved
B. To establish a database about the client's response to health concerns and ability to manage
healthcare needs
C. To develop an individualized care plan specifying client goals and interventions
D. To determine whether to continue, modify, or terminate the plan of care
Correct Answer: B
Rationale: The assessment phase involves collecting, organizing, validating, and documenting
data to establish a comprehensive database about the client's health status, responses to health
concerns, and ability to manage healthcare needs .
2. A nurse is using the nursing process to plan care for a newly admitted patient. After
collecting vital signs and the patient's health history, what is the next step the nurse should
take?
A) Implement a nursing intervention
B) Formulate a nursing diagnosis
C) Evaluate the patient's response
D) Set measurable goals for the patient
Correct Answer: B
, Rationale: The nursing process follows a sequential order: Assessment, Diagnosis, Planning,
Implementation, and Evaluation. After completing assessment, the nurse must formulate a
nursing diagnosis before moving on to planning or implementation .
3. A nurse provides education on self-administration of insulin to a patient newly diagnosed
with diabetes. This nursing action falls under which phase of the nursing process?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Correct Answer: C
Rationale: Implementation is the phase where the nurse carries out interventions identified
during planning. This includes patient education, medication administration, and direct patient
care .
4. What part of the nursing process involves collecting, organizing, validating, and
documenting data?
Correct Answer: Assessment
Rationale: Assessment is the first step of the nursing process, where the nurse systematically
gathers comprehensive data about the patient's health status .
5. What part of the nursing process analyzes data, identifies health problems, risks, and
strengths, and formulates diagnostic statements?
Correct Answer: Diagnosing
Rationale: Diagnosing involves analyzing collected data to identify actual or potential health
problems, risks, and client strengths .
6. What part of the nursing process prioritizes problems, formulates goals and outcomes,
selects nursing interventions, and writes nursing interventions?
Correct Answer: Planning
Rationale: Planning involves prioritizing problems, establishing client goals and expected
outcomes, and selecting appropriate nursing interventions .
7. What part of the nursing process involves implementing nursing interventions, supervising
delegated care, and documenting nursing activities?
Correct Answer: Implementing
Answers | Nursing Process, Assessing,
Diagnosing, Planning, Implementing &
Evaluating, ABCs, Maslow’s Hierarchy,
Skin Lesions, Nail Assessment & Vesicular
Lung Sounds | Complete Nursing Exam
Rev
Section I: Nursing Process & Clinical Judgment
1. A nursing instructor is teaching a group of students about the nursing process. Which
statement correctly describes the purpose of the assessment phase?
A. To identify client strengths and health problems that can be prevented or resolved
B. To establish a database about the client's response to health concerns and ability to manage
healthcare needs
C. To develop an individualized care plan specifying client goals and interventions
D. To determine whether to continue, modify, or terminate the plan of care
Correct Answer: B
Rationale: The assessment phase involves collecting, organizing, validating, and documenting
data to establish a comprehensive database about the client's health status, responses to health
concerns, and ability to manage healthcare needs .
2. A nurse is using the nursing process to plan care for a newly admitted patient. After
collecting vital signs and the patient's health history, what is the next step the nurse should
take?
A) Implement a nursing intervention
B) Formulate a nursing diagnosis
C) Evaluate the patient's response
D) Set measurable goals for the patient
Correct Answer: B
, Rationale: The nursing process follows a sequential order: Assessment, Diagnosis, Planning,
Implementation, and Evaluation. After completing assessment, the nurse must formulate a
nursing diagnosis before moving on to planning or implementation .
3. A nurse provides education on self-administration of insulin to a patient newly diagnosed
with diabetes. This nursing action falls under which phase of the nursing process?
A) Assessment
B) Diagnosis
C) Implementation
D) Evaluation
Correct Answer: C
Rationale: Implementation is the phase where the nurse carries out interventions identified
during planning. This includes patient education, medication administration, and direct patient
care .
4. What part of the nursing process involves collecting, organizing, validating, and
documenting data?
Correct Answer: Assessment
Rationale: Assessment is the first step of the nursing process, where the nurse systematically
gathers comprehensive data about the patient's health status .
5. What part of the nursing process analyzes data, identifies health problems, risks, and
strengths, and formulates diagnostic statements?
Correct Answer: Diagnosing
Rationale: Diagnosing involves analyzing collected data to identify actual or potential health
problems, risks, and client strengths .
6. What part of the nursing process prioritizes problems, formulates goals and outcomes,
selects nursing interventions, and writes nursing interventions?
Correct Answer: Planning
Rationale: Planning involves prioritizing problems, establishing client goals and expected
outcomes, and selecting appropriate nursing interventions .
7. What part of the nursing process involves implementing nursing interventions, supervising
delegated care, and documenting nursing activities?
Correct Answer: Implementing
