Nursing Process Questions and Answers
Updated version Graded A+
A nurse assesses that a patient has slurred speech and a retained bolus of food in the
mouth. The presence of which additional patient assessments should be clustered with
this group of signs and symptoms? Select all that apply
A. Dyspepsia
B. Coughing
C. Drooling
D. Gurgling
E. Plaque - ansB. Coughing
C. Drooling
D. Gurgling
A nurse collects information about a patient. Which should the nurse do next?
A. Plan nursing interventions
B. Write patient-centered goals
C. Formulate nursing diagnosis
D. Determine significance of the data - ansD. Determine significance of the data
A nurse concludes that a patient's elevated temperature, pulse and respirations are
significant. Which step of the nursing process is being used when the nurse comes to
this conclusion?
A. Implementation
B. Assessment
C. Evaluation
D. Analysis - ansD. Analysis
A nurse evaluates a patient's response to a nursing intervention. To which aspect of the
nursing process is this evaluation most directly related?
A. Goal
B. Problem
C. Etiology
D. Implementation - ansA. Goal
A nurse is caring for a patient with a fever. Which is a well-designed goal for this
patient?
A. The patient will have a lower temperature.
B. The patient will be taught how to take an accurate temperature.
C. The patient will maintain fluid intake adequate to prevent dehydration.
D. The patient will be given aspirin every eight hours whenever necessary. - ansC. The
patient will maintain fluid intake adequate to prevent dehydration.
A nurse is caring for a patient with urinary elimination problem. Which are accurately
stated goals? Select all that apply
A. 'The patient will be taught how to use a bedpan while on bed-rest.'
B. 'The patient will experience fewer incontinence episodes at night.'
C. 'The patient will transfer independently and safely to a toilet before discharge.'
, Nursing Process Questions and Answers
Updated version Graded A+
D. 'The patient will be assisted to the commode every two hours and whenever
necessary.'
E. 'The patient will experience one or less events of urinary incontinence daily within 6
weeks.' - ansC. 'The patient will transfer independently and safely to a toilet before
discharge.'
E. 'The patient will experience one or less events of urinary incontinence daily within 6
weeks.'
A nurse is collecting subjective data associated with a patient's anxiety. Which
assessment method should be used to collect this information?
A. Observing
B. Inspecting
C. Auscultation
D. Interviewing - ansD. Interviewing
A nurse is interviewing a patient. Which patient statements are examples of objective
data? Select all that apply
A. 'I am hungry'
B. 'I feel very warm'
C. 'I ate half my lunch.'
D. 'I have a rash on my arm.'
E. 'I have the urge to urinate.'
F. 'I vomit every time I eat something.' - ansC. 'I ate half my lunch.'
D. 'I have a rash on my arm.'
F. 'I vomit every time I eat something.'
A nurse teaches a patient to use visualization to cope with chronic pain. Which step of
the nursing process is associated with this nursing intervention?
A. Planning
B. Analysis
C. Evaluation
D. Implementation - ansD. Implementation
A patient is transferred from the emergency department to a medical-surgical unit at
6:30pm. The nurse arriving on duty at 8pm reviews the patient's clinical record. Which
information documented in the clinical reflects the evaluation step of the nursing
process?
A. Productive cough
B. Seek order for chest physiotherapy
C. No dizziness reported by patient
D. Acetaminophen 650 mg administered at 5pm - ansC. No dizziness reported by
patient
A pebble dropped into a pond causes ripples on the surface of the water. Which part of
the nursing diagnosis is directly related to this concept?
Updated version Graded A+
A nurse assesses that a patient has slurred speech and a retained bolus of food in the
mouth. The presence of which additional patient assessments should be clustered with
this group of signs and symptoms? Select all that apply
A. Dyspepsia
B. Coughing
C. Drooling
D. Gurgling
E. Plaque - ansB. Coughing
C. Drooling
D. Gurgling
A nurse collects information about a patient. Which should the nurse do next?
A. Plan nursing interventions
B. Write patient-centered goals
C. Formulate nursing diagnosis
D. Determine significance of the data - ansD. Determine significance of the data
A nurse concludes that a patient's elevated temperature, pulse and respirations are
significant. Which step of the nursing process is being used when the nurse comes to
this conclusion?
A. Implementation
B. Assessment
C. Evaluation
D. Analysis - ansD. Analysis
A nurse evaluates a patient's response to a nursing intervention. To which aspect of the
nursing process is this evaluation most directly related?
A. Goal
B. Problem
C. Etiology
D. Implementation - ansA. Goal
A nurse is caring for a patient with a fever. Which is a well-designed goal for this
patient?
A. The patient will have a lower temperature.
B. The patient will be taught how to take an accurate temperature.
C. The patient will maintain fluid intake adequate to prevent dehydration.
D. The patient will be given aspirin every eight hours whenever necessary. - ansC. The
patient will maintain fluid intake adequate to prevent dehydration.
A nurse is caring for a patient with urinary elimination problem. Which are accurately
stated goals? Select all that apply
A. 'The patient will be taught how to use a bedpan while on bed-rest.'
B. 'The patient will experience fewer incontinence episodes at night.'
C. 'The patient will transfer independently and safely to a toilet before discharge.'
, Nursing Process Questions and Answers
Updated version Graded A+
D. 'The patient will be assisted to the commode every two hours and whenever
necessary.'
E. 'The patient will experience one or less events of urinary incontinence daily within 6
weeks.' - ansC. 'The patient will transfer independently and safely to a toilet before
discharge.'
E. 'The patient will experience one or less events of urinary incontinence daily within 6
weeks.'
A nurse is collecting subjective data associated with a patient's anxiety. Which
assessment method should be used to collect this information?
A. Observing
B. Inspecting
C. Auscultation
D. Interviewing - ansD. Interviewing
A nurse is interviewing a patient. Which patient statements are examples of objective
data? Select all that apply
A. 'I am hungry'
B. 'I feel very warm'
C. 'I ate half my lunch.'
D. 'I have a rash on my arm.'
E. 'I have the urge to urinate.'
F. 'I vomit every time I eat something.' - ansC. 'I ate half my lunch.'
D. 'I have a rash on my arm.'
F. 'I vomit every time I eat something.'
A nurse teaches a patient to use visualization to cope with chronic pain. Which step of
the nursing process is associated with this nursing intervention?
A. Planning
B. Analysis
C. Evaluation
D. Implementation - ansD. Implementation
A patient is transferred from the emergency department to a medical-surgical unit at
6:30pm. The nurse arriving on duty at 8pm reviews the patient's clinical record. Which
information documented in the clinical reflects the evaluation step of the nursing
process?
A. Productive cough
B. Seek order for chest physiotherapy
C. No dizziness reported by patient
D. Acetaminophen 650 mg administered at 5pm - ansC. No dizziness reported by
patient
A pebble dropped into a pond causes ripples on the surface of the water. Which part of
the nursing diagnosis is directly related to this concept?
