NURSING PROCESS QUESTIONS AND ANSWERS
LATEST VERSION VERIFIED RATIONALE GRADED
A+
A nurse assesses that a pa�ent has slurred speech and a retained bolus of food in the mouth. The
presence of which addi�onal pa�ent 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 informa�on about a pa�ent. Which should the nurse do next?
A. Plan nursing interven�ons
B. Write pa�ent-centered goals
C. Formulate nursing diagnosis
D. Determine significance of the data - ansD. Determine significance of the data
A nurse concludes that a pa�ent's elevated temperature, pulse and respira�ons are significant. Which
step of the nursing process is being used when the nurse comes to this conclusion?
A. Implementa�on
B. Assessment
C. Evalua�on
D. Analysis - ansD. Analysis
A nurse evaluates a pa�ent's response to a nursing interven�on. To which aspect of the nursing process
is this evalua�on most directly related?
A. Goal
B. Problem
, NURSING PROCESS QUESTIONS AND ANSWERS
LATEST VERSION VERIFIED RATIONALE GRADED
A+
C. E�ology
D. Implementa�on - ansA. Goal
A nurse is caring for a pa�ent with a fever. Which is a well-designed goal for this pa�ent?
A. The pa�ent will have a lower temperature.
B. The pa�ent will be taught how to take an accurate temperature.
C. The pa�ent will maintain fluid intake adequate to prevent dehydra�on.
D. The pa�ent will be given aspirin every eight hours whenever necessary. - ansC. The pa�ent will
maintain fluid intake adequate to prevent dehydra�on.
A nurse is caring for a pa�ent with urinary elimina�on problem. Which are accurately stated goals?
Select all that apply
A. 'The pa�ent will be taught how to use a bedpan while on bed-rest.'
B. 'The pa�ent will experience fewer incon�nence episodes at night.'
C. 'The pa�ent will transfer independently and safely to a toilet before discharge.'
D. 'The pa�ent will be assisted to the commode every two hours and whenever necessary.'
E. 'The pa�ent will experience one or less events of urinary incon�nence daily within 6 weeks.' - ansC.
'The pa�ent will transfer independently and safely to a toilet before discharge.'
E. 'The pa�ent will experience one or less events of urinary incon�nence daily within 6 weeks.'
A nurse is collec�ng subjec�ve data associated with a pa�ent's anxiety. Which assessment method
should be used to collect this informa�on?
A. Observing
B. Inspec�ng
C. Ausculta�on
D. Interviewing - ansD. Interviewing
A nurse is interviewing a pa�ent. Which pa�ent statements are examples of objec�ve data? Select all
that apply
LATEST VERSION VERIFIED RATIONALE GRADED
A+
A nurse assesses that a pa�ent has slurred speech and a retained bolus of food in the mouth. The
presence of which addi�onal pa�ent 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 informa�on about a pa�ent. Which should the nurse do next?
A. Plan nursing interven�ons
B. Write pa�ent-centered goals
C. Formulate nursing diagnosis
D. Determine significance of the data - ansD. Determine significance of the data
A nurse concludes that a pa�ent's elevated temperature, pulse and respira�ons are significant. Which
step of the nursing process is being used when the nurse comes to this conclusion?
A. Implementa�on
B. Assessment
C. Evalua�on
D. Analysis - ansD. Analysis
A nurse evaluates a pa�ent's response to a nursing interven�on. To which aspect of the nursing process
is this evalua�on most directly related?
A. Goal
B. Problem
, NURSING PROCESS QUESTIONS AND ANSWERS
LATEST VERSION VERIFIED RATIONALE GRADED
A+
C. E�ology
D. Implementa�on - ansA. Goal
A nurse is caring for a pa�ent with a fever. Which is a well-designed goal for this pa�ent?
A. The pa�ent will have a lower temperature.
B. The pa�ent will be taught how to take an accurate temperature.
C. The pa�ent will maintain fluid intake adequate to prevent dehydra�on.
D. The pa�ent will be given aspirin every eight hours whenever necessary. - ansC. The pa�ent will
maintain fluid intake adequate to prevent dehydra�on.
A nurse is caring for a pa�ent with urinary elimina�on problem. Which are accurately stated goals?
Select all that apply
A. 'The pa�ent will be taught how to use a bedpan while on bed-rest.'
B. 'The pa�ent will experience fewer incon�nence episodes at night.'
C. 'The pa�ent will transfer independently and safely to a toilet before discharge.'
D. 'The pa�ent will be assisted to the commode every two hours and whenever necessary.'
E. 'The pa�ent will experience one or less events of urinary incon�nence daily within 6 weeks.' - ansC.
'The pa�ent will transfer independently and safely to a toilet before discharge.'
E. 'The pa�ent will experience one or less events of urinary incon�nence daily within 6 weeks.'
A nurse is collec�ng subjec�ve data associated with a pa�ent's anxiety. Which assessment method
should be used to collect this informa�on?
A. Observing
B. Inspec�ng
C. Ausculta�on
D. Interviewing - ansD. Interviewing
A nurse is interviewing a pa�ent. Which pa�ent statements are examples of objec�ve data? Select all
that apply
