Thinking exam review with
answers 2024\2025.
1. What best defines the nursing process?
a. A method to ensure that the physician's orders are implemented correctly.
b. A series of assessments that isolate a patient's health problem.
c. A framework for the organization of individualized nursing care.
d. A preset formula for the design of nursing care. - ANSWER : C
The nursing process is a framework by which to organize individualized nursing
care.
,PTS: 1 DIF: Cognitive Level: Comprehension REF: Page 78
OBJ: 1 TOP: Nursing process KEY: Nursing Process Step: N/A
2. All of the following patients have been admitted to the acute care setting. On
admission, which patient should receive a focused assessment?
a. 53-year-old admitted with a perforated ulcer
b. 5-year-old admitted for the implant of grommets in the middle ear
c. 76-year-old admitted for a knee replacement
d. 40-year-old admitted for possible bowel obstruction - ANSWER : A
A patient with a perforated ulcer is considered to be critically ill. Therefore, this
patient should receive a focused assessment. The remaining options are not
considered critical illnesses.
PTS: 1 DIF: Cognitive Level: Application REF: Page 79 OBJ: 2 TOP: Assessment KEY:
Nursing Process Step: Assessment
3. What subjective data does the nurse record following a head-to-toe
examination?
a. Rash on back
,b. Prolonged nausea
c. Blood pressure of 190/100
d. White blood cell count of 19,000 - ANSWER : B
Another term for subjective data is symptoms, which cannot be observed or
measured. This data must come from the patient.
PTS: 1 DIF: Cognitive Level: Application REF: Page 79 OBJ: 3 TOP: Subjective data
KEY: Nursing Process Step: Assessment
4. What objective data should the nurse include after a patient assessment?
a. Headache of 3 days duration
b. Severe stomach cramps
c. Flatulence
d. Anxiety - ANSWER : C
Objective data are observable and measurable by people other than the patient.
PTS: 1 DIF: Cognitive Level: Application REF: Page 79 OBJ: 3 TOP: Objective data
KEY: Nursing Process Step: Assessment
, 5. What is classified as information provided by the family when a patient is
unable to provide data during assessment?
a. Primary
b. Secondary
c. Unreliable
d. Biased - ANSWER : B
Secondary sources include family members.
PTS: 1 DIF: Cognitive Level: Comprehension REF: Pages 79-80 OBJ: 3 TOP:
Assessment KEY: Nursing Process Step: Assessment
6. What are the two primary methods used to collect data?
a. Written report by patient and family
b. Review of the chart and the nurse's notes
c. Interview and physical examination
d. Review of the physician's orders and the Kardex - ANSWER : C
The two primary methods of collecting data are interviewing and physical
examination.