N 3280 TEST QUESTIONS WITH
ACCURATE ANSWERS
What are the 5 steps of the nursing process? - ANSWER Assess
Diagnose/Analyze
Plan
Implement
Evaluate
In the ____ part of the nursing process the nurse gathers subjective and objective data
which is used to plan care - ANSWER assessment
In the ____ part of the nursing plan the nurse will come up with the main problems and
prioritize the patient's needs. - ANSWER diagnosis
In the ____ part of the nursing plan the nurse will come up with short-term goals that can
be evaluated - ANSWER planning
During the ____ phase the nurse created nursing interventions that will help achieve the
patient's goals. - ANSWER implementing
In the ___ phase of the nursing process the nurse will see if the goals have been met and
will measure the level of success - ANSWER evaluation
___ data is information perceived only by the patient - ANSWER subjective
pain scale is an example of ____ data - ANSWER subjective
____ data is observable and measurable data - ANSWER objective
vital signs are an example of ___ data - ANSWER objective
The ____ is usually the most reliable source in the assessment phase - ANSWER patient
What are some of the methods of data collection? - ANSWER - observation
- nursing history
- patient interview
- physical assessment
___ is visually looking at the patient to look for things like skin color, sweating, swelling,
, etc - ANSWER inspection
The nurse is physically pushing on a patient's abdomen to see if it is soft or hard. What
method of data collection is she using? - ANSWER palpation
The nurse taps on an area to see if the space sounds hollow or dull. What method of data
collection is she using? - ANSWER percussion
___ is listening to an area on the body with a stethoscope - ANSWER auscultation
During the ___ phase of the nursing process there is systematic and continuous
collection, analysis, validation, and communication of patient data - ANSWER
assessment
During the ____ phase of the nursing process pathophysiology and manifestations are
used to figure out what the main problems and concerns are - ANSWER diagnosis and
analysis
True or false: you should use as many words to include lots of information and include
your opinion in documentation so that the next nurse doesn't miss any important
information - ANSWER False - documentation should be concise and opinion free
True or false: you should use the patient's own words in documenation - ANSWER True
A ____ diagnosis deals with disease or a condition, whereas a ___ diagnosis is problem
focused and deals with a human response to potential health problems - ANSWER
Medical; nursing
These are all examples of ___ diagnosis:
- risk for impaired liver function
- urinary retention
- disturbed sleep pattern
- decreased cardiac output - ANSWER nursing
These are all examples of ___ diagnosis:
- cerebrovascular attach (stroke)
- diabetes
- arthritis - ANSWER medical
The ___ identifies what is unhealthy about the patient - ANSWER problem
The ___ identifies factors maintaining the unhealthy state - ANSWER etiology
ACCURATE ANSWERS
What are the 5 steps of the nursing process? - ANSWER Assess
Diagnose/Analyze
Plan
Implement
Evaluate
In the ____ part of the nursing process the nurse gathers subjective and objective data
which is used to plan care - ANSWER assessment
In the ____ part of the nursing plan the nurse will come up with the main problems and
prioritize the patient's needs. - ANSWER diagnosis
In the ____ part of the nursing plan the nurse will come up with short-term goals that can
be evaluated - ANSWER planning
During the ____ phase the nurse created nursing interventions that will help achieve the
patient's goals. - ANSWER implementing
In the ___ phase of the nursing process the nurse will see if the goals have been met and
will measure the level of success - ANSWER evaluation
___ data is information perceived only by the patient - ANSWER subjective
pain scale is an example of ____ data - ANSWER subjective
____ data is observable and measurable data - ANSWER objective
vital signs are an example of ___ data - ANSWER objective
The ____ is usually the most reliable source in the assessment phase - ANSWER patient
What are some of the methods of data collection? - ANSWER - observation
- nursing history
- patient interview
- physical assessment
___ is visually looking at the patient to look for things like skin color, sweating, swelling,
, etc - ANSWER inspection
The nurse is physically pushing on a patient's abdomen to see if it is soft or hard. What
method of data collection is she using? - ANSWER palpation
The nurse taps on an area to see if the space sounds hollow or dull. What method of data
collection is she using? - ANSWER percussion
___ is listening to an area on the body with a stethoscope - ANSWER auscultation
During the ___ phase of the nursing process there is systematic and continuous
collection, analysis, validation, and communication of patient data - ANSWER
assessment
During the ____ phase of the nursing process pathophysiology and manifestations are
used to figure out what the main problems and concerns are - ANSWER diagnosis and
analysis
True or false: you should use as many words to include lots of information and include
your opinion in documentation so that the next nurse doesn't miss any important
information - ANSWER False - documentation should be concise and opinion free
True or false: you should use the patient's own words in documenation - ANSWER True
A ____ diagnosis deals with disease or a condition, whereas a ___ diagnosis is problem
focused and deals with a human response to potential health problems - ANSWER
Medical; nursing
These are all examples of ___ diagnosis:
- risk for impaired liver function
- urinary retention
- disturbed sleep pattern
- decreased cardiac output - ANSWER nursing
These are all examples of ___ diagnosis:
- cerebrovascular attach (stroke)
- diabetes
- arthritis - ANSWER medical
The ___ identifies what is unhealthy about the patient - ANSWER problem
The ___ identifies factors maintaining the unhealthy state - ANSWER etiology
