THE NURSING PROCESS EXAM 2025
QUESTIONS AND ANSWERS
This set was designed to be listened to using the "play" setting on the phone ap. - ANS Please
excuse the periods between abbreviations.
Part 1 Resource: Class and power points - ANS
Nurses use this process to help them care for patients each day. - ANS Nursing Process
What are the major steps of the nursing process? - ANS Assess, diagnose, plan, intervene,
evaluate
What questions may help you to assess a situation? - ANS Open ended
This is the first step in the nursing process. Data is gathered. Data sources may be extensive. (A,
D, P, I, or E?) - ANS Assessment
Where does data come from to complete nurse assessment? - ANS Health History (PMH and
PSH). General observations about patient or client. Review of Systems (ROS) is subjective.
Physical Assessment is objective. Diagnostic Studies (US, CXR, and the like)
What is the principle of sorting data? - ANS Cluster data into groups of defining
characteristics that will compose a nursing diagnosis.
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, when creating a nursing diagnosis pertaining to pain, which data pieces would be included?
pacing. slow heart rate. grimacing. touching area of pain - ANS Slow heart rate is not a sign
or symptom of pain.
Give some examples of high priority nursing diagnoses. - ANS Risk for aspiration, ineffective
airway clearance, latex allergy response, decreased cardiac output
Give some examples of high priority nursing diagnoses - ANS risk for infection, acute pain
Give some examples of low priority nursing diagnoses - ANS incontinence, constipation,
ineffective coping
What concepts would the nurse consider when prioritizing nursing diagnoses? - ANS ABC's,
CAB's, Maslow's Hierarchy, and patient-specific problems. For example, in a syncope patient
prevention of constipation may become a higher priority.
The nurse creates a patient outcome stated as follows: Patient will use a self-report pain tool to
identify current pain level and establish a comfort-function goal. What is missing from this ? -
ANS Time needs to be considered. Smart goals are specific, measurable, attainable (or
action-focused), realistic, and time-oriented.
The nurse creates a patient outcome stated as follows: Throughout my shift, the client will
demonstrate effective coughing technique. What is missing? - ANS It's not measurable or
specific. A better goal will explain how, how often, or for how long the patient performs the
task.
When planning action goals, the nurse keeps in mind that which individual is responsible for
performing these actions? - ANS Patient - use smart goals to define actions.
Which individual is responsible for implementation of a nursing care plan? - ANS The nurse
2 COPYRIGHT © 2025 SIRJOEL ALL RIGHTS RESERVED
QUESTIONS AND ANSWERS
This set was designed to be listened to using the "play" setting on the phone ap. - ANS Please
excuse the periods between abbreviations.
Part 1 Resource: Class and power points - ANS
Nurses use this process to help them care for patients each day. - ANS Nursing Process
What are the major steps of the nursing process? - ANS Assess, diagnose, plan, intervene,
evaluate
What questions may help you to assess a situation? - ANS Open ended
This is the first step in the nursing process. Data is gathered. Data sources may be extensive. (A,
D, P, I, or E?) - ANS Assessment
Where does data come from to complete nurse assessment? - ANS Health History (PMH and
PSH). General observations about patient or client. Review of Systems (ROS) is subjective.
Physical Assessment is objective. Diagnostic Studies (US, CXR, and the like)
What is the principle of sorting data? - ANS Cluster data into groups of defining
characteristics that will compose a nursing diagnosis.
1 COPYRIGHT © 2025 SIRJOEL ALL RIGHTS RESERVED
, when creating a nursing diagnosis pertaining to pain, which data pieces would be included?
pacing. slow heart rate. grimacing. touching area of pain - ANS Slow heart rate is not a sign
or symptom of pain.
Give some examples of high priority nursing diagnoses. - ANS Risk for aspiration, ineffective
airway clearance, latex allergy response, decreased cardiac output
Give some examples of high priority nursing diagnoses - ANS risk for infection, acute pain
Give some examples of low priority nursing diagnoses - ANS incontinence, constipation,
ineffective coping
What concepts would the nurse consider when prioritizing nursing diagnoses? - ANS ABC's,
CAB's, Maslow's Hierarchy, and patient-specific problems. For example, in a syncope patient
prevention of constipation may become a higher priority.
The nurse creates a patient outcome stated as follows: Patient will use a self-report pain tool to
identify current pain level and establish a comfort-function goal. What is missing from this ? -
ANS Time needs to be considered. Smart goals are specific, measurable, attainable (or
action-focused), realistic, and time-oriented.
The nurse creates a patient outcome stated as follows: Throughout my shift, the client will
demonstrate effective coughing technique. What is missing? - ANS It's not measurable or
specific. A better goal will explain how, how often, or for how long the patient performs the
task.
When planning action goals, the nurse keeps in mind that which individual is responsible for
performing these actions? - ANS Patient - use smart goals to define actions.
Which individual is responsible for implementation of a nursing care plan? - ANS The nurse
2 COPYRIGHT © 2025 SIRJOEL ALL RIGHTS RESERVED
