question and answers 2025 Updated.
,Chap 11
Question 1
The student is learning the steps of the nursing process. What is the first thing that the student should
realize about the purpose of this process?
1. Deliver care to a client in an organized way.
2. Implement a plan that is close to the medical model.
3. Identify client needs and deliver care to meet those needs.
4. Make sure that standardized care is available to clients.
Correct Answer: 3
Question 2
While conducting a dressing change, the nurse notes a new area of skin breakdown that was caused from
the tape used to secure the dressing. In which phase of the nursing process is the nurse working?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Correct Answer: 1
Question 3
During an assessment, a client who is not very talkative appears pale, diaphoretic, and restless in the bed,
and says leave me alone. Which subjective data should the nurse document?
1. Restlessness
2. Leave me alone
3. Not talkative
4. Pale and diaphoretic
Correct Answer: 2
Question 4
Family of a client demonstrating confusion state that this is not the clients usual behavior. How should
the nurse document this data?
,1. Inference
2. Subjective data
3. Objective data
4. Secondary subjective data
Correct Answer: 3
Question 5
The nurse provides a back rub to a client after administering a pain medication with the hope that these
two actions will help decrease the clients pain. Which phase of the nursing process is this nurse
implementing?
1. Assessment
2. Diagnosis
3. Implementation
4. Evaluation
Correct Answer: 3
Question 6
A new client has been admitted to the care area. How soon should the nurse plan to complete a physical
assessment on this patient?
1. 1 hour
2. 12 hours
3. 48 hours
4. 24 hours
Correct Answer: 4
Question 7
The nurse is admitting an infant to the care area. The parents and grandmother are present. What should
the nurse use as the best source of data for this client?
1. Medical record from the childbirth
2. Grandmother
3. Parents
, 4. Admitting physician
Correct Answer: 3