N524 Assessment 1 Exam Questions and Answers Fully Solved Latest Update 2025-2026
clinical judgement steps - Answers Recognize cues (assessment): The filtering of information
from different sources (i.e., signs, symptoms, health history, environment).
Analyze cues (analysis): The linking of recognized cues to the client's clinical presentation and
establishing probable client needs, concerns, and problems.
Prioritize hypotheses (analysis): Establishing priorities of care based on the client's health
problems (i.e., environmental factors, risk assessment, urgency, signs/symptoms, diagnostic
tests, lab values).
Generate solutions (planning): Identifying expected outcomes and related nursing interventions
to ensure a client's needs are met.
Take actions (implementation): To implement appropriate interventions based on nursing
knowledge, priorities of care, and planned outcomes to promote, maintain, or restore a client's
health.
Evaluate outcomes (evaluation): To evaluate a client's response to nursing interventions and
reach a nursing judgment regarding the extent to which outcomes have been met.
nursing process - Answers Assessment
Diagnosis
Planning
Implementation
Evaluation
5 activities needed to preform a systematic assessment - Answers Collect data
Verify data
Organize data
Identify Patterns
,Report and record data
What is important data? - Answers Name
Age
Gender
Admitting dx
Medical/surgical hx
Chronic illness
Advanced directives
Lab data/ diagnostic tests
Medications
Allergies
Support services
Psychosocial/Cultural assessment
What is clinical reasoning? - Answers The thinking process by which a nurse reaches a clinical
judgement
Considers nursing knowledge, client situations, and prioritization of client problems and
concerns, while utilizing evidence-based practice
What is critical thinking? - Answers The skill of learning to analyze and interpret data to solve a
problem to achieve a desired outcome.
Includes questioning, analysis, synthesis, interpretation, inference, inductive and deductive
reasoning, intuition, application, and creativity.
Individual factors that impact clinical situations - Answers •Nursing factors (i.e., knowledge,
skills, specialty)
•Nurse characteristics (i.e., attitudes, prior experience, level of experience)
, •Cognitive load (i.e., demands on the nurse, stress, problem-solving, memory).
Environmental factors that impact clinical situations - Answers •Setting, situation, and
environment (i.e., safety considerations, equipment, surroundings)
•Client observation (i.e., age, symptoms of health alteration)
•Resources (i.e., staffing, supplies, beds, care partners)
•Health records (i.e., history, labs, diagnostic tests, I&O, medications, treatments)
•Time pressure (i.e., pager, STAT medication, change in client condition)
•Cultural considerations (i.e., language, literacy, religion, diet)
•Task complexity (i.e., level of difficulty, complicated versus simple action, number of people
involved, sound delegation)
•Risk assessment (i.e., identifying and finding ways to remove or minimize harm to promote
safety and health).
Prioritization Process - Answers ABCD's
Safety
Stable vs Unstable
Diagnosis
Psychosocial issues
Order of required tasks
Time sensitive
Delegable tasks
clinical judgement steps - Answers Recognize cues (assessment): The filtering of information
from different sources (i.e., signs, symptoms, health history, environment).
Analyze cues (analysis): The linking of recognized cues to the client's clinical presentation and
establishing probable client needs, concerns, and problems.
Prioritize hypotheses (analysis): Establishing priorities of care based on the client's health
problems (i.e., environmental factors, risk assessment, urgency, signs/symptoms, diagnostic
tests, lab values).
Generate solutions (planning): Identifying expected outcomes and related nursing interventions
to ensure a client's needs are met.
Take actions (implementation): To implement appropriate interventions based on nursing
knowledge, priorities of care, and planned outcomes to promote, maintain, or restore a client's
health.
Evaluate outcomes (evaluation): To evaluate a client's response to nursing interventions and
reach a nursing judgment regarding the extent to which outcomes have been met.
nursing process - Answers Assessment
Diagnosis
Planning
Implementation
Evaluation
5 activities needed to preform a systematic assessment - Answers Collect data
Verify data
Organize data
Identify Patterns
,Report and record data
What is important data? - Answers Name
Age
Gender
Admitting dx
Medical/surgical hx
Chronic illness
Advanced directives
Lab data/ diagnostic tests
Medications
Allergies
Support services
Psychosocial/Cultural assessment
What is clinical reasoning? - Answers The thinking process by which a nurse reaches a clinical
judgement
Considers nursing knowledge, client situations, and prioritization of client problems and
concerns, while utilizing evidence-based practice
What is critical thinking? - Answers The skill of learning to analyze and interpret data to solve a
problem to achieve a desired outcome.
Includes questioning, analysis, synthesis, interpretation, inference, inductive and deductive
reasoning, intuition, application, and creativity.
Individual factors that impact clinical situations - Answers •Nursing factors (i.e., knowledge,
skills, specialty)
•Nurse characteristics (i.e., attitudes, prior experience, level of experience)
, •Cognitive load (i.e., demands on the nurse, stress, problem-solving, memory).
Environmental factors that impact clinical situations - Answers •Setting, situation, and
environment (i.e., safety considerations, equipment, surroundings)
•Client observation (i.e., age, symptoms of health alteration)
•Resources (i.e., staffing, supplies, beds, care partners)
•Health records (i.e., history, labs, diagnostic tests, I&O, medications, treatments)
•Time pressure (i.e., pager, STAT medication, change in client condition)
•Cultural considerations (i.e., language, literacy, religion, diet)
•Task complexity (i.e., level of difficulty, complicated versus simple action, number of people
involved, sound delegation)
•Risk assessment (i.e., identifying and finding ways to remove or minimize harm to promote
safety and health).
Prioritization Process - Answers ABCD's
Safety
Stable vs Unstable
Diagnosis
Psychosocial issues
Order of required tasks
Time sensitive
Delegable tasks
