Intro to Nursing - Exam 1 Questions and
Answers (Most Recent Version, Complete
Study 2025/2026
The foundation of the nursing profession; is the systematic approach to problem-solving and providing
individualized care? - CORRECT ANSWERS The Nursing Process
The phases of the nursing process? - CORRECT ANSWERS Assessment, Diagnosis, Planning
(includes Outcome), Implementation, Evaluation
What is Assessment? - CORRECT ANSWERS Collection of data to help establish a goal of making
a clinical nursing judgment.
Difference between subjective and objective data? - CORRECT ANSWERS Subjective, from the
client; Objective, from the nurse's senses.
Difference between primary, secondary and tertiary sources? - CORRECT ANSWERS Primary,
can only be the patient; Secondary, info from families, medical records, or other health care
professionals; Tertiary, info from textbooks, nurse's and other health care team responses to patient
What must be done by the nurse on admission to a health care facility? And what does it identify? -
CORRECT ANSWERS In depth nursing history and physical assessment must be done and it
identifies the patient's strengths and weakness/health problems.
When does data collection take place? - CORRECT ANSWERS Through observations, interviews,
physical assessment, and interpreting lab and diagnostic results.
What is diagnosis? - CORRECT ANSWERS The clinical act of identifying problems using the
assessment data collected. This step identifies an individual, family or group response to an actual or
potential health problem.
,What is the nursing diagnosis based on? - CORRECT ANSWERS The pathophysiology of the
disease process.
Who established the list of nursing diagnosis for classifying nursing problems, standardizing language
and facilitating communication for nurses? - CORRECT ANSWERS North American Nursing
Diagnosis Association (NANDA)
What is included in Outcome? - CORRECT ANSWERS Development of patient focused
goals...included in the planning phase.
What are the guidelines on making goals? - CORRECT ANSWERS Must be patient-focused,
specific to the nursing diagnosis or patient problem, measurable, realistic and have time frame.
What is involved in the Planning phase? - CORRECT ANSWERS Preparing the nursing care plan
with patient input in how to identify goals and interventions to help with the identified problems.
What is included in the Planning phase? - CORRECT ANSWERS Patient goals/outcomes specific
to the problem, assessment, specific treatments (independent and dependent), medications, teaching,
and community care.
What is a Joint Commission on Accreditation of Healthcare Organizations (JACHO) requirement? -
CORRECT ANSWERS The care plan is a written summary of the care that a patient is to receive.
What is the action phase? - CORRECT ANSWERS Implementatio/Intervention
Why are nursing actions goal oriented? - CORRECT ANSWERS To help the patient reach
maximum health potential
What is crucial in the implementation phase? - CORRECT ANSWERS Documentation
, What is determined in the Evaluation phase? - CORRECT ANSWERS The patient's reactions to
nursing interventions and judging whether the goals of the plan of care were achieved.
What is ongoing and continuous process performed throughout the process? - CORRECT ANSWERS
Evaluation..."revised or reassessed"
Vital signs are a __________ mechanism? - CORRECT ANSWERS Homeostatic
What is an important component of assessment? - CORRECT ANSWERS It yields info about
underlying health status
What is included in vital signs? - CORRECT ANSWERS Temperature, Pulse, Respiration, Blood
Pressure, Pain, Pulse Oximetry
What are normal vital ranges, in adults? - CORRECT ANSWERS Pulse: 60-100; Respirations: 12-
20; Temp: 97-99; Systolic: 90-120; Diastolic: 60-80
When do you assess vital signs? - CORRECT ANSWERS Upon admission, physician order, facility
policy; before and after- surgery, diagnostic procedure, medication administration, nursing
interventions, patient becomes symptomatic
What produces heat in the body? - CORRECT ANSWERS Basal metabolism, muscle activity,
hormones and cells (fever)
What causes loss of heat in body? - CORRECT ANSWERS Radiation, conduction/convection,
evaporation... 40% of heat is lost through head.
Answers (Most Recent Version, Complete
Study 2025/2026
The foundation of the nursing profession; is the systematic approach to problem-solving and providing
individualized care? - CORRECT ANSWERS The Nursing Process
The phases of the nursing process? - CORRECT ANSWERS Assessment, Diagnosis, Planning
(includes Outcome), Implementation, Evaluation
What is Assessment? - CORRECT ANSWERS Collection of data to help establish a goal of making
a clinical nursing judgment.
Difference between subjective and objective data? - CORRECT ANSWERS Subjective, from the
client; Objective, from the nurse's senses.
Difference between primary, secondary and tertiary sources? - CORRECT ANSWERS Primary,
can only be the patient; Secondary, info from families, medical records, or other health care
professionals; Tertiary, info from textbooks, nurse's and other health care team responses to patient
What must be done by the nurse on admission to a health care facility? And what does it identify? -
CORRECT ANSWERS In depth nursing history and physical assessment must be done and it
identifies the patient's strengths and weakness/health problems.
When does data collection take place? - CORRECT ANSWERS Through observations, interviews,
physical assessment, and interpreting lab and diagnostic results.
What is diagnosis? - CORRECT ANSWERS The clinical act of identifying problems using the
assessment data collected. This step identifies an individual, family or group response to an actual or
potential health problem.
,What is the nursing diagnosis based on? - CORRECT ANSWERS The pathophysiology of the
disease process.
Who established the list of nursing diagnosis for classifying nursing problems, standardizing language
and facilitating communication for nurses? - CORRECT ANSWERS North American Nursing
Diagnosis Association (NANDA)
What is included in Outcome? - CORRECT ANSWERS Development of patient focused
goals...included in the planning phase.
What are the guidelines on making goals? - CORRECT ANSWERS Must be patient-focused,
specific to the nursing diagnosis or patient problem, measurable, realistic and have time frame.
What is involved in the Planning phase? - CORRECT ANSWERS Preparing the nursing care plan
with patient input in how to identify goals and interventions to help with the identified problems.
What is included in the Planning phase? - CORRECT ANSWERS Patient goals/outcomes specific
to the problem, assessment, specific treatments (independent and dependent), medications, teaching,
and community care.
What is a Joint Commission on Accreditation of Healthcare Organizations (JACHO) requirement? -
CORRECT ANSWERS The care plan is a written summary of the care that a patient is to receive.
What is the action phase? - CORRECT ANSWERS Implementatio/Intervention
Why are nursing actions goal oriented? - CORRECT ANSWERS To help the patient reach
maximum health potential
What is crucial in the implementation phase? - CORRECT ANSWERS Documentation
, What is determined in the Evaluation phase? - CORRECT ANSWERS The patient's reactions to
nursing interventions and judging whether the goals of the plan of care were achieved.
What is ongoing and continuous process performed throughout the process? - CORRECT ANSWERS
Evaluation..."revised or reassessed"
Vital signs are a __________ mechanism? - CORRECT ANSWERS Homeostatic
What is an important component of assessment? - CORRECT ANSWERS It yields info about
underlying health status
What is included in vital signs? - CORRECT ANSWERS Temperature, Pulse, Respiration, Blood
Pressure, Pain, Pulse Oximetry
What are normal vital ranges, in adults? - CORRECT ANSWERS Pulse: 60-100; Respirations: 12-
20; Temp: 97-99; Systolic: 90-120; Diastolic: 60-80
When do you assess vital signs? - CORRECT ANSWERS Upon admission, physician order, facility
policy; before and after- surgery, diagnostic procedure, medication administration, nursing
interventions, patient becomes symptomatic
What produces heat in the body? - CORRECT ANSWERS Basal metabolism, muscle activity,
hormones and cells (fever)
What causes loss of heat in body? - CORRECT ANSWERS Radiation, conduction/convection,
evaporation... 40% of heat is lost through head.
