Topic: Nursing Process & Critical Thinking
Total Questions: 40
1.
Florence Nightingale is best known for which contribution to nursing?
A. Advocating for community-based nursing in the United States
B. Establishing the American Red Cross
C. Improving sanitation practices during the Crimean War
D. Introducing antiseptic surgery techniques
Answer: C
Rationales:
A: Incorrect – Community-based nursing advocacy in the U.S. is
attributed to Lillian Wald, not Nightingale.
B: Incorrect – Clara Barton founded the American Red Cross.
C: Correct – Nightingale improved sanitation and hygiene, reducing
mortality during the Crimean War.
D: Incorrect – Antiseptic surgical techniques were pioneered by
Joseph Lister.
2.
The primary purpose of the nursing process is to:
A. Standardize physician orders
B. Provide individualized, patient-centered nursing care
C. Ensure efficiency in nursing tasks
D. Develop research protocols for practice
Answer: B
Rationales:
A: Incorrect – Nursing process focuses on nursing, not physician
orders.
, B: Correct – It ensures holistic, individualized care tailored to patient
needs.
C: Incorrect – Efficiency is a benefit but not the primary purpose.
D: Incorrect – Research protocols are separate from the nursing
process.
3.
Which step of the nursing process involves interpreting and clustering data
to identify patient problems?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Answer: B
Rationales:
A: Incorrect – Assessment is data collection only.
B: Correct – Diagnosis organizes data into problems/nursing
diagnoses.
C: Incorrect – Planning sets goals and interventions after diagnosis.
D: Incorrect – Implementation is carrying out interventions, not
analyzing data.
4.
A nurse sets the goal: “Patient will ambulate 50 feet with assistance by the
end of the shift.” This is an example of:
A. Short-term, measurable goal
B. Long-term, vague goal
C. Nurse-centered outcome
D. Incorrectly written goal
Answer: A
Rationales:
, A: Correct – The goal is specific, measurable, realistic, and time-
bound.
B: Incorrect – It is not long-term; it’s expected within one shift.
C: Incorrect – It is patient-centered (“patient will”), not nurse-
centered.
D: Incorrect – It meets SMART criteria and is written correctly.
5.
Which of the following is an example of subjective data?
A. Respiratory rate 22/min
B. Patient reports shortness of breath
C. Oxygen saturation 89%
D. Crackles heard in lung bases
Answer: B
Rationales:
A: Incorrect – Respiratory rate is measurable (objective).
B: Correct – Patient’s report is subjective, cannot be directly
measured.
C: Incorrect – O₂ saturation is measurable (objective).
D: Incorrect – Lung sounds are observable findings (objective).
6.
Administering prescribed pain medication belongs to which step of the
nursing process?
A. Assessment
B. Diagnosis
C. Implementation
D. Evaluation
Answer: C
Rationales:
A: Incorrect – Assessment is collecting data.