Nursing Process 2 2026 |
Assessment, Diagnosis,
Planning, Implementation,
Evaluation & Practice
Questions | Complete
Ethics Study Guide
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,Which feature is true about standing orders? 3
1
Meet instrumental activities of daily living.
2
Ensure familiarity with evidence-based guidelines for
nursing care.
3
Allow a quick response to a rapidly changing clinical
situation.
4
Minimize documentation issues for nurses.
Which action would the nurse perform when revising a 1,2,4
nursing care plan? Select all that apply. One, some, or all
responses may be correct.
1
Revise the nursing diagnoses.
2
Add new data with appropriate dates.
3
Maintain irrelevant nursing diagnoses.
4
Choose the method of evaluation for monitoring patient
outcomes.
Which action is an example of an independent nursing 1,4,5
intervention? Select all that apply. One, some, or all
responses may be correct.
1
Provide health education
2
Start intravenous (IV) fluids
3
Administer a hypertension agent
4
Assist with daily activities
5
Reposition a patient
Which problem would the nurse add to the care plan after 1
evaluating a diabetic patient who had a problem with
glucose control but is now restless and asking many
questions about an upcoming procedure on the big toe?
1
Anxiety
2
Glucose control
3
Diabetes
4
Risk of toe infection
Setting a time frame for outcomes of care determines 4
which purpose?
1
The priority level
2
Time it takes to complete an intervention
3
How long the nurse is scheduled to care for a patient
4
When the patient is expected to respond in the desired
manner
,Which action would the nurse take for a patient who 3
agrees with the nurse that expected outcomes were met?
1
Modify the care plan.
2
Revise the plan of care.
3
Discontinue the care plan.
4
Continue with the plan of care.
Which response would the nurse make for a patient who 3
expresses confusion about how to manage a leg wound
after discharge?
1
Provide a written document that contains the necessary
instructions.
2
Tell the patient that a relative will be taught how to take
care of the wound.
3
Explain and demonstrate the necessary action to the
patient.
4
Inform the patient that it will be explained later during
discharge.
The nurse would evaluate which goal based upon the 3
following reassessment: upon removal of the intravenous
(IV) line from the right arm, the site was clean and dry with
no signs of redness or tenderness?
1
Patient expresses acceptance of health status by day of
discharge.
2
Patient's surgical wound will be free of drainage.
3
Patient's IV site will remain free of infection.
4
Patient understands when to call the health care provider
to report complications.
Which priority action would the nurse take before 2
administering a new drug?
1
Confer with a colleague before giving the medication.
2
Consult with a pharmacist to obtain knowledge about the
medication.
3
Ask the patient about the medication.
4
Administer the medication as prescribed and on time.
Which expected outcome would be appropriate for a 1
patient who is vomiting?
1
Patient stops vomiting in 2 hours.
2
The antiemetic (drug to stop vomiting) will be administered
every 6 hours.
3
The antiemetic will not produce side effects in the patient.
4
Patient will not vomit again.
, Which intervention performed by the nurse is an 3,4,5
interdependent intervention? Select all that apply. One,
some, or all responses may be correct.
1
Preparing the patient for diagnostic tests
2
Administering medications to the patient
3
Consulting with a physiotherapist for postoperative
exercises
4
Collaborating with the home health department to ensure
the patient will have home health visits
5
Conferring with the unit discharge coordinator to help the
patient return home
Which action would the nurse take when the patient who is 1,2,3
nothing by mouth (NPO) (no food or fluids allowed)
develops an adverse reaction to a new intravenous (IV)
drug? Select all that apply. One, some, or all responses
may be correct.
1
Record the reaction.
2
Stop further administration of the drug.
3
Notify the health care provider.
4
Start oral medication.
5
Stop the medication and administer it again after the
reaction subsides.
Which outcome is correctly written and would the nurse 4
add to the plan of care about the patient's apical pulse?
1
The patient will have a normal apical pulse.
2
The patient's apical pulse values will be stable.
3
The patient will have acceptable apical pulse values.
4
The patient's apical pulse will be at least 70 beats per
minute.
Which intervention performed by the nurse would require 1,2,3
an order from a health care provider? Select all that apply.
One, some, or all responses may be correct.
Correct1
Getting an x-ray of the chest to rule out pulmonary
complications
Correct2
Administering an antibiotic to prevent infection
Correct3
Starting an intravenous (IV) infusion of normal saline
4
Instructing the patient to splint the incision when coughing
5
Teaching the patient about the side effects of the
medication
Which action indicates that the nurse is using physical care 3
techniques?
1
Meeting the patient's expressed needs
2
Performing indirect care measure
3
Using safe patient-handling procedures
4
Providing a hand-off report
Assessment, Diagnosis,
Planning, Implementation,
Evaluation & Practice
Questions | Complete
Ethics Study Guide
Updated 2026 Questions and Answers
100% Verified Exam Prep and Comprehensive
Rationales
Included
,Which feature is true about standing orders? 3
1
Meet instrumental activities of daily living.
2
Ensure familiarity with evidence-based guidelines for
nursing care.
3
Allow a quick response to a rapidly changing clinical
situation.
4
Minimize documentation issues for nurses.
Which action would the nurse perform when revising a 1,2,4
nursing care plan? Select all that apply. One, some, or all
responses may be correct.
1
Revise the nursing diagnoses.
2
Add new data with appropriate dates.
3
Maintain irrelevant nursing diagnoses.
4
Choose the method of evaluation for monitoring patient
outcomes.
Which action is an example of an independent nursing 1,4,5
intervention? Select all that apply. One, some, or all
responses may be correct.
1
Provide health education
2
Start intravenous (IV) fluids
3
Administer a hypertension agent
4
Assist with daily activities
5
Reposition a patient
Which problem would the nurse add to the care plan after 1
evaluating a diabetic patient who had a problem with
glucose control but is now restless and asking many
questions about an upcoming procedure on the big toe?
1
Anxiety
2
Glucose control
3
Diabetes
4
Risk of toe infection
Setting a time frame for outcomes of care determines 4
which purpose?
1
The priority level
2
Time it takes to complete an intervention
3
How long the nurse is scheduled to care for a patient
4
When the patient is expected to respond in the desired
manner
,Which action would the nurse take for a patient who 3
agrees with the nurse that expected outcomes were met?
1
Modify the care plan.
2
Revise the plan of care.
3
Discontinue the care plan.
4
Continue with the plan of care.
Which response would the nurse make for a patient who 3
expresses confusion about how to manage a leg wound
after discharge?
1
Provide a written document that contains the necessary
instructions.
2
Tell the patient that a relative will be taught how to take
care of the wound.
3
Explain and demonstrate the necessary action to the
patient.
4
Inform the patient that it will be explained later during
discharge.
The nurse would evaluate which goal based upon the 3
following reassessment: upon removal of the intravenous
(IV) line from the right arm, the site was clean and dry with
no signs of redness or tenderness?
1
Patient expresses acceptance of health status by day of
discharge.
2
Patient's surgical wound will be free of drainage.
3
Patient's IV site will remain free of infection.
4
Patient understands when to call the health care provider
to report complications.
Which priority action would the nurse take before 2
administering a new drug?
1
Confer with a colleague before giving the medication.
2
Consult with a pharmacist to obtain knowledge about the
medication.
3
Ask the patient about the medication.
4
Administer the medication as prescribed and on time.
Which expected outcome would be appropriate for a 1
patient who is vomiting?
1
Patient stops vomiting in 2 hours.
2
The antiemetic (drug to stop vomiting) will be administered
every 6 hours.
3
The antiemetic will not produce side effects in the patient.
4
Patient will not vomit again.
, Which intervention performed by the nurse is an 3,4,5
interdependent intervention? Select all that apply. One,
some, or all responses may be correct.
1
Preparing the patient for diagnostic tests
2
Administering medications to the patient
3
Consulting with a physiotherapist for postoperative
exercises
4
Collaborating with the home health department to ensure
the patient will have home health visits
5
Conferring with the unit discharge coordinator to help the
patient return home
Which action would the nurse take when the patient who is 1,2,3
nothing by mouth (NPO) (no food or fluids allowed)
develops an adverse reaction to a new intravenous (IV)
drug? Select all that apply. One, some, or all responses
may be correct.
1
Record the reaction.
2
Stop further administration of the drug.
3
Notify the health care provider.
4
Start oral medication.
5
Stop the medication and administer it again after the
reaction subsides.
Which outcome is correctly written and would the nurse 4
add to the plan of care about the patient's apical pulse?
1
The patient will have a normal apical pulse.
2
The patient's apical pulse values will be stable.
3
The patient will have acceptable apical pulse values.
4
The patient's apical pulse will be at least 70 beats per
minute.
Which intervention performed by the nurse would require 1,2,3
an order from a health care provider? Select all that apply.
One, some, or all responses may be correct.
Correct1
Getting an x-ray of the chest to rule out pulmonary
complications
Correct2
Administering an antibiotic to prevent infection
Correct3
Starting an intravenous (IV) infusion of normal saline
4
Instructing the patient to splint the incision when coughing
5
Teaching the patient about the side effects of the
medication
Which action indicates that the nurse is using physical care 3
techniques?
1
Meeting the patient's expressed needs
2
Performing indirect care measure
3
Using safe patient-handling procedures
4
Providing a hand-off report
