FUNDAMENTALS OF NURSING EXAM 2
COMPLETE STUDY GUIDE WITH SOLVED
QUESTIONS
◉ What are the five steps of the nursing process in order?
Answer: Assessment/Data Collection, Analysis/Nursing Diagnosis,
Planning, Implementation, Evaluation (ADPIE).
◉ How is the nursing process described?
Answer: Cyclical, purposeful, goal-directed, systematic, and based on
scientific reasoning and evidence.
◉ Which nursing-process step occurs first?
Answer: Assessment/Data Collection.
◉ What occurs during assessment/data collection?
Answer: The nurse systematically collects information about the
client's health status, identifies needs, and determines whether
additional data are needed.
◉ What are the three types of assessment?
,Answer: Initial assessment, focused assessment, and ongoing
assessment.
◉ What methods are used to collect assessment data?
Answer: Observation, interviews, health history, physical
examination, diagnostic/lab reports, and collaboration with the
health care team.
◉ What is subjective data?
Answer: Information about feelings, perceptions, and health status
reported by the client.
◉ Give examples of subjective data.
Answer: Nausea, headache, and a client-reported pain rating.
◉ Is pain subjective or objective?
Answer: Subjective.
◉ What is objective data?
Answer: Observable or measurable information obtained through
observation or physical examination.
◉ Give examples of objective data.
, Answer: Blood pressure, respiratory rate, observed vomiting, skin
findings, and an observed limp.
◉ What should assessment documentation be?
Answer: Thorough, concise, and accurate.
◉ What is the primary source of assessment data?
Answer: The client.
◉ What are secondary sources of assessment data?
Answer: Family, friends, caregivers, health care professionals,
literature, and medical records.
◉ Who performs the initial assessment of a new client?
Answer: The RN.
◉ Who assesses an unstable client?
Answer: The RN.
◉ What data collection can the PN perform?
Answer: Data collection on clients the RN has determined are stable.
COMPLETE STUDY GUIDE WITH SOLVED
QUESTIONS
◉ What are the five steps of the nursing process in order?
Answer: Assessment/Data Collection, Analysis/Nursing Diagnosis,
Planning, Implementation, Evaluation (ADPIE).
◉ How is the nursing process described?
Answer: Cyclical, purposeful, goal-directed, systematic, and based on
scientific reasoning and evidence.
◉ Which nursing-process step occurs first?
Answer: Assessment/Data Collection.
◉ What occurs during assessment/data collection?
Answer: The nurse systematically collects information about the
client's health status, identifies needs, and determines whether
additional data are needed.
◉ What are the three types of assessment?
,Answer: Initial assessment, focused assessment, and ongoing
assessment.
◉ What methods are used to collect assessment data?
Answer: Observation, interviews, health history, physical
examination, diagnostic/lab reports, and collaboration with the
health care team.
◉ What is subjective data?
Answer: Information about feelings, perceptions, and health status
reported by the client.
◉ Give examples of subjective data.
Answer: Nausea, headache, and a client-reported pain rating.
◉ Is pain subjective or objective?
Answer: Subjective.
◉ What is objective data?
Answer: Observable or measurable information obtained through
observation or physical examination.
◉ Give examples of objective data.
, Answer: Blood pressure, respiratory rate, observed vomiting, skin
findings, and an observed limp.
◉ What should assessment documentation be?
Answer: Thorough, concise, and accurate.
◉ What is the primary source of assessment data?
Answer: The client.
◉ What are secondary sources of assessment data?
Answer: Family, friends, caregivers, health care professionals,
literature, and medical records.
◉ Who performs the initial assessment of a new client?
Answer: The RN.
◉ Who assesses an unstable client?
Answer: The RN.
◉ What data collection can the PN perform?
Answer: Data collection on clients the RN has determined are stable.
