Fundamentals Test Bank final
A nurse is following the goals of healthy people 2020 to provide care. Which action should the nurse
take?
a. Crate social and physical environments that promote good health
b. Allow people to continue current behavior to reduce the stress of change.
c.Focus on illness treatment to provide fast recuperation
d. Focus only on health changes that will leas to better local communities. - (correct Answer) - a. Create
social and physical environments that promote good health
1- A nurse is teaching about the goals of healthy people 2020. Which information should the nurse
include in the teaching session?
a. Eliminate health life in America
b. Eliminate health behavior in America
c. Eliminate health disparities in America
d. Eliminate quality of life in America - (correct Answer) - c. Eliminate health disparities in America
1- In which order will the nurse use the nursing process steps during the clinical decision-making
process?
1. Evaluating goals
2. Assessing patient needs
3. Planning priorities of care
4. Determining nursing diagnoses
5. Implementing nursing interventions
a. 2, 4, 3, 5, 1
b. 4, 3, 2, 1, 5
c. 1, 2, 4, 5, 3
d. 5, 1, 2, 3, 4 - (correct Answer) - a. 2, 4, 3, 5, 1
,2. Assessing patient needs
4. Determining nursing diagnoses
3. Planning priorities of care
5. Implementing nursing interventions
1. Evaluating goals
The nurse is using critical thinking skills during the first phase of the nursing process. Which action
indicates the nurse is in the first phase?
a. Completes a comprehensive database.
b. Identifies pertinent nursing diagnoses.
c. Intervenes based on priorities of patient care.
d. Determines whether outcomes have been achieved. - (correct Answer) - a. Completes a
comprehensive database.
Assessment: data
A nurse is using a critical thinking model to provide care. Which component is first that helps a nurses
make clinical decisions?
a.Attitude
b.Experience
c.Nursing process
d.Specific knowledge base - (correct Answer) - c. Nursing process
Which method of data collection will the nurse use to establish a patient's database?
a. Reviewing the current literature to determine evidence-based nursing actions
b. Checking orders for diagnostic and laboratory tests
c. Performing a physical examination
d. Ordering medications - (correct Answer) - c. Performing a physical examination
,The nurse is reviewing a patient's database for significant changes and discovers that the patient has not
voided in over 8 hours. The patient's kidney function lab results are abnormal, and the patient's oral
intake has significantly decreased since previous shifts. Which step of the nursing process should the
nurse proceed to after this review?
a.Diagnosis
b.Planning
c.Implementation
d.Evaluation - (correct Answer) - a.Diagnosis
The nurse completes a thorough assessment of a patient and analyzes the data to identify nursing
diagnoses. Which step will the nurse take next in the nursing process?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation - (correct Answer) - c. Planning
A nurse is providing nursing care to patients after completing a care plan from nursing diagnoses. In
which step of the nursing process is the nurse?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation - (correct Answer) - Implementation
Which action should the nurse take first during the initial phase of implementation?
a. Determine patient outcomes and goals.
b. Prioritize patient's nursing diagnoses.
, c. Evaluate interventions.
d. Reassess the patient. - (correct Answer) - d. Reassess the patient.
A nurse determines that the patient's condition has improved and has met expected outcomes. Which
step of the nursing process is the nurse exhibiting?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation - (correct Answer) - d. Evaluation
A nurse completes a thorough database and carries out nursing interventions based on priority
diagnoses. Which action will the nurse take next?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation - (correct Answer) - d. Evaluation
Which nursing actions will the nurse perform in the evaluation phase of the nursing process? (Select all
that apply.)
a. Set priorities for patient care.
b. Determine whether outcomes or standards are met.
c. Ambulate patient 25 feet in the hallway.
d. Document results of goal achievement.
e. Use self-reflection and correct errors. - (correct Answer) - b. Determine whether outcomes or
standards are met.
d. Document results of goal achievement.
e. Use self-reflection and correct errors.
A nurse is following the goals of healthy people 2020 to provide care. Which action should the nurse
take?
a. Crate social and physical environments that promote good health
b. Allow people to continue current behavior to reduce the stress of change.
c.Focus on illness treatment to provide fast recuperation
d. Focus only on health changes that will leas to better local communities. - (correct Answer) - a. Create
social and physical environments that promote good health
1- A nurse is teaching about the goals of healthy people 2020. Which information should the nurse
include in the teaching session?
a. Eliminate health life in America
b. Eliminate health behavior in America
c. Eliminate health disparities in America
d. Eliminate quality of life in America - (correct Answer) - c. Eliminate health disparities in America
1- In which order will the nurse use the nursing process steps during the clinical decision-making
process?
1. Evaluating goals
2. Assessing patient needs
3. Planning priorities of care
4. Determining nursing diagnoses
5. Implementing nursing interventions
a. 2, 4, 3, 5, 1
b. 4, 3, 2, 1, 5
c. 1, 2, 4, 5, 3
d. 5, 1, 2, 3, 4 - (correct Answer) - a. 2, 4, 3, 5, 1
,2. Assessing patient needs
4. Determining nursing diagnoses
3. Planning priorities of care
5. Implementing nursing interventions
1. Evaluating goals
The nurse is using critical thinking skills during the first phase of the nursing process. Which action
indicates the nurse is in the first phase?
a. Completes a comprehensive database.
b. Identifies pertinent nursing diagnoses.
c. Intervenes based on priorities of patient care.
d. Determines whether outcomes have been achieved. - (correct Answer) - a. Completes a
comprehensive database.
Assessment: data
A nurse is using a critical thinking model to provide care. Which component is first that helps a nurses
make clinical decisions?
a.Attitude
b.Experience
c.Nursing process
d.Specific knowledge base - (correct Answer) - c. Nursing process
Which method of data collection will the nurse use to establish a patient's database?
a. Reviewing the current literature to determine evidence-based nursing actions
b. Checking orders for diagnostic and laboratory tests
c. Performing a physical examination
d. Ordering medications - (correct Answer) - c. Performing a physical examination
,The nurse is reviewing a patient's database for significant changes and discovers that the patient has not
voided in over 8 hours. The patient's kidney function lab results are abnormal, and the patient's oral
intake has significantly decreased since previous shifts. Which step of the nursing process should the
nurse proceed to after this review?
a.Diagnosis
b.Planning
c.Implementation
d.Evaluation - (correct Answer) - a.Diagnosis
The nurse completes a thorough assessment of a patient and analyzes the data to identify nursing
diagnoses. Which step will the nurse take next in the nursing process?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation - (correct Answer) - c. Planning
A nurse is providing nursing care to patients after completing a care plan from nursing diagnoses. In
which step of the nursing process is the nurse?
a. Assessment
b. Diagnosis
c. Planning
d. Implementation - (correct Answer) - Implementation
Which action should the nurse take first during the initial phase of implementation?
a. Determine patient outcomes and goals.
b. Prioritize patient's nursing diagnoses.
, c. Evaluate interventions.
d. Reassess the patient. - (correct Answer) - d. Reassess the patient.
A nurse determines that the patient's condition has improved and has met expected outcomes. Which
step of the nursing process is the nurse exhibiting?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation - (correct Answer) - d. Evaluation
A nurse completes a thorough database and carries out nursing interventions based on priority
diagnoses. Which action will the nurse take next?
a. Assessment
b. Diagnosis
c. Planning
d. Evaluation - (correct Answer) - d. Evaluation
Which nursing actions will the nurse perform in the evaluation phase of the nursing process? (Select all
that apply.)
a. Set priorities for patient care.
b. Determine whether outcomes or standards are met.
c. Ambulate patient 25 feet in the hallway.
d. Document results of goal achievement.
e. Use self-reflection and correct errors. - (correct Answer) - b. Determine whether outcomes or
standards are met.
d. Document results of goal achievement.
e. Use self-reflection and correct errors.
