(2026/2027) Actual Questions and Answers (PDF).
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After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of data
would be:
a. Objective
b. Reflective
c. Subjective
d. Introspective
Answer: A. Objective
A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These
types of data would be:
a. Objective
b. Reflective
c. Subjective
d. Introspective
Answer: C. Subjective
The patient's record, laboratory studies, objective data, and subjective data
combine to form the:
a. Data base
b. Admitting data
c. Financial statement
d. Discharge summary
Answer: A. Data base
When listening to a patient's breath sounds, the nurse is unsure of a sound that is
heard. The nurse's next action should be to:
a. Immediately notify the patient's physician
b. Document the sound exactly as it was heard
c. Validate the data by asking a coworker to listen to the breath sounds
,d. (incomplete in source)
Answer: C. Validate the data by asking a coworker to listen to the breath sounds
The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a background of
skills and experience from which to draw, are more likely to make their decisions
using:
a. Intuition
b. A set of rules
c. Articles in journals
d. Advice from supervisors
Answer: B. A set of rules
Expert nurses learn to attend to a pattern of assessment data and act without
consciously labeling it. These responses are referred to as:
a. Intuition
b. The nursing process
c. Clinical knowledge
d. (incomplete in source)
Answer: A. Intuition
The nurse is reviewing information about evidence-based practice (EBP). Which
statement best reflects EBP?
a. EBP relies on tradition for support of best practices
b. EBP is simply the use of best practice techniques for the treatment of patients
c. EBP emphasizes the use of best evidence with the clinician's experience
d. The patient's own preferences are not important with EBP
Answer: C. EBP emphasizes the use of best evidence with the clinician's
experience
The nurse is conducting a class on priority setting for a group of new graduate
nurses. Which is an example of a first-level priority problem?
a. Patient with postoperative pain
b. Newly diagnosed patient with diabetes who needs diabetic teaching
c. Individual with a small laceration on the sole of the foot
d. (incomplete in source — the correct answer would be a life-threatening problem
,such as an airway, breathing, or circulation issue)
Answer: (incomplete in source)
When considering priority setting of problems, the nurse keeps in mind that second-
level priority problems include which of these aspects?
a. Low self-esteem
b. Lack of knowledge
c. Abnormal laboratory values
d. Severely abnormal vital signs
Answer: C. Abnormal laboratory values
Which critical thinking skill helps the nurse see relationships among the data?
a. Validation
b. Clustering related cues
c. Identifying gaps in data
d. Distinguishing relevant from irrelevant
Answer: B. Clustering related cues
The nurse knows that developing appropriate nursing interventions for a patient
relies on the appropriateness of the ______ diagnosis.
a. Nursing
b. Medical
c. Admission
d. Collaborative
Answer: A. Nursing
The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
a. Assessment, treatment, planning, evaluation, discharge, and follow-up
b. Admission, assessment, diagnosis, treatment, and discharge planning
c. Admission, diagnosis, treatment, evaluation, and discharge planning
d. Assessment, diagnosis, outcome identification, planning, implementation, and
evaluation
Answer: D. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation
, A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems?
a. Breathing, pain, and sleep
b. Breathing, sleep, and pain
c. Sleep, breathing, and pain
d. Sleep, pain, and breathing
Answer: A. Breathing, pain, and sleep
Which of these would be formulated by a nurse using diagnostic reasoning?
a. Nursing diagnosis
b. Medical diagnosis
c. Diagnostic hypothesis
d. Diagnostic assessment
Answer: C. Diagnostic hypothesis
Barriers to incorporating EBP include:
a. Nurses' lack of research skills in evaluating the quality of research studies
b. Lack of significant research studies
c. Insufficient clinical skills of nurses
d. Inadequate physical assessment skills
Answer: A. Nurses' lack of research skills in evaluating the quality of research
studies
What step of the nursing process includes data collection by health history, physical
examination, and interview?
a. Planning
b. Diagnosis
c. Evaluation
d. Assessment
Answer: D. Assessment
During a staff meeting, nurses discuss the problems with accessing research
studies to incorporate evidence-based clinical decision making into their practice.
Which suggestion by the nurse manager would best help these problems?
a. Form a committee to conduct research studies
b. Post published research studies on the unit's bulletin boards
c. Encourage the nurses to visit the library to review studies