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Nursing Process Quiz
Nursing Process Quiz
I. Choose the best answer from the letter choices succeeding each numbered item.
Ms. Cabacungan complains of pain in her chest, difficulty of breathing and cough. The
nurse would be correct if she documents these data as :
4. The nurse is organizing the assessment data elicited from her patient and groups
related
information together. The nurse is doing what phase of the Nursing process?
7. Bella Flores has just undergone surgery on her right lower leg. During the night, she
required an analgesic to help her sleep. She doesn’t have appetite to eat but is able
to take in liquids without nausea. Which of the following nursing diagnosis should be
given highest priority?
a. Implementation c. Assessment
b. Evaluation d. Outcome Identification
a. Etiology c. Problem
b. Signs and symptoms d. Related factors
10. In the Nursing diagnosis “Impaired physical mobility related to joint stiffness as
evidenced by limited range of motion and difficulty turning”, the etiology of the
problem
is:
12. When establishing priorities for a client’s plan of care, the nurse should rank which
of the
following as the lowest priority?
13. Which of the following are the essential components for outcome identification?
a. Target date, nursing action, measurement criteria and desired client behavior
b. Client behavior, measurement criteria, conditions under which the behavior
occurs
and target date
c. Client behavior, target date and conditions under which the behavior occurs
d. Target date, nursing action, measurement criteria and desired client behavior
15. As a nurse taking the next shift, which of the following patient conditions should
the you
prioritize?
16. Which of the following nursing diagnoses should be dealt with immediately?
17. On assessment, the nurse obtains the following findings : BP-130/90 mmHg; PR-
108bpm; RR-20; T- 37.4 C; with complaints DOB, headache, diziness and
o
expressed
worries about her 17 y/o son left at home. Which of the possible problems
would be of
least priority?
18. Using the P-E-R-S-O-N-S format in data clustering, where would you include the
assessment finding “non-pitting edema at Right forearm site of previous IV”?
a. Elimination c. Safety and security
b. Nutrition d. Oxygenation
19. Which of the following patients should be prioritized according to Maslow’s Theory?
20. In the diagnostic statement “Fluid volume excess r/t decreased venous return as
manifested by edema on lower extremity”, the etiology of the problem is:
21. Nursing diagnoses must meet specific criteria to reflect both the client's problem
and the
possible etiology involved. Which of the following is an appropriately written
nursing
diagnosis?
a. Pain related to insufficient use of medication
b. Pain related to difficulty ambulating
c. Anxiety related to cardiac monitor
d. Bedpan required frequently as a result of altered elimination pattern
22. After visiting with the client the nurse documents the assessment data. Both
objective and
subjective information has been obtained during the assessment. Which of the
following is classified as subjective data?
a. Client appears sleepy
b. No distress noted
c. Abdomen soft and non-tender
d. States feels anxious and tense
a. Method
b. Quantity
c. Frequency
d. Qualifications of the person who will perform the task
24. Nursing diagnoses meet specific criteria so they accurately reflect both the client's
problem
and the possible etiology involved. Of the following statements, which one is an
example of an appropriately written nursing diagnosis?
25. The nurse notes a narcotic is to be administered per epidural cath. The nurse,
however,
does not know how to perform this procedure. Which aspects of the
implementation process should be followed?
a. Seek assistance
b. Reassess the client
c. Use interpersonal skills
d. Critical decision making