Question 1

A student nurse asks, "What's the primary purpose of the evaluation phase of the nursing process?" The best response is

Accepted Answer

A)  to establish a time frame for completion of goals. 
B)  to determine whether the nurse completed all nursing interventions. 
C)  to determine which nurses are eligible for raises or promotion. 
D)  to compare actual patient outcomes with desired outcomes. 
A)  to establish a time frame for completion of goals. 
B)  to determine whether the nurse completed all nursing interventions. 
C)  to determine which nurses are eligible for raises or promotion. 
D)  to compare actual patient outcomes with desired outcomes. D

Question 2

A nurse is gathering and reviewing information about a patient. The nurse is participating in which step of the nursing process?

Accepted Answer

A)  Planning 
B)  Evaluation 
C)  Data collection 
D)  Implementation 
A)  Planning 
B)  Evaluation 
C)  Data collection 
D)  Implementation C

Question 3

Which statements accurately describe the role of the LPN/LVN in relation to use of the nursing process? (Select all that apply.)

Accepted Answer

A)  LPN/LVNs have an interdependent relationship with other health team members. 
B)  LPN/LVNs act in a more dependent role when participating in the planning and evaluation phases. 
C)  LPN/LVNs act more independently when participating in data collection and implementation phases than in any other phases of the nursing process. 
D)  LPN/LVNs are able to use the NANDA list to make nursing diagnoses. 
E)  LPN/LVN basic education enables them to perform patient interviews and assessment of body systems. 
A)  LPN/LVNs have an interdependent relationship with other health team members. 
B)  LPN/LVNs act in a more dependent role when participating in the planning and evaluation phases. 
C)  LPN/LVNs act more independently when participating in data collection and implementation phases than in any other phases of the nursing process. 
D)  LPN/LVNs are able to use the NANDA list to make nursing diagnoses. 
E)  LPN/LVN basic education enables them to perform patient interviews and assessment of body systems. A, B, C

Question 4

The phases of the nursing process in which the LPN/LVN participates with the greatest degree of independence are

Accepted Answer

A)  goal setting and evaluation. 
B)  planning and implementation. 
C)  data collection and implementation. 
D)  evaluation and data collection. 
A)  goal setting and evaluation. 
B)  planning and implementation. 
C)  data collection and implementation. 
D)  evaluation and data collection.

Question 5

The nursing care plan requires the nurse to ambulate the patient twice daily. The phase of the nursing process in which the nurse is participating is

Accepted Answer

A)  assessment. 
B)  planning. 
C)  implementation. 
D)  evaluation. 
A)  assessment. 
B)  planning. 
C)  implementation. 
D)  evaluation.

Question 6

A nurse is gathering data about a patient. The nurse determines that which of the following is objective data?

Accepted Answer

A)  The patient complains of phantom pain after receiving a left below-the-knee amputation. 
B)  The patient complains of crushing chest pain and states, "I feel like there is an elephant sitting on my chest." 
C)  The patient complains of feeling anxious about being hospitalized and states, "I feel like I'm going to die." 
D)  The patient has a heart rate of 99 beats per minute, respirations of 20 per minute, and a temperature of 99.2° F. 
A)  The patient complains of phantom pain after receiving a left below-the-knee amputation. 
B)  The patient complains of crushing chest pain and states, "I feel like there is an elephant sitting on my chest." 
C)  The patient complains of feeling anxious about being hospitalized and states, "I feel like I'm going to die." 
D)  The patient has a heart rate of 99 beats per minute, respirations of 20 per minute, and a temperature of 99.2° F.

Question 7

An LPN/LVN demonstrates to a new mother how to safely bathe her infant. This is an example of the phase of the nursing process called

Accepted Answer

A)  assessment. 
B)  nursing diagnosis. 
C)  planning. 
D)  implementation. 
A)  assessment. 
B)  nursing diagnosis. 
C)  planning. 
D)  implementation.

Question 8

How does the LPN/LVN use nursing diagnosis in patient care?

Accepted Answer

A)  To set patient-centered goals 
B)  To convert nursing diagnoses to patient problems 
C)  To implement independent nursing interventions 
D)  To justify participation in data collection 
A)  To set patient-centered goals 
B)  To convert nursing diagnoses to patient problems 
C)  To implement independent nursing interventions 
D)  To justify participation in data collection

Question 9

The LPN/LVN learns at report that a patient's priority problems are pain and inability to ambulate associated with arthritis. During the patient's bath, he becomes short of breath. The LPN/LVN should implement interventions based on

Accepted Answer

A)  the priorities given at the report. 
B)  the patient's identified strengths. 
C)  the patient's changing status. 
D)  information obtained from the Nursing Outcomes Classification (NO
C)  project. 
A)  the priorities given at the report. 
B)  the patient's identified strengths. 
C)  the patient's changing status. 
D)  information obtained from the Nursing Outcomes Classification (NO
C)  project.

Question 10

The patient's nursing diagnosis is pain associated with walking related to knee injury. The LPN/LVN should accurately identify the patient problem as

Accepted Answer

A)  arthritis. 
B)  unwillingness to exercise. 
C)  need for knee brace. 
D)  knee pain. 
A)  arthritis. 
B)  unwillingness to exercise. 
C)  need for knee brace. 
D)  knee pain.

Question 11

The student nurse asks, "How does knowing the nursing diagnosis assist the LPN/LVN?" The best response is based on understanding that

Accepted Answer

A)  a nursing diagnosis identifies the patient's problems. 
B)  it permits the practical nurse to go beyond the scope of practice. 
C)  this step makes the practical nurse equal to the medical doctor. 
D)  knowledge of the nursing diagnosis ensures a cure for the patient. 
A)  a nursing diagnosis identifies the patient's problems. 
B)  it permits the practical nurse to go beyond the scope of practice. 
C)  this step makes the practical nurse equal to the medical doctor. 
D)  knowledge of the nursing diagnosis ensures a cure for the patient.

Question 12

The patient's problem has been identified as insufficient intake of oral fluids. The best outcome statement is

Accepted Answer

A)  the patient will ingest 1500 mL of oral fluids during each 24-hour period. 
B)  the patient will request fluids when thirsty. 
C)  the nurse will encourage fluid intake by the patient. 
D)  the nurse will provide the patient with 100 mL of fluid hourly. 
A)  the patient will ingest 1500 mL of oral fluids during each 24-hour period. 
B)  the patient will request fluids when thirsty. 
C)  the nurse will encourage fluid intake by the patient. 
D)  the nurse will provide the patient with 100 mL of fluid hourly.

Question 13

A nurse is comparing a patient's outcomes of nursing care to the expected outcomes. The nurse then communicates these findings to members of the health care team. The nurse is participating in which step of the nursing process?

Accepted Answer

A)  Planning 
B)  Evaluation 
C)  Data collection 
D)  Implementation 
A)  Planning 
B)  Evaluation 
C)  Data collection 
D)  Implementation

Question 14

A blood pressure of 110/70 at 8 PM is most accurately described as an example of

Accepted Answer

A)  planning data. 
B)  subjective data. 
C)  objective data. 
D)  reassessment data. 
A)  planning data. 
B)  subjective data. 
C)  objective data. 
D)  reassessment data.

Question 15

A beginning nurse asks an experienced nurse, "When should I focus on data collection?" Which statement provides the best description for when a nurse should collect patient-centered data?

Accepted Answer

A)  After report when coming on duty 
B)  Within 1 hour of reporting off duty 
C)  While assisting a patient with hygiene 
D)  During each patient contact 
A)  After report when coming on duty 
B)  Within 1 hour of reporting off duty 
C)  While assisting a patient with hygiene 
D)  During each patient contact

Question 16

An LPN/LVN is assisting the RN in the development of goals and interventions for a patient's plan of care. The LPN/LVN is participating in which step of the nursing process?

Accepted Answer

A)  Planning 
B)  Evaluation 
C)  Data collection 
D)  Implementation 
A)  Planning 
B)  Evaluation 
C)  Data collection 
D)  Implementation

Question 17

Which of the following are examples of subjective data? (Select all that apply.)

Accepted Answer

A)  A patient has an offensive body odor. 
B)  A patient complains of feeling stressed. 
C)  A patient complains of feeling anxious. 
D)  A patient complains of substernal chest pain. 
E)  A patient falls when ambulating to the bathroom.
F) A patient states, "I feel a sense of impending doom." 
A)  A patient has an offensive body odor. 
B)  A patient complains of feeling stressed. 
C)  A patient complains of feeling anxious. 
D)  A patient complains of substernal chest pain. 
E)  A patient falls when ambulating to the bathroom.
F) A patient states, "I feel a sense of impending doom."

Question 18

"I feel like I can't catch my breath" is an example of

Accepted Answer

A)  effective data. 
B)  objective data. 
C)  subjective data. 
D)  evaluative data. 
A)  effective data. 
B)  objective data. 
C)  subjective data. 
D)  evaluative data.

Question 19

A patient states, "I'm feeling left-sided chest pain that radiates to my left arm." This is an example of _______________ data.

Accepted Answer

A patient stating, "I'm feeling left-sid

Question 20

Which of the following are examples of objective data? (Select all that apply.)

Accepted Answer

A)  A patient has an offensive body odor. 
B)  A patient complains of feeling stressed. 
C)  A patient complains of feeling anxious. 
D)  A patient complains of substernal chest pain. 
E)  A patient falls when ambulating to the bathroom.
F) A patient states, "I feel a sense of impending doom." 
A)  A patient has an offensive body odor. 
B)  A patient complains of feeling stressed. 
C)  A patient complains of feeling anxious. 
D)  A patient complains of substernal chest pain. 
E)  A patient falls when ambulating to the bathroom.
F) A patient states, "I feel a sense of impending doom."

A student nurse asks, "What's the primary purpose of the evaluation phase of the nursing process?" The best response is

A nurse is gathering and reviewing information about a patient. The nurse is participating in which step of the nursing process?

Which statements accurately describe the role of the LPN/LVN in relation to use of the nursing process? (Select all that apply.)

The phases of the nursing process in which the LPN/LVN participates with the greatest degree of independence are

The nursing care plan requires the nurse to ambulate the patient twice daily. The phase of the nursing process in which the nurse is participating is

A nurse is gathering data about a patient. The nurse determines that which of the following is objective data?

An LPN/LVN demonstrates to a new mother how to safely bathe her infant. This is an example of the phase of the nursing process called

How does the LPN/LVN use nursing diagnosis in patient care?

The LPN/LVN learns at report that a patient's priority problems are pain and inability to ambulate associated with arthritis. During the patient's bath, he becomes short of breath. The LPN/LVN should implement interventions based on

The patient's nursing diagnosis is pain associated with walking related to knee injury. The LPN/LVN should accurately identify the patient problem as

The student nurse asks, "How does knowing the nursing diagnosis assist the LPN/LVN?" The best response is based on understanding that

The patient's problem has been identified as insufficient intake of oral fluids. The best outcome statement is

A nurse is comparing a patient's outcomes of nursing care to the expected outcomes. The nurse then communicates these findings to members of the health care team. The nurse is participating in which step of the nursing process?

A blood pressure of 110/70 at 8 PM is most accurately described as an example of

A beginning nurse asks an experienced nurse, "When should I focus on data collection?" Which statement provides the best description for when a nurse should collect patient-centered data?

An LPN/LVN is assisting the RN in the development of goals and interventions for a patient's plan of care. The LPN/LVN is participating in which step of the nursing process?

Which of the following are examples of subjective data? (Select all that apply.)

"I feel like I can't catch my breath" is an example of

A patient states, "I'm feeling left-sided chest pain that radiates to my left arm." This is an example of _______________ data.

Which of the following are examples of objective data? (Select all that apply.)

Personal Resources of an Adult Learner

Academic Resources (Study Skills and Test Strategies)

Community Resources

How Practical/Vocational Nursing Evolved: 1836 to the Present

Critical Thinking: A Lifelong Journey

Ethics Applied to Nursing: Personal Versus Professional Ethics

Nursing and the Law: What Are the Rules?

Effective Communication: Health Care Team, Patients, Faculty, and Peers

Assertiveness: Your Responsibility

Cultural Uniqueness, Sensitivity, and Competence

Spiritual Needs, Spiritual Caring, and Religious Differences

Nursing Theory, Research, and Evidence-Based Practice

The Interdisciplinary Health Care Team: The Role of the Practical/Vocational Nurse

Health Care Settings: Continuum of Care

The Health Care System: Financing, Issues, and Trends

Collaboration: Leading and Managing

Work Force Trends: How to Find a First Job You Will Love

Licensure and Regulation: Becoming Licensed and Understanding Your State Nurse Practice Act

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Exam 12: The Nursing Process: Your Role

A student nurse asks, "What's the primary purpose of the evaluation phase of the nursing process?" The best response is

A nurse is gathering and reviewing information about a patient. The nurse is participating in which step of the nursing process?

Which statements accurately describe the role of the LPN/LVN in relation to use of the nursing process? (Select all that apply.)

The phases of the nursing process in which the LPN/LVN participates with the greatest degree of independence are

The nursing care plan requires the nurse to ambulate the patient twice daily. The phase of the nursing process in which the nurse is participating is

A nurse is gathering data about a patient. The nurse determines that which of the following is objective data?

An LPN/LVN demonstrates to a new mother how to safely bathe her infant. This is an example of the phase of the nursing process called

How does the LPN/LVN use nursing diagnosis in patient care?

The LPN/LVN learns at report that a patient's priority problems are pain and inability to ambulate associated with arthritis. During the patient's bath, he becomes short of breath. The LPN/LVN should implement interventions based on

The patient's nursing diagnosis is pain associated with walking related to knee injury. The LPN/LVN should accurately identify the patient problem as

The student nurse asks, "How does knowing the nursing diagnosis assist the LPN/LVN?" The best response is based on understanding that

The patient's problem has been identified as insufficient intake of oral fluids. The best outcome statement is

A nurse is comparing a patient's outcomes of nursing care to the expected outcomes. The nurse then communicates these findings to members of the health care team. The nurse is participating in which step of the nursing process?

A blood pressure of 110/70 at 8 PM is most accurately described as an example of

A beginning nurse asks an experienced nurse, "When should I focus on data collection?" Which statement provides the best description for when a nurse should collect patient-centered data?

An LPN/LVN is assisting the RN in the development of goals and interventions for a patient's plan of care. The LPN/LVN is participating in which step of the nursing process?

Which of the following are examples of subjective data? (Select all that apply.)

"I feel like I can't catch my breath" is an example of

A patient states, "I'm feeling left-sided chest pain that radiates to my left arm." This is an example of _______________ data.

Which of the following are examples of objective data? (Select all that apply.)

Personal Resources of an Adult Learner

Academic Resources (Study Skills and Test Strategies)

Community Resources

How Practical/Vocational Nursing Evolved: 1836 to the Present

Critical Thinking: A Lifelong Journey

Ethics Applied to Nursing: Personal Versus Professional Ethics

Nursing and the Law: What Are the Rules?

Effective Communication: Health Care Team, Patients, Faculty, and Peers

Assertiveness: Your Responsibility

Cultural Uniqueness, Sensitivity, and Competence

Spiritual Needs, Spiritual Caring, and Religious Differences

Nursing Theory, Research, and Evidence-Based Practice

The Interdisciplinary Health Care Team: The Role of the Practical/Vocational Nurse

Health Care Settings: Continuum of Care

The Health Care System: Financing, Issues, and Trends

Collaboration: Leading and Managing

Work Force Trends: How to Find a First Job You Will Love

Licensure and Regulation: Becoming Licensed and Understanding Your State Nurse Practice Act

Filters