Question 1

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,E

Question 2

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

Accepted Answer

A)  The patient complains of excruciating, crushing chest pain. 
B)  The patient is short of breath and coughs up green sputum. 
C)  The patient has gained 1 lb within the past 24 hours. 
D)  The patient is experiencing sinus tachycardia and peripheral edema. 
A)  The patient complains of excruciating, crushing chest pain. 
B)  The patient is short of breath and coughs up green sputum. 
C)  The patient has gained 1 lb within the past 24 hours. 
D)  The patient is experiencing sinus tachycardia and peripheral edema. A

Question 3

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 B

Question 4

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

Accepted Answer

A)  The patient complains of feeling anxious about her upcoming surgery. 
B)  The patient is short of breath and has an oxygen saturation level of 86%. 
C)  The patient has a heart rate of 85 beats per minute and has a sinus rhythm. 
D)  The patient has consumed 60% of breakfast, 45% of lunch, and 50% of dinner. 
A)  The patient complains of feeling anxious about her upcoming surgery. 
B)  The patient is short of breath and has an oxygen saturation level of 86%. 
C)  The patient has a heart rate of 85 beats per minute and has a sinus rhythm. 
D)  The patient has consumed 60% of breakfast, 45% of lunch, and 50% of dinner.

Question 5

When a nurse uses Maslow's hierarchy of needs to prioritize patient problems,which problem would be considered the highest priority?

Accepted Answer

A)  The patient is unsteady and may become injured. 
B)  The patient is experiencing marital difficulties. 
C)  The patient has deficient knowledge about the condition. 
D)  The patient is acutely short of breath. 
A)  The patient is unsteady and may become injured. 
B)  The patient is experiencing marital difficulties. 
C)  The patient has deficient knowledge about the condition. 
D)  The patient is acutely short of breath.

Question 6

"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 7

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 8

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 9

Which strategies would facilitate patient data collection?

Accepted Answer

A)  Ensure that the patient knows who you are and what you are going to do. 
B)  Address the patient with familiarity, using terms of endearment. 
C)  Repeat questions the patient has previously answered. 
D)  Clarify what you do not understand with the patient. 
E)  Judge the patient's behaviors and attitudes. 
A)  Ensure that the patient knows who you are and what you are going to do. 
B)  Address the patient with familiarity, using terms of endearment. 
C)  Repeat questions the patient has previously answered. 
D)  Clarify what you do not understand with the patient. 
E)  Judge the patient's behaviors and attitudes.

Question 10

Which of the following are reasons the nursing process and critical thinking are included in the LPN/LVN curriculum?

Accepted Answer

A)  Both are needed to identify patient problems, issues, and risks. 
B)  They foster making evidence-based judgments. 
C)  Clearer communication between RN and LPN can take place. 
D)  Job stress and burnout are diminished. 
E)  Patient safety is adversely affected. 
A)  Both are needed to identify patient problems, issues, and risks. 
B)  They foster making evidence-based judgments. 
C)  Clearer communication between RN and LPN can take place. 
D)  Job stress and burnout are diminished. 
E)  Patient safety is adversely affected.

Question 11

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 12

Which of the following statements regarding short-term goals is accurate?

Accepted Answer

A)  Short-term goals are broad rather than specific. 
B)  Short-term goals can be accomplished within days or hours. 
C)  Short-term goals must be accomplished while the patient is hospitalized. 
D)  Short-term goals are less realistic than long-term goals. 
A)  Short-term goals are broad rather than specific. 
B)  Short-term goals can be accomplished within days or hours. 
C)  Short-term goals must be accomplished while the patient is hospitalized. 
D)  Short-term goals are less realistic than long-term goals.

Question 13

A nurse expresses difficulty deciding which nursing interventions to suggest for a patient with arthritic pain during an upcoming patient-centered conference.A peer suggests referring to the Nursing Interventions Classification (NIC)taxonomy.This would provide the nurse with information on

Accepted Answer

A)  how to provide basic care to patients. 
B)  identification of nursing measures to help patients progress toward goals. 
C)  a language for measuring patients' response to nursing interventions. 
D)  how to translate nursing diagnoses into nursing problems. 
A)  how to provide basic care to patients. 
B)  identification of nursing measures to help patients progress toward goals. 
C)  a language for measuring patients' response to nursing interventions. 
D)  how to translate nursing diagnoses into nursing problems.

Question 14

A student nurse asks,"If RNs use a five-step nursing process and LPN/LVNs use a four-step process,what phase is missing?" The best response would be,"The phase of the nursing process that is the sole responsibility of the registered nurse is

Accepted Answer

A)  assessment." 
B)  nursing diagnosis." 
C)  planning." 
D)  implementation." 
E)  evaluation." 
A)  assessment." 
B)  nursing diagnosis." 
C)  planning." 
D)  implementation." 
E)  evaluation."

Question 15

The RN head nurse is having a busy day.When the LPN/LVN reports data she has collected,the RN states,"Incorporate that into the nursing care plan and write down the intervention you'd use.I'll co-sign the entry." The LPN/LVN should

Accepted Answer

A)  do as requested. 
B)  ask the advice of the shift supervisor later in the shift. 
C)  tell the RN that this action is not within the LPN/LVN scope of practice. 
D)  write a letter to the state board of nursing to report the RN's unprofessional conduct. 
A)  do as requested. 
B)  ask the advice of the shift supervisor later in the shift. 
C)  tell the RN that this action is not within the LPN/LVN scope of practice. 
D)  write a letter to the state board of nursing to report the RN's unprofessional conduct.

Question 16

Which of the following are examples of subjective data?

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 17

When the LPN/LVN participates in the evaluation phase of the nursing process,she or he compares the patient's responses with the

Accepted Answer

A)  nursing orders. 
B)  outcome criteria. 
C)  nursing diagnosis. 
D)  database. 
A)  nursing orders. 
B)  outcome criteria. 
C)  nursing diagnosis. 
D)  database.

Question 18

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 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

subjective
Subjective information is bas

Question 20

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

Exam 9: Nursing Process: Your Role

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

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

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

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

When a nurse uses Maslow's hierarchy of needs to prioritize patient problems,which problem would be considered the highest priority?

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

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

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

Which strategies would facilitate patient data collection?

Which of the following are reasons the nursing process and critical thinking are included in the LPN/LVN curriculum?

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?

Which of the following statements regarding short-term goals is accurate?

A nurse expresses difficulty deciding which nursing interventions to suggest for a patient with arthritic pain during an upcoming patient-centered conference.A peer suggests referring to the Nursing Interventions Classification (NIC)taxonomy.This would provide the nurse with information on

A student nurse asks,"If RNs use a five-step nursing process and LPN/LVNs use a four-step process,what phase is missing?" The best response would be,"The phase of the nursing process that is the sole responsibility of the registered nurse is

The RN head nurse is having a busy day.When the LPN/LVN reports data she has collected,the RN states,"Incorporate that into the nursing care plan and write down the intervention you'd use.I'll co-sign the entry." The LPN/LVN should

Which of the following are examples of subjective data?

When the LPN/LVN participates in the evaluation phase of the nursing process,she or he compares the patient's responses with the

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

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

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?

The Adult Learner: Hints to Succeed

Time Management: Making Time Work for You

Learning Methods and Skills: How Do You Learn?

Using Your Methods and Skills: Studying and Testing

Learning During School: Using Available Resources

Personal Health Promotion: A Role Model for Patients

How Practical/Vocational Nursing Evolved: 1836 to Present

Critical Thinking: A Lifelong Journey

Nursing Theory,Research,and Evidence-Based Practice

Ethics Applied to Nursing: Personal vs.Professional Ethics

Nursing and the Law: What Are the Rules?

Straightforward Communication: Instructors, Coworkers, and Patients

Assertiveness: Your Responsibility

The Health Care Team: Where the Practical/Vocational Nurse Fits In

Cultural Uniqueness, Sensitivity, and Competence

Spiritual Needs, Spiritual Caring, and Religious Differences

Health Care Settings: Potential Job Sites

Health Care System: Financing, Issues, and Trends

Leadership Skills

LPN/LVN Charge Nurse Skills: Management, Including Assignment and Delegation

Finding a Job: What Works, and What Doesn’t

The NCLEX-PN Examination

Future Career Decisions: Choosing What Is Right for You

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