Question 1

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

Question 2

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.

Question 3

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.

Question 4

Identify the outcome that would be appropriate to include in the nursing care plan of a patient who has undergone total knee replacement.

Accepted Answer

A)  The patient will be stronger by (date). 
B)  The patient will transfer from the bed to a chair with the assistance of a walker and one staff member by the third postoperative day. 
C)  The nurse will help the patient ambulate the length of the hall twice daily. 
D)  The nurse will evaluate the patient's strength based on his ability to ambulate in the hall on the first postoperative day.

Question 5

A nurse notes that a patient is experiencing increased peripheral edema and has urinated 20 cc of urine in the past hour.This is an example of ____________________ data.

Accepted Answer

The answer of A nurse notes that a patient is...

Question 6

Which statements accurately describe the role of the LPN/LVN in relation to use of the nursing process.

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.

Question 7

A nurse reviews a patient's care plan and finds a goal for the patient to ambulate at least three times a day.The nurse assists the patient to accomplish this goal.The nurse is participating in which step of the nursing process?

Accepted Answer

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

Question 8

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.

Question 9

The nursing process consists of collecting data (assessment),nursing diagnosis,planning,implementation,and evaluating nursing care.Which step of the nursing process is the sole responsibility of the registered nurse?

Accepted Answer

A)  Planning 
B)  Assessment 
C)  Implementation 
D)  Nursing diagnosis

Question 10

Which of the following is the primary reason that LPN/LVNs are taught to use the nursing process?

Accepted Answer

A)  To diagnose disease 
B)  To provide reimbursement 
C)  To resolve patient problems 
D)  To communicate with health team members

Question 11

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

Question 12

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

Question 13

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.

Question 14

During the assessment phase of the nursing process,the LPN/LVN is expected to

Accepted Answer

A)  establish goals and outcome criteria. 
B)  collect data about the patient. 
C)  determine whether established goals have been met. 
D)  plan interventions to implement for the patient.

Question 15

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

Accepted Answer

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

Question 16

Which of the following are considered subjective data?

Accepted Answer

A)  The patient tells the nurse that he has a headache. 
B)  The nursing assistant tells the nurse that the patient vomited. 
C)  The patient's mother tells the nurse that the patient needs a ride to the clinic for follow-up. 
D)  The physician tells the nurse that the patient needs a chest x-ray.

Question 17

The LPN/LVN should be alert to possible barriers to data collection,such as which of the following?

Accepted Answer

A)  Inadequate assessment skills 
B)  Presence of distractions 
C)  Respectful distancing 
D)  Insufficient time 
E)  Inability to speak the language
F) Patient labeling

Question 18

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.

Exam 9: Nursing Process: Your Role

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?

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

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

Identify the outcome that would be appropriate to include in the nursing care plan of a patient who has undergone total knee replacement.

A nurse notes that a patient is experiencing increased peripheral edema and has urinated 20 cc of urine in the past hour.This is an example of ____________________ data.

Which statements accurately describe the role of the LPN/LVN in relation to use of the nursing process.

A nurse reviews a patient's care plan and finds a goal for the patient to ambulate at least three times a day.The nurse assists the patient to accomplish this goal.The nurse is participating in which step of the nursing process?

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 nursing process consists of collecting data (assessment) ,nursing diagnosis,planning,implementation,and evaluating nursing care.Which step of the nursing process is the sole responsibility of the registered nurse?

Which of the following is the primary reason that LPN/LVNs are taught to use the nursing process?

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

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

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

During the assessment phase of the nursing process,the LPN/LVN is expected to

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

Which of the following are considered subjective data?

The LPN/LVN should be alert to possible barriers to data collection,such as which of the following?

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