Q.1 Which is the first step of the nursing process?
Planning
Assessment
Implementation
Evaluation
Explanation - The nursing process begins with assessment, which involves collecting comprehensive data about the patient's health status.
Correct answer is: Assessment
Q.2 During the planning phase of the nursing process, the nurse primarily:
Collects patient data
Sets patient-centered goals
Carries out interventions
Evaluates outcomes
Explanation - Planning involves setting measurable and achievable goals for patient care based on assessment data.
Correct answer is: Sets patient-centered goals
Q.3 Which type of data is objective in nursing assessment?
Patient’s pain description
Heart rate measured by monitor
Patient’s feeling of nausea
Patient’s anxiety level
Explanation - Objective data are observable and measurable signs, such as vital signs recorded by instruments.
Correct answer is: Heart rate measured by monitor
Q.4 A nursing diagnosis differs from a medical diagnosis because it:
Identifies the disease
Focuses on patient response to health problems
Requires lab tests
Is made by a physician
Explanation - Nursing diagnoses address patient reactions, coping mechanisms, and needs rather than the medical disease itself.
Correct answer is: Focuses on patient response to health problems
Q.5 Which phase of the nursing process involves performing interventions?
Assessment
Diagnosis
Implementation
Evaluation
Explanation - Implementation is the action phase where planned nursing interventions are carried out.
Correct answer is: Implementation
Q.6 The evaluation step of the nursing process is important because it:
Identifies patient problems
Checks the effectiveness of nursing interventions
Plans interventions
Collects vital signs
Explanation - Evaluation determines if the goals set during planning have been met and guides modification of care.
Correct answer is: Checks the effectiveness of nursing interventions
Q.7 Which tool is commonly used for systematic patient assessment?
SOAP note
Prescription pad
Patient ID bracelet
Wheelchair chart
Explanation - SOAP notes (Subjective, Objective, Assessment, Plan) provide a structured method for documenting patient data.
Correct answer is: SOAP note
Q.8 When a nurse observes a patient having difficulty breathing, it is considered:
Subjective data
Objective data
Nursing diagnosis
Evaluation
Explanation - Objective data are observable or measurable signs, like labored breathing or vital signs.
Correct answer is: Objective data
Q.9 Which of the following is an example of a nursing diagnosis?
Diabetes mellitus type 2
Ineffective airway clearance
Pneumonia
Appendicitis
Explanation - A nursing diagnosis identifies a patient problem that nurses can treat independently, focusing on responses rather than diseases.
Correct answer is: Ineffective airway clearance
Q.10 What is the primary purpose of the nursing process?
To cure diseases
To provide individualized patient care
To perform surgeries
To prescribe medications
Explanation - The nursing process is a systematic approach to deliver personalized care based on patient needs and responses.
Correct answer is: To provide individualized patient care
Q.11 During assessment, which is a key method to gather subjective data?
Palpation
Interview
Observation
Vital signs measurement
Explanation - Subjective data, such as patient feelings and perceptions, are best collected through interviews.
Correct answer is: Interview
Q.12 A nurse sets a goal: 'Patient will ambulate 50 meters with assistance by end of day.' This goal is:
Vague
Measurable
Unrealistic
Irrelevant
Explanation - Goals in the nursing process should be specific and measurable to evaluate progress.
Correct answer is: Measurable
Q.13 Which phase of the nursing process involves prioritizing patient problems?
Assessment
Diagnosis
Planning
Implementation
Explanation - During planning, nurses prioritize problems to determine which require immediate attention.
Correct answer is: Planning
Q.14 Which action is an example of implementation in nursing?
Recording blood pressure
Administering prescribed medication
Formulating nursing diagnosis
Identifying patient problems
Explanation - Implementation refers to carrying out the interventions planned to meet patient goals.
Correct answer is: Administering prescribed medication
Q.15 A nurse evaluates that a patient’s wound is healing slower than expected. This step is part of:
Assessment
Diagnosis
Planning
Evaluation
Explanation - Evaluation checks whether nursing interventions are effective and whether goals are being met.
Correct answer is: Evaluation
Q.16 The use of critical thinking in the nursing process is primarily during:
Assessment
Diagnosis
Planning
All of the above
Explanation - Critical thinking is used in all steps of the nursing process to analyze data, make decisions, and plan care.
Correct answer is: All of the above
Q.17 Which is an example of subjective data?
Swelling in ankle
Patient reports nausea
Elevated temperature
Lab result showing high WBC
Explanation - Subjective data are information reported by the patient, such as feelings or perceptions.
Correct answer is: Patient reports nausea
Q.18 Which of the following is an example of a short-term goal?
Patient will perform daily exercises independently in one week
Patient will maintain blood pressure under control over six months
Patient will adhere to diet plan for a year
Patient will gain full mobility in six months
Explanation - Short-term goals are achievable in a brief period, typically hours to a few days or weeks.
Correct answer is: Patient will perform daily exercises independently in one week
Q.19 During assessment, a nurse notes the patient’s level of consciousness. This is an example of:
Subjective data
Objective data
Nursing diagnosis
Planning
Explanation - Observation of consciousness is measurable and observable, making it objective data.
Correct answer is: Objective data
Q.20 Which is a key characteristic of nursing interventions?
Based on physician preference
Individualized to patient needs
Same for all patients
Performed without planning
Explanation - Nursing interventions are tailored to the specific problems and goals of the individual patient.
Correct answer is: Individualized to patient needs
Q.21 The step in the nursing process where the nurse compares actual outcomes with expected outcomes is:
Assessment
Diagnosis
Planning
Evaluation
Explanation - Evaluation involves assessing whether the goals set during planning have been achieved.
Correct answer is: Evaluation
Q.22 Which type of nursing intervention involves direct interaction with the patient?
Independent
Dependent
Collaborative
Indirect
Explanation - Independent interventions are performed by the nurse without requiring a physician's order and often involve direct patient care.
Correct answer is: Independent
Q.23 Which documentation method emphasizes problem-solving in nursing?
Narrative charting
SOAP note
Flow sheet
Medication administration record
Explanation - SOAP notes structure documentation to support the nursing process and problem-solving approach.
Correct answer is: SOAP note
Q.24 A nurse prioritizes patient problems using which principle?
Maslow’s hierarchy of needs
Random selection
Physician preference
Alphabetical order
Explanation - Nurses often use Maslow’s hierarchy to prioritize patient care based on physiological and safety needs first.
Correct answer is: Maslow’s hierarchy of needs
Q.25 The nursing process is considered:
Linear
Circular and dynamic
Rigid
Optional
Explanation - The nursing process is ongoing and adaptable; nurses may revisit steps as patient conditions change.
Correct answer is: Circular and dynamic