MULTIPLE CHOICE
1. The nursing process is a five-step decision-making approach that includes all of the following
steps, EXCEPT:
a. Assessment
b.
... [Show More] Patient problem
c. Planning
d. Right Drug
ANS: D
The nursing process is a five-step decision-making approach that includes: 1) assessment, 2) patient
problem, 3) planning, 4) implementation, and 5) evaluation. “Right drug” is one of the “Six Rights” of
medication administration.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Planning MSC:
NCLEX: Management of Care
2. The nurse is using data collected to set goals or expected outcomes and interventions that
address the patient’s problems. Which step of the nursing process is the nurse applying?
a. Assessment
b. Patient problem
c. Planning N
d. Evaluation
ANS: C
During the planning phase, the nurse uses the data collected to set goals or expected outcomes and
interventions which address the patient’s problems. The data was collected during the “Assessment”
and “Patient problem” steps. During the “Evaluation” phase the nurse would determine whether the
goals and objectives set during the planning phase were met.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Care
3. A 5-year-old child with type 1 diabetes mellitus has had repeated hospitalizations for episodes
of hyperglycemia. The parents tell the nurse that they can’t keep track of everything that has to be done
to care for their child. The nurse reviews medications, diet, and symptom management with the parents
and draws up a daily checklist for the family to use. These activities are completed in which step of the
nursing process?
a. Assessment
b. Planning
c. Implementation
d. Evaluation
ANS: C
The implementation phase is the part of the nursing process in which the nurse provides education,
drug administration, patient care, and other interventions necessary to assist the patient in
accomplishing established medication goals.
DIF: Cognitive Level: Understanding (Comprehension) TOP: Nursing Process: Nursing Intervention
MSC: NCLEX: Management of Car [Show Less]