Nursing Process Past Paper PDF
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Uploaded by PeaceableNebula
Zagazig University
Mr/ Fares Reda
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This document is a nursing process past paper. It includes multiple-choice questions covering various aspects of the nursing process, including assessment, diagnosis, planning, implementation, and evaluation. The questions test understanding of key concepts and applications in patient care.
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اسالة محاضرة ال Nursing process Prepared by Mr/ Fares Reda Multiple Choice Questions 1- What is the first step in the nursing process? A) Diagnosis B) Assessment C) Planning D) Implementation 2- The nursing process is primarily focused on: A) Financial management B) Client care...
اسالة محاضرة ال Nursing process Prepared by Mr/ Fares Reda Multiple Choice Questions 1- What is the first step in the nursing process? A) Diagnosis B) Assessment C) Planning D) Implementation 2- The nursing process is primarily focused on: A) Financial management B) Client care C) Administrative duties D) Research 3- In the planning phase, nurses should: A) Ignore client preferences B) Develop interventions based on evidence C) Focus only on medical diagnoses D) Rely solely on previous experiences 4- The nursing process is described as cyclical because: A) It is completed in a linear fashion B) It involves repeating steps as needed C) It is only applied in emergencies D) It requires no evaluation Answer: B) It involves repeating steps as needed 5- Which phase of the nursing process involves identifying client problems? A) Implementation B) Evaluation C) Diagnosis D) Assessment 6- Critical thinking in nursing is essential for? A) Following orders without question B) Making informed decisions C) Ignoring client feedback D) Relying on intuition only 7- Nurses must evaluate outcomes to? A) Confirm they were right B) Improve future care C) Dismiss client concerns D) Avoid additional documentation 8- Interpersonal communication is important because it? A) Limits interactions with clients B) Enhances relationships and understanding C) Is not necessary in nursing D) Focuses only on paperwork 9- Client-centeredness means the nurse? A) Dictates the care plan B) Ignores the client’s preferences C) Organizes care based on client needs D) Focuses solely on medical interventions 10- What is the purpose of the assessment phase in the nursing process? A) To implement care plans B) To gather and analyze patient data C) To evaluate patient outcomes D) To diagnose health issues 11- Which of the following is NOT a source of data in the assessment phase? A) Patient interviews B) Family members C) Personal opinions D) Medical records 12- What type of information is included in the patient's past health history? A) Current medications B) Previous illnesses and surgeries C) Family health history D) Daily exercise routine 13- What is the focus of the planning phase in the nursing process? A) Diagnosing health issues B) Gathering data C) Setting goals and interventions D) Evaluating patient responses 14- What is the primary purpose of the evaluation phase? A) To gather more data B) To analyze the effectiveness of care C) To create new diagnoses D) To set new goals 15- Which statement about the nursing process is true? A) It only focuses on physical health. B) It involves collaboration with the healthcare team. C) It is optional for nurses to use. D) It has no impact on patient outcomes. 16- What should a nurse consider when gathering health history from a patient? A) Only current medications B) Family dynamics C) Cultural background and beliefs D) Both B and C 17- What is one key aspect of the planning phase? A) Identifying patient needs B) Developing a nursing care plan C) Implementing interventions D) Documenting care 18- In the evaluation phase, what should a nurse do if the patient did not meet their goals? A) Ignore the results B) Modify the care plan C) Conclude the nursing process D) Blame the patient 19- Which area is NOT typically assessed in a health history? A) Nutritional status B) Psychological well-being C) Geographic location D) Family history 20- What is a common tool used in the assessment phase? A) Nursing care plan B) Assessment forms or checklists C) Medication administration record D) Evaluation report 21- What type of assessment provides a baseline of client data? A) Focused assessment B) Comprehensive assessment C) Ongoing assessment D) None of the above 22- Which assessment is limited to specific health concerns or risks? A) Comprehensive assessment B) Focused assessment C) Ongoing assessment D) None of the above 23- Which type of data is obtained through patient interviews? A) Objective data B) Subjective data C) Both A and B D) Neither A nor B 24- Which of the following is an example of objective data? A) Feeling anxious B) Elevated temperature C) Pain experience D) Dizziness 25- What is NOT included in a comprehensive assessment? A) Health history B) Current needs assessment C) Short-term goals D) Health risk factors 26-Which assessment type is typically used for monitoring specific problems? A) Comprehensive assessment B) Focused assessment C) Ongoing assessment D) None of the above 27- What type of assessment would be most appropriate for a patient with a known chronic condition? A) Comprehensive assessment B) Focused assessment C) Ongoing assessment D) None of the above 28- Which of the following data collection methods involves inspection, palpation, percussion, and auscultation? A) Subjective data collection B) Objective data collection C) Comprehensive assessment D) Focused assessment 29- Which of the following statements is true regarding focused assessments? A) They provide a comprehensive overview of health history. B) They are detailed assessments for specific concerns. C) They are conducted only in emergency settings. D) They are used to assess overall health. 30- What is a key characteristic of subjective data? A) Observable and measurable B) Reported by the patient C) Easily verified D) Only relevant in focused assessments 31- In which scenario would a focused assessment be most appropriate? A) Admission of a new patient B) Patient with a new injury in the ER C) Regular check-up for a stable chronic condition D) A comprehensive evaluation for a surgical procedure 32- What type of data includes symptoms such as dizziness or anxiety? A) Objective data B) Subjective data C) Both A and B D) None of the above Answer: B) Subjective data 33- Which assessment type is often performed in specialty areas like mental health? A) Comprehensive assessment B) Focused assessment C) Ongoing assessment D) None of the above 34- What type of assessment would likely include a full review of systems? A) Focused assessment B) Comprehensive assessment C) Ongoing assessment D) None of the above 35- What is the main purpose of observation in data collection? A) To take notes B) To gather information during client interactions C) To perform surgeries D) To analyze laboratory results 36- Which method is primarily used to obtain nursing health history? A) Examining B) Interviewing C) Documenting D) Observing 37- Which of the following must be reported immediately? A) A patient’s headache relieved by medication B) A dry and intact abdominal dressing C) A rapid heart rate with irregular rhythm D) A patient’s request for water 38- According to NANDA, what is a nursing diagnosis? A) A specific disease condition B) A clinical judgment about responses to health problems C) A prescription for medication D) A diagnostic test result Answer: B) A clinical judgment about responses to health problems 39- Which of the following is an example of a medical diagnosis? A) Anxiety B) Impaired physical mobility C) Congestive heart failure D) Nausea 40- What does a nursing diagnosis focus on? A) The specific disease B) Client's responses to health problems C) Pathological states D) Surgical procedures 41- Which data need only to be recorded and not reported immediately? A) Severe difficulty in breathing B) High levels of anxiety C) A headache relieved by medication D) Rapid heart rate Answer: C) A headache relieved by medication 41- Which is NOT a focus of nursing diagnosis? A) Responses to health problems B) Potential health problems C) Specific diseases D) Client health status changes 42- Which of the following describes a key difference between nursing and medical diagnoses? A) Both are made by nurses. B) Nursing diagnoses focus on the client’s response, while medical diagnoses focus on the disease. C) Medical diagnoses focus on the client's response. D) Both remain constant until a cure is achieved. 43- What is the purpose of documenting assessment data? A) To create a legal record B) To communicate with other healthcare providers C) To track the client's progress D) All of the above 44- What should the nurse do if the client's health status significantly deviates from normal? A) Record it but not report it B) Ignore it C) Report it immediately D) Wait until the next shift 45- Which of the following statements is true about nursing diagnoses? A) They are static and do not change. B) They reflect the physician's clinical judgment. C) They can change based on the client's response. D) They focus only on medical conditions. 46- Which type of data collection method involves direct patient interaction? A) Observation B) Laboratory tests C) Medical imaging D) None of the above 47- What type of data reflects a significant health problem that needs immediate attention? A) Routine assessments B) Chronic conditions C) Data with significant deviations from the norm D) Documented histories 48- Which statement accurately describes the nursing diagnosis process? A) It is focused solely on diagnosing diseases. B) It is based on client responses and can change over time. C) It requires no input from the patient. D) It is the same as a medical diagnosis. 49- What is the primary goal of the diagnosing step in nursing? A) To determine medical diagnoses B) To identify individual responses to health problems C) To perform physical examinations D) To prescribe medications 50- Which type of nursing diagnosis indicates that a problem is likely to develop? A) Actual nursing diagnosis B) Potential nursing diagnosis C) Risk nursing diagnosis D) Wellness nursing diagnosis 51- In a nursing diagnosis, what does the etiology refer to? A) The patient’s vital signs B) The factors maintaining the unhealthy state C) The signs and symptoms D) The medical history 52- Which of the following is an example of a wellness nursing diagnosis? A) Risk for infection B) Activity intolerance C) Readiness for enhanced nutrition D) Acute pain 53- What is the first step in setting priorities based on Maslow's Hierarchy of Needs? A) Addressing mental health concerns B) Focusing on safety needs C) Assigning high priority to first-level problems D) Planning discharge instructions 54- Which of the following would be considered a first-level priority problem? A) Confusion B) High fever C) Risk of infection D) Lack of knowledge 55- What should a desired outcome be? A) Vague and flexible B) Broad and general C) Specific and measurable D) Subjective and open to interpretation 56- Which component of a NANDA nursing diagnosis identifies the unhealthy aspect of a patient? A) Etiology B) Defining characteristics C) Problem D) Goal 57- Which nursing diagnosis focuses on an existing health problem? A) Risk nursing diagnosis B) Actual nursing diagnosis C) Potential nursing diagnosis D) Wellness nursing diagnosis 58- In planning, what should be established after setting priorities? A) Nursing interventions B) Medical diagnoses C) Client goals and desired outcomes D) Discharge plans 59- Which is NOT a type of nursing diagnosis? A) Actual B) Potential C) Symptomatic D) Risk 60- Which type of diagnosis would require more data to confirm or refute? A) Actual nursing diagnosis B) Potential nursing diagnosis C) Risk nursing diagnosis D) Wellness nursing diagnosis 61- What is an example of a desired outcome for improved nutritional status? A) Eat healthier foods B) Gain 5 kg by April 25 C) Feel better D) Increase water intake 62- Which priority level includes acute pain and untreated medical problems? A) First-level B) Second-level C) Third-level D) None of the above 63- What is the relationship between nursing diagnoses and nursing interventions? A) Nursing diagnoses are unrelated to interventions. B) Nursing diagnoses inform the selection of nursing interventions. C) Interventions come before diagnosing. D) Diagnoses must be made after interventions 64- Which of the following describes a SMART outcome? A) General and vague B) Specific, Measurable, Attainable, Realistic, Timed C) Unrelated to patient behavior D) Focused solely on the nurse’s actions 65- What type of goal is achievable within a few days or a week? A) Long-term goal B) Short-term goal C) Immediate goal D) Chronic goal 66- Which of the following is NOT a type of nursing intervention? A) Nurse-initiated B) Physician-initiated C) Dependent actions D) Volunteer actions 67- What is the primary purpose of documenting nursing activities? A) To fulfill administrative requirements B) To ensure continuity of care and monitor progress C) To impress other healthcare providers D) To avoid legal issues 68- Which phase of the nursing process involves carrying out planned interventions? A) Assessment B) Diagnosis C) Implementation D) Evaluation 69- What should a nurse do if the patient’s goal has been partially met? A) Ignore the issue and continue as planned B) Reassess and modify the care plan C) Discharge the patient immediately D) Document that the goal has been fully met 70- Which intervention type is performed by nurses without needing a physician’s order? A) Dependent actions B) Nurse-initiated actions C) Collaborative actions D) Physician-initiated actions 71- When should discharge teaching begin? A) On the day of discharge B) Upon admission to treatment C) After the patient shows improvement D) Only if the patient asks for it 72- What type of nursing care plan is developed by the nurse who performs the initial assessment? A) Ongoing care plan B) Discharge care plan C) Initial care plan D) Collaborative care plan 73- What is the focus of an ongoing nursing care plan? A) To create a static plan for the patient B) To develop new nursing diagnoses and outcomes as needed C) To finalize the patient's treatment upon discharge D) To establish a new patient admission process 74- What is a possible reason for not meeting patient goals? A) The nurse provided too much support B) The initial assessment data were incomplete C) The goals were too simple D) The patient was too healthy 75- Which type of intervention would involve administering medication as prescribed? A) Nurse-initiated B) Collaborative C) Dependent D) Independent 76- What is one action a nurse can take to facilitate a patient’s independence? A) Complete all tasks for the patient B) Provide emotional support and teach self-care C) Minimize patient involvement in care D) Restrict patient choices to ensure safety 77- What is the main goal of the evaluation phase in nursing? A) To finalize the nursing diagnosis B) To determine if the nursing interventions were appropriate C) To assess the patient’s response to interventions and progress toward goals D) To create new nursing interventions 78- What does it mean if a nursing goal is not met? A) The nurse has failed B) The patient was non-compliant C) The care plan may need to be reassessed and modified D) The nursing interventions were unnecessary 79- Which of the following is an example of an independent nursing action? A) Administering medication B) Conducting a health history interview C) Referring the patient to a specialist D) Adjusting oxygen levels 80- In the nursing process, what must be done if the patient achieves the goal? A) Continue the same interventions indefinitely B) Decide whether to maintain or discontinue nursing activities C) Immediately discharge the patient D) Ignore future assessments True or False :- 1- The nursing process is only applicable in hospital settings. 2- Assessment is an ongoing process throughout the nursing care. 3- Diagnosis in the nursing process is the same as a medical diagnosis. 4- Nursing interventions should be based on the best available evidence. 5- The nursing process can be adapted to different types of clients. 6- Evaluation is the final step of the nursing process and does not require follow- up. 7- The nursing process is linear and does not allow for changes. 8- Collaboration with other healthcare team members is essential in the nursing process. 9- Nurses do not need to consider cultural differences in the nursing process. 10- Critical thinking is only necessary in the assessment phase of the nursing process. 11- The nursing process emphasizes individualized care for each client. 12- Interpersonal relationships are not relevant in the nursing process. 13- The planning phase includes setting measurable and achievable goals. 14- Nursing care plans should be static and not changed. 15- Outcome-oriented care focuses on achieving specific results with clients. 16- The nursing process is a framework for all nursing activities. 17- Nurses can provide care effectively without critical thinking skills. 18- The evaluation phase can lead to modifications in the care plan. 19- Nurses only work independently and do not require collaboration with other professionals. 20- Holistic care is an essential component of the nursing process. 21- The assessment phase is the only step in the nursing process that requires data collection. 22- The nursing diagnosis is the same as a medical diagnosis. 23- Implementation involves executing the care plan developed during the planning phase. 24-The nursing process is a linear and unchanging framework. 25. Data collection in the assessment phase is only done once. 26. All nursing diagnoses are standardized and do not require individualization. 27. Effective communication is important in every phase of the nursing process. 28. Ongoing assessment is only required after implementation. 29. The first step in the nursing process is diagnosis. 30- Collecting information from secondary sources, such as family, is important in the assessment phase. 31- The nursing diagnosis is different from a medical diagnosis. 32. The planning phase involves setting goals and outcomes for patient care. 33- Implementation is the phase where the nurse carries out the care plan. 34. Evaluation only occurs at the end of the nursing process. 35. The nursing process is linear and does not require changes. 36. The nurse can use information from the family history during assessment. 37. Goals set during the planning phase should be unmeasurable. 38. Effective communication is an essential part of all phases of the nursing process. 39. Data collection during the assessment phase does not include physical examination. 40. The care plan should be individualized based on the patient’s needs. 41. There is no need to update the care plan after evaluating the outcomes. 42- Psychological symptoms are not addressed in the nursing process. 43. Assessment is a one-time phase in the nursing process and does not require repetition. 44. Planning only includes medical goals. 45- The patient can be part of the decision-making process at every stage. 46. Nurses do not need critical thinking during the nursing process. 47. The implementation phase includes documenting the care provided. 48. The nursing process can vary among patients based on their individual needs. 49. A comprehensive assessment is usually completed upon admission to a healthcare agency. 50. Focused assessments are more detailed than comprehensive assessments. 51. Ongoing assessments help confirm the validity of data obtained during the initial assessment. 52. Subjective data includes information that can be measured objectively. 53. Objective data is primarily obtained through verbal communication with the patient. 54. Focused assessments are often used in outpatient surgery and emergency departments. 55. Comprehensive assessments include both physical and psychological health information. 56. Ongoing assessments are not necessary after the initial assessment is completed. 57. Pain experiences reported by patients are considered objective data. 58. Objective data can be obtained through physical examinations and diagnostic tests. 59. The primary method of collecting subjective information is through physical examination. 60. Ongoing assessments allow the nurse to identify new problems. 61. Objective data is often more reliable than subjective data because it can be measured. 62. Comprehensive assessments are typically shorter than focused assessments. 63. Ongoing assessments can help evaluate the effectiveness of nursing interventions. 64- A focused assessment can be used to screen for specific health problems or risk factors. 65. Observation is a method of data collection used whenever the nurse is in contact with the client. 66. Interviewing is not typically used during the nursing health history process. 67. Examining is the primary method used in physical health assessments. 68. Assessment data should be recorded but does not need to be reported. 69. Data reflecting significant deviations from the norm must be reported immediately. 70. The nursing diagnosis focuses on the disease process rather than the client's response. 71. Nursing diagnoses remain constant until a cure is achieved. 72. Medical diagnoses and nursing diagnoses are identical in purpose. 73. The nursing diagnosis can change based on the client’s response to health problems. 74. Examples of nursing diagnoses include lung cancer and appendectomy. 75. Medical diagnoses are made by nurses. 76. Assessment is a static process that does not change over time. 77. Documentation of assessment data is optional. 78. The nursing diagnosis process is dynamic and evolves with each client interaction. 79. NANDA defines nursing diagnosis as a judgment about community responses to health problems. 80. The purpose of the diagnosing step is to identify how individuals respond to health processes. 81. A potential nursing diagnosis means that a health problem is clearly established. 82. Wellness nursing diagnoses describe responses to health enhancement readiness. 83. An actual nursing diagnosis indicates that the problem is not present at the time of assessment. 84. The defining characteristics in a nursing diagnosis include subjective and objective data. 85. All nursing diagnoses must be supported by complete evidence before they can be established. 86. Setting priorities in nursing is influenced by Maslow's Hierarchy of Human Needs. 87. First-level priority problems include issues such as mental status changes and acute pain. 88. The "ABCs plus V" refers to airway, breathing, circulation, and vital signs concerns. 89. A desired outcome should be vague and broad to ensure flexibility. 90. Acute urinary elimination problems are considered third-level priorities. 91. Risk nursing diagnoses require complete evidence to establish. 92. Planning is only concerned with immediate client needs. 93. Defining characteristics in a nursing diagnosis are not necessary for its validity. 94. Expected outcomes must be specific and measurable. 95. Short-term goals are typically achieved in several months. 96. The implementation phase includes documenting nursing activities after they are performed. 97. Nurse-initiated interventions require a physician’s order before they can be carried out. 98. Collaborative interventions involve working with other health care professionals. 99. Discharge planning starts only when the patient is about to leave the hospital. 100. The evaluation phase determines if the goals set during the planning phase have been achieved. 101. A nursing care plan is static and does not need to be updated. 102. Independent nursing actions are those that require physician approval. 103. If a goal is not met, the nurse should reassess the situation and adjust the care plan accordingly. 104. Goals must always be realistic and appropriate for the patient. 105. Nursing interventions can only be carried out by registered nurses (RNs). 106. Evaluation is a one-time assessment that occurs at discharge. االجابات ي بروووو 1-B 20-B 39-C 58-C 77-C 15-T 34-F 53-F 72-F 91-F 2-B 21-B 40-B 59-C 78-C 16-T 35-F 54-T 73-T 92-F 3-B 22-B 41-C 60-B 79-B 17-F 36-T 55-T 74-F 93-F 4-B 23-B 42-B 61-B 80-B 18-T 37-F 56-F 75-F 94-T 5-C 24-B 43-D 62-B 81-B 19-F 38-T 57-F 76-F 95-F 6-B 25-C 44-C 63-B 1-F 20-T 39-F 58-T 77-F 96-T 7-B 26-C 45-C 64-B 2-T 21-F 40-T 59-F 78-T 97-F 8-B 27-C 46-A 65-B 3-F 22-F 41-F 60-T 79-T 98-T 9-C 28-B 47-C 66-D 4-T 23-T 42-F 61-T 80-T 99-F 10-B 29-B 48-B 67-B 5-T 24-F 43-F 62-F 81-F 100-T 11-C 30-B 49-B 68-C 6-F 25-F 44-F 63-T 82-T 101-F 12-B 31-B 50-C 69-B 7-F 26-F 45-T 64-T 83-F 102-F 13-C 32-B 51-B 70-B 8-T 27-T 46-F 65-T 84-T 103-T 14-B 33-B 52-C 71-B 9-F 28-F 47-T 66-F 85-F 104-T 15-B 34-B 53-C 72-C 10-F 29-F 48-T 67-T 86-T 105-F 16D 35-B 54-B 73-B 11-T 30-T 49-T 68-T 87-F 106-F 17-B 36-B 55-C 74-B 12-F 31-T 50-F 69-T 88-T 18-B 37-C 56-C 75-C 13-T 32-T 51-T 70F 89-F 19-C 38-B 57-B 76-B 14-F 33-T 52-F 71-F 90-F