Nursing Process Past Paper PDF

1.A nurse is explaining the importance of the nursing process to a new nursing student. Which of the following statements best reflects the purpose of the nursing process? 2. During the assessment phase of the nursing process, what is the primary focus of the nurse? c) Collecting comprehensive dat...

1.A nurse is explaining the importance of the nursing process to a new nursing student. Which of the following statements best reflects the purpose of the nursing process? 2. During the assessment phase of the nursing process, what is the primary focus of the nurse? c) Collecting comprehensive data about the patient 3. A nurse observes that a patient is having difficulty breathing. Which step of the nursing process should the nurse perform next? b) Diagnosis 4. After assessing a patient, the nurse identifies a nursing diagnosis of "Ineffective airway clearance. " What should the nurse do during the planning phase? b) Set a goal for the patient to maintain clear lung sounds 5. A nurse is teaching a patient with diabetes about monitoring blood glucose levels. Which phase of the nursing represent? a) Implementation 6. During the evaluation phase, a nurse finds that a patient's blood pressure remains high despite medication and lifestyle changes. What should the nurse understand is the next step? d) Assess the patient's adherence to the treatment plan 7. A nurse is preparing a care plan for a patient recovering from surgery. What is a key component of the planning phase? c) Setting, specific, measurable, achievable, time-bound (SMART) goals 8. A nurse identifies a nursing diagnosis of "Risk for falls" for a patient. Which intervention reflects the understanding of this diagnosis? b) Assess the patient's mobility level and provide assistive devices 9. When reviewing a patient's chart, a nurse notes that the patient's goals were not met within the expected timeframe. Which of the following should the nurse understand to do next? b) Modify the care plan based on new assessment data 10. A nurse is caring for a patient with a nursing diagnosis of "Acute pain." What is an appropriate nursing action that demonstrates understanding of this diagnosis? b) Assess the patient's pain level using standardized pain scale 11. In the nursing process, what is the purpose of the evaluation phase? b)To determine the effectiveness of nursing interventions 12. A nurse is implementing a care plan for a patient with hypertension. Which of the following actions indicates understanding of the implementation phase? c) Documenting the patient's response to the prescribed antihypertensive medication 13. A nurse reviewing the assessment data of a patient who has recently undergone surgery. The patient reports increased pain levels and difficulty ambulating Which nursing diagnosis is most appropriate for this patient? b) Acute pain 14. During a nursing assessment, a nurse identifies that a patient with heart failure has gained 5 pounds in the past week. Which of the following actions should the nurse take next? c) Evaluate the patient's current medication regimen for potential causes of fluid retention 15. A patient diagnosed with diabetes has nursing diagnosis of "Ineffective health management." After implementing a teaching plan, the nurse notes the patient has missed several appointments and is not following the dietary recommendations. What should the nurse analyze as the next step? b) Assess the patient's understanding of the diet and barriers to attending appointments 16. A nurse reviews a care plan for a patient with pneumonia. The patient has shown no improvement in respiratory status despite interventions. What should the nurse analyze to determine the next step? c) Discuss the lack of progress with the healthcare team and consider alternative diagnoses 17. A nurse is caring for a patient who has recently diagnosed with hypertension. During the planning phase, the nurse identifies potential barriers to medication adherence. What is the best analytical approach for the nurse to take? b) Collaborate with the patient to develop a personalized plan that addresses these barriers 18. After evaluating a patient's care plan, a nurse finds that the patient's blood glucose levels remain elevated despite dietary changes and medication adherence. Which of the following actions should the nurse take next? b) Reassess the patient's current medication and dosage for effectiveness 19, A nurse is evaluating the effectiveness of a care plan for a patient recovering from a stroke, The patient has made significant improvements in mobility and communication skills. What should the nurse do next? b) Reassess the patient's goals and update the care plan as needed 20, A nurse is evaluating a paticats pain management plan after surgery. The patient reports a pain level of 4 on a scale of 0 to 10, down from an initial level of 8. What should the nurse analyze regarding the effectiveness of the current plan? c) The plan is effective but may need adjustments to maintain the pain at a lower level 21. A nurse is preparing to administer an injection to a patient. She washes her hands thoroughly before the procedure. What is the primary purpose of this action? c) To reduce the risk of infection 22. During a surgical procedure, the surgical team uses sterile gloves. Which of the following best describes why sterile gloves are used? c) To prevent contamination of the sterile field 23. A patient in a hospital develops a healthcare-associated infection (HAI) after surgery. What is one of the primary factors that could have contributed to this infection? d) Inadequate hand hygiene by the health care staff 24. A nurse observes that a colleague is not wearing a mask while caring for a patient with a respiratory infection. What should the nurse do? c) Politely remind the colleague about the importance of PPE 25. A patient is placed in isolation due to a contagious infection. Which of the following precautions should the healthcare team take prevent the spread of infection? c) Ensure proper hand hygiene and use appropriate PPE before entering the room 26. A nursing student is preparing to change a wound dressing. What is the most important step to ensure aseptic technique during this procedure? c) Use sterile gloves and instruments 27. A healthcare worker needs to dispose of a needle after administering an injection. Which method disposal is considered safest to prevent needle stick injuries? b) Placing it in a designated sharps 28. A patient who recently underwent surgery is being educated about infection prevention at home. Which statement should the nurse emphasize? b) "You should keep your surgical site clean and dry." 29. During an outbreak of influenza in a hospital, which infection control measure is most effective in preventing the spread of the virus among patients and staff? c) Implementing strict hand hygiene and respiratory etiquette 30. A patient undergoing chemotherapy presents with a fever and signs of infection. The healthcare team analyzes the situation and reviews the patient's care history. Which factor could have significantly contributed to the patient's increased risk of infection? b) The use of an indwelling catheter for an extended period