Question 1

Which of the following are reasons the nursing process and critical thinking are included in the LPN/LVN curriculum? (Select all that apply.)

Accepted Answer

The nursing process provides a reasoning model for use in planning and implementing care. This model requires the use of critical thinking skills. Diminishing job stress and burnout and adverse effects on patients' safety are not reasons the nursing process and critical thinking are included in the LPN/LVN curriculum. Job stress and burnout have not been directly associated with use of the nursing process or critical thinking. The aim of both the nursing process and critical thinking is to promote patient safety.

Question 2

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

The nursing process consists of collecting data (assessment), nursing diagnosis (which is the RN's responsibility), planning, implementation, and evaluating nursing care. Implementation is the provision of required nursing care to accomplish established patient goals.

Question 3

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

The nursing process consists of collecting data (assessment), nursing diagnosis (which is the RN's responsibility), planning, implementation, and evaluating nursing care. Nursing diagnosis is within the RN's legal role, but LPN/LVNs have an important role in assisting the RN in the other steps of the nursing process.

Question 4

A nurse is comparing a patient's outcomes of nursing care to the expected outcomes. The nurse then communicates these findings to members of the health care team. The nurse is participating in which step of the nursing process?

Accepted Answer

The nursing process consists of collecting data (assessment), nursing diagnosis (which is the RN's responsibility), planning, implementation, and evaluating nursing care. Evaluation compares the actual outcomes of nursing care to the expected outcomes, which are then communicated to members of the health care team.

Question 5

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

The nursing process consists of collecting data (assessment), nursing diagnosis (which is the RN's responsibility), planning, implementation, and evaluating nursing care. Planning involves assisting the RN in the development of nursing diagnosis, goals, and interventions for a patient's plan of care and maintaining patient safety.

Question 6

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

Accepted Answer

The nursing process consists of collecting data (assessment), nursing diagnosis (which is the RN's responsibility), planning, implementation, and evaluating nursing care. Data collection is a systematic gathering and review of information about the patient, which is communicated to appropriate members of the health team.

Question 7

Which of the following are examples of subjective data? (Select all that apply.)

Accepted Answer

Subjective information is based on the patient's opinion. Some refer to subjective information as symptoms. This usually includes feelings of physical discomfort, anxiety, and mental stress that are more difficult to measure. The nurse cannot experience subjective symptoms. Objective information includes data that the nurse can verify; these are also known as signs. A physical assessment provides objective data. The terms check, observe, monitor, weigh, measure, and smell are cues that this may be objective data collection. Obtaining initial data, such as vital signs, height, and weight, is often assigned to the LPN/LVN. Objective information helps support or cast doubt on subjective information. The patients' statement and complaints are the only options that are subjective. The remaining options are examples of objective data.

Question 8

Which statements accurately describe the role of the LPN/LVN in relation to use of the nursing process? (Select all that apply.)

Accepted Answer

LPN/LVNs implement orders for treatments and medication written by physicians, dentists, nurse practitioners, physician assistants, and other qualified health team members. The LPN/LVN contributes by collecting and sharing data that are used by the RN to plan and evaluate care. The LPN/LVN is skillful in data collection and providing planned nursing interventions. Nursing diagnosis is the domain of the RN. LPN/LVN basic education does not teach interview skills and physical assessment of body systems.

Question 9

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 10

Which of the following are examples of objective data? (Select all that apply.)

Accepted Answer

Subjective information is based on the patient's opinion. Some refer to subjective information as symptoms. This usually includes feelings of physical discomfort, anxiety, and mental stress that are more difficult to measure. The nurse cannot experience subjective symptoms. Objective information includes data that the nurse can verify; these are also known as signs. A physical assessment provides objective data. The terms check, observe, monitor, weigh, measure, and smell are cues that this may be objective data collection. Obtaining initial data, such as vital signs, height, and weight, is often assigned to the LPN/LVN. Objective information helps support or cast doubt on subjective information. Body odor and a patient falling are examples of objective data. The remaining options are examples of subjective data.

Question 11

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

Accepted Answer

Subjective information is based on the patient's opinion. Some refer to subjective information as symptoms. This usually includes feelings of physical discomfort, anxiety, and mental stress that are more difficult to measure. The nurse cannot experience subjective symptoms. Objective information includes data that the nurse can verify; these are also known as signs. A physical assessment provides objective data. The terms check, observe, monitor, weigh, measure, and smell are cues that this may be objective data collection. Obtaining initial data, such as vital signs, height, and weight, is often assigned to the LPN/LVN. Objective information helps support or cast doubt on subjective information. The patient complaining of chest pain is the only option that is subjective. The remaining options are all examples of objective data.

Question 12

A beginning nurse asks an experienced nurse, "When should I focus on data collection?" Which statement provides the best description for when a nurse should collect patient-centered data?

Accepted Answer

Data are collected whenever the nurse and patient interact. The other options limit data collection.

Question 13

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

Accepted Answer

Subjective information is based on the patient's opinion. Some refer to subjective information as symptoms. This usually includes feelings of physical discomfort, anxiety, and mental stress that are more difficult to measure. The nurse cannot experience subjective symptoms. Objective information includes data that the nurse can verify; these are also known as signs. A physical assessment provides objective data. The terms check, observe, monitor, weigh, measure, and smell are cues that this may be objective data collection. Obtaining initial data, such as vital signs, height, and weight, is often assigned to the LPN/LVN. Objective information helps support or cast doubt on subjective information. The patient's complaint of anxiety is the only option that is subjective. The remaining are all examples of objective data.

Question 14

A patient states, "I'm feeling left-sided chest pain that radiates to my left arm." This is an example of _______________ data.

Accepted Answer

The answer of A patient states, "I'm feeling left-sided chest...

Question 15

Which strategies would facilitate patient data collection? (Select all that apply.)

Accepted Answer

Use of good communication strategies facilitates data collection. Orienting the patient to your role and the purpose of the interaction and clarifying what is not understood facilitates data collection. Addressing the patient with familiarity, using terms of endearment, is disrespectful and creates a barrier to communication. Repeating questions the patient has previously answered suggests to the patient that no one listens to what has already been revealed. Judging the patient's behaviors and attitudes results in labeling of patients and making judgmental statements to the patient.

Question 16

The LPN/LVN should be alert to possible barriers to data collection, such as which of the following? (Select all that apply.)

Accepted Answer

Each of the options except respectful distancing may create a barrier to data collection. Respectful distancing suggests calling the patient by title and surname and avoiding overly familiar approaches.

Question 17

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

Accepted Answer

Subjective information is based on the patient's opinion. Some refer to subjective information as symptoms. This usually includes feelings of physical discomfort, anxiety, and mental stress that are more difficult to measure. The nurse cannot experience subjective symptoms. Objective information includes data that the nurse can verify; these are also known as signs. A physical assessment provides objective data. The terms check, observe, monitor, weigh, measure, and smell are cues that this may be objective data collection. Obtaining initial data, such as vital signs, height, and weight, is often assigned to the LPN/LVN. Objective information helps support or cast doubt on subjective information. Option D, which contains the patient's heart rate, respirations, and temperature, is the only option that has objective data. The remaining are all examples of subjective data.

Question 18

The patient's nursing diagnosis is pain associated with walking related to knee injury. The LPN/LVN should accurately identify the patient problem as

Accepted Answer

Knee pain is the best translation given for the nursing diagnosis. Arthritis is a medical diagnosis. Unwillingness to exercise assumes information not given in the scenario. Need for a knee brace prescribes a treatment.

Quiz 12: The Nursing Process: Your Role

Which of the following are reasons the nursing process and critical thinking are included in the LPN/LVN curriculum? (Select all that apply.)

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 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?

A nurse is comparing a patient's outcomes of nursing care to the expected outcomes. The nurse then communicates these findings to members of the health care team. The nurse is participating in which step of the nursing process?

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?

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

Which of the following are examples of subjective data? (Select all that apply.)

Which statements accurately describe the role of the LPN/LVN in relation to use of the nursing process? (Select all that apply.)

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 of the following are examples of objective data? (Select all that apply.)

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

A beginning nurse asks an experienced nurse, "When should I focus on data collection?" Which statement provides the best description for when a nurse should collect patient-centered data?

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

A patient states, "I'm feeling left-sided chest pain that radiates to my left arm." This is an example of _______________ data.

Which strategies would facilitate patient data collection? (Select all that apply.)

The LPN/LVN should be alert to possible barriers to data collection, such as which of the following? (Select all that apply.)

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

The patient's nursing diagnosis is pain associated with walking related to knee injury. The LPN/LVN should accurately identify the patient problem as