1.	Which of these patients has the highest priority care needs according to Maslow's hierarchy of human needs?
A)	A patient who has a temperature of 106°F (41.1°C).
B)	A patient who is unable to ambulate without assistance.
C)	A patient who is depressed and crying.
D)	A patient who states, “No one cares about me.”

2.	A nurse is caring for a patient who has developed difficulty breathing. The nurse places the patient in high Fowler's position and provides oxygen per nasal cannula at 2 liters. What type of thinking does the nurse's action reflect?
A)	Critical thinking
B)	Creative thinking
C)	Left-brain thinking
D)	Linear thinking

3.	During a class discussion, one nursing student states belief in the practice of restraining patients. Another student has presented information regarding the unrestrained environment. Both students understand each other's points of view. This is an example of what component of critical thinking?
A)	Intellectual empathy
B)	Intellectual integrity
C)	Intellectual courage
D)	Intellectual sense of justice

4.	Which of these human needs is being met when staff members have a potluck dinner with a congratulatory cake for a newly licensed practical nurse?
A)	Physiological
B)	Self-actualization
C)	Self-esteem
D)	Safety and security

5.	A patient with a newly fractured femur reports a pain level of 8. The nurse checks the medication record and finds that the analgesic medication is not due for another 50 minutes. Which of these actions would be appropriate for the nurse to take next to achieve a positive outcome of pain relief for the patient?
A)	Tell the patient it is too early for pain medication.
B)	Notify the registered nurse or physician.
C)	Give the medication in 30 minutes.
D)	Reposition the patient.

6.	Which of these is an appropriate description of critical thinking?
A)	Directed thinking
B)	Indirect thinking
C)	Crisis thinking
D)	Criticizing thoughts

7.	Which of these individuals would be most appropriate to include when planning care for a newly admitted patient and setting goals for the desired outcome?
A)	Patient's family members
B)	Patient's physician
C)	Nurse manager
D)	Patient

8.	Which of the following are official NANDA nursing diagnoses? Select all that apply.
A)	Diabetes
B)	Pain
C)	Impaired mobility
D)	Pancreatitis
E)	Activity intolerance

9.	Which of these descriptive terms is an objective way for the nurse to report the amount of wound drainage on a patient's 4-hour postoperative dressing?
A)	Normal drainage
B)	Scant drainage
C)	Moderate drainage
D)	2 cm by 1 cm drainage

10.	For a patient who is scheduled for surgery, data collection to identify safety and security needs would include which of these?
A)	Sexual activity patterns
B)	Anxiety about surgery
C)	Family support systems
D)	Meal patterns

11.	Which of these data is objective patient information?
A)	Patient is pleasant
B)	“It has been a good day.”
C)	Patient's appetite is poor.
D)	Urine output is 300 mL.

12.	Which of these nursing diagnoses would be the highest priority for a postoperative patient?
A)	Deficient knowledge
B)	Impaired mobility
C)	Impaired skin integrity
D)	Pain

13.	A patient who has hypertension that is not well controlled with medication has been prescribed a new medication. The patient reports fatigue and lightheadedness. The physician says not to worry about it and to continue giving the medication. The nurse is still concerned, however, and does some independent research on the drug on the Internet. This is an example of what type of critical thinking skill?
A)	Intellectual courage
B)	Intellectual perseverance
C)	Intellectual empathy
D)	Sense of justice

14.	Which is the best example of a measurable outcome for a patient with deficient fluid volume?
A)	Fluids will be at the bedside for the patient.
B)	Fluids the patient likes will be at the bedside.
C)	Patient's intake will be 3000 mL daily.
D)	Patient's intake will be measured daily.

15.	The nurse is evaluating a patient with fluid volume excess. Which nursing process component must the nurse consider to evaluate the care plan?
A)	Rationale
B)	Implementation
C)	Nursing diagnosis
D)	Outcome

16.	Which objective describes the purpose of the nursing process?
A)	To cure the patient's medical illness
B)	To determine that health team members' care for the patient
C)	To guide the physician's care
D)	To assist the patient in achieving optimum health

17.	The nurse is caring for a patient with a painful back injury that occurred 6 months ago. Which nursing diagnosis—using the Problem-Etiology-Symptoms system—is most complete?
A)	Acute pain as evidenced by muscle spasms and nerve compression related to patient pain rating of 6
B)	Chronic pain related to muscle spasms as evidenced by patient pain rating of 8 and difficulty walking
C)	Acute pain related to inability to sit as evidenced by muscle spasms
D)	Pain as evidenced by herniated lumbar disk

18.	Yesterday an LVN assisted an RN in revising the care plan for a patient who is not eating well. The RN added the measure of sitting with the patient during meals. The LVN finds that the patient is still not eating today. What should the LVN do next?
A)	Develop a new plan of care.
B)	Revise the patient outcome to one that is achievable.
C)	Provide data to the RN to assist in evaluation of the plan.
D)	Collaborate on a new nursing diagnosis with the RN.

19.	The nurse is admitting a patient with high blood glucose levels and dehydration. The patient has a family history of diabetes. Which of these is an appropriate problem for the nursing care plan?
A)	Hyperglycemia
B)	Diabetes
C)	Dehydration
D)	Deficient fluid volume

20.	A new shift is starting, and the LPN is given a list of assigned patients. Of the following patients, whom should the LPN see first?
A)	A patient reporting constipation and stomach cramps.
B)	A postcholecystectomy patient reporting pain at a level of 5.
C)	A patient with chronic obstructive pulmonary disease who is wheezing, gasping for air, and very anxious.
D)	A patient scheduled for an MRI the following day due to back pain.

21.	For a patient who has all the following nursing diagnoses, which should be given highest priority?
A)	Anxiety
B)	Constipation
C)	Deficient fluid volume
D)	Ineffective airway clearance

22.	The nurse planning patient care uses the systematic organizing framework of the nursing process. Which of these responses gives the nursing process steps in order?
A)	Data collection, intervention, nursing diagnosis, rationale, evaluation
B)	Nursing diagnosis, intervention, rationale, evaluation, planning
C)	Assessment, nursing diagnosis, planning, implementation, evaluation
D)	Data collection, evaluation, nursing diagnosis, implementation, rationale

23.	What is the term used in the nursing process for the patient's problem?
A)	Patient data
B)	Nursing diagnosis
C)	Nursing intervention
D)	Outcome planning

24.	Outcome achievement is enhanced when caregivers use which of the following strategies?
A)	Subjective words
B)	Open-ended time frames
C)	Objective observations
D)	“Within normal limits” wording

25.	Which of the following needs on Maslow's hierarchy has the lowest priority?
A)	Physiological needs
B)	Self-actualization
C)	Self-esteem
D)	Safety and security

26.	Which of the following needs on Maslow's hierarchy is given highest priority?
A)	Physiological
B)	Self-actualization
C)	Self-esteem
D)	Safety and security

27.	The nurse is in a restaurant and observes a person who appears to be in respiratory distress. The person's family is becoming excited. The nurse goes to the table to help. Which of these actions should the nurse take now?
A)	Diagnose the problem.
B)	Collect data about the person's condition.
C)	Gather data from the family.
D)	Ask what medications the person is taking.

Answer Key

1.	A
2.	A
3.	C
4.	C
5.	B
6.	A
7.	D
8.	B, C, E
9.	D
10.	B
11.	D
12.	D
13.	B
14.	C
15.	D
16.	D
17.	B
18.	C
19.	D
20.	C
21.	D
22.	C
23.	B
24.	C
25.	B
26.	A
27.	B