1. Which of the following is the primary purpose of a nursing
assessment?
A) To determine the patient's financial status
B) To diagnose the patient's disease
C) To gather information about the patient’s health status
D) To prescribe medication for the patient
Answer: C) To gather information about the patient’s health status
Rationale: The primary purpose of a nursing assessment is to gather
comprehensive data to understand the patient’s health status, which
helps in making clinical decisions and planning care.
2. In which phase of the nursing process is the nurse most involved
in decision-making regarding patient care?
A) Diagnosis
B) Planning
C) Implementation
D) Evaluation
Answer: B) Planning
Rationale: The planning phase involves setting goals, selecting
interventions, and deciding the course of action to address patient
needs based on the assessment and diagnosis.
3. What is the primary focus of the BCCNM Code of Ethics?
A) To provide guidelines for conducting research
B) To ensure that nurses follow legal regulations
C) To guide nurses in making ethical decisions and providing quality
care
D) To set the minimum standards for nursing practice
Answer: C) To guide nurses in making ethical decisions and providing
quality care
,Rationale: The BCCNM Code of Ethics provides a framework for
nurses to make ethical decisions and deliver care that respects the
dignity, rights, and safety of patients.
4. Which of the following is an example of subjective data?
A) Temperature of 38°C
B) Blood pressure reading of 120/80 mmHg
C) Patient reports feeling nauseous
D) Heart rate of 80 bpm
Answer: C) Patient reports feeling nauseous
Rationale: Subjective data refers to information reported by the patient
about their feelings, experiences, or perceptions, which cannot be
directly measured or observed.
5. Which communication technique is most effective for building
trust with patients?
A) Giving advice without understanding the patient’s concerns
B) Using medical jargon to sound knowledgeable
C) Active listening and showing empathy
D) Speaking in a loud, authoritative voice
Answer: C) Active listening and showing empathy
Rationale: Active listening and empathy help establish trust by
showing patients they are heard and understood, which enhances the
nurse-patient relationship.
6. What is the primary responsibility of a nurse during informed
consent?
A) To ensure that the patient understands the procedure and its risks
B) To perform the procedure once consent is obtained
, C) To witness the signature of the consent form
D) To discuss the legal implications of the procedure
Answer: A) To ensure that the patient understands the procedure and
its risks
Rationale: Nurses play a crucial role in ensuring that the patient has
enough information to make an informed decision, although the
physician is typically responsible for explaining the procedure.
7. Which of the following best defines evidence-based practice?
A) The use of intuition in clinical decision-making
B) The integration of the best research evidence with clinical expertise
and patient values
C) The use of outdated guidelines to provide care
D) The exclusive use of medical treatments over nursing interventions
Answer: B) The integration of the best research evidence with clinical
expertise and patient values
Rationale: Evidence-based practice involves combining the best
available research evidence, clinical expertise, and patient preferences
to make informed healthcare decisions.
8. A nurse is caring for a patient who is post-operative and
experiencing severe pain. Which of the following actions would be
most appropriate?
A) Documenting the pain level and continuing to monitor
B) Administering the prescribed pain medication
C) Encouraging the patient to wait until the next scheduled dose
D) Ignoring the patient’s complaints and observing for any physical
symptoms
Answer: B) Administering the prescribed pain medication
Rationale: The nurse should act to manage the patient’s pain by
assessment?
A) To determine the patient's financial status
B) To diagnose the patient's disease
C) To gather information about the patient’s health status
D) To prescribe medication for the patient
Answer: C) To gather information about the patient’s health status
Rationale: The primary purpose of a nursing assessment is to gather
comprehensive data to understand the patient’s health status, which
helps in making clinical decisions and planning care.
2. In which phase of the nursing process is the nurse most involved
in decision-making regarding patient care?
A) Diagnosis
B) Planning
C) Implementation
D) Evaluation
Answer: B) Planning
Rationale: The planning phase involves setting goals, selecting
interventions, and deciding the course of action to address patient
needs based on the assessment and diagnosis.
3. What is the primary focus of the BCCNM Code of Ethics?
A) To provide guidelines for conducting research
B) To ensure that nurses follow legal regulations
C) To guide nurses in making ethical decisions and providing quality
care
D) To set the minimum standards for nursing practice
Answer: C) To guide nurses in making ethical decisions and providing
quality care
,Rationale: The BCCNM Code of Ethics provides a framework for
nurses to make ethical decisions and deliver care that respects the
dignity, rights, and safety of patients.
4. Which of the following is an example of subjective data?
A) Temperature of 38°C
B) Blood pressure reading of 120/80 mmHg
C) Patient reports feeling nauseous
D) Heart rate of 80 bpm
Answer: C) Patient reports feeling nauseous
Rationale: Subjective data refers to information reported by the patient
about their feelings, experiences, or perceptions, which cannot be
directly measured or observed.
5. Which communication technique is most effective for building
trust with patients?
A) Giving advice without understanding the patient’s concerns
B) Using medical jargon to sound knowledgeable
C) Active listening and showing empathy
D) Speaking in a loud, authoritative voice
Answer: C) Active listening and showing empathy
Rationale: Active listening and empathy help establish trust by
showing patients they are heard and understood, which enhances the
nurse-patient relationship.
6. What is the primary responsibility of a nurse during informed
consent?
A) To ensure that the patient understands the procedure and its risks
B) To perform the procedure once consent is obtained
, C) To witness the signature of the consent form
D) To discuss the legal implications of the procedure
Answer: A) To ensure that the patient understands the procedure and
its risks
Rationale: Nurses play a crucial role in ensuring that the patient has
enough information to make an informed decision, although the
physician is typically responsible for explaining the procedure.
7. Which of the following best defines evidence-based practice?
A) The use of intuition in clinical decision-making
B) The integration of the best research evidence with clinical expertise
and patient values
C) The use of outdated guidelines to provide care
D) The exclusive use of medical treatments over nursing interventions
Answer: B) The integration of the best research evidence with clinical
expertise and patient values
Rationale: Evidence-based practice involves combining the best
available research evidence, clinical expertise, and patient preferences
to make informed healthcare decisions.
8. A nurse is caring for a patient who is post-operative and
experiencing severe pain. Which of the following actions would be
most appropriate?
A) Documenting the pain level and continuing to monitor
B) Administering the prescribed pain medication
C) Encouraging the patient to wait until the next scheduled dose
D) Ignoring the patient’s complaints and observing for any physical
symptoms
Answer: B) Administering the prescribed pain medication
Rationale: The nurse should act to manage the patient’s pain by
