True or false: The nursing process is a fixed, one-way sequence, so a nurse should not revisit earlier steps after evaluation.
5 Nursing Process and Clinical Judgment Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Nursing Process and Clinical Judgment, test your knowledge, and prepare for your next test or exam.
When setting an outcome, make it observable and enough to evaluate.
True or false: The NCJMM complements the nursing process rather than replacing it.
- A
True
- B
False
A nurse should carry out interventions in accordance with applicable orders, protocols, and .
A nurse identifies a problem statement to guide care. Which description best fits a nursing diagnosis?
- A
A label for the disease causing the patient's symptoms
- B
A nursing judgment about the person's response or need
- C
A list of every abnormal finding, without interpretation
- D
A treatment order written by the nurse
A nurse connects a patient's new restlessness with other assessment findings and considers patterns and contradictions. Which NCJMM function is the nurse using?
A nurse defines the desired patient response that will be used to evaluate care. Which nursing-process step is this?
A nurse is planning care for a priority problem. Which approach best reflects the planning step?
- A
Select the same intervention for every patient with similar symptoms
- B
Choose an action before considering the patient's risks or preferences
- C
Select evidence-informed actions while considering preferences, risks, resources, and possible collaboration
- D
Delay planning until evaluation has shown whether the problem is improving
A nurse is deciding which plausible problem poses the greatest or most immediate risk. Select all the considerations that can help guide this prioritization.
- A
The severity of the possible problem
- B
How urgently the problem requires attention
- C
The likelihood that the patient will deteriorate
- D
How time-sensitive the situation is
- E
The patient's goals and context
- F
Whether the intervention would be easiest to document
- G
The order in which findings appear in the chart
A postoperative patient who had been comfortable becomes newly short of breath, has a falling oxygen-saturation trend, and appears restless. What is the most appropriate initial clinical-judgment response?
- A
Assume a single finding establishes the cause and begin treatment without further assessment
- B
Recognize the change from baseline and identify the relevant cues
- C
Wait for the next scheduled evaluation before addressing the change
- D
Treat each finding as unrelated until the patient requests help
A postoperative patient who was comfortable becomes newly short of breath, has a falling oxygen-saturation trend, and appears restless. Describe how the nurse should use clinical judgment from recognizing the change through evaluating the response. Include what to do if the patient does not improve.
A nurse finds that assessment information is contradictory and that a key detail is missing. What is the best next reasoning step if more information could clarify the situation?
- A
Ignore the contradiction and proceed with the first explanation considered
- B
Treat the missing information as confirmation of the most serious possible problem
- C
Gather additional data when it would clarify the situation
- D
Remove the inconsistent finding from consideration without checking it
A nurse is checking whether a planned outcome can be evaluated. Select all the features that make an outcome suitable for evaluation.
- A
Describes a patient response that can be observed
- B
Includes a time frame that makes evaluation possible
- C
Uses vague wording that does not indicate how success can be recognized
- D
Assumes the outcome was achieved as soon as an intervention was performed
A nurse is assessing a patient after noticing an unexpected change. Which approach best supports a relevant and balanced assessment?
- A
Rely only on the most recent vital sign and disregard other reliable information
- B
Gather relevant information from the patient and appropriate sources such as history, examination, vital signs, and records
- C
Wait until the cause of the change is known before collecting assessment information
- D
Use only details that confirm the nurse's first explanation
True or false: During evaluation, the nurse compares the patient’s response with the expected outcome, and that evaluation can begin another cycle of care.
- A
True
- B
False
Which set lists the six thinking functions described by the NCSBN Clinical Judgment Measurement Model (NCJMM)?
- A
Recognize cues, analyze cues, prioritize hypotheses, generate solutions, take actions, and evaluate outcomes.
- B
Assess, diagnose, prescribe, treat, discharge, and document.
- C
Gather data, make a medical diagnosis, prescribe medication, implement treatment, and discharge.
- D
Identify outcomes, write orders, delegate tasks, and document patient preferences.
Which activity best distinguishes analyzing cues from recognizing cues in clinical judgment?
- A
Noting that a finding is new or abnormal compared with the patient’s baseline.
- B
Connecting related findings and considering what they may mean for the patient.
- C
Choosing which plausible problem poses the most immediate risk.
- D
Comparing the patient’s response with the expected outcome.
Which outcome would best support evaluation of a patient’s progress?
- A
A broad statement of what the nurse hopes will happen, with no way to check progress.
- B
A result that can be observed and evaluated within a defined period.
- C
A list of interventions selected before identifying the priority problem.
- D
A medical diagnosis that explains the patient’s symptoms.
Which two-word NCJMM function involves identifying findings that are new, abnormal, changing, or inconsistent with the patient’s baseline?
After an intervention, a nurse compares the patient’s response with the expected result to determine whether the problem is improving, unchanged, or worsening. Which NCJMM function is being used?