Which pair presents one subjective finding followed by one objective finding?
7 Clinical Reasoning and Care Planning Online Quiz Questions
Use this free practice quiz with 20 questions to review 7 Clinical Reasoning and Care Planning, test your knowledge, and prepare for your next test or exam.
A nurse identifies a patient’s response to illness to guide nursing interventions. Which description best fits this nursing diagnosis?
- A
It names the disease causing the patient’s symptoms.
- B
It identifies a patient response or care need that can guide nursing care.
- C
It specifies which medication a prescriber should order.
- D
It replaces assessment findings with a standardized label.
A patient admitted with a chronic condition reports new shortness of breath, and the nurse observes increased work of breathing. Which action should the nurse prioritize?
- A
Promptly assess the respiratory change and respond according to the patient’s condition and applicable procedures.
- B
Continue with routine teaching because the patient has a chronic condition.
- C
Wait until a complete assessment of every health concern is finished before acting.
- D
Document the report and revisit it after completing scheduled care.
A nurse is planning care for a patient with new activity-related breathlessness. Which actions belong in an individualized plan? Select all that apply.
- A
Set an observable outcome that reflects the patient’s needs.
- B
Choose and sequence interventions with the patient and care team.
- C
Use the same intervention sequence for every patient with the same diagnosis.
- D
Adapt the plan to the patient’s preferences and situation.
True or false: Once a nurse has prioritized a hypothesis, new assessment findings should not change that priority.
- A
True
- B
False
In the NCSBN Clinical Judgment Measurement Model, what action involves connecting assessment findings and considering what they may mean?
In the six-step nursing process described in the material, is the first step and is the final step.
A patient’s condition has not improved as expected after planned care. Explain how the nurse should use evaluation to decide what to do next.
A patient with a chronic condition develops new shortness of breath and increased work of breathing. Which actions are appropriate? Select all that apply.
- A
Promptly assess the patient’s respiratory status.
- B
Position the patient to support breathing if appropriate.
- C
Follow applicable protocols and notify the appropriate clinician or emergency response team based on the situation.
- D
Finish routine teaching before addressing the breathing change.
- E
Reassess and document the patient’s response.
True or false: The airway, breathing, and circulation framework is a guide for prioritizing care, not a substitute for clinical judgment or local emergency procedures.
- A
True
- B
False
Which nursing-process step sets patient-centered, observable outcomes before interventions are selected and sequenced?
In the clinical judgment model, means identifying relevant findings and changes, while means deciding which possible problem is most urgent or likely.
A patient with a chronic condition has a stable long-term care need but now reports new shortness of breath and shows increased work of breathing. Which priority best reflects sound clinical judgment?
- A
Begin routine education about managing the chronic condition.
- B
Address the stable long-term concern before any new symptoms.
- C
Assess the new breathing change promptly and respond according to the patient’s condition and applicable procedures.
- D
Wait for additional routine data before considering whether the change is important.
A patient’s condition changes after a care plan has been implemented. Which response best reflects the role of the care plan and ongoing nursing judgment?
- A
The nurse may need to reassess and revise the plan as new information emerges.
- B
The nurse should follow the original sequence even if the patient’s condition changes.
- C
The nurse should wait for the next scheduled planning period before considering a change.
- D
The nurse should evaluate only after every intervention in the original plan is complete.
During an assessment, a patient reports dizziness. Which finding is subjective data?
- A
The patient's measured blood pressure
- B
The patient's report of dizziness
- C
The nurse's observation of unsteady walking
- D
A laboratory result
A nursing diagnosis identifies a patient's response or care need to guide nursing care, rather than naming the medical disease itself.
- A
True
- B
False
A nurse compares a patient's current behavior and vital signs with baseline and identifies which findings have changed. Which NCSBN clinical-judgment action is the nurse using?
After identifying a patient's care need, a nurse specifies an observable change the patient should achieve within a stated time. Which nursing-process step is the nurse performing?
- A
Assessment
- B
Diagnosis or problem identification
- C
Outcome identification
- D
Implementation
A nurse notices that a patient is unusually drowsy and has a lower-than-usual blood pressure. The nurse considers how these findings may relate to one another and what they could indicate. Which clinical-judgment action is this?
- A
Analyze cues
- B
Recognize cues
- C
Take action
- D
Evaluate outcomes
After an intervention, a nurse compares the patient's actual response with the expected outcome to decide whether the plan should continue or change. Which nursing-process step is this?