SalusPrep

Practical Nurse NCLEX®

← Skills

Clinical Judgment

ADPIE Nursing Process

Hospital-Acquired Pneumonia · L1

How this exercise works

Drag each nursing statement into Assessment, Diagnosis, Planning, Implementation, or Evaluation. Only one phase fits each statement — look for data vs. action cues.

Fundamental concept

How systematic ADPIE thinking supports safe practical nursing care, aligned with HHS quality initiatives.

Read: The Nursing Process: Assessment Through Evaluation →

Scenario

On hospital day 4, a post-stroke client develops fever 101.8°F (38.8°C), productive cough with yellow sputum, and crackles in the right lower lobe.

Nursing statements

Drag each statement into the correct ADPIE phase, or into trash if it does not belong.

Risk for impaired skin integrity related to immobility only — no respiratory focus.
Auscultate lungs, measure SpO₂, and obtain sputum specimen as ordered.
Administer IV antibiotics and antipyretics on schedule.
Monitor temperature curve and white blood cell trend.
Assess cough effectiveness and work of breathing.
Client will demonstrate improved breath sounds and temperature < 100.4°F within 48 hours.
Ineffective airway clearance related to inflammation and retained secretions.

Trash — not part of the process

0

Drop irrelevant statements here

A — Assessment

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Drop statements here

D — Diagnosis

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Drop statements here

P — Planning

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Drop statements here

I — Implementation

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Drop statements here

E — Evaluation

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Drop statements here