LATEST UPDATE 2026
The nursing process has several defining characteristics. Which descriptors accurately reflect the
nursing process? Select all that apply.
A. Analytical.
B. Static.
C. Dynamic.
D. Organized.
E. Outcome oriented.
F. Collaborative.
G. Adaptable. - Answers A,C,D,E,F,G
Question
The nurse is preparing to conduct an admission assessment. Which are primary methods of data
collection in the assessment phase? Select all that apply.
A. Observing the patient using the senses.
B. Interviewing the patient and family.
C. Performing a physical examination.
D. Reviewing laboratory and diagnostic results.
E. Asking the provider to summarize the history.
F. Reading the discharge instructions from a prior visit. - Answers A,B,C,D
Question
The nurse is planning a focused interview as part of the assessment. Which principles should guide
the interview process? Select all that apply.
A. Plan timing when the client is relatively pain free.
B. Choose a private, comfortable location with minimal distractions.
C. Sit at eye level and maintain appropriate personal space.
D. Use language the client can easily understand.
E. Allow the client to control both the purpose and pacing in an emergency.
F. Avoid interpreters because they may alter the patient's words. - Answers A,B,C,D
Question
During data collection, the nurse uses both closed-ended and open-ended questions. Which examples
are correctly matched with the type of question? Select all that apply.
A. "Are you in pain right now?" - Closed-ended.
B. "What medications did you take today?" - Closed-ended.
C. "Tell me more about how this illness has affected your life." - Open-ended.
D. "What else would you like me to know about your symptoms?" - Open-ended.
E. "You're not really anxious, are you?" - Neutral question.
F. "You don't smoke, right?" - Leading question. - Answers A,B,C,D,F
Question
The nurse is differentiating subjective and objective data. Which are examples of subjective data?
Select all that apply.
A. "I feel nauseous."
B. "My pain is 8 out of 10."
C. "I feel very anxious about surgery."
D. Blood pressure 150/90 mm Hg.
E. Lab result showing low hemoglobin.
F. Warm, dry skin on palpation. - Answers A,B,C
Question
The nurse is identifying sources of assessment data. Which are considered primary sources of data?
Select all that apply.
A. The patient's own report of symptoms.
B. The spouse describing the patient's sleep habits while the patient is alert.
C. The patient describing what has been tried before coming to the hospital.
D. The patient answering questions during the interview.
E. The medical record from a prior hospitalization.
F. The laboratory results obtained this morning. - Answers A,C,D
, Question
The nurse is collecting a nursing health history. Which components are typically included? Select all
that apply.
A. Biographical data.
B. Chief complaint.
C. History of present illness.
D. Past medical history and immunizations.
E. Family history of illness.
F. Lifestyle, social, psychological data, and patterns of healthcare use. - Answers A,B,C,D,E,F
Question
The nurse is validating and documenting assessment data. Which actions reflect appropriate
validation and documentation? Select all that apply.
A. Ensuring subjective and objective data related to a problem agree.
B. Adding missing information when inconsistencies are noted.
C. Recording data in a factual, concise manner.
D. Documenting subjective data in the client's own words using quotation marks.
E. Including the nurse's interpretation and assumptions along with the data.
F. Clustering unrelated cues together to save time. - Answers A,B,C,D
Question
The nurse is teaching a student about organizing assessment data. Which methods are commonly
used to organize nursing data? Select all that apply.
A. Gordon's Functional Health Patterns.
B. Wellness models.
C. Non-nursing models such as Maslow's hierarchy.
D. Body systems or head-to-toe model.
E. Random narrative notes without structure.
F. Developmental theories such as Erikson's stages. - Answers A,B,C,D,F
Question
The nurse is distinguishing types of nursing diagnoses. Which statements correctly describe NANDA-I
nursing diagnosis types? Select all that apply.
A. Problem-focused diagnoses describe undesirable human responses that currently exist.
B. Risk diagnoses identify vulnerabilities for developing negative responses.
C. Health promotion diagnoses reflect motivation and desire to increase well-being.
D. Medical diagnoses and nursing diagnoses are identical in focus.
E. A patient can have more than one type of nursing diagnosis at the same time.
F. Risk diagnoses describe conditions that have already occurred. - Answers A,B,C,E
Question
The nurse is constructing a three-part (PES) nursing diagnostic statement. Which elements are
required? Select all that apply.
A. Problem (nursing diagnosis label).
B. Etiology (related to factor).
C. Symptoms or defining characteristics (as evidenced by).
D. Medical diagnosis as the problem label.
E. Physician's orders supporting the diagnosis.
F. Patient's demographic information. - Answers A,B,C
Question
The nurse is learning to avoid errors in diagnostic reasoning. Which situations represent common
errors when formulating nursing diagnoses? Select all that apply.
A. Clustering unrelated data together.
B. Accepting erroneous or incomplete assessment data.
C. Using a medical diagnosis as the related factor.
D. Identifying more than one NANDA-I label in one statement.
E. Using the underlying etiology as the related factor.
F. Ensuring documentation is accurate and complete. - Answers A,B,C,D
Question
The nurse is setting priorities among several nursing diagnoses. Which principles should guide
prioritization? Select all that apply.