Q&A | Nursing
1. A nurse is performing a health assessment on a client. According to the
nursing process, which step should the nurse perform first?
A) Planning
B) Implementation
C) Assessment
D) Evaluation
Correct Answer: Assessment
Rationale: The nursing process is a five-step framework: Assessment,
Diagnosis, Planning, Implementation, and Evaluation (ADPIE). Assessment is
the first and most critical step, during which the nurse collects
comprehensive data about the client's health status.
2. Which type of data includes the client's own descriptions of symptoms and
health history?
A) Objective data
B) Primary data
C) Subjective data
D) Secondary data
Correct Answer: Subjective data
Rationale: Subjective data consist of information provided by the client, such
as symptoms, feelings, and perceptions (e.g., "I have a headache").
Objective data are observable and measurable findings obtained through
physical examination or diagnostic tests.
,3. A nurse is preparing to perform a physical assessment. Which is the
correct order of the four basic assessment techniques?
A) Palpation, Inspection, Percussion, Auscultation
B) Inspection, Palpation, Percussion, Auscultation
C) Auscultation, Inspection, Palpation, Percussion
D) Percussion, Auscultation, Inspection, Palpation
Correct Answer: Inspection, Palpation, Percussion, Auscultation
Rationale: The standard sequence for a physical assessment is inspection,
palpation, percussion, and auscultation. However, for the abdomen,
auscultation is performed before palpation and percussion to prevent altering
bowel sounds.
4. A charge nurse is prioritizing care for a group of clients. Which type of
problem should the nurse address first?
A) A second-level priority problem
B) A third-level priority problem
C) A collaborative problem
D) A first-level priority problem
Correct Answer: A first-level priority problem
Rationale: First-level priority problems are emergent, life-threatening, and
immediate, such as establishing an airway or supporting breathing. These
problems must be addressed before second-level (urgent) or third-level
(important but less urgent) problems.
5. A nurse is assessing a client's pain. Which mnemonic is best used for a
comprehensive pain assessment?
,A) PQRST
B) ABCDE
C) ADPIE
D) ROME
Correct Answer: PQRST
Rationale: The PQRST mnemonic is used for pain assessment: P =
Provocation/Palliation, Q = Quality, R = Region/Radiation, S = Severity, and T
= Timing. It provides a structured approach to gathering subjective data
about a client's pain.
6. A nurse is interviewing a client and asks, "Tell me about your pain." This is
an example of which type of question?
A) Closed-ended question
B) Leading question
C) Open-ended question
D) Reflective question
Correct Answer: Open-ended question
Rationale: Open-ended questions encourage narrative responses and allow
the client to describe their experience in their own words. They are essential
for building rapport and gathering comprehensive subjective data.
7. Which of the following is an example of a health promotion activity?
A) Administering a medication for a chronic condition
B) Providing immunizations
C) Encouraging regular exercise
, D) Performing surgery to correct a health problem
Correct Answer: Encouraging regular exercise
Rationale: Health promotion activities aim to enhance well-being and prevent
disease. Encouraging regular exercise is a health promotion activity.
Immunizations are a form of disease prevention, and the other options are
interventions for existing conditions.
8. A nurse is assessing a client's cultural background. What is the most
important first step in providing culturally competent care?
A) Learn about the client's specific cultural practices
B) Understand one's own heritage, values, beliefs, and attitudes
C) Ask the client to describe their cultural beliefs
D) Use a standardized cultural assessment tool
Correct Answer: Understand one's own heritage, values, beliefs, and
attitudes
Rationale: A key to understanding cultural diversity is self-awareness and
knowledge of one's own culture. A cultural self-assessment is an integral
component of becoming culturally competent.
9. A nurse is assessing a client's mental status. Which of the following is a
key component of the mental status examination?
A) Vital signs
B) Heart and lung sounds
C) Appearance and behavior
D) Abdominal assessment