Page 1 of 87
BSN 1004 EVOLVE EXAM LATEST VERSION QUESTIONS AND
ANSWERS 2026 EDITION
BSN 1004 EVOLVE+ TEST BANK EXAM – 250 QUESTIONS WITH RATIONALES
SECTION 1: NURSING PROCESS & CLINICAL JUDGMENT (Questions 1-60)
1. What is the primary purpose of the assessment phase of the nursing process?
A) To implement nursing interventions based on the care plan
B) To collect comprehensive data about the patient's health status
C) To establish goals and expected outcomes for the patient
D) To evaluate the effectiveness of nursing interventions
Correct Answer: B
Rationale: The assessment phase involves gathering information about the patient's
health status through interviews, physical examination, and observation. The nursing
process follows the ADPIE framework: Assessment, Diagnosis, Planning,
Implementation, and Evaluation.
2. Which of the following is the correct order of the five steps of the nursing
process?
A) Implementation → Assessment → Diagnosis → Planning → Evaluation
B) Assessment → Planning → Diagnosis → Implementation → Evaluation
C) Assessment → Diagnosis → Planning → Implementation → Evaluation
D) Diagnosis → Assessment → Planning → Evaluation → Implementation
Correct Answer: C
Rationale: The nursing process is a five-step systematic method: (1) Assessment, (2)
Diagnosis, (3) Planning, (4) Implementation, and (5) Evaluation. This sequence guides
nurses in providing patient-centered care.
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3. During the assessment phase, which source of data is considered the primary
source?
A) Family members
B) Medical records
C) The patient
D) Healthcare team members
Correct Answer: C
Rationale: The patient is the primary source of data during assessment. Secondary
sources include family members, significant others, medical records, and the
healthcare team.
4. A nurse measures a client's blood pressure and obtains a reading of 150/90 mm
Hg. This finding is an example of:
A) Subjective data
B) Objective data
C) Inferential data
D) A nursing diagnosis
Correct Answer: B
Rationale: Objective data are observations or measurements of a client's health status
(e.g., blood pressure, heart rate, physical exam findings). Subjective data are the client's
verbal descriptions of their health concerns.
5. A client states, "I have been feeling very tired and short of breath lately." This
statement is an example of:
A) Objective data
B) Secondary data
C) Subjective data
D) A nursing intervention
Correct Answer: C
Rationale: Subjective data are the client's verbal descriptions of their health concerns,
obtained through the health history. Objective data are observable and measurable
findings.
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6. A nurse makes a conclusion based on evidence and reasoning during the
assessment process. This is called:
A) A cue
B) An inference
C) A validation
D) A diagnosis
Correct Answer: B
Rationale: An inference is a conclusion reached on the basis of evidence and
reasoning. Cues are pieces of information obtained through the senses that lead to
inferences.
7. The nurse validates assessment data to:
A) Check the accuracy and reliability of the information
B) Immediately implement a nursing intervention
C) Write the nursing diagnosis
D) Discharge the patient from care
Correct Answer: A
Rationale: Validation is the action of checking or proving the accuracy of something.
Validating data helps ensure that the nurse has correct information before proceeding
with diagnosis and planning.
8. Which of the following best describes the nursing diagnosis?
A) A medical diagnosis of the client's disease process
B) A clinical judgment about the client's response to actual or potential health
conditions or life processes
C) The identification of medication needs for the client
D) A summary of the client's health insurance coverage
Correct Answer: B
Rationale: A nursing diagnosis is a clinical judgment concerning a human response to
health conditions or life processes. It is different from a medical diagnosis, which
identifies a disease.
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9. A nurse writes the following nursing diagnosis: "Impaired Gas Exchange related
to decreased oxygen saturation." This is an example of which type of nursing
diagnosis?
A) Health promotion nursing diagnosis
B) Wellness nursing diagnosis
C) Actual nursing diagnosis
D) Risk nursing diagnosis
Correct Answer: C
Rationale: An actual nursing diagnosis describes a current problem that is supported
by signs and symptoms. Risk nursing diagnoses describe a problem that is likely to
develop if no intervention is taken.
10. A nurse diagnoses "Impaired Physical Mobility related to postoperative pain as
evidenced by guarding during movement." This diagnosis contains which of the
following components?
A) Problem only
B) Problem and etiology only
C) Problem, etiology, and defining characteristics
D) Etiology only
Correct Answer: C
Rationale: An actual nursing diagnosis includes the problem (Impaired Physical
Mobility), the etiology/related factor (postoperative pain), and the defining
characteristics/signs and symptoms (guarding during movement).
11. A health promotion nursing diagnosis describes:
A) Current problems with signs and symptoms
B) The client's motivation to increase well-being by enhancing specific health behaviors
C) Levels of wellness that can be enhanced
D) Potential health problems that may develop
Correct Answer: B
Rationale: A health promotion nursing diagnosis reflects the client's motivation and
desire to increase well-being by enhancing specific health behaviors, such as nutrition
and exercise.
BSN 1004 EVOLVE EXAM LATEST VERSION QUESTIONS AND
ANSWERS 2026 EDITION
BSN 1004 EVOLVE+ TEST BANK EXAM – 250 QUESTIONS WITH RATIONALES
SECTION 1: NURSING PROCESS & CLINICAL JUDGMENT (Questions 1-60)
1. What is the primary purpose of the assessment phase of the nursing process?
A) To implement nursing interventions based on the care plan
B) To collect comprehensive data about the patient's health status
C) To establish goals and expected outcomes for the patient
D) To evaluate the effectiveness of nursing interventions
Correct Answer: B
Rationale: The assessment phase involves gathering information about the patient's
health status through interviews, physical examination, and observation. The nursing
process follows the ADPIE framework: Assessment, Diagnosis, Planning,
Implementation, and Evaluation.
2. Which of the following is the correct order of the five steps of the nursing
process?
A) Implementation → Assessment → Diagnosis → Planning → Evaluation
B) Assessment → Planning → Diagnosis → Implementation → Evaluation
C) Assessment → Diagnosis → Planning → Implementation → Evaluation
D) Diagnosis → Assessment → Planning → Evaluation → Implementation
Correct Answer: C
Rationale: The nursing process is a five-step systematic method: (1) Assessment, (2)
Diagnosis, (3) Planning, (4) Implementation, and (5) Evaluation. This sequence guides
nurses in providing patient-centered care.
, Page 2 of 87
3. During the assessment phase, which source of data is considered the primary
source?
A) Family members
B) Medical records
C) The patient
D) Healthcare team members
Correct Answer: C
Rationale: The patient is the primary source of data during assessment. Secondary
sources include family members, significant others, medical records, and the
healthcare team.
4. A nurse measures a client's blood pressure and obtains a reading of 150/90 mm
Hg. This finding is an example of:
A) Subjective data
B) Objective data
C) Inferential data
D) A nursing diagnosis
Correct Answer: B
Rationale: Objective data are observations or measurements of a client's health status
(e.g., blood pressure, heart rate, physical exam findings). Subjective data are the client's
verbal descriptions of their health concerns.
5. A client states, "I have been feeling very tired and short of breath lately." This
statement is an example of:
A) Objective data
B) Secondary data
C) Subjective data
D) A nursing intervention
Correct Answer: C
Rationale: Subjective data are the client's verbal descriptions of their health concerns,
obtained through the health history. Objective data are observable and measurable
findings.
, Page 3 of 87
6. A nurse makes a conclusion based on evidence and reasoning during the
assessment process. This is called:
A) A cue
B) An inference
C) A validation
D) A diagnosis
Correct Answer: B
Rationale: An inference is a conclusion reached on the basis of evidence and
reasoning. Cues are pieces of information obtained through the senses that lead to
inferences.
7. The nurse validates assessment data to:
A) Check the accuracy and reliability of the information
B) Immediately implement a nursing intervention
C) Write the nursing diagnosis
D) Discharge the patient from care
Correct Answer: A
Rationale: Validation is the action of checking or proving the accuracy of something.
Validating data helps ensure that the nurse has correct information before proceeding
with diagnosis and planning.
8. Which of the following best describes the nursing diagnosis?
A) A medical diagnosis of the client's disease process
B) A clinical judgment about the client's response to actual or potential health
conditions or life processes
C) The identification of medication needs for the client
D) A summary of the client's health insurance coverage
Correct Answer: B
Rationale: A nursing diagnosis is a clinical judgment concerning a human response to
health conditions or life processes. It is different from a medical diagnosis, which
identifies a disease.
, Page 4 of 87
9. A nurse writes the following nursing diagnosis: "Impaired Gas Exchange related
to decreased oxygen saturation." This is an example of which type of nursing
diagnosis?
A) Health promotion nursing diagnosis
B) Wellness nursing diagnosis
C) Actual nursing diagnosis
D) Risk nursing diagnosis
Correct Answer: C
Rationale: An actual nursing diagnosis describes a current problem that is supported
by signs and symptoms. Risk nursing diagnoses describe a problem that is likely to
develop if no intervention is taken.
10. A nurse diagnoses "Impaired Physical Mobility related to postoperative pain as
evidenced by guarding during movement." This diagnosis contains which of the
following components?
A) Problem only
B) Problem and etiology only
C) Problem, etiology, and defining characteristics
D) Etiology only
Correct Answer: C
Rationale: An actual nursing diagnosis includes the problem (Impaired Physical
Mobility), the etiology/related factor (postoperative pain), and the defining
characteristics/signs and symptoms (guarding during movement).
11. A health promotion nursing diagnosis describes:
A) Current problems with signs and symptoms
B) The client's motivation to increase well-being by enhancing specific health behaviors
C) Levels of wellness that can be enhanced
D) Potential health problems that may develop
Correct Answer: B
Rationale: A health promotion nursing diagnosis reflects the client's motivation and
desire to increase well-being by enhancing specific health behaviors, such as nutrition
and exercise.
