Transition to Professional Nursing
RNSG 1327 EXAM 1 | VERIFIED QUESTIONS AND ANSWERS -
COMPLETE COVERAGE 2026/2027
1. What is the correct sequential order of the steps of the nursing
process?
A. Assessment, Planning, Diagnosis, Evaluation, Implementation
B. Diagnosis, Assessment, Planning, Evaluation, Implementation
C. Planning, Assessment, Diagnosis, Implementation, Evaluation
D. Assessment, Diagnosis, Planning, Implementation, Evaluation
ANSWER : D. Assessment, Diagnosis, Planning, Implementation,
Evaluation — ADPIE is the standard mnemonic for the five sequential
steps.
2. Which type of assessment is performed immediately after a patient
reports sudden chest pain?
A. Time-lapsed assessment
B. Focused assessment
C. Initial assessment
D. Comprehensive assessment
ANSWER : B. Focused assessment — A focused assessment targets a
specific problem as it arises.
3. A patient states, "I feel nauseated and dizzy." This is an example of
which type of data?
A. Secondary data
B. Objective data
C. Validated data
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D. Subjective data
ANSWER : D. Subjective data — Subjective data are symptoms reported
by the patient in their own words.
4. A blood pressure reading of 168/94 mmHg obtained by the nurse is
an example of which type of data?
A. Subjective data
B. Objective data
C. Inferred data
D. Retrospective data
ANSWER : B. Objective data — Objective data are measurable,
observable findings gathered by the examiner.
5. Which source of patient data is considered a primary source?
A. The patient's spouse
B. The medical record
C. The patient
D. The laboratory report
ANSWER : C. The patient — The patient is always the primary source of
data.
6. Which activity falls within RN scope but not LVN scope under
differentiated practice?
A. Documenting intake and output
B. Collecting admission vital signs
C. Reinforcing patient teaching already initiated
D. Formulating the initial nursing diagnosis and plan of care
ANSWER : D. Formulating the initial nursing diagnosis and plan of
care — Initiating nursing diagnoses and the plan of care requires RN-level
judgment.
7. Which nursing diagnosis is correctly written using NANDA-I structure
for an actual diagnosis?
A. Impaired skin integrity related to immobility as evidenced by a stage II
pressure injury
B. Risk for impaired skin integrity as evidenced by redness
C. Impaired skin integrity related to pressure injury
D. Pressure injury related to impaired skin integrity
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ANSWER : A. Impaired skin integrity related to immobility as
evidenced by a stage II pressure injury — Actual diagnoses use
problem, etiology, and defining evidence (PES format).
8. A "risk for" nursing diagnosis differs from an actual nursing
diagnosis because it:
A. Requires no related factors
B. Has no "as evidenced by" clause since no signs or symptoms are
present
C. Cannot be included on a care plan
D. Is written only by physicians
ANSWER : B. Has no "as evidenced by" clause since no signs or
symptoms are present — Risk diagnoses identify vulnerability before
symptoms develop, so no defining characteristics exist yet.
9. During the planning step of the nursing process, the nurse primarily:
A. Collects baseline vital signs
B. Establishes goals and expected outcomes with the patient
C. Carries out prescribed treatments
D. Determines whether goals were met
ANSWER : B. Establishes goals and expected outcomes with the
patient — Planning sets measurable, patient-centered goals before care is
delivered.
10. A well-written expected outcome should be:
A. Specific, measurable, and time-limited
B. Focused solely on nursing tasks
C. Written only in medical terminology
D. Broad and open-ended
ANSWER : A. Specific, measurable, and time-limited — SMART
outcomes allow objective evaluation of patient progress.
11. Which action is an example of the implementation phase?
A. Administering a prescribed antibiotic
B. Writing the nursing diagnosis
C. Comparing patient outcomes to goals
D. Establishing priority goals
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ANSWER : A. Administering a prescribed antibiotic — Implementation
is the step where planned interventions are actually carried out.
12. During evaluation, the nurse determines that a patient's pain goal
was not met. The appropriate next action is to:
A. Reassess the patient and revise the plan of care
B. Document that the patient is noncompliant
C. Discontinue the nursing diagnosis
D. Wait until the next shift to reassess
ANSWER : A. Reassess the patient and revise the plan of care —
Unmet goals require reassessment and modification of the care plan.
13. Who retains ultimate accountability for a plan of care carried out
collaboratively by an RN and an LVN?
A. The registered nurse
B. The licensed vocational nurse
C. The unit secretary
D. The charge nurse only
ANSWER : A. The registered nurse — The RN is accountable for
supervising and coordinating delegated care.
14. An LVN caring for a stable, chronic patient may legally do which of
the following under RN supervision?
A. Develop the initial plan of care
B. Reinforce previously taught diabetic foot care
C. Complete the initial comprehensive admission assessment
D. Formulate a new nursing diagnosis
ANSWER : B. Reinforce previously taught diabetic foot care — LVNs
contribute to and reinforce an established plan under RN direction.
15. Which statement best describes the relationship between the
nursing process and critical thinking?
A. Critical thinking is the cognitive process that drives each step of the
nursing process
B. They are unrelated concepts
C. Critical thinking is used only during evaluation
D. The nursing process replaces the need for critical thinking
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RNSG 1327 EXAM 1 | VERIFIED QUESTIONS AND ANSWERS -
COMPLETE COVERAGE 2026/2027
1. What is the correct sequential order of the steps of the nursing
process?
A. Assessment, Planning, Diagnosis, Evaluation, Implementation
B. Diagnosis, Assessment, Planning, Evaluation, Implementation
C. Planning, Assessment, Diagnosis, Implementation, Evaluation
D. Assessment, Diagnosis, Planning, Implementation, Evaluation
ANSWER : D. Assessment, Diagnosis, Planning, Implementation,
Evaluation — ADPIE is the standard mnemonic for the five sequential
steps.
2. Which type of assessment is performed immediately after a patient
reports sudden chest pain?
A. Time-lapsed assessment
B. Focused assessment
C. Initial assessment
D. Comprehensive assessment
ANSWER : B. Focused assessment — A focused assessment targets a
specific problem as it arises.
3. A patient states, "I feel nauseated and dizzy." This is an example of
which type of data?
A. Secondary data
B. Objective data
C. Validated data
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, Transition to Professional Nursing
D. Subjective data
ANSWER : D. Subjective data — Subjective data are symptoms reported
by the patient in their own words.
4. A blood pressure reading of 168/94 mmHg obtained by the nurse is
an example of which type of data?
A. Subjective data
B. Objective data
C. Inferred data
D. Retrospective data
ANSWER : B. Objective data — Objective data are measurable,
observable findings gathered by the examiner.
5. Which source of patient data is considered a primary source?
A. The patient's spouse
B. The medical record
C. The patient
D. The laboratory report
ANSWER : C. The patient — The patient is always the primary source of
data.
6. Which activity falls within RN scope but not LVN scope under
differentiated practice?
A. Documenting intake and output
B. Collecting admission vital signs
C. Reinforcing patient teaching already initiated
D. Formulating the initial nursing diagnosis and plan of care
ANSWER : D. Formulating the initial nursing diagnosis and plan of
care — Initiating nursing diagnoses and the plan of care requires RN-level
judgment.
7. Which nursing diagnosis is correctly written using NANDA-I structure
for an actual diagnosis?
A. Impaired skin integrity related to immobility as evidenced by a stage II
pressure injury
B. Risk for impaired skin integrity as evidenced by redness
C. Impaired skin integrity related to pressure injury
D. Pressure injury related to impaired skin integrity
Page 2 of 52
, Transition to Professional Nursing
ANSWER : A. Impaired skin integrity related to immobility as
evidenced by a stage II pressure injury — Actual diagnoses use
problem, etiology, and defining evidence (PES format).
8. A "risk for" nursing diagnosis differs from an actual nursing
diagnosis because it:
A. Requires no related factors
B. Has no "as evidenced by" clause since no signs or symptoms are
present
C. Cannot be included on a care plan
D. Is written only by physicians
ANSWER : B. Has no "as evidenced by" clause since no signs or
symptoms are present — Risk diagnoses identify vulnerability before
symptoms develop, so no defining characteristics exist yet.
9. During the planning step of the nursing process, the nurse primarily:
A. Collects baseline vital signs
B. Establishes goals and expected outcomes with the patient
C. Carries out prescribed treatments
D. Determines whether goals were met
ANSWER : B. Establishes goals and expected outcomes with the
patient — Planning sets measurable, patient-centered goals before care is
delivered.
10. A well-written expected outcome should be:
A. Specific, measurable, and time-limited
B. Focused solely on nursing tasks
C. Written only in medical terminology
D. Broad and open-ended
ANSWER : A. Specific, measurable, and time-limited — SMART
outcomes allow objective evaluation of patient progress.
11. Which action is an example of the implementation phase?
A. Administering a prescribed antibiotic
B. Writing the nursing diagnosis
C. Comparing patient outcomes to goals
D. Establishing priority goals
Page 3 of 52
, Transition to Professional Nursing
ANSWER : A. Administering a prescribed antibiotic — Implementation
is the step where planned interventions are actually carried out.
12. During evaluation, the nurse determines that a patient's pain goal
was not met. The appropriate next action is to:
A. Reassess the patient and revise the plan of care
B. Document that the patient is noncompliant
C. Discontinue the nursing diagnosis
D. Wait until the next shift to reassess
ANSWER : A. Reassess the patient and revise the plan of care —
Unmet goals require reassessment and modification of the care plan.
13. Who retains ultimate accountability for a plan of care carried out
collaboratively by an RN and an LVN?
A. The registered nurse
B. The licensed vocational nurse
C. The unit secretary
D. The charge nurse only
ANSWER : A. The registered nurse — The RN is accountable for
supervising and coordinating delegated care.
14. An LVN caring for a stable, chronic patient may legally do which of
the following under RN supervision?
A. Develop the initial plan of care
B. Reinforce previously taught diabetic foot care
C. Complete the initial comprehensive admission assessment
D. Formulate a new nursing diagnosis
ANSWER : B. Reinforce previously taught diabetic foot care — LVNs
contribute to and reinforce an established plan under RN direction.
15. Which statement best describes the relationship between the
nursing process and critical thinking?
A. Critical thinking is the cognitive process that drives each step of the
nursing process
B. They are unrelated concepts
C. Critical thinking is used only during evaluation
D. The nursing process replaces the need for critical thinking
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