Answers | 2026/2027 | Rasmussen University
Q1. Which finding represents objective assessment data?
A) "I feel dizzy when I stand."
B) "My pain is getting worse."
C) Blood pressure of 88/54 mm Hg
D) "I feel unusually tired."
Correct Answer: C) Blood pressure of 88/54 mm Hg
Rationale: Objective data are measurable or directly observable findings,
such as vital signs. Statements reported by the client are subjective data.
Q2. Before beginning a general physical assessment, which action
has the highest priority?
A) Determine whether the client is medically stable
B) Complete the entire health history
C) Document all findings
D) Obtain the client's dietary preferences
Correct Answer: A) Determine whether the client is medically stable
Rationale: A brief primary assessment first identifies immediate threats to
airway, breathing, circulation, or mental status so urgent problems can be
addressed before a more detailed assessment.
Q3. Which assessment finding requires the most immediate follow-
up?
A) Respiratory rate of 16/min
B) New change in level of consciousness
C) Temperature of 36.9°C (98.4°F)
D) Pulse of 78/min
Correct Answer: B) New change in level of consciousness
Rationale: An acute change in consciousness may indicate significant
deterioration and requires prompt assessment and intervention.
Q4. A blood pressure cuff that is too small can produce which effect?
A) Falsely low blood pressure
B) No effect on the reading
, C) Falsely high blood pressure
D) Elimination of Korotkoff sounds
Correct Answer: C) Falsely high blood pressure
Rationale: A cuff that is too small can overestimate blood pressure, while an
appropriately sized cuff improves measurement accuracy.
Q5. Where should the arm be positioned when measuring blood
pressure?
A) Above shoulder level
B) Hanging freely at the side
C) Behind the client's back
D) Supported approximately at heart level
Correct Answer: D) Supported approximately at heart level
Rationale: The arm should be supported at heart level to minimize
positional effects on the blood pressure measurement.
Q6. Which finding is most consistent with orthostatic hypotension?
A) Blood pressure decreases after moving to standing
B) Blood pressure increases after lying down
C) Heart rate remains unchanged during all activity
D) Temperature falls after eating
Correct Answer: A) Blood pressure decreases after moving to standing
Rationale: Orthostatic hypotension occurs when blood pressure falls with a
positional change, particularly when the client moves from lying or sitting to
standing.
Q7. Which question best evaluates a client's functional mobility?
A) "What is your favorite meal?"
B) "Can you safely get from the bed to the bathroom by yourself?"
C) "What time do you usually eat dinner?"
D) "Do you prefer morning or evening appointments?"
Correct Answer: B) "Can you safely get from the bed to the bathroom by
yourself?"
Rationale: Functional mobility assessment determines how effectively and
safely the client can perform movement and daily activities.