(2026) Q&A
1. A nurse is explaining the purpose of a holistic health assessment to a new patient.
Which statement best describes this process?
A) It focuses primarily on the patient's physical symptoms and medical history
B) It collects physiologic, psychological, sociocultural, developmental, and spiritual
data
C) It is performed only when the patient is acutely ill
D) It replaces the need for laboratory and diagnostic testing
Correct Answer: It collects physiologic, psychological, sociocultural, developmental,
and spiritual data
Rationale: A holistic nursing assessment uses both subjective and objective data to
create a comprehensive picture, collecting physiologic, psychological, sociocultural,
developmental, and spiritual information about the client. It recognizes that health is
influenced by multiple interconnected dimensions. Physical medical assessment
focuses primarily on objective, measurable data.
2. What is the registered nurse's responsibility regarding assessment according to
ANA Standard 1?
A) To diagnose medical conditions independently
B) To collect comprehensive data pertinent to the patient's health or situation
C) To prescribe medications based on assessment findings
D) To delegate all data collection to unlicensed assistive personnel
Correct Answer: To collect comprehensive data pertinent to the patient's health or
situation
,Rationale: ANA Standard 1 states that the registered nurse collects comprehensive
data pertinent to the patient's health or situation. This standard emphasizes the
nurse's primary role in systematic, ongoing data collection. The nurse does not
independently diagnose medical conditions or prescribe medications.
3. Which phase of the nursing process involves analyzing assessment data to make a
nursing judgment?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Correct Answer: Diagnosis
Rationale: The diagnosis phase involves analyzing the collected assessment data to
make a nursing judgment. This is the second step of the ADPIE framework.
Assessment is the first step of data collection, planning involves developing outcome
criteria, and implementation is carrying out the plan.
4. A nurse is performing a health assessment on a patient entering the healthcare
system for the first time. Which type of assessment is being performed?
A) Ongoing or partial assessment
B) Focused/problem-oriented assessment
C) Initial comprehensive assessment
D) Emergency assessment
Correct Answer: Initial comprehensive assessment
, Rationale: An initial comprehensive assessment is performed when the client first
enters a health care system to establish baseline data against which future health
status changes can be measured. It includes a full health history and physical
examination. Focused assessments target specific problems.
5. A patient admitted 3 days ago undergoes a quick overview of body systems to
detect changes. What type of assessment is this?
A) Initial comprehensive assessment
B) Ongoing or partial assessment
C) Focused/problem-oriented assessment
D) Emergency assessment
Correct Answer: Ongoing or partial assessment
Rationale: An ongoing or partial assessment consists of data collection that occurs
after the comprehensive database is established. It includes a mini-overview of the
client's body systems as a follow-up on health status. It is performed whenever the
nurse has an encounter with the client.
6. A patient comes to the clinic with a chief complaint of a sore throat. The nurse
performs a thorough assessment of the throat only. What type of assessment is this?
A) Initial comprehensive assessment
B) Ongoing or partial assessment
C) Focused/problem-oriented assessment
D) Emergency assessment
Correct Answer: Focused/problem-oriented assessment