1. A nurse is collecting subjective data from a patient. Which of the following is an example
of subjective data?
A. Blood pressure reading of 128/76 mmHg
B. Respiratory rate of 18 breaths per minute
C. The patient states, “I feel nauseous.”
D. Skin that is warm and dry
2. Which action best demonstrates the assessment phase of the nursing process?
A. Setting short-term goals for recovery
B. Asking the patient about their pain level
C. Administering prescribed medications
D. Documenting patient education
3. A nurse finds that a patient's call bell is out of reach. What is the most appropriate
action?
A. Tell the patient to call out if they need help
B. Move the call bell closer to the patient
C. Ignore it since the patient is alert and oriented
D. Notify the physician
4. Which of the following is a priority based on Maslow’s hierarchy of needs?
A. Self-actualization
B. Pain relief
C. Self-esteem
D. Spiritual fulfillment
5. A nurse notes a patient with a Braden score of 12. What is the best nursing action?
A. Reassess the score in one week
B. Place the patient on fall precautions
C. Initiate pressure ulcer prevention protocols
D. Encourage fluid intake
6. Which behavior best represents accountability in nursing practice?
A. Avoiding tasks that seem difficult
B. Asking another nurse to finish your charting
C. Admitting a documentation error and correcting it
D. Leaving tasks for the next shift
, 7. A patient is crying and says, “No one understands what I’m going through.” What is the
best response?
A. “You’re overreacting.”
B. “Try to calm down.”
C. “Tell me more about how you're feeling.”
D. “It will get better soon.”
8. Which scenario best reflects the concept of “if it’s not documented, it’s not done”?
A. Performing wound care but forgetting to chart it
B. Delegating a task to an aide
C. Reviewing another nurse’s documentation
D. Explaining a task verbally to the charge nurse
9. A nurse walks into a room and finds the patient gasping. What should the nurse do first?
A. Check the blood pressure
B. Notify the provider
C. Assess airway
D. Apply oxygen
10. When using the nursing process, evaluation refers to:
A. Gathering data about the patient
B. Determining whether outcomes were met
C. Performing physical assessments
D. Educating the patient
11. The nurse is reinforcing teaching. Which is the best way to confirm patient
understanding?
A. Ask, “Do you understand?”
B. Say, “That was easy, right?”
C. Ask the patient to repeat the information
D. Provide written materials
12. A nurse receives a patient assignment and begins to prioritize care. What patient need
should be addressed first?
A. A patient asking for a blanket
B. A patient requesting a snack
C. A patient experiencing shortness of breath
D. A patient with a new prescription
13. The primary goal of the nursing process is to:
A. Complete physician orders