Questions with Verified Answers and Rationales 2026/2027 Edition | Complete Test Bank
SECTION 1: FUNDAMENTALS OF HEALTH ASSESSMENT
(Questions 1-35)
Question 1
The nurse is preparing to perform a health assessment on a
newly admitted patient. Which action should the nurse take
first?
A) Perform a head-to-toe physical examination
B) Collect subjective data through a health history interview
✅
C) Review the patient's laboratory results
D) Measure the patient's vital signs
Rationale: The nursing assessment process begins with the
collection of subjective data through an interview/health
history. This provides the foundation for the physical
examination and helps guide focused objective data
collection .
,Question 2
Which of the following is an example of subjective data?
A) Blood pressure 118/76 mmHg
B) "I feel nauseated and dizzy when I stand up." ✅
C) Heart rate 92 beats per minute
D) Lungs clear to auscultation
Rationale: Subjective data are what the person says about
themselves during history taking. Objective data are what the
nurse observes by inspecting, percussing, palpating, and
auscultating during physical examination .
Question 3
Which of the following is an example of objective data?
A) "My chest hurts when I take a deep breath."
B) "I have been feeling tired for the past week."
C) Patient has a 2 cm x 3 cm scar on the right lower abdomen
✅
D) "I feel anxious about my surgery tomorrow."
, Rationale: Objective data are measurable and observable
through physical examination. A scar is an objective finding.
Patient reports of pain, fatigue, and anxiety are subjective
data .
Question 4
The nurse is assessing a patient's level of consciousness.
Which is the most reliable indicator?
A) The patient's report of being awake
B) Response to verbal and painful stimuli ✅
C) Ability to maintain eye contact
D) Spontaneous movement of all extremities
Rationale: Level of consciousness is assessed by observing
orientation, awakening to voice, and response to painful
stimuli if unresponsive. The Glasgow Coma Scale is a
standard tool used to assess consciousness .