The Nursing Process exam questions 2026 Correct Answers
1. Question
A nurse is conducting an admission assessment on a client who arrived at the
emergency department.
Which of the following findings should the nurse document as subjective data?
A. The client’s blood pressure is 150/90 mmHg.
B. The client is observed grimacing when holding their abdomen.
C. The client states, "I feel like my heart is racing and I'm very nauseous."
Correct Answer
D. The client has audible wheezing upon auscultation of the lungs.
Incorrect
Incorrect
Correct Answer: C. The client states, “I feel like my heart is racing and I’m very
nauseous.”
, Subjective data (symptoms) consists of covert information such as feelings,
perceptions, or sensations that can be verified only by the patient. Objective data
(signs) are measurable and observable by the nurse.
2. Question
In the nursing theory developed by Ida Jean Orlando, which specific element is
identified as the trigger that sets the nursing process in motion?
A. The patient's behavior
Correct
B. The nurse’s intuition
C. The formulation of a nursing diagnosis
D. The physician’s admission orders
Correct
Correct Answer: A. The patient’s behavior
Orlando’s theory posits that the nursing process is set in motion by the patient’s
behavior. The nurse then analyzes this behavior to diagnose the patient’s distress
and determine their immediate needs.
1. Question
A nurse is conducting an admission assessment on a client who arrived at the
emergency department.
Which of the following findings should the nurse document as subjective data?
A. The client’s blood pressure is 150/90 mmHg.
B. The client is observed grimacing when holding their abdomen.
C. The client states, "I feel like my heart is racing and I'm very nauseous."
Correct Answer
D. The client has audible wheezing upon auscultation of the lungs.
Incorrect
Incorrect
Correct Answer: C. The client states, “I feel like my heart is racing and I’m very
nauseous.”
, Subjective data (symptoms) consists of covert information such as feelings,
perceptions, or sensations that can be verified only by the patient. Objective data
(signs) are measurable and observable by the nurse.
2. Question
In the nursing theory developed by Ida Jean Orlando, which specific element is
identified as the trigger that sets the nursing process in motion?
A. The patient's behavior
Correct
B. The nurse’s intuition
C. The formulation of a nursing diagnosis
D. The physician’s admission orders
Correct
Correct Answer: A. The patient’s behavior
Orlando’s theory posits that the nursing process is set in motion by the patient’s
behavior. The nurse then analyzes this behavior to diagnose the patient’s distress
and determine their immediate needs.
