RNSG 1517 Exam 1 Exam Questions and
Correct Answers (Verified Answers) Plus
Rationale 2027 Q&A| Instant Download Pdf
1. A nurse is assessing a newly admitted client. Which action is most
appropriate when beginning the nursing assessment?
A. Develop the nursing diagnoses
B. Implement the prescribed interventions
C. Collect subjective and objective data
D. Evaluate the client's response to treatment
Rationale: Assessment is the first step of the nursing process. The
nurse gathers subjective information from the client and objective
information through observation, physical examination, and available
diagnostic data before identifying problems or planning care.
2. Which statement best describes subjective data?
A. The client's blood pressure is 128/76 mm Hg.
B. The nurse observes redness around the incision.
,C. The client's temperature is 38.2°C (100.8°F).
D. The client reports feeling nauseated.
Rationale: Subjective data are symptoms or experiences reported by
the client and cannot be directly measured by the nurse. Nausea is a
personal sensation reported by the client, whereas vital signs and
observed findings are objective data.
3. A client tells the nurse, "My pain is an 8 out of 10." How should
the nurse classify this information?
A. Objective data
B. Diagnostic data
C. Subjective data
D. Secondary data
Rationale: Pain is a subjective experience, and the client's self-report
is the most reliable indicator of its intensity. The nurse should
document the client's reported pain level rather than substitute an
interpretation.
4. Which nursing action demonstrates the principle of client-
centered care?
A. Making decisions without consulting the client
B. Following routines regardless of individual needs
,C. Including the client in decisions about care
D. Allowing family members to make all healthcare decisions
Rationale: Client-centered care recognizes the client's preferences,
values, needs, and right to participate in decisions. The nurse should
collaborate with the client while respecting autonomy and applicable
legal considerations.
5. The nurse is preparing to assess a client's blood pressure. Which
action promotes an accurate reading?
A. Place the cuff over thick clothing.
B. Use a cuff that is smaller than the client's arm.
C. Position the client's arm supported at approximately heart level.
D. Ask the client to talk continuously during the measurement.
Rationale: Proper positioning helps produce an accurate blood
pressure measurement. The arm should be supported at heart level,
the client should be appropriately positioned, and a properly sized cuff
should be used.
6. Which vital sign should the nurse recognize as a primary indicator
of the body's temperature-regulation status?
A. Pulse
B. Respiratory rate
, C. Blood pressure
D. Temperature
Rationale: Temperature reflects the balance between heat produced
and heat lost by the body. Although other vital signs can change with
temperature disturbances, temperature directly measures thermal
status.
7. A nurse obtains a respiratory rate of 8 breaths/minute in an adult
client. How should the nurse interpret this finding?
A. Eupnea
B. Tachypnea
C. Bradypnea
D. Hyperventilation
Rationale: Bradypnea refers to an abnormally slow respiratory rate. In
an adult, a respiratory rate below the expected resting range should
prompt further assessment, particularly when accompanied by altered
consciousness or other signs of respiratory compromise.
8. Which assessment finding requires the nurse's most immediate
attention?
A. Pulse of 78 beats/minute
B. Respirations of 16 breaths/minute
Correct Answers (Verified Answers) Plus
Rationale 2027 Q&A| Instant Download Pdf
1. A nurse is assessing a newly admitted client. Which action is most
appropriate when beginning the nursing assessment?
A. Develop the nursing diagnoses
B. Implement the prescribed interventions
C. Collect subjective and objective data
D. Evaluate the client's response to treatment
Rationale: Assessment is the first step of the nursing process. The
nurse gathers subjective information from the client and objective
information through observation, physical examination, and available
diagnostic data before identifying problems or planning care.
2. Which statement best describes subjective data?
A. The client's blood pressure is 128/76 mm Hg.
B. The nurse observes redness around the incision.
,C. The client's temperature is 38.2°C (100.8°F).
D. The client reports feeling nauseated.
Rationale: Subjective data are symptoms or experiences reported by
the client and cannot be directly measured by the nurse. Nausea is a
personal sensation reported by the client, whereas vital signs and
observed findings are objective data.
3. A client tells the nurse, "My pain is an 8 out of 10." How should
the nurse classify this information?
A. Objective data
B. Diagnostic data
C. Subjective data
D. Secondary data
Rationale: Pain is a subjective experience, and the client's self-report
is the most reliable indicator of its intensity. The nurse should
document the client's reported pain level rather than substitute an
interpretation.
4. Which nursing action demonstrates the principle of client-
centered care?
A. Making decisions without consulting the client
B. Following routines regardless of individual needs
,C. Including the client in decisions about care
D. Allowing family members to make all healthcare decisions
Rationale: Client-centered care recognizes the client's preferences,
values, needs, and right to participate in decisions. The nurse should
collaborate with the client while respecting autonomy and applicable
legal considerations.
5. The nurse is preparing to assess a client's blood pressure. Which
action promotes an accurate reading?
A. Place the cuff over thick clothing.
B. Use a cuff that is smaller than the client's arm.
C. Position the client's arm supported at approximately heart level.
D. Ask the client to talk continuously during the measurement.
Rationale: Proper positioning helps produce an accurate blood
pressure measurement. The arm should be supported at heart level,
the client should be appropriately positioned, and a properly sized cuff
should be used.
6. Which vital sign should the nurse recognize as a primary indicator
of the body's temperature-regulation status?
A. Pulse
B. Respiratory rate
, C. Blood pressure
D. Temperature
Rationale: Temperature reflects the balance between heat produced
and heat lost by the body. Although other vital signs can change with
temperature disturbances, temperature directly measures thermal
status.
7. A nurse obtains a respiratory rate of 8 breaths/minute in an adult
client. How should the nurse interpret this finding?
A. Eupnea
B. Tachypnea
C. Bradypnea
D. Hyperventilation
Rationale: Bradypnea refers to an abnormally slow respiratory rate. In
an adult, a respiratory rate below the expected resting range should
prompt further assessment, particularly when accompanied by altered
consciousness or other signs of respiratory compromise.
8. Which assessment finding requires the nurse's most immediate
attention?
A. Pulse of 78 beats/minute
B. Respirations of 16 breaths/minute
