And Answers 2026/2027 Rasmussen
Q1. Which step of the nursing process involves collecting subjective and
objective information about a client's health status?
A) Diagnosis
B) Assessment
C) Planning
D) Evaluation
Correct Answer: B) Assessment
Rationale: Assessment is the first step of the nursing process and involves
systematic collection of information about the client's health status.
Q2. A nurse reviews assessment findings and identifies a client problem that
can be addressed through nursing interventions. Which step of the nursing
process is the nurse performing?
A) Planning
B) Diagnosis
C) Implementation
D) Evaluation
Correct Answer: B) Diagnosis
Rationale: The diagnosis step involves analyzing assessment data and
identifying actual or potential responses to health problems that nursing can
address.
Q3. Which finding is considered subjective data?
A) Blood pressure of 146/88 mm Hg
B) Temperature of 38.2°C
C) Client reports feeling nauseated
D) Skin is warm and flushed
Correct Answer: C) Client reports feeling nauseated
Rationale: Subjective data are symptoms or experiences reported by the
client. Objective data are observable or measurable findings.
Q4. A nurse uses the nursing process for a client whose condition changes
several times during a shift. Which characteristic of the nursing process
explains why the plan of care can be modified repeatedly?
A) Static
B) Dynamic
, C) Administrative
D) Diagnostic
Correct Answer: B) Dynamic
Rationale: The nursing process is dynamic, meaning its steps interact and
may need to be revisited as the client's condition changes.
Q5. Which statement best describes a nursing diagnosis?
A) It identifies the medical disease causing the client's symptoms.
B) It identifies the client's response to an actual or potential health problem.
C) It establishes the physician's treatment plan.
D) It predicts the client's insurance needs.
Correct Answer: C) It identifies the client's response to an actual or potential
health problem.
Rationale: Nursing diagnoses describe human responses to health conditions
that nurses are licensed to assess and treat independently or collaboratively.
Q6. Which nursing diagnosis is written correctly?
A) Pneumonia related to infection as evidenced by fever
B) Appendicitis related to abdominal pain as evidenced by guarding
C) Impaired Skin Integrity related to prolonged pressure as evidenced by a
sacral wound
D) Diabetes mellitus related to elevated glucose as evidenced by thirst
Correct Answer: C) Impaired Skin Integrity related to prolonged pressure as
evidenced by a sacral wound
Rationale: A problem-focused nursing diagnosis identifies a client response
and, when appropriate, includes related factors and defining characteristics.
Medical diagnoses such as pneumonia and diabetes are not nursing
diagnoses.
Q7. A nurse identifies "Risk for Falls" for an older adult who has an unsteady
gait. Which characteristic distinguishes this diagnosis from an actual
problem-focused diagnosis?
A) It requires defining characteristics.
B) It describes a potential problem rather than an established problem.
C) It identifies a medical disease.
D) It cannot be addressed with nursing interventions.
Correct Answer: B) It describes a potential problem rather than an
established problem.