Answers 2026 | 200 Q&A Study Guide |
Nursing Fundamentals, Assessment,
Communication & Patient Care
,1. Which action is most important when performing an initial nursing
assessment?
A. Establishing the nursing diagnosis
B. Collecting subjective and objective data
C. Developing the nursing care plan
D. Evaluating the patient's response to treatment
Answer: _B. Collecting subjective and objective data_
Rationale: Assessment is the first step of the nursing process and involves
collecting both subjective and objective information about the patient.
2. Which finding is considered subjective data?
A. Blood pressure of 140/90 mmHg
B. Temperature of 38.2°C
C. Patient reports feeling nauseated
D. Respiratory rate of 24 breaths/min
Answer: _C. Patient reports feeling nauseated_
Rationale: Subjective data are symptoms or information reported by the patient.
3. Which finding represents objective data?
A. "I feel dizzy."
B. "My stomach hurts."
,C. "I am anxious."
D. Blood pressure of 150/88 mmHg
Answer: _D. Blood pressure of 150/88 mmHg_
Rationale: Objective data are measurable or observable findings obtained by the
nurse.
4. What is the correct order of the nursing process?
A. Diagnosis, assessment, planning, implementation, evaluation
B. Assessment, diagnosis, planning, implementation, evaluation
C. Planning, diagnosis, assessment, evaluation, implementation
D. Assessment, planning, diagnosis, implementation, evaluation
Answer: _B. Assessment, diagnosis, planning, implementation, evaluation_
Rationale: The nursing process follows ADPIE: Assessment, Diagnosis, Planning,
Implementation, and Evaluation.
5. Which nursing action occurs during the planning phase?
A. Collecting health history
B. Identifying nursing diagnoses
C. Establishing measurable patient goals
D. Administering prescribed medication
Answer: _C. Establishing measurable patient goals_
, Rationale: During planning, the nurse establishes expected outcomes and
develops interventions to achieve them.
6. Which temperature route generally provides the most accurate measurement
of core body temperature?
A. Axillary
B. Oral
C. Rectal
D. Skin
Answer: _C. Rectal_
Rationale: Rectal temperature generally reflects core body temperature more
closely than oral, axillary, or skin measurements.
7. Which pulse site is commonly used when assessing an adult's routine pulse?
A. Femoral
B. Radial
C. Popliteal
D. Apical
Answer: _B. Radial_
Rationale: The radial pulse is easily accessible and is commonly used for routine
adult pulse assessment.