RN Nursing Process Assessment Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

RN Nursing Process Assessment Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the nurse’s priority action when assessing a nonverbal client in pain? Observe facial expressions and body language for pain indicators The nurse is assessing a wound. What should be included in the documentation? Location, size, color, drainage, odor, and surrounding tissue condition During an assessment, the nurse notices the client has slurred speech. What should the nurse do? Perform a focused neurological assessment What type of assessment is performed immediately after a change in a client’s condition? Focused assessment A client with heart failure is being assessed for fluid retention. What is the most accurate indicator? Daily weight measurements 2 A nurse is caring for a client with a new diagnosis of diabetes. What kind of assessment should be performed to identify learning needs? Psychosocial and educational assessment What is the nurse’s first action when beginning the assessment of a newly admitted client? Introduce yourself and verify the client's identity A client tells the nurse, “I’ve been feeling really tired lately.” What kind of data is this? Subjective data The nurse observes that a client has a swollen ankle. What kind of data is this? Objective data What is the most reliable way for a nurse to identify a client before performing an assessment? Ask the client to state their full name and date of birth 3 During an assessment, the nurse notes a respiratory rate of 28 breaths per minute. How should this be classified? Objective data A client reports, “I haven’t eaten all day because I feel sick.” What should the nurse do next? Ask follow-up questions to explore the nausea and appetite A client winces while moving in bed but denies any pain. What should the nurse document? Both the client's statement and the nurse’s observation Why is it important for the nurse to perform a head-to-toe assessment on admission? To establish a baseline for future comparison What should the nurse do before beginning physical assessment of the lungs? Ask the client for permission and explain the procedure A client tells the nurse, “I feel dizzy when I stand up.” What assessment technique should the nurse use next? 4 Measure orthostatic vital signs What is the purpose of collecting both subjective and objective data during an assessment? To form a complete and accurate picture of the client’s