Nursing, 8th Edition by Janet R. Weber |
Complete Chapters 1–34 | NCLEX-Style
Questions with Evidence-Based Rationales |
2026 Exam Prep
1. Which statement best describes the primary purpose of a nursing health
assessment?
A. To confirm the medical diagnosis
B. To collect subjective and objective data to make clinical judgments
C. To replace the physician's history and physical examination
D. To document only abnormal findings
Answer: B. To collect subjective and objective data to make clinical judgments
Rationale: The purpose of nursing health assessment is to gather subjective and
objective data to determine the client's overall level of functioning and to make
professional clinical judgments.
2. Which type of data is the client's report of nausea?
A. Objective data
B. Subjective data
, C. Diagnostic data
D. Laboratory data
Answer: B. Subjective data
Rationale: Subjective data are information reported by the client, including
symptoms, feelings, and sensations. Nausea is a symptom that cannot be directly
measured by the nurse.
3. A nurse is admitting a client to the hospital. Which assessment is performed
to establish a baseline and identify all actual and potential health
problems?
A. Focused assessment
B. Emergency assessment
C. Comprehensive assessment
D. Shift assessment
Answer: C. Comprehensive assessment
Rationale: A comprehensive assessment is performed on admission and includes a
complete health history and physical examination to establish a baseline and
identify actual and potential problems.
4. Which action best demonstrates that the nurse understands assessment is
ongoing?
A. Completing the admission assessment only
B. Reassessing the client after a change in condition
C. Waiting for the provider to request new vital signs
D. Documenting the initial assessment once per stay
,Answer: B. Reassessing the client after a change in condition
Rationale: Assessment is continuous. The nurse reassesses the client whenever
there is a change in condition, after interventions, and at regular intervals to
detect deterioration or improvement.
5. Which question is the best example of an open-ended interview question?
A. "Are you in pain?"
B. "Do you smoke?"
C. "Tell me what brought you to the hospital today."
D. "Have you ever had surgery?"
Answer: C. "Tell me what brought you to the hospital today."
Rationale: Open-ended questions invite the client to describe concerns in their
own words and provide richer information. Closed-ended questions elicit brief yes-
or-no or short Answers.
6. During an interview, the client looks away and crosses their arms when
asked about home safety. What is the nurse's best action?
A. Continue asking the same questions more loudly
B. Ignore the behavior and finish the interview quickly
C. Acknowledge the client's discomfort and ask if they feel safe discussing it
D. Document that the client is uncooperative
Answer: C. Acknowledge the client's discomfort and ask if they feel safe
discussing it
, Rationale: Nonverbal cues such as avoiding eye contact and crossing arms may
indicate discomfort, fear, or embarrassment. Acknowledging the behavior and
offering the client control can preserve trust and improve disclosure.
7. Which action best protects client confidentiality during an interview?
A. Interviewing the client in a private area
B. Discussing the client's history in the hallway
C. Sharing information with the client's neighbors
D. Leaving the client's chart open at the nurses' station
Answer: A. Interviewing the client in a private area
Rationale: Privacy is essential for confidentiality. Interviewing in a private area
prevents others from overhearing sensitive information and supports the client's
right to privacy.
8. A client speaks limited English. What is the nurse's most appropriate action
when obtaining a health history?
A. Ask a family member to interpret
B. Use a professional medical interpreter
C. Speak loudly and slowly in English
D. Skip the history and proceed to the physical examination
Answer: B. Use a professional medical interpreter
Rationale: Professional interpreters provide accurate and confidential
communication. Using family members can lead to errors, breaches of
confidentiality, and omission of sensitive information.