Exam Bank
SAUNDERS NCLEX-PN NURSING PROCESS (ADPIE): 50 HIGH-YIELD
PRACTICE QUESTIONS WITH RATIONALES 9TH EDITION TEST BANK
BY LINDA ANNE SILVESTRI PHD RN ANEF FAAN (AUTHOR)
PAPERBACK JUNE 2026
1. Which action is part of the ASSESSMENT phase?
A. Administering pain medication
B. Teaching deep breathing
C. Checking vital signs
D. Evaluating pain relief
✅Correct Answer: C
Rationale:
Assessment = collecting data (vital signs, history, observations).
2. Which data is considered SUBJECTIVE?
A. Blood pressure 140/90
B. Oxygen saturation 92%
C. “I feel nauseated”
D. Temperature 38.2°C
✅Correct Answer: C
Rationale:
Subjective data = what the patient says.
3. Which finding should the nurse assess FIRST?
A. Pain score of 4/10
B. Shortness of breath
C. Constipation for 3 days
D. Difficulty sleeping
✅Correct Answer: B
Rationale:
Assessment priority follows ABCs. Breathing comes first.
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4. A nurse documents crackles in the lungs. This is:
A. Subjective data
B. Objective data
C. Nursing diagnosis
D. Evaluation
✅Correct Answer: B
Rationale:
Crackles are observed → objective data.
5. Which action is inappropriate during assessment?
A. Asking open-ended questions
B. Interpreting data
C. Observing patient behavior
D. Measuring vital signs
✅Correct Answer: B
Rationale:
Interpreting data belongs to the diagnosis phase, not assessment.
6. When should assessment be performed?
A. Only on admission
B. Only when the patient complains
C. Continuously
D. At discharge only
✅Correct Answer: C
Rationale:
Assessment is ongoing and continuous.
7. Which is the BEST assessment question for pain?
SAUNDERS NCLEX-PN NURSING PROCESS (ADPIE): 50 HIGH-YIELD
PRACTICE QUESTIONS WITH RATIONALES 9TH EDITION TEST BANK
BY LINDA ANNE SILVESTRI PHD RN ANEF FAAN (AUTHOR)
PAPERBACK JUNE 2026
1. Which action is part of the ASSESSMENT phase?
A. Administering pain medication
B. Teaching deep breathing
C. Checking vital signs
D. Evaluating pain relief
✅Correct Answer: C
Rationale:
Assessment = collecting data (vital signs, history, observations).
2. Which data is considered SUBJECTIVE?
A. Blood pressure 140/90
B. Oxygen saturation 92%
C. “I feel nauseated”
D. Temperature 38.2°C
✅Correct Answer: C
Rationale:
Subjective data = what the patient says.
3. Which finding should the nurse assess FIRST?
A. Pain score of 4/10
B. Shortness of breath
C. Constipation for 3 days
D. Difficulty sleeping
✅Correct Answer: B
Rationale:
Assessment priority follows ABCs. Breathing comes first.
, Exam Bank
4. A nurse documents crackles in the lungs. This is:
A. Subjective data
B. Objective data
C. Nursing diagnosis
D. Evaluation
✅Correct Answer: B
Rationale:
Crackles are observed → objective data.
5. Which action is inappropriate during assessment?
A. Asking open-ended questions
B. Interpreting data
C. Observing patient behavior
D. Measuring vital signs
✅Correct Answer: B
Rationale:
Interpreting data belongs to the diagnosis phase, not assessment.
6. When should assessment be performed?
A. Only on admission
B. Only when the patient complains
C. Continuously
D. At discharge only
✅Correct Answer: C
Rationale:
Assessment is ongoing and continuous.
7. Which is the BEST assessment question for pain?
