College
1. A nurse is performing an admission assessment. Which of the following is
considered objective data?
A. The patient reports feeling nauseous.
B. The patient states their pain is a 5 out of 10.
C. The patient’s blood pressure is 142/88 mmHg.
D. The patient expresses concern about upcoming surgery.
Answer: C
Rationale: Objective data are observable and measurable signs, such as vital signs, while
subjective data are what the patient describes (feelings, pain levels).
2. Which phase of the nursing process involves setting prioritized goals and
expected outcomes?
A. Assessment
B. Planning
C. Diagnosis
D. Implementation
Answer: B
Rationale: The planning phase involves identifying nursing interventions and establishing
patient-centered goals and measurable outcomes.
,3. According to Maslow’s Hierarchy of Needs, which of the following should the
nurse address first?
A. Self-esteem needs
B. Physiological needs
C. Safety and security
D. Love and belonging
Answer: B
Rationale: Physiological needs (oxygen, water, food, elimination) are the most basic and
must be met before higher-level needs.
4. A nurse is preparing to perform hand hygiene. When is it most appropriate to
use soap and water instead of alcohol-based hand rub?
A. When the hands are visibly soiled with blood or body fluids.
B. After touching a patient’s intact skin.
C. Before putting on sterile gloves.
D. After removing clean gloves.
Answer: A
Rationale: Soap and water must be used if hands are visibly dirty, contaminated with
proteinaceous material, or after caring for patients with C. difficile.
5. When using the PQRST mnemonic for pain assessment, what does the ‘R’
stand for?
A. Reaction
B. Reason
C. Relief
D. Region/Radiation
Answer: D
Rationale: PQRST stands for Provocation, Quality, Region/Radiation, Severity, and Timing.
, 6. What is the primary purpose of the ‘Evaluation’ phase of the nursing process?
A. To carry out the nursing care plan.
B. To determine the effectiveness of nursing interventions.
C. To identify new nursing diagnoses.
D. To collect baseline data.
Answer: B
Rationale: Evaluation determines whether the patient’s condition improved and if the
goals/outcomes were met.
7. A patient has a suspected airborne infection. Which piece of PPE is essential
for the nurse to wear?
A. Surgical mask
B. N95 respirator
C. Gown and gloves only
D. Face shield
Answer: B
Rationale: Airborne precautions (e.g., for TB or COVID-19) require an N95 respirator and a
negative-pressure room.
8. Which vital sign should be assessed first if a nurse suspects a patient is
experiencing orthostatic hypotension?
A. Temperature while sitting
B. Oxygen saturation while supine
C. Respiratory rate while standing
D. Blood pressure and heart rate while supine
Answer: D
Rationale: Assessment for orthostatic hypotension begins with taking the blood pressure
and pulse while the patient is in the supine position, then sitting and standing.