,lOMoARcPSD|12286418
, lOMoARcPSD|12286418
Chapter 1 dt
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystecto
dt dt dt dt dt dt dt dt dt dt dt dt dt
my (gall bladder removal). What is the overall purpose of assessment for this client?
dt dt dt dt dt dt dt dt dt dt dt dt dt
A) Collecting accurate data dt dt
B) Assisting the primary care provider dt dt dt dt
C) Validating previous data dt dt
D) Making clinical judgments dt dt
2. A client has presented to the emergency department (ED) with complaints of abdominal pa
dt dt dt dt dt dt dt dt dt dt dt dt dt
in. Which member of the care team would most likely be responsible for collecting the su
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
bjective data on the client during the initial comprehensive assessment?
dt dt dt dt dt dt dt dt dt
A) Gastroenterologist
B) ED nurse dt
C) Admissions clerk dt
D) Diagnostic technician dt
3. The nurse has completed an initial assessment of a newly admitted client and is applying th
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
e nursing process to plan the client's care. What principle should the nurse apply when usi
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ng the nursing process?
dt dt dt
A) Each step is independent of the others. dt dt dt dt dt dt
B) It is ongoing and continuous. dt dt dt dt
C) It is used primarily in acute care settings.
dt dt dt dt dt dt dt
D) It involves independent nursing actions.
dt dt dt dt
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and per
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
form a comprehensive health assessment. Which of the following actions should the nurs
dt dt dt dt dt dt dt dt dt dt dt dt
e perform first?
dt dt
A) Review the client's medical record. dt dt dt dt
B) Obtain basic biographic data. dt dt dt
C) Consult clinical resources explaining the client's diagnosis. dt dt dt dt dt dt
D) Validate information with the client. dt dt dt dt
5. Which of the following client situations would the nurse interpret as requiring an e
dt dt dt dt dt dt dt dt dt dt dt dt dt
mergency assessment? dt
A) A pediatric client with severe sunburndt dt dt dt dt
B) A client needing an employment physical
dt dt dt dt dt
C) A client who overdosed on acetaminophen
dt dt dt dt dt
D) A distraught client who wants a pregnancy test
dt dt dt dt dt dt dt
, lOMoARcPSD|12286418
6. In response to a client's query, the nurse is explaining the differences between the physi
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
cian's medical exam and the comprehensive health assessment performed by the nurse.
dt dt dt dt dt dt dt dt dt dt dt dt
The nurse should describe the fact that the nursing assessment focuses on which aspect of
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
the client's situation?
dt dt dt
A) Current physiologic status dt dt
B) Effect of health on functional status dt dt dt dt dt
C) Past medical history dt dt
D) Motivation for adherence to treatment dt dt dt dt
7. After teaching a group of students about the phases of the nursing process, the instructor de
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
termines that the teaching was successful when the students identify which phase as bein
dt dt dt dt dt dt dt dt dt dt dt dt dt
g foundational to all other phases?
dt dt dt dt dt
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been ad
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
mitted for the treatment of community-
dt dt dt dt dt
acquired pneumonia. Following the completion of this assessment, the nurse periodicall
dt dt dt dt dt dt dt dt dt dt
y performs a partial assessment primarily for which reason?
dt dt dt dt dt dt dt dt
A) Reassess previously detected problems dt dt dt
B) Provide information for the client's record dt dt dt dt dt
C) Address areas previously omitted dt dt dt
D) Determine the need for crisis intervention dt dt dt dt dt
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
city neighborhood. Which client would the nurse determine to be in most need of an e
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
mergency assessment? dt
A) A 14-year-old girl who is crying because she thinks she is pregnant
dt dt dt dt dt dt dt dt dt dt dt
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
dt dt dt dt dt dt dt dt dt dt
C) A 3-year-old child with fever, rash, and sore throat
dt dt dt dt dt dt dt dt
D) A 20-year-old man with a 3-inch shallow laceration on his leg
dt dt dt dt dt dt dt dt dt dt
, lOMoARcPSD|12286418
Chapter 1 dt
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystecto
dt dt dt dt dt dt dt dt dt dt dt dt dt
my (gall bladder removal). What is the overall purpose of assessment for this client?
dt dt dt dt dt dt dt dt dt dt dt dt dt
A) Collecting accurate data dt dt
B) Assisting the primary care provider dt dt dt dt
C) Validating previous data dt dt
D) Making clinical judgments dt dt
2. A client has presented to the emergency department (ED) with complaints of abdominal pa
dt dt dt dt dt dt dt dt dt dt dt dt dt
in. Which member of the care team would most likely be responsible for collecting the su
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
bjective data on the client during the initial comprehensive assessment?
dt dt dt dt dt dt dt dt dt
A) Gastroenterologist
B) ED nurse dt
C) Admissions clerk dt
D) Diagnostic technician dt
3. The nurse has completed an initial assessment of a newly admitted client and is applying th
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
e nursing process to plan the client's care. What principle should the nurse apply when usi
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
ng the nursing process?
dt dt dt
A) Each step is independent of the others. dt dt dt dt dt dt
B) It is ongoing and continuous. dt dt dt dt
C) It is used primarily in acute care settings.
dt dt dt dt dt dt dt
D) It involves independent nursing actions.
dt dt dt dt
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and per
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
form a comprehensive health assessment. Which of the following actions should the nurs
dt dt dt dt dt dt dt dt dt dt dt dt
e perform first?
dt dt
A) Review the client's medical record. dt dt dt dt
B) Obtain basic biographic data. dt dt dt
C) Consult clinical resources explaining the client's diagnosis. dt dt dt dt dt dt
D) Validate information with the client. dt dt dt dt
5. Which of the following client situations would the nurse interpret as requiring an e
dt dt dt dt dt dt dt dt dt dt dt dt dt
mergency assessment? dt
A) A pediatric client with severe sunburndt dt dt dt dt
B) A client needing an employment physical
dt dt dt dt dt
C) A client who overdosed on acetaminophen
dt dt dt dt dt
D) A distraught client who wants a pregnancy test
dt dt dt dt dt dt dt
, lOMoARcPSD|12286418
6. In response to a client's query, the nurse is explaining the differences between the physi
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
cian's medical exam and the comprehensive health assessment performed by the nurse.
dt dt dt dt dt dt dt dt dt dt dt dt
The nurse should describe the fact that the nursing assessment focuses on which aspect of
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
the client's situation?
dt dt dt
A) Current physiologic status dt dt
B) Effect of health on functional status dt dt dt dt dt
C) Past medical history dt dt
D) Motivation for adherence to treatment dt dt dt dt
7. After teaching a group of students about the phases of the nursing process, the instructor de
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
termines that the teaching was successful when the students identify which phase as bein
dt dt dt dt dt dt dt dt dt dt dt dt dt
g foundational to all other phases?
dt dt dt dt dt
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been ad
dt dt dt dt dt dt dt dt dt dt dt dt dt dt
mitted for the treatment of community-
dt dt dt dt dt
acquired pneumonia. Following the completion of this assessment, the nurse periodicall
dt dt dt dt dt dt dt dt dt dt
y performs a partial assessment primarily for which reason?
dt dt dt dt dt dt dt dt
A) Reassess previously detected problems dt dt dt
B) Provide information for the client's record dt dt dt dt dt
C) Address areas previously omitted dt dt dt
D) Determine the need for crisis intervention dt dt dt dt dt
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
city neighborhood. Which client would the nurse determine to be in most need of an e
dt dt dt dt dt dt dt dt dt dt dt dt dt dt dt
mergency assessment? dt
A) A 14-year-old girl who is crying because she thinks she is pregnant
dt dt dt dt dt dt dt dt dt dt dt
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
dt dt dt dt dt dt dt dt dt dt
C) A 3-year-old child with fever, rash, and sore throat
dt dt dt dt dt dt dt dt
D) A 20-year-old man with a 3-inch shallow laceration on his leg
dt dt dt dt dt dt dt dt dt dt
