ASSESSMENT STUDY SHEET 2026 GRADED
A+.
⫸ A nurse is assessing an adolescent client who has attention deficit
hyperactivity disorder (ADHD). Which of the following findings
should the nurse expect?
a. Elevated mood
b. Anxiety
c. Emotional numbing
d. Impulsivity. Answer: d. Impulsivity
⫸ A nurse is developing the plan of care for a client who does not
speak the same language as the nurse. Which of the following
interventions should the nurse include?
a. Make sure a family member is present to interpret for the staff
b. Encourage the client to nod to indicates understanding
c. Determine the client's level of fluency in his primary language
d. Speak directly to the interpreter when teaching the client. Answer:
b. Encourage the client to nod to indicates understanding
⫸ A nurse has completed care procedures for client who requires
airborne precautions. Which of the following items of personal
protective equipment (PPE) should the nurse remove last?
a. Gloves
,b. Gown
c. Mask
d. Goggles. Answer: c. Mask
⫸ Following a tornado, a nurse is determining which of the clients
assigned to her care can be discharged to free up beds for injured
clients. Which of the following clients should the nurse recommend
for discharge?
a. An older adult who was admitted for diabetic ketoacidosis and his
most recent ABGs show
his pH is now 7.32
b. Middle adult who is 36hr postoperative from an open laminectomy
c. An adolescent client who was admitted 24hr ago due to a
spontaneous pneumothorax
d. A young adult client who has Crohn's disease and is 1 day
preoperative for an ileostomy. Answer: d. A young adult client who
has Crohn's disease and is 1 day preoperative for an ileostomy
⫸ A community mental health nurse is assessing client who has
schizophrenia. Which of the following findings indicates the client
might be relapsing?
a. The client reports feelings of anger toward her provider
b. The client states have started smoking again
c. The client is wearing mismatched clothing
d. The client reports difficulties with sleeping and concentrating.
Answer: d. The client reports difficulties with sleeping and
concentrating
,⫸ A nurse is caring for a client whose informed consent form has
been signed in preparation for a procedure. The client states, "I have
decided not to have the procedure. "Which of the following actions
should the nurse take?
a. Remind the client the consent form has already been signed
b. Discuss alternatives to the procedure
c. Explain why this procedure is necessary
d. Inform the provider that the client is withdrawing consent. Answer:
d. Inform the provider that the client is withdrawing consent
⫸ A nurse in a mental health facility is caring for a client who is a
client who is upset about the loss of privileges due to repetitive
negative behavior. Which of the following statements by the nurse
demonstrates the effective use of assertive communication?
a. "You need to calm down before discussing this matter any further"
b. "I understand that you are angry. However, I followed the
appropriate protocol
c. "You were made aware of the consequences of negative behavior"
d. "Why did you make the choice to behave negatively?". Answer: b.
"I understand that you are angry. However, I followed the appropriate
protocol
⫸ A nurse is caring for an adolescent client who has a new diagnosis
of schizophrenia. The client's parents are tearful and express feelings
of guilt. Which of the following statements should the nurse make?
, a. "You said that you feel guilty about your daughter's diagnosis. Lets
talk about what is causing you to feel this way".
b. "Your provider has explained the causes of schizophrenia why you
feel guilty about your daughter diagnosis?"
c. "You should not feel guilty about your daughter's diagnosis.
Schizophrenia is unpreventable".
d. "I'm sure your daughter's diagnosis is very difficult to deal with, but
everything will be all
right once she receives the proper treatment".. Answer: a. "You said
that you feel guilty about your daughter's diagnosis. Lets talk about
what is causing you to feel this way".
⫸ A nurse in the emergency department is assessing a client who has
experienced intimate partner abuse. The nurse should monitor the
client for which of the following behavioral findings?
a. Body image disturbance
b. Altered role performance
c. Personal identity disturbance
d. Self- esteem disturbance. Answer: d. Self- esteem disturbance
⫸ A nurse is preparing to administer oral medications to a client.
Which of the following should the nurse recognize as an acceptable
client identifier? (Select all that apply)
a. Partner's full name
b. Facility room number
c. Client's full name