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