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, lOMoARcPSD| 12286418
Chapter 1 Wi
1. A nurse on a postsurgical unit is admitting a client following the client's cholecy
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stectomy (gall bladder removal). What is the overall purpose of assessment for thi
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s client?
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A) Collecting accurate data Wi Wi
B) Assisting the primary care provider Wi Wi Wi Wi
C) Validating previous data Wi Wi
D) Making clinical judgments Wi Wi
2. A client has presented to the emergency department (ED) with complaints of abdom
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inal pain. Which member of the care team would most likely be responsible for co
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llecting the subjective data on the client during the initial comprehensive assessme
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nt?
A) Gastroenterologist
B) ED nurse Wi
C) Admissions clerk Wi
D) Diagnostic technician Wi
3. The nurse has completed an initial assessment of a newly admitted client and is appl
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ying the nursing process to plan the client's care. What principle should the nurse a
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pply when using the nursing process?
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A) Each step is independent of the others.
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B) It is ongoing and continuous.
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C) It is used primarily in acute care settings.
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D) It involves independent nursing actions.
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4. The nurse who provides care at an ambulatory clinic is preparing to meet a client
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and perform a comprehensive health assessment. Which of the following actions s
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hould the nurse perform first?
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A) Review the client's medical record. Wi Wi Wi Wi
B) Obtain basic biographic data. Wi Wi Wi
C) Consult clinical resources explaining the client's diagnosis.
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D) Validate information with the client. Wi Wi Wi Wi
5. Which of the following client situations would the nurse interpret as requirin
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g an emergency assessment?
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A) A pediatric client with severe sunburn
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B) A client needing an employment physical
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C) A client who overdosed on acetaminophen
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D) A distraught client who wants a pregnancy test
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, lOMoARcPSD| 12286418
6. In response to a client's query, the nurse is explaining the differences between th
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e physician's medical exam and the comprehensive health assessment performed b
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y the nurse. The nurse should describe the fact that the nursing assessment focuses
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on which aspect of the client's situation?
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A) Current physiologic status Wi Wi
B) Effect of health on functional status
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C) Past medical history Wi Wi
D) Motivation for adherence to treatment Wi Wi Wi Wi
7. After teaching a group of students about the phases of the nursing process, the instr
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uctor determines that the teaching was successful when the students identify which
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phase as being foundational to all other phases?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has
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been admitted for the treatment of community-
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acquired pneumonia. Following the completion of this assessment, the nurse period
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ically performs a partial assessment primarily for which reason?
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A) Reassess previously detected problems Wi Wi Wi
B) Provide information for the client's record
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C) Address areas previously omitted Wi Wi Wi
D) Determine the need for crisis intervention Wi Wi Wi Wi Wi
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
-
city neighborhood. Which client would the nurse determine to be in most need
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of an emergency assessment?
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A) A 14-year-old girl who is crying because she thinks she is pregnant
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B) A 45-year-old man with chest pain and diaphoresis for 1 hour
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C) A 3-year-old child with fever, rash, and sore throat
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D) A 20-year-old man with a 3-inch shallow laceration on his leg
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, lOMoARcPSD| 12286418
10. A nurse has completed gathering some basic data about a client who has multiple h
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ealth problems that stem from heavy alcohol use. The nurse has then reflected on he
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r personal feelings about the client and his circumstances. The nurse does this prim
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arily to accomplish which of the following?
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A) Determine if pertinent data has been omitted Wi Wi Wi Wi Wi Wi
B) Identify the need for referral Wi Wi Wi Wi
C) Avoid biases and judgments Wi Wi Wi
D) Construct a plan of care Wi Wi Wi Wi
11. The nurse is collecting data from a client who has recently been diagnosed with ty
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pe 1 diabetes and who will begin an educational program. The nurse is collecting s
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ubjective and objective data. Which of the following would the nurse categorize as
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objective data? Wi
A) Family history Wi
B) Occupation
C) Appearance
D) History of present health concern Wi Wi Wi Wi
12. An older adult client has been admitted to the hospital with failure to thrive resu
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lting from complications of diabetes. Which of the following would the nurse imp
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lement in response to a collaborative problem?
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A) Encourage the client to increase oral fluid intake. Wi Wi Wi Wi Wi Wi Wi
B) Provide the client with a bedtime protein snack. Wi Wi Wi Wi Wi Wi Wi
C) Assist the client with personal hygiene. Wi Wi Wi Wi Wi
D) Measure the client's blood glucose four times daily. Wi Wi Wi Wi Wi Wi Wi
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
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following clients. For which clients would the nurse most likely expect to facili
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tate a referral?
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A) An 80-year-old client who lives with her daughter
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B) A 50-year-old client newly diagnosed with diabetes
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C) An adult presenting for an influenza vaccination
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D) A teenager seeking information about contraception
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14. An instructor is reviewing the evolution of the nurse's role in health assessment.
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The instructor determines that the teaching was successful when the students identif
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y which of the following as the major method used by nurses early in the history
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of the profession?
i Wi Wi
A) Natural senses Wi
B) Biomedical knowledge Wi
C) Simple technology Wi
D) Critical pathways Wi
, lOMoARcPSD| 12286418
Chapter 1 Wi
1. A nurse on a postsurgical unit is admitting a client following the client's cholecy
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
stectomy (gall bladder removal). What is the overall purpose of assessment for thi
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
s client?
Wi
A) Collecting accurate data Wi Wi
B) Assisting the primary care provider Wi Wi Wi Wi
C) Validating previous data Wi Wi
D) Making clinical judgments Wi Wi
2. A client has presented to the emergency department (ED) with complaints of abdom
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
inal pain. Which member of the care team would most likely be responsible for co
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
llecting the subjective data on the client during the initial comprehensive assessme
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
nt?
A) Gastroenterologist
B) ED nurse Wi
C) Admissions clerk Wi
D) Diagnostic technician Wi
3. The nurse has completed an initial assessment of a newly admitted client and is appl
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
ying the nursing process to plan the client's care. What principle should the nurse a
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
pply when using the nursing process?
Wi Wi Wi Wi Wi
A) Each step is independent of the others.
Wi Wi Wi Wi Wi Wi
B) It is ongoing and continuous.
Wi Wi Wi Wi
C) It is used primarily in acute care settings.
Wi Wi Wi Wi Wi Wi Wi
D) It involves independent nursing actions.
Wi Wi Wi Wi
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
and perform a comprehensive health assessment. Which of the following actions s
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
hould the nurse perform first?
Wi Wi Wi Wi
A) Review the client's medical record. Wi Wi Wi Wi
B) Obtain basic biographic data. Wi Wi Wi
C) Consult clinical resources explaining the client's diagnosis.
Wi Wi Wi Wi Wi Wi
D) Validate information with the client. Wi Wi Wi Wi
5. Which of the following client situations would the nurse interpret as requirin
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
g an emergency assessment?
Wi Wi Wi
A) A pediatric client with severe sunburn
Wi Wi Wi Wi Wi
B) A client needing an employment physical
Wi Wi Wi Wi Wi
C) A client who overdosed on acetaminophen
Wi Wi Wi Wi Wi
D) A distraught client who wants a pregnancy test
Wi Wi Wi Wi Wi Wi Wi
, lOMoARcPSD| 12286418
6. In response to a client's query, the nurse is explaining the differences between th
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
e physician's medical exam and the comprehensive health assessment performed b
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
y the nurse. The nurse should describe the fact that the nursing assessment focuses
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
on which aspect of the client's situation?
Wi Wi Wi Wi Wi Wi Wi
A) Current physiologic status Wi Wi
B) Effect of health on functional status
Wi Wi Wi Wi Wi
C) Past medical history Wi Wi
D) Motivation for adherence to treatment Wi Wi Wi Wi
7. After teaching a group of students about the phases of the nursing process, the instr
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
uctor determines that the teaching was successful when the students identify which
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi W
phase as being foundational to all other phases?
i Wi Wi Wi Wi Wi Wi Wi
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
been admitted for the treatment of community-
Wi Wi Wi Wi Wi Wi
acquired pneumonia. Following the completion of this assessment, the nurse period
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
ically performs a partial assessment primarily for which reason?
Wi Wi Wi Wi Wi Wi Wi Wi
A) Reassess previously detected problems Wi Wi Wi
B) Provide information for the client's record
Wi Wi Wi Wi Wi
C) Address areas previously omitted Wi Wi Wi
D) Determine the need for crisis intervention Wi Wi Wi Wi Wi
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
-
city neighborhood. Which client would the nurse determine to be in most need
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
of an emergency assessment?
Wi Wi Wi
A) A 14-year-old girl who is crying because she thinks she is pregnant
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
C) A 3-year-old child with fever, rash, and sore throat
Wi Wi Wi Wi Wi Wi Wi Wi
D) A 20-year-old man with a 3-inch shallow laceration on his leg
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
, lOMoARcPSD| 12286418
10. A nurse has completed gathering some basic data about a client who has multiple h
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
ealth problems that stem from heavy alcohol use. The nurse has then reflected on he
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
r personal feelings about the client and his circumstances. The nurse does this prim
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
arily to accomplish which of the following?
Wi Wi Wi Wi Wi Wi
A) Determine if pertinent data has been omitted Wi Wi Wi Wi Wi Wi
B) Identify the need for referral Wi Wi Wi Wi
C) Avoid biases and judgments Wi Wi Wi
D) Construct a plan of care Wi Wi Wi Wi
11. The nurse is collecting data from a client who has recently been diagnosed with ty
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
pe 1 diabetes and who will begin an educational program. The nurse is collecting s
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
ubjective and objective data. Which of the following would the nurse categorize as
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
objective data? Wi
A) Family history Wi
B) Occupation
C) Appearance
D) History of present health concern Wi Wi Wi Wi
12. An older adult client has been admitted to the hospital with failure to thrive resu
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
lting from complications of diabetes. Which of the following would the nurse imp
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
lement in response to a collaborative problem?
Wi Wi Wi Wi Wi Wi
A) Encourage the client to increase oral fluid intake. Wi Wi Wi Wi Wi Wi Wi
B) Provide the client with a bedtime protein snack. Wi Wi Wi Wi Wi Wi Wi
C) Assist the client with personal hygiene. Wi Wi Wi Wi Wi
D) Measure the client's blood glucose four times daily. Wi Wi Wi Wi Wi Wi Wi
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
following clients. For which clients would the nurse most likely expect to facili
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
tate a referral?
Wi Wi
A) An 80-year-old client who lives with her daughter
Wi Wi Wi Wi Wi Wi Wi
B) A 50-year-old client newly diagnosed with diabetes
Wi Wi Wi Wi Wi Wi
C) An adult presenting for an influenza vaccination
Wi Wi Wi Wi Wi Wi
D) A teenager seeking information about contraception
Wi Wi Wi Wi Wi
14. An instructor is reviewing the evolution of the nurse's role in health assessment.
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
The instructor determines that the teaching was successful when the students identif
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi
y which of the following as the major method used by nurses early in the history
Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi Wi W
of the profession?
i Wi Wi
A) Natural senses Wi
B) Biomedical knowledge Wi
C) Simple technology Wi
D) Critical pathways Wi