NUR 342 EXAM 1 QUESTIONS WITH COMPLETE
SOLUTIONS
_______________ is a continuing process and determines if the
goals/outcomes have been attained. Correct Answers
Evaluation
. When abuse is suspected, it is important to spend part of the
encounter alone with the patient (T/F) Correct Answers T
"Are you healthy?" is a good question for assessment (T/F)
Correct Answers F
4 steps of PA Correct Answers inspection, palpation,
percussion, auscultation
7 facets Correct Answers Key part for an interview
Physical, Emotional, Social, Culture, spiritual, environmental,
developmental
A client admitted to the health care facility has a family history
of diabetes mellitus. A nursing health assessment for this client
should focus on collection of data in which of these areas?
Correct Answers Physiologic, psychological, sociocultural,
developmental, and spiritual data
A client asks "Can I take the herb ginkgo biloba with my other
medications?" What action would be best if the nurse is unsure
of the answer? Correct Answers Explain that you will find out
the information for the client.
,A client comes to the community clinic seeking help for acute
low back pain. Which type of assessment should the nurse
complete for this client? Correct Answers focused
A client describes pain in the soles of both feet as constantly
burning. Which type of pain should the nurse suspect this client
is experiencing? Correct Answers neuropathic
A client has a nursing diagnosis of "RC related to
hemodialysis." Which intervention would be appropriate for this
diagnosis? Correct Answers Measure blood pressure before
ambulating
A client has just been admitted to the postsurgical unit from
postanesthetic recovery, and the nurse is in the introductory
phase of the client interview. Which of the following activities
should the nurse perform first? Correct Answers Explain the
purpose of the interview.
A client has presented to the clinic for the treatment of an
ovarian cyst. What would be most important for the nurse to do
immediately before performing the client's physical exam?
Correct Answers Collect necessary equipment essential to the
exam
A client is diagnosed with chronic non-malignant pain. The
nurse understands that this client has experienced this pain for at
least how many months? Correct Answers 6
A client reports feeling depressed for several months since being
fired from a long-term job. Which question should the nurse
,include when assessing this client? Correct Answers "Have you
thought of hurting yourself?"
A client reports sudden hair loss and a continuous itching
sensation all over the body. The client appears anxious and
seems to be worried about her appearance. Which abnormal
finding should the nurse classify as objective data? Correct
Answers Anxious appearance
A client who has fractured her arm is describing her pain as
"excruciating." The nurse determines that the client is
experiencing what type of pain? Correct Answers Deep
somatic
A client who only speaks Spanish is admitted to the unit. The
client's sister, who speaks English, is in the room when the
English-speaking nurse starts the admission assessment. Why
would it be inappropriate to use the sister as an interpreter for
this client? Correct Answers The client may not want the sister
to know their private information
A client who suffers from arthritis complains of sharp pain in
her knees and elbows. The nurse recognizes this is what type of
pain? Correct Answers Somatic
A community health nurse is planning individualized care for a
community. What does the nurse use as a framework for this
plan? Correct Answers Nursing process
, A middle-aged client has an appointment for a routine physical.
Which type of assessment is the most appropriate for the nurse
to complete? Correct Answers comprehensive
A nurse collects data about a client's family health history.
Which family members' health problems should the nurse
include when documenting this information in the database?
Correct Answers As many genetic relatives as the client can
recall
A nurse has completed gathering some basic data about a client
and then reflects on personal feelings about the client. The nurse
does this primarily to accomplish which of the following?
You Selected: Correct Answers Avoid biases and judgments
A nurse has gathered the necessary equipment for the physical
assessment of an adult client. It would be most appropriate for a
nurse to use a centimeter-scale ruler for which measurement?
Correct Answers Skin lesion size
A nurse is assessing the general status and vital signs of a client.
Which of the following are subjective findings, which the nurse
obtained from the client? Select all that apply Correct Answers
Date and location of the clients last blood pressure check
Onset and character of the clients chest pain
A list of all of the client's current medications
SOLUTIONS
_______________ is a continuing process and determines if the
goals/outcomes have been attained. Correct Answers
Evaluation
. When abuse is suspected, it is important to spend part of the
encounter alone with the patient (T/F) Correct Answers T
"Are you healthy?" is a good question for assessment (T/F)
Correct Answers F
4 steps of PA Correct Answers inspection, palpation,
percussion, auscultation
7 facets Correct Answers Key part for an interview
Physical, Emotional, Social, Culture, spiritual, environmental,
developmental
A client admitted to the health care facility has a family history
of diabetes mellitus. A nursing health assessment for this client
should focus on collection of data in which of these areas?
Correct Answers Physiologic, psychological, sociocultural,
developmental, and spiritual data
A client asks "Can I take the herb ginkgo biloba with my other
medications?" What action would be best if the nurse is unsure
of the answer? Correct Answers Explain that you will find out
the information for the client.
,A client comes to the community clinic seeking help for acute
low back pain. Which type of assessment should the nurse
complete for this client? Correct Answers focused
A client describes pain in the soles of both feet as constantly
burning. Which type of pain should the nurse suspect this client
is experiencing? Correct Answers neuropathic
A client has a nursing diagnosis of "RC related to
hemodialysis." Which intervention would be appropriate for this
diagnosis? Correct Answers Measure blood pressure before
ambulating
A client has just been admitted to the postsurgical unit from
postanesthetic recovery, and the nurse is in the introductory
phase of the client interview. Which of the following activities
should the nurse perform first? Correct Answers Explain the
purpose of the interview.
A client has presented to the clinic for the treatment of an
ovarian cyst. What would be most important for the nurse to do
immediately before performing the client's physical exam?
Correct Answers Collect necessary equipment essential to the
exam
A client is diagnosed with chronic non-malignant pain. The
nurse understands that this client has experienced this pain for at
least how many months? Correct Answers 6
A client reports feeling depressed for several months since being
fired from a long-term job. Which question should the nurse
,include when assessing this client? Correct Answers "Have you
thought of hurting yourself?"
A client reports sudden hair loss and a continuous itching
sensation all over the body. The client appears anxious and
seems to be worried about her appearance. Which abnormal
finding should the nurse classify as objective data? Correct
Answers Anxious appearance
A client who has fractured her arm is describing her pain as
"excruciating." The nurse determines that the client is
experiencing what type of pain? Correct Answers Deep
somatic
A client who only speaks Spanish is admitted to the unit. The
client's sister, who speaks English, is in the room when the
English-speaking nurse starts the admission assessment. Why
would it be inappropriate to use the sister as an interpreter for
this client? Correct Answers The client may not want the sister
to know their private information
A client who suffers from arthritis complains of sharp pain in
her knees and elbows. The nurse recognizes this is what type of
pain? Correct Answers Somatic
A community health nurse is planning individualized care for a
community. What does the nurse use as a framework for this
plan? Correct Answers Nursing process
, A middle-aged client has an appointment for a routine physical.
Which type of assessment is the most appropriate for the nurse
to complete? Correct Answers comprehensive
A nurse collects data about a client's family health history.
Which family members' health problems should the nurse
include when documenting this information in the database?
Correct Answers As many genetic relatives as the client can
recall
A nurse has completed gathering some basic data about a client
and then reflects on personal feelings about the client. The nurse
does this primarily to accomplish which of the following?
You Selected: Correct Answers Avoid biases and judgments
A nurse has gathered the necessary equipment for the physical
assessment of an adult client. It would be most appropriate for a
nurse to use a centimeter-scale ruler for which measurement?
Correct Answers Skin lesion size
A nurse is assessing the general status and vital signs of a client.
Which of the following are subjective findings, which the nurse
obtained from the client? Select all that apply Correct Answers
Date and location of the clients last blood pressure check
Onset and character of the clients chest pain
A list of all of the client's current medications
