NUR 192 Chapter 11 Test Questions
with Correct Answers
A nurse is assessing a client with chronic back pain and asking specific questions to
obtain a focus assessment. Which of the following are features of focus assessment? -
Answer-adds depth
A nursing student is learning about how to perform a thorough assessment in a health
assessment class. Which of the following is the best source of information for the
student to learn data collection for an assessment? - Answer-client
The nurse is performing a physical assessment of a newly admitted client. During the
assessment the nurse notices the client grimacing and holding the abdomen. When the
nurse asks the client is there is any pain the answer is "no." What is the best thing for
the nurse to do next? - Answer-validate the data
The nursing instructor is teaching about collecting data for an assessment and informs
the students about the importance of validation. Which of the following statements made
by a nursing student indicates a need for further instruction? - Answer-all data collected
needs to be validated
A client describes pain in the right leg as aching at 8/10 on a pain scale. What type of
cue is a client's description of pain in the right leg? - Answer-subjective
The nurse is performing a physical assessment of a client admitted with emphysema.
How will the nursing physical assessment differ from a medical physical assessment? -
Answer-nurse's focuses on patient's functional abilities
Which type of assessment would the nurse be expected to perform on the client who is
one day post-op following a cholecystectomy? - Answer-focused
A nurse is performing an admission assessment on a client who is scheduled for an
elective surgery the next morning. When taking vital signs the client's temperature is
102. 9 F. What should be the nurse's priority action? - Answer-verbally report to
physician
An older adult male with a history of benign prostatic hyperplasia presents to the
emergency room with complaints of urinary retention. The nurse collects data related to
the patient's voiding patterns, weight gain, fluid intake, urine volume in the bladder, and
, level of suprapubic discomfort. What type of assessment is the nurse performing? -
Answer-focused
Which of the following qualities does the nursing student identify as being helpful in
inviting the confidence of clients when first working with them? Select all that apply. -
Answer-• Caring
• Competence
• Respect for client
• Professionalism
"The nurse is conducting an interview with a newly admitted client. Which listening
behavior guideline should the nurse implement in order to have a successful interview?
- Answer-avoid impulse to interrupt
The nursing student has learned that when doing an assessment on any client, it is
essential to get the most important information first. By doing so the nurse's action is an
example of which of the following? - Answer-be able to prioritize
A nurse is assessing an energetic 80-year-old, admitted to the hospital with complaints
of difficulty urinating, bloody urine, and burning on urination. What is a priority
assessment for this patient? - Answer-A focused assessment of the specific problems
identified
When performing an assessment, the nurse should focus on the developmental stage
for which of the following clients? - Answer-toddler
During the interview component of the health assessment, how does the nurse convey
to the client that the information is important? - Answer-eye llevel
An older adult client who has been living in an assisted living facility for several months
informs a visiting family member that a nurse is coming that afternoon to do some kind
of check-up. Which type of check would be most appropriate for the nurse to perform on
this client? - Answer-
While caring for a client who has a problem related to digestion, a nurse has been
referred by the primary care provider to be seen by a gastroenterologist. Which of the
following parts of the client record should the nurse look at to see the recommendations
made by the gastrointestinal specialist? - Answer-consultation
A nurse is beginning the preparatory phase of the nursing interview for a patient who
fractured his leg in a fall. Which nursing actions occur in this phase of the nursing
interview? (Select all that apply.) - Answer-The nurse ensures that the interview
environment is private and comfortable.
• The nurse arranges the seating in the interview room to facilitate an easy exchange of
information.
with Correct Answers
A nurse is assessing a client with chronic back pain and asking specific questions to
obtain a focus assessment. Which of the following are features of focus assessment? -
Answer-adds depth
A nursing student is learning about how to perform a thorough assessment in a health
assessment class. Which of the following is the best source of information for the
student to learn data collection for an assessment? - Answer-client
The nurse is performing a physical assessment of a newly admitted client. During the
assessment the nurse notices the client grimacing and holding the abdomen. When the
nurse asks the client is there is any pain the answer is "no." What is the best thing for
the nurse to do next? - Answer-validate the data
The nursing instructor is teaching about collecting data for an assessment and informs
the students about the importance of validation. Which of the following statements made
by a nursing student indicates a need for further instruction? - Answer-all data collected
needs to be validated
A client describes pain in the right leg as aching at 8/10 on a pain scale. What type of
cue is a client's description of pain in the right leg? - Answer-subjective
The nurse is performing a physical assessment of a client admitted with emphysema.
How will the nursing physical assessment differ from a medical physical assessment? -
Answer-nurse's focuses on patient's functional abilities
Which type of assessment would the nurse be expected to perform on the client who is
one day post-op following a cholecystectomy? - Answer-focused
A nurse is performing an admission assessment on a client who is scheduled for an
elective surgery the next morning. When taking vital signs the client's temperature is
102. 9 F. What should be the nurse's priority action? - Answer-verbally report to
physician
An older adult male with a history of benign prostatic hyperplasia presents to the
emergency room with complaints of urinary retention. The nurse collects data related to
the patient's voiding patterns, weight gain, fluid intake, urine volume in the bladder, and
, level of suprapubic discomfort. What type of assessment is the nurse performing? -
Answer-focused
Which of the following qualities does the nursing student identify as being helpful in
inviting the confidence of clients when first working with them? Select all that apply. -
Answer-• Caring
• Competence
• Respect for client
• Professionalism
"The nurse is conducting an interview with a newly admitted client. Which listening
behavior guideline should the nurse implement in order to have a successful interview?
- Answer-avoid impulse to interrupt
The nursing student has learned that when doing an assessment on any client, it is
essential to get the most important information first. By doing so the nurse's action is an
example of which of the following? - Answer-be able to prioritize
A nurse is assessing an energetic 80-year-old, admitted to the hospital with complaints
of difficulty urinating, bloody urine, and burning on urination. What is a priority
assessment for this patient? - Answer-A focused assessment of the specific problems
identified
When performing an assessment, the nurse should focus on the developmental stage
for which of the following clients? - Answer-toddler
During the interview component of the health assessment, how does the nurse convey
to the client that the information is important? - Answer-eye llevel
An older adult client who has been living in an assisted living facility for several months
informs a visiting family member that a nurse is coming that afternoon to do some kind
of check-up. Which type of check would be most appropriate for the nurse to perform on
this client? - Answer-
While caring for a client who has a problem related to digestion, a nurse has been
referred by the primary care provider to be seen by a gastroenterologist. Which of the
following parts of the client record should the nurse look at to see the recommendations
made by the gastrointestinal specialist? - Answer-consultation
A nurse is beginning the preparatory phase of the nursing interview for a patient who
fractured his leg in a fall. Which nursing actions occur in this phase of the nursing
interview? (Select all that apply.) - Answer-The nurse ensures that the interview
environment is private and comfortable.
• The nurse arranges the seating in the interview room to facilitate an easy exchange of
information.
