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