NUR-210 EXAM 1 QUESTIONS AND
ANSWERS (GRADED A+)
A client comes to the health care provider's office for a visit. The client has been seen in
this office for the past five years and arrives today complaining of a fever and sore
throat. Which type of assessment would the nurse most likely perform? - ANSWER-
focused assessment
Nurses provide both direct and indirect care. What is an example of indirect care? -
ANSWER-Participating in a client care conference
A nurse is completing an assessment that will involve gathering subjective and objective
data. Which of the following assessment techniques will best allow the nurse to collect
objective data? - ANSWER-Inspection
When doing an overall assessment of a patient, the nurse is able to utilize findings and
do what? - ANSWER-Identify in what areas the patient needs the most care
The preceptor of the student nurse is explaining the assessment that is considered the
most organized for gathering comprehensive physical data. What assessment is the
preceptor talking about? - ANSWER-head to toe
A nurse provides care for a client with impaired respiratory function. The nurse
frequently assesses the client's skin color and the temperature of the extremities. What
is the purpose of this ongoing or partial assessment? - ANSWER-Determine any
changes from the baseline data
Mrs. Williams is an 89-year-old independent woman who lives alone and has severe
arthritis in her hands. Over the last few months the arthritis has gotten worse and she is
concerned because she can no longer clean her apartment. What question by the nurse
would gain the most usable information to assist with this concern? - ANSWER-"Do you
have family who visit you regularly?"
A group of nurses are reviewing information about the potential opportunities for nurses
who have advanced assessment skills. When discussing phenomena that have
contributed to these increased opportunities, what should the nurses identify? -
ANSWER-Expansion of health care networks
A nurse will complete an initial comprehensive assessment of a 60-year-old client who
is new to the clinic. What goal should the nurse identify for this type of assessment? -
ANSWER-Establish a baseline for the comparison of future health changes.
,A student nurse is learning to document an initial assessment. What would the
instructor tell the student that accurate documentation of this specific assessment best
provides? - ANSWER-A baseline for comparison with future findings
After receiving morning report the nurse prepares to assess a client who was admitted
the day before. Which type of assessment will the nurse complete at this time? -
ANSWER-Ongoing
When performing the steps of the assessment phase of the nursing process, which of
the following would the nurse do first? - ANSWER-Collect subjective data
A home health nurse is visiting a patient who recently was hospitalized for repair of a
fractured hip. The patient tells the nurse, "I have had a lot of pain in my abdomen."
What type of assessment would the nurse conduct? - ANSWER-focused
A community health nurse is assessing an older adult client in the client's home. When
the nurse is gathering subjective data, which of the following would the nurse identify? -
ANSWER-The client's feelings of happiness
The nurse is reviewing a client's health history and the results of the most recent
physical examination. Which of the following data would the nurse identify as being
subjective? Select all that apply. - ANSWER-1. "I feel so tired sometimes."
2. Client complains of a headache
3. "My father died of a heart attack."
subjective data - ANSWER-things a person tells you about that you cannot observe
through your senses; symptoms
objective data - ANSWER-information that is seen, heard, felt, or smelled by an
observer; signs
When discussing the nursing process with a group of students, which of the following
statements best describes it? - ANSWER-It is ongoing and continuous.
A nurse provides care for a client with an elevated temperature. The client is given the
prescribed medication and the nurse checks the client's temperature at repeated
intervals. What step of the nursing process is the nurse using to determine if the client
has achieved the outcome criteria of the treatment? - ANSWER-Evaluation
A nurse recognizes that a thorough and accurate assessment of a client is important to
prevent what error from occurring when utilizing the nursing process? - ANSWER-
Making incorrect nursing judgments or diagnoses
The nurse discusses ear plugs for a patient with low tone deafness when working in a
noisy environment. The nurse is utilizing - ANSWER-tertiary prevention
,A nurse is distracted during her assessment of a client and does not take as thorough or
as accurate notes as usual. Her supervisor, who is familiar with the client, reads the
patient's chart and questions the nurse. The supervisor should point out to the nurse
that which of the following errors is most likely to occur due to the nurse's lapse? -
ANSWER-Making incorrect nursing judgments or diagnoses
A client who is new to the facility has a recent history of chronic pain that is attributed to
fibromyalgia. The nurse has reviewed the available health records and suspects that
pain management will be a major focus of nursing care. How can the nurse best
validate this assumption? - ANSWER-Ask the client about the most recent experiences
of pain.
The nurse is exhibiting critical thinking in which client care situation? - ANSWER-
Performing a focused assessemt on a client who is complaining of shortness of breath.
This type of assessment includes a health history and physical assessment. -
ANSWER-Comprehensive
What are nurses able to detect through the health assessment? - ANSWER-Areas in
need of health adjustments
The result of a nursing assessment is the - ANSWER-formulation of nursing diagnoses.
Nurses provide both direct and indirect care. What is an example of indirect care? -
ANSWER-Participating in a client care conference
A nurse is conducting a health assessment. How will the information collected from the
patient be used? - ANSWER-as a basis for the nursing process
The nurse at a busy primary care clinic is analyzing the data obtained from the following
clients. For which clients would the nurse most likely expect to facilitate a referral? -
ANSWER-A 50-year-old client newly diagnosed with diabetes
When assisting a patient with health promotion, what must the nurse also nurture? -
ANSWER-A healthy environment
How does a nurse best facilitate the nursing health assessment? - ANSWER-Asking the
appropriate questions
Why is it important for a new nurse, working on a step-down unit, to know the standards
of care for the facility in which the nurse is working? - ANSWER-Standards of care often
set the time frame for assessing the clients on the unit
, A nurse is gathering data from a client during a health assessment. Which assessment
finding should the nurse document as objective data? - ANSWER-The client's range of
motion in her right arm
A nurse recommends that a client come back once every 3 months in the coming year
to have his cholesterol checked, to make sure he is maintaining a healthy level. Which
type of assessment is the nurse proposing? - ANSWER-Ongoing or partial
The nurse has completed the comprehensive health assessment of a client who has
been admitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason? - ANSWER-Reassess previously detected problems
A client comes to the health care provider's office for a visit. The client has been seen in
this office on occasion for the past 5 years and arrives today complaining of a fever and
sore throat. Which type of assessment would the nurse most likely perform? -
ANSWER-Focused assessment
The RN is implementing which level of intervention when administering immunizations
at a pediatric clinic? - ANSWER-Primary
A patient is brought to the emergency department by ambulance after a motor vehicle
accident. What would be given the highest priority by the staff triaging the patient? -
ANSWER-Airway
A client is being admitted to the medical unit after being seen in the emergency
department. Which statement by the nurse indicates an understanding of the
importance of the appropriate timing of a health assessment? - ANSWER-"I'm going to
assess the client now so that I can begin formulating the care plan."
An older adult client is brought to the ED. The client tells the nurse, "I feel like
something really heavy is sitting on my chest." The nurse then says to the client, "You
feel as if something heavy is sitting on your chest?" Of what type of nurse-client
communication is this an example? - ANSWER-Restatement
During an interview, the patient begins to talk about the frequency of being abused by a
spouse. What can the nurse do at this time to acknowledge the sensitivity of the
information the patient is providing? - ANSWER-Stop documenting in order to maintain
eye contact with the patient.
An elderly patient arrives in the Emergency Department with nonspecific symptoms.
When the nurse attempts to take the health history, the patient appears not to
understand and does not answer the questions. The nurse realizes that this might be
because of a common problem in the elderly, which is: - ANSWER-sensory deficits
ANSWERS (GRADED A+)
A client comes to the health care provider's office for a visit. The client has been seen in
this office for the past five years and arrives today complaining of a fever and sore
throat. Which type of assessment would the nurse most likely perform? - ANSWER-
focused assessment
Nurses provide both direct and indirect care. What is an example of indirect care? -
ANSWER-Participating in a client care conference
A nurse is completing an assessment that will involve gathering subjective and objective
data. Which of the following assessment techniques will best allow the nurse to collect
objective data? - ANSWER-Inspection
When doing an overall assessment of a patient, the nurse is able to utilize findings and
do what? - ANSWER-Identify in what areas the patient needs the most care
The preceptor of the student nurse is explaining the assessment that is considered the
most organized for gathering comprehensive physical data. What assessment is the
preceptor talking about? - ANSWER-head to toe
A nurse provides care for a client with impaired respiratory function. The nurse
frequently assesses the client's skin color and the temperature of the extremities. What
is the purpose of this ongoing or partial assessment? - ANSWER-Determine any
changes from the baseline data
Mrs. Williams is an 89-year-old independent woman who lives alone and has severe
arthritis in her hands. Over the last few months the arthritis has gotten worse and she is
concerned because she can no longer clean her apartment. What question by the nurse
would gain the most usable information to assist with this concern? - ANSWER-"Do you
have family who visit you regularly?"
A group of nurses are reviewing information about the potential opportunities for nurses
who have advanced assessment skills. When discussing phenomena that have
contributed to these increased opportunities, what should the nurses identify? -
ANSWER-Expansion of health care networks
A nurse will complete an initial comprehensive assessment of a 60-year-old client who
is new to the clinic. What goal should the nurse identify for this type of assessment? -
ANSWER-Establish a baseline for the comparison of future health changes.
,A student nurse is learning to document an initial assessment. What would the
instructor tell the student that accurate documentation of this specific assessment best
provides? - ANSWER-A baseline for comparison with future findings
After receiving morning report the nurse prepares to assess a client who was admitted
the day before. Which type of assessment will the nurse complete at this time? -
ANSWER-Ongoing
When performing the steps of the assessment phase of the nursing process, which of
the following would the nurse do first? - ANSWER-Collect subjective data
A home health nurse is visiting a patient who recently was hospitalized for repair of a
fractured hip. The patient tells the nurse, "I have had a lot of pain in my abdomen."
What type of assessment would the nurse conduct? - ANSWER-focused
A community health nurse is assessing an older adult client in the client's home. When
the nurse is gathering subjective data, which of the following would the nurse identify? -
ANSWER-The client's feelings of happiness
The nurse is reviewing a client's health history and the results of the most recent
physical examination. Which of the following data would the nurse identify as being
subjective? Select all that apply. - ANSWER-1. "I feel so tired sometimes."
2. Client complains of a headache
3. "My father died of a heart attack."
subjective data - ANSWER-things a person tells you about that you cannot observe
through your senses; symptoms
objective data - ANSWER-information that is seen, heard, felt, or smelled by an
observer; signs
When discussing the nursing process with a group of students, which of the following
statements best describes it? - ANSWER-It is ongoing and continuous.
A nurse provides care for a client with an elevated temperature. The client is given the
prescribed medication and the nurse checks the client's temperature at repeated
intervals. What step of the nursing process is the nurse using to determine if the client
has achieved the outcome criteria of the treatment? - ANSWER-Evaluation
A nurse recognizes that a thorough and accurate assessment of a client is important to
prevent what error from occurring when utilizing the nursing process? - ANSWER-
Making incorrect nursing judgments or diagnoses
The nurse discusses ear plugs for a patient with low tone deafness when working in a
noisy environment. The nurse is utilizing - ANSWER-tertiary prevention
,A nurse is distracted during her assessment of a client and does not take as thorough or
as accurate notes as usual. Her supervisor, who is familiar with the client, reads the
patient's chart and questions the nurse. The supervisor should point out to the nurse
that which of the following errors is most likely to occur due to the nurse's lapse? -
ANSWER-Making incorrect nursing judgments or diagnoses
A client who is new to the facility has a recent history of chronic pain that is attributed to
fibromyalgia. The nurse has reviewed the available health records and suspects that
pain management will be a major focus of nursing care. How can the nurse best
validate this assumption? - ANSWER-Ask the client about the most recent experiences
of pain.
The nurse is exhibiting critical thinking in which client care situation? - ANSWER-
Performing a focused assessemt on a client who is complaining of shortness of breath.
This type of assessment includes a health history and physical assessment. -
ANSWER-Comprehensive
What are nurses able to detect through the health assessment? - ANSWER-Areas in
need of health adjustments
The result of a nursing assessment is the - ANSWER-formulation of nursing diagnoses.
Nurses provide both direct and indirect care. What is an example of indirect care? -
ANSWER-Participating in a client care conference
A nurse is conducting a health assessment. How will the information collected from the
patient be used? - ANSWER-as a basis for the nursing process
The nurse at a busy primary care clinic is analyzing the data obtained from the following
clients. For which clients would the nurse most likely expect to facilitate a referral? -
ANSWER-A 50-year-old client newly diagnosed with diabetes
When assisting a patient with health promotion, what must the nurse also nurture? -
ANSWER-A healthy environment
How does a nurse best facilitate the nursing health assessment? - ANSWER-Asking the
appropriate questions
Why is it important for a new nurse, working on a step-down unit, to know the standards
of care for the facility in which the nurse is working? - ANSWER-Standards of care often
set the time frame for assessing the clients on the unit
, A nurse is gathering data from a client during a health assessment. Which assessment
finding should the nurse document as objective data? - ANSWER-The client's range of
motion in her right arm
A nurse recommends that a client come back once every 3 months in the coming year
to have his cholesterol checked, to make sure he is maintaining a healthy level. Which
type of assessment is the nurse proposing? - ANSWER-Ongoing or partial
The nurse has completed the comprehensive health assessment of a client who has
been admitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason? - ANSWER-Reassess previously detected problems
A client comes to the health care provider's office for a visit. The client has been seen in
this office on occasion for the past 5 years and arrives today complaining of a fever and
sore throat. Which type of assessment would the nurse most likely perform? -
ANSWER-Focused assessment
The RN is implementing which level of intervention when administering immunizations
at a pediatric clinic? - ANSWER-Primary
A patient is brought to the emergency department by ambulance after a motor vehicle
accident. What would be given the highest priority by the staff triaging the patient? -
ANSWER-Airway
A client is being admitted to the medical unit after being seen in the emergency
department. Which statement by the nurse indicates an understanding of the
importance of the appropriate timing of a health assessment? - ANSWER-"I'm going to
assess the client now so that I can begin formulating the care plan."
An older adult client is brought to the ED. The client tells the nurse, "I feel like
something really heavy is sitting on my chest." The nurse then says to the client, "You
feel as if something heavy is sitting on your chest?" Of what type of nurse-client
communication is this an example? - ANSWER-Restatement
During an interview, the patient begins to talk about the frequency of being abused by a
spouse. What can the nurse do at this time to acknowledge the sensitivity of the
information the patient is providing? - ANSWER-Stop documenting in order to maintain
eye contact with the patient.
An elderly patient arrives in the Emergency Department with nonspecific symptoms.
When the nurse attempts to take the health history, the patient appears not to
understand and does not answer the questions. The nurse realizes that this might be
because of a common problem in the elderly, which is: - ANSWER-sensory deficits
