Health Assessment Final Exam |\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
A nurse on a post-surgical unit is admitting a client following the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client's cholecystectomy (gall bladder removal). What is the
|\ |\ |\ |\ |\ |\ |\ |\
overall purpose of assessment for this client?
|\ |\ |\ |\ |\ |\
a. Collecting accurate data
|\ |\ |\
b. Assisting the primary care provider
|\ |\ |\ |\ |\
c. Validating previous data
|\ |\ |\
d. Making clinical judgments - CORRECT ANSWERS ✔✔D) Making
|\ |\ |\ |\ |\ |\ |\ |\ |\
clinical judgments |\
A client has presented to the emergency department (ED) with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complaints of abdominal pain. Which member of the care team
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
would most likely be responsible for collecting the subjective data
|\ |\ |\ |\ |\ |\ |\ |\ |\
on the client during the initial comprehensive assessment?
|\ |\ |\ |\ |\ |\ |\ |\
A) Gastroenterologist
|\
B) ED nurse|\ |\
C) Admissions clerk
|\ |\
D) Diagnostic technician - CORRECT ANSWERS ✔✔B) ED nurse
|\ |\ |\ |\ |\ |\ |\ |\
After teaching a group of students about the phases of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nursing process, the instructor determines that the teaching was
|\ |\ |\ |\ |\ |\ |\ |\ |\
successful when the students identify which phase as being
|\ |\ |\ |\ |\ |\ |\ |\ |\
foundational to all other phases? |\ |\ |\ |\
A) Assessment
|\
,B) Planning
|\
C) Implementation
|\
D) Evaluation - CORRECT ANSWERS ✔✔A) Assessment
|\ |\ |\ |\ |\ |\
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? |\ |\ |\ |\
A) Reassess previously detected problems
|\ |\ |\ |\
B) Provide information for the client's record
|\ |\ |\ |\ |\ |\
C) Address areas previously omitted
|\ |\ |\ |\
D) Determine the need for crisis intervention - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A) Reassess previously detected problems
|\ |\ |\ |\ |\
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?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A) Inspection
|\
B) Therapeutic communication
|\ |\
C) Interviewing
|\
D) Active listening - CORRECT ANSWERS ✔✔A) Inspection
|\ |\ |\ |\ |\ |\ |\
A nurse is providing feedback to a colleague after observing the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
colleague's interview of a newly admitted client. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following would the nurse identify as an example of a closed-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ended question or statement?
|\ |\ |\
,A) "Tell me about your relationship with your children?"
|\ |\ |\ |\ |\ |\ |\ |\
B) "Tell me what you eat in a normal day?"
|\ |\ |\ |\ |\ |\ |\ |\ |\
C) "Are you allergic to any medications?"
|\ |\ |\ |\ |\ |\
D) "What is your typical day like?" - CORRECT ANSWERS ✔✔C)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
"Are you allergic to any medications?"
|\ |\ |\ |\ |\ |\
A client has presented to the emergency department and is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
having difficulty describing her vague sensation of physical
|\ |\ |\ |\ |\ |\ |\ |\
discomfort and unease. How can the nurse best elicit meaningful
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment data about the nature of the client's complaint?|\ |\ |\ |\ |\ |\ |\ |\
A) Ignore the complaint for now and return to it later in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment.
B) Provide a laundry list of descriptive words.
|\ |\ |\ |\ |\ |\ |\
C) Restate the question using simpler terms.
|\ |\ |\ |\ |\ |\
D) Wait in silence until the client can determine the correct
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
words. - CORRECT ANSWERS ✔✔B) Provide a laundry list of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
descriptive words. |\
During an assessment, the nurse determines that a client sees
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
more than one primary care provider and has obtained
|\ |\ |\ |\ |\ |\ |\ |\ |\
prescriptions from each provider. Which method would be most |\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate to determine a client's current medication regimen?
|\ |\ |\ |\ |\ |\ |\
A) Ask the client to identify which medications taken every day.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B) Ask the client to bring all the medications and supplements to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
an interview.
|\
C) Ask the caregiver whether the client is taking prescribed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medications.
, D) Ask the client about the use of any over-the-counter
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medications. - CORRECT ANSWERS ✔✔B) Ask the client to bring |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
all the medications and supplements to an interview.
|\ |\ |\ |\ |\ |\ |\
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? |\ |\ |\ |\
A) Collaborate with the client to identify problems.
|\ |\ |\ |\ |\ |\ |\
B) Explain the purpose of the interview.
|\ |\ |\ |\ |\ |\
C) Determine the client's vital signs.
|\ |\ |\ |\ |\
D) Obtain family health history data. - CORRECT ANSWERS ✔✔B)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Explain the purpose of the interview. |\ |\ |\ |\ |\
The nurse is using the mnemonic "COLDSPA" to assess a client's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complaint of lower abdominal pain. The nurse asks the client to|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
rate the pain on a scale of 0 to 10. The nurse is assessing which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aspect of the complaint? |\ |\ |\
A) Character
|\
B) Onset |\
C) Severity
|\
D) Pattern - CORRECT ANSWERS ✔✔C) Severity
|\ |\ |\ |\ |\ |\
11. A nurse is admitting a new client to the subacute medical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit and is completing a comprehensive assessment. The nurse is
|\ |\ |\ |\ |\ |\ |\ |\ |\
appropriately applying standard precautions by performing which
|\ |\ |\ |\ |\ |\ |\
of the following actions?
|\ |\ |\ |\
QUESTIONS WITH ANSWERS |\ |\
A nurse on a post-surgical unit is admitting a client following the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
client's cholecystectomy (gall bladder removal). What is the
|\ |\ |\ |\ |\ |\ |\ |\
overall purpose of assessment for this client?
|\ |\ |\ |\ |\ |\
a. Collecting accurate data
|\ |\ |\
b. Assisting the primary care provider
|\ |\ |\ |\ |\
c. Validating previous data
|\ |\ |\
d. Making clinical judgments - CORRECT ANSWERS ✔✔D) Making
|\ |\ |\ |\ |\ |\ |\ |\ |\
clinical judgments |\
A client has presented to the emergency department (ED) with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complaints of abdominal pain. Which member of the care team
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
would most likely be responsible for collecting the subjective data
|\ |\ |\ |\ |\ |\ |\ |\ |\
on the client during the initial comprehensive assessment?
|\ |\ |\ |\ |\ |\ |\ |\
A) Gastroenterologist
|\
B) ED nurse|\ |\
C) Admissions clerk
|\ |\
D) Diagnostic technician - CORRECT ANSWERS ✔✔B) ED nurse
|\ |\ |\ |\ |\ |\ |\ |\
After teaching a group of students about the phases of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
nursing process, the instructor determines that the teaching was
|\ |\ |\ |\ |\ |\ |\ |\ |\
successful when the students identify which phase as being
|\ |\ |\ |\ |\ |\ |\ |\ |\
foundational to all other phases? |\ |\ |\ |\
A) Assessment
|\
,B) Planning
|\
C) Implementation
|\
D) Evaluation - CORRECT ANSWERS ✔✔A) Assessment
|\ |\ |\ |\ |\ |\
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? |\ |\ |\ |\
A) Reassess previously detected problems
|\ |\ |\ |\
B) Provide information for the client's record
|\ |\ |\ |\ |\ |\
C) Address areas previously omitted
|\ |\ |\ |\
D) Determine the need for crisis intervention - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔A) Reassess previously detected problems
|\ |\ |\ |\ |\
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?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
A) Inspection
|\
B) Therapeutic communication
|\ |\
C) Interviewing
|\
D) Active listening - CORRECT ANSWERS ✔✔A) Inspection
|\ |\ |\ |\ |\ |\ |\
A nurse is providing feedback to a colleague after observing the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
colleague's interview of a newly admitted client. Which of the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
following would the nurse identify as an example of a closed-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ended question or statement?
|\ |\ |\
,A) "Tell me about your relationship with your children?"
|\ |\ |\ |\ |\ |\ |\ |\
B) "Tell me what you eat in a normal day?"
|\ |\ |\ |\ |\ |\ |\ |\ |\
C) "Are you allergic to any medications?"
|\ |\ |\ |\ |\ |\
D) "What is your typical day like?" - CORRECT ANSWERS ✔✔C)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
"Are you allergic to any medications?"
|\ |\ |\ |\ |\ |\
A client has presented to the emergency department and is
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
having difficulty describing her vague sensation of physical
|\ |\ |\ |\ |\ |\ |\ |\
discomfort and unease. How can the nurse best elicit meaningful
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment data about the nature of the client's complaint?|\ |\ |\ |\ |\ |\ |\ |\
A) Ignore the complaint for now and return to it later in the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
assessment.
B) Provide a laundry list of descriptive words.
|\ |\ |\ |\ |\ |\ |\
C) Restate the question using simpler terms.
|\ |\ |\ |\ |\ |\
D) Wait in silence until the client can determine the correct
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
words. - CORRECT ANSWERS ✔✔B) Provide a laundry list of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
descriptive words. |\
During an assessment, the nurse determines that a client sees
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
more than one primary care provider and has obtained
|\ |\ |\ |\ |\ |\ |\ |\ |\
prescriptions from each provider. Which method would be most |\ |\ |\ |\ |\ |\ |\ |\ |\
appropriate to determine a client's current medication regimen?
|\ |\ |\ |\ |\ |\ |\
A) Ask the client to identify which medications taken every day.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
B) Ask the client to bring all the medications and supplements to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
an interview.
|\
C) Ask the caregiver whether the client is taking prescribed
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medications.
, D) Ask the client about the use of any over-the-counter
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
medications. - CORRECT ANSWERS ✔✔B) Ask the client to bring |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
all the medications and supplements to an interview.
|\ |\ |\ |\ |\ |\ |\
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? |\ |\ |\ |\
A) Collaborate with the client to identify problems.
|\ |\ |\ |\ |\ |\ |\
B) Explain the purpose of the interview.
|\ |\ |\ |\ |\ |\
C) Determine the client's vital signs.
|\ |\ |\ |\ |\
D) Obtain family health history data. - CORRECT ANSWERS ✔✔B)
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Explain the purpose of the interview. |\ |\ |\ |\ |\
The nurse is using the mnemonic "COLDSPA" to assess a client's
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
complaint of lower abdominal pain. The nurse asks the client to|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
rate the pain on a scale of 0 to 10. The nurse is assessing which
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
aspect of the complaint? |\ |\ |\
A) Character
|\
B) Onset |\
C) Severity
|\
D) Pattern - CORRECT ANSWERS ✔✔C) Severity
|\ |\ |\ |\ |\ |\
11. A nurse is admitting a new client to the subacute medical
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
unit and is completing a comprehensive assessment. The nurse is
|\ |\ |\ |\ |\ |\ |\ |\ |\
appropriately applying standard precautions by performing which
|\ |\ |\ |\ |\ |\ |\
of the following actions?
|\ |\ |\ |\
