lOMoARcPSD| 12286418
, lOMoARcPSD| 12286418
Chapter 1 %
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystect
% % % % % % % % % % % % %
omy (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 % %
2. A client has presented to the emergency department (ED) with complaints of abdomina
% % % % % % % % % % % %
l 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 %
3. The nurse has completed an initial assessment of a newly admitted client and is applyin
% % % % % % % % % % % % % %
g the nursing process to plan the client's care. What principle should the nurse apply w
% % % % % % % % % % % % % % %
hen using the nursing process?
% % % %
A) Each step is independent of the others.
% % % % % %
B) It is ongoing and continuous.
% % % %
C) It is used primarily in acute care settings.
% % % % % % %
D) It involves independent nursing actions.
% % % %
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
% % % % % % % % % % % % % % % %
perform a comprehensive health assessment. Which of the following actions should th
% % % % % % % % % % %
e nurse perform first?
% % %
A) Review the client's medical record. % % % %
B) Obtain basic biographic data. % % %
C) Consult clinical resources explaining the client's diagnosis.
% % % % % %
D) Validate information with the client. % % % %
5. Which of the following client situations would the nurse interpret as requiring a
% % % % % % % % % % % %
n emergency assessment?
% %
A) A pediatric client with severe sunburn
% % % % %
B) A client needing an employment physical
% % % % %
C) A client who overdosed on acetaminophen
% % % % %
D) A distraught client who wants a pregnancy test
% % % % % % %
, lOMoARcPSD| 12286418
6. In response to a client's query, the nurse is explaining the differences between the ph
% % % % % % % % % % % % % %
ysician's medical exam and the comprehensive health assessment performed by the n
% % % % % % % % % % %
urse. The nurse should describe the fact that the nursing assessment focuses on which
% % % % % % % % % % % % % %
aspect of the client's situation?
% % % %
A) Current physiologic status % %
B) Effect of health on functional status
% % % % %
C) Past medical history % %
D) Motivation for adherence to treatment % % % %
7. After teaching a group of students about the phases of the nursing process, the instructo
% % % % % % % % % % % % % %
r determines that the teaching was successful when the students identify which phase a
% % % % % % % % % % % % %
s being foundational to all other phases?
% % % % % %
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has bee
% % % % % % % % % % % % %
n admitted for the treatment of community-
% % % % % %
acquired pneumonia. Following the completion of this assessment, the nurse periodica
% % % % % % % % % %
lly 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 % % % % %
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
% % % % % % % % % % % % % % %
city neighborhood. Which client would the nurse determine to be in most need of a
% % % % % % % % % % % % % %
n emergency assessment?
% %
A) A 14-year-old girl who is crying because she thinks she is pregnant
% % % % % % % % % % %
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
% % % % % % % % % %
C) A 3-year-old child with fever, rash, and sore throat
% % % % % % % %
D) A 20-year-old man with a 3-inch shallow laceration on his leg
% % % % % % % % % %
, lOMoARcPSD| 12286418
10. A nurse has completed gathering some basic data about a client who has multiple healt
% % % % % % % % % % % % % %
h problems that stem from heavy alcohol use. The nurse has then reflected on her perso
% % % % % % % % % % % % % % %
nal feelings about the client and his circumstances. The nurse does this primarily to acc
% % % % % % % % % % % % % %
omplish which of the following?
% % % %
A) Determine if pertinent data has been omitted % % % % % %
B) Identify the need for referral % % % %
C) Avoid biases and judgments % % %
D) Construct a plan of care % % % %
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
% % % % % % % % % % % % % % % %
diabetes and who will begin an educational program. The nurse is collecting subjective
% % % % % % % % % % % %
%and objective data. Which of the following would the nurse categorize as objective dat
% % % % % % % % % % % % %
a?
A) Family history %
B) Occupation
C) Appearance
D) History of present health concern % % % %
12. An older adult client has been admitted to the hospital with failure to thrive resulting
% % % % % % % % % % % % % %
%from complications of diabetes. Which of the following would the nurse implement i
% % % % % % % % % % % %
n response to a collaborative problem?
% % % % %
A) Encourage the client to increase oral fluid intake. % % % % % % %
B) Provide the client with a bedtime protein snack.
% % % % % % %
C) Assist the client with personal hygiene.
% % % % %
D) Measure the client's blood glucose four times daily.
% % % % % % %
13. The nurse at a busy primary care clinic is analyzing the data obtained from the foll
% % % % % % % % % % % % % % %
owing clients. For which clients would the nurse most likely expect to facilitate a re
% % % % % % % % % % % % % %
ferral?
A) An 80-year-old client who lives with her daughter
% % % % % % %
B) A 50-year-old client newly diagnosed with diabetes
% % % % % %
C) An adult presenting for an influenza vaccination
% % % % % %
D) A teenager seeking information about contraception
% % % % %
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The i
% % % % % % % % % % % % % %
nstructor determines that the teaching was successful when the students identify which
% % % % % % % % % % %
%of the following as the major method used by nurses early in the history of the profes
% % % % % % % % % % % % % % % %
sion?
A) Natural senses %
B) Biomedical knowledge %
C) Simple technology %
D) Critical pathways %
, lOMoARcPSD| 12286418
Chapter 1 %
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystect
% % % % % % % % % % % % %
omy (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 % %
2. A client has presented to the emergency department (ED) with complaints of abdomina
% % % % % % % % % % % %
l 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 %
3. The nurse has completed an initial assessment of a newly admitted client and is applyin
% % % % % % % % % % % % % %
g the nursing process to plan the client's care. What principle should the nurse apply w
% % % % % % % % % % % % % % %
hen using the nursing process?
% % % %
A) Each step is independent of the others.
% % % % % %
B) It is ongoing and continuous.
% % % %
C) It is used primarily in acute care settings.
% % % % % % %
D) It involves independent nursing actions.
% % % %
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
% % % % % % % % % % % % % % % %
perform a comprehensive health assessment. Which of the following actions should th
% % % % % % % % % % %
e nurse perform first?
% % %
A) Review the client's medical record. % % % %
B) Obtain basic biographic data. % % %
C) Consult clinical resources explaining the client's diagnosis.
% % % % % %
D) Validate information with the client. % % % %
5. Which of the following client situations would the nurse interpret as requiring a
% % % % % % % % % % % %
n emergency assessment?
% %
A) A pediatric client with severe sunburn
% % % % %
B) A client needing an employment physical
% % % % %
C) A client who overdosed on acetaminophen
% % % % %
D) A distraught client who wants a pregnancy test
% % % % % % %
, lOMoARcPSD| 12286418
6. In response to a client's query, the nurse is explaining the differences between the ph
% % % % % % % % % % % % % %
ysician's medical exam and the comprehensive health assessment performed by the n
% % % % % % % % % % %
urse. The nurse should describe the fact that the nursing assessment focuses on which
% % % % % % % % % % % % % %
aspect of the client's situation?
% % % %
A) Current physiologic status % %
B) Effect of health on functional status
% % % % %
C) Past medical history % %
D) Motivation for adherence to treatment % % % %
7. After teaching a group of students about the phases of the nursing process, the instructo
% % % % % % % % % % % % % %
r determines that the teaching was successful when the students identify which phase a
% % % % % % % % % % % % %
s being foundational to all other phases?
% % % % % %
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has bee
% % % % % % % % % % % % %
n admitted for the treatment of community-
% % % % % %
acquired pneumonia. Following the completion of this assessment, the nurse periodica
% % % % % % % % % %
lly 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 % % % % %
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
% % % % % % % % % % % % % % %
city neighborhood. Which client would the nurse determine to be in most need of a
% % % % % % % % % % % % % %
n emergency assessment?
% %
A) A 14-year-old girl who is crying because she thinks she is pregnant
% % % % % % % % % % %
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
% % % % % % % % % %
C) A 3-year-old child with fever, rash, and sore throat
% % % % % % % %
D) A 20-year-old man with a 3-inch shallow laceration on his leg
% % % % % % % % % %
, lOMoARcPSD| 12286418
10. A nurse has completed gathering some basic data about a client who has multiple healt
% % % % % % % % % % % % % %
h problems that stem from heavy alcohol use. The nurse has then reflected on her perso
% % % % % % % % % % % % % % %
nal feelings about the client and his circumstances. The nurse does this primarily to acc
% % % % % % % % % % % % % %
omplish which of the following?
% % % %
A) Determine if pertinent data has been omitted % % % % % %
B) Identify the need for referral % % % %
C) Avoid biases and judgments % % %
D) Construct a plan of care % % % %
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
% % % % % % % % % % % % % % % %
diabetes and who will begin an educational program. The nurse is collecting subjective
% % % % % % % % % % % %
%and objective data. Which of the following would the nurse categorize as objective dat
% % % % % % % % % % % % %
a?
A) Family history %
B) Occupation
C) Appearance
D) History of present health concern % % % %
12. An older adult client has been admitted to the hospital with failure to thrive resulting
% % % % % % % % % % % % % %
%from complications of diabetes. Which of the following would the nurse implement i
% % % % % % % % % % % %
n response to a collaborative problem?
% % % % %
A) Encourage the client to increase oral fluid intake. % % % % % % %
B) Provide the client with a bedtime protein snack.
% % % % % % %
C) Assist the client with personal hygiene.
% % % % %
D) Measure the client's blood glucose four times daily.
% % % % % % %
13. The nurse at a busy primary care clinic is analyzing the data obtained from the foll
% % % % % % % % % % % % % % %
owing clients. For which clients would the nurse most likely expect to facilitate a re
% % % % % % % % % % % % % %
ferral?
A) An 80-year-old client who lives with her daughter
% % % % % % %
B) A 50-year-old client newly diagnosed with diabetes
% % % % % %
C) An adult presenting for an influenza vaccination
% % % % % %
D) A teenager seeking information about contraception
% % % % %
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The i
% % % % % % % % % % % % % %
nstructor determines that the teaching was successful when the students identify which
% % % % % % % % % % %
%of the following as the major method used by nurses early in the history of the profes
% % % % % % % % % % % % % % % %
sion?
A) Natural senses %
B) Biomedical knowledge %
C) Simple technology %
D) Critical pathways %
