, CHAPTE DS 1: NU DSSE’S DSOLE IN HEALTH ASSESSMENT: COLLECTING AND ANALYZING DATA
1. A nu se on a postsu gical unit is admitting a client following the client's
ds ds
cholecystectomy (gall bladde emoval). What is the ove all pu pose of assessment ds ds ds ds
fo this client?
ds
A) Collecting accu ate data ds
B) Assisting the p ima y ca e p ovide ds ds ds ds ds
C) Validating p evious data ds
D) Making clinical judgments
2. A client has p esented to the eme gency depa tment (ED) with complaints of
ds ds ds
abdominal pain. Which membe of the ca e team would most likely be esponsible fo ds ds ds ds
collecting the subjective data on the client du ing the initial comp ehensive ds ds
assessment?
A) Gast oente ologist ds ds
B) ED nu se ds
C) Admissions cle k ds
D) Diagnostic technician
3. The nu se has completed an initial assessment of a newly admitted client and is
ds
applying the nu sing p ocess to plan the client's ca e. What p inciple should the nu se
ds ds ds ds ds
apply when using the nu sing p ocess? ds ds
A) Each step is independent of the othe s. ds
B) It is ongoing and continuous.
C) It is used p ima ily in acute ca e settings. N ds ds ds
D) It involves independent nu sing actions. ds
4. The nu se who p ovides ca e at an ambulato y clinic is p epa ing to meet a client and
ds ds ds ds ds ds
pe fo m a comp ehensive health assessment. Which of the following actions should
ds ds ds
the nu se pe fo m fi st?
ds ds ds ds
A) eview the client's medical eco d.
DS ds ds
B) Obtain basic biog aphic data. ds
C) Consult clinical esou ces explaining the client's diagnosis. ds ds
D) Validate info mation with the client. ds
5. Which of the following client situations would the nu se inte p et as equi ing ds ds ds ds ds
an eme gency assessment?
ds
A) A pediat ic client with seve e sunbu n
ds ds ds
B) A client needing an employment physical
C) A client who ove dosed on acetaminophen ds
D) A dist aught client who wants a p egnancy test
ds ds
,6. In esponse to a client's que y, the nu se is explaining the diffe ences between the
ds ds ds ds
physician's medical exam and the comp ehensive health assessment pe fo med by ds ds ds
the nu se. The nu se should desc ibe the fact that the nu sing assessment focuses on
ds ds ds ds
which aspect of the client's situation?
A) Cu ent physiologic status ds ds
B) Effect of health on functional status
C) Past medical histo y ds
D) Motivation fo adhe ence to t eatment ds ds ds
7. Afte teaching a g oup of students about the phases of the nu sing p ocess, the
ds ds ds ds
inst ucto dete mines that the teaching was successful when the students identify
ds ds ds
which phase as being foundational to all othe pha ses? ds
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nu se has completed the comp ehensive health assessment of a client who has
ds ds
been admitted fo the t eatment of community-acqui ed pneumonia. Following the
ds ds ds
completion of this assessment, the nu se pe iodically pe fo ms a pa tial assessment ds ds ds ds ds
p ima ily fo which eason?
ds ds ds ds
A) eassess p eviously deteNcted p oblems
DS ds ds
B) P ovide info mation fo the client's eco d
ds ds ds ds ds
C) Add ess a eas p eviously omitted
ds ds ds
D) Dete mine the need fo c isis inte vention
ds ds ds ds
9. The nu se is wo king in an ambulato y ca e clinic that is located in a busy, inne -
ds ds ds ds ds
city neighbo hood. Which client would the nu se dete mine to be in most need of
ds ds ds
an eme gency assessment?ds
A) A 14-yea -old gi l who is c ying because she thinks she is p egnant
ds ds ds ds
B) A 45-yea -old man with chest pain and diapho esis fo 1 hou
ds ds ds ds
C) A 3-yea -old child with feve , ash, and so e th oat
ds ds ds ds ds
D) A 20-yea -old man with a 3-inch shallow lace ation on his leg
ds ds
10. A nu se has completed gathe ing some basic data about a client who has multiple
ds ds
health p oblems that stem f om heavy alcohol use. The nu se has then eflected on he
ds ds ds ds ds
pe sonal ds
feelings about the client and his ci cumstances. The nu se does this p ima ily to ds ds ds ds
accomplish which of the following?
A) Dete mine if pe tinent data has been omitted
ds ds
B) Identify the need fo efe al ds ds ds ds
C) Avoid biases and judgments
D) Const uct a plan of ca e ds ds
, 11. The nu se is collecting data f om a client who has ecently been diagnosed with type 1
ds ds ds
diabetes and who will begin an educational p og am. The nu se is collecting ds ds ds
subjective and objective data. Which of the following would the nu se catego ize as ds ds
objective data?
A) Family histo y ds
B) Occupation
C) Appea ance ds
D) Histo y of p esent health conce n ds ds ds
12. An olde adult client has been admitted to the hospital with failu e to th ive
ds ds ds
esulting f om complications of diabetes. Which of the following would the nu se
ds ds ds
implement in esponse to a collabo ative p oblem? ds ds ds
A) Encou age the client to inc ease o al fluid intake.
ds ds ds
B) P ovide the client with a bedtime p otein snack. N
ds ds
C) Assist the client with pe sonal hygiene. ds
D) Measu e the client's blood glucose fou times daily.
ds ds
13. The nu se at a busy p ima y ca e clinic is analyzing the data obtained f om the
ds ds ds ds ds
following clients. Fo which clients would the nu se most likely expect to facilitate a
ds ds
efe al?
ds ds ds
A) An 80-yea -old client who lives with he daughte ds ds ds
B) A 50-yea -old client newly diagnosed with diabetesds
C) An adult p esenting fo an influenza vaccination ds ds
D) A teenage seeking info mation about cont aception ds ds ds
14. An inst ucto is eviewing the evolution of the nu se's ole in health assessment. The
ds ds ds ds ds
inst ucto dete mines that the teaching was successful when the students identify
ds ds ds
which of the following as the majo method used by nu ses ea ly in the histo y of ds ds ds ds
the p ofession? A) Natu al senses
ds ds
B) Biomedical knowledge
C) Simple technology
D) C itical pathways
ds
15. When desc ibing the expansion of the depth and scope of nu sing assessment ove
ds ds ds
the past seve al decades, which of the following would the nu se identify as being
ds ds
the p ima y fo ce? A) Documentation
ds ds ds
B) Info matics ds
C) Dive sification ds
D) Technology
16. A g oup of nu ses a e eviewing info mation about the potential oppo tunities fo nu
ds ds ds ds ds ds ds
ses who have advanced assessment skills. When discussing phenomena that have
ds
cont ibuted to these inc eased oppo tunities, what should the nu ses identify?
ds ds ds ds
A) Expansion of health ca e netwo ks ds ds
B) Dec ease in client pa ticipation in ca e
ds ds ds
C) The sh inking cost of medical ca e ds ds
D) Public mist ust of physicians ds
1. A nu se on a postsu gical unit is admitting a client following the client's
ds ds
cholecystectomy (gall bladde emoval). What is the ove all pu pose of assessment ds ds ds ds
fo this client?
ds
A) Collecting accu ate data ds
B) Assisting the p ima y ca e p ovide ds ds ds ds ds
C) Validating p evious data ds
D) Making clinical judgments
2. A client has p esented to the eme gency depa tment (ED) with complaints of
ds ds ds
abdominal pain. Which membe of the ca e team would most likely be esponsible fo ds ds ds ds
collecting the subjective data on the client du ing the initial comp ehensive ds ds
assessment?
A) Gast oente ologist ds ds
B) ED nu se ds
C) Admissions cle k ds
D) Diagnostic technician
3. The nu se has completed an initial assessment of a newly admitted client and is
ds
applying the nu sing p ocess to plan the client's ca e. What p inciple should the nu se
ds ds ds ds ds
apply when using the nu sing p ocess? ds ds
A) Each step is independent of the othe s. ds
B) It is ongoing and continuous.
C) It is used p ima ily in acute ca e settings. N ds ds ds
D) It involves independent nu sing actions. ds
4. The nu se who p ovides ca e at an ambulato y clinic is p epa ing to meet a client and
ds ds ds ds ds ds
pe fo m a comp ehensive health assessment. Which of the following actions should
ds ds ds
the nu se pe fo m fi st?
ds ds ds ds
A) eview the client's medical eco d.
DS ds ds
B) Obtain basic biog aphic data. ds
C) Consult clinical esou ces explaining the client's diagnosis. ds ds
D) Validate info mation with the client. ds
5. Which of the following client situations would the nu se inte p et as equi ing ds ds ds ds ds
an eme gency assessment?
ds
A) A pediat ic client with seve e sunbu n
ds ds ds
B) A client needing an employment physical
C) A client who ove dosed on acetaminophen ds
D) A dist aught client who wants a p egnancy test
ds ds
,6. In esponse to a client's que y, the nu se is explaining the diffe ences between the
ds ds ds ds
physician's medical exam and the comp ehensive health assessment pe fo med by ds ds ds
the nu se. The nu se should desc ibe the fact that the nu sing assessment focuses on
ds ds ds ds
which aspect of the client's situation?
A) Cu ent physiologic status ds ds
B) Effect of health on functional status
C) Past medical histo y ds
D) Motivation fo adhe ence to t eatment ds ds ds
7. Afte teaching a g oup of students about the phases of the nu sing p ocess, the
ds ds ds ds
inst ucto dete mines that the teaching was successful when the students identify
ds ds ds
which phase as being foundational to all othe pha ses? ds
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nu se has completed the comp ehensive health assessment of a client who has
ds ds
been admitted fo the t eatment of community-acqui ed pneumonia. Following the
ds ds ds
completion of this assessment, the nu se pe iodically pe fo ms a pa tial assessment ds ds ds ds ds
p ima ily fo which eason?
ds ds ds ds
A) eassess p eviously deteNcted p oblems
DS ds ds
B) P ovide info mation fo the client's eco d
ds ds ds ds ds
C) Add ess a eas p eviously omitted
ds ds ds
D) Dete mine the need fo c isis inte vention
ds ds ds ds
9. The nu se is wo king in an ambulato y ca e clinic that is located in a busy, inne -
ds ds ds ds ds
city neighbo hood. Which client would the nu se dete mine to be in most need of
ds ds ds
an eme gency assessment?ds
A) A 14-yea -old gi l who is c ying because she thinks she is p egnant
ds ds ds ds
B) A 45-yea -old man with chest pain and diapho esis fo 1 hou
ds ds ds ds
C) A 3-yea -old child with feve , ash, and so e th oat
ds ds ds ds ds
D) A 20-yea -old man with a 3-inch shallow lace ation on his leg
ds ds
10. A nu se has completed gathe ing some basic data about a client who has multiple
ds ds
health p oblems that stem f om heavy alcohol use. The nu se has then eflected on he
ds ds ds ds ds
pe sonal ds
feelings about the client and his ci cumstances. The nu se does this p ima ily to ds ds ds ds
accomplish which of the following?
A) Dete mine if pe tinent data has been omitted
ds ds
B) Identify the need fo efe al ds ds ds ds
C) Avoid biases and judgments
D) Const uct a plan of ca e ds ds
, 11. The nu se is collecting data f om a client who has ecently been diagnosed with type 1
ds ds ds
diabetes and who will begin an educational p og am. The nu se is collecting ds ds ds
subjective and objective data. Which of the following would the nu se catego ize as ds ds
objective data?
A) Family histo y ds
B) Occupation
C) Appea ance ds
D) Histo y of p esent health conce n ds ds ds
12. An olde adult client has been admitted to the hospital with failu e to th ive
ds ds ds
esulting f om complications of diabetes. Which of the following would the nu se
ds ds ds
implement in esponse to a collabo ative p oblem? ds ds ds
A) Encou age the client to inc ease o al fluid intake.
ds ds ds
B) P ovide the client with a bedtime p otein snack. N
ds ds
C) Assist the client with pe sonal hygiene. ds
D) Measu e the client's blood glucose fou times daily.
ds ds
13. The nu se at a busy p ima y ca e clinic is analyzing the data obtained f om the
ds ds ds ds ds
following clients. Fo which clients would the nu se most likely expect to facilitate a
ds ds
efe al?
ds ds ds
A) An 80-yea -old client who lives with he daughte ds ds ds
B) A 50-yea -old client newly diagnosed with diabetesds
C) An adult p esenting fo an influenza vaccination ds ds
D) A teenage seeking info mation about cont aception ds ds ds
14. An inst ucto is eviewing the evolution of the nu se's ole in health assessment. The
ds ds ds ds ds
inst ucto dete mines that the teaching was successful when the students identify
ds ds ds
which of the following as the majo method used by nu ses ea ly in the histo y of ds ds ds ds
the p ofession? A) Natu al senses
ds ds
B) Biomedical knowledge
C) Simple technology
D) C itical pathways
ds
15. When desc ibing the expansion of the depth and scope of nu sing assessment ove
ds ds ds
the past seve al decades, which of the following would the nu se identify as being
ds ds
the p ima y fo ce? A) Documentation
ds ds ds
B) Info matics ds
C) Dive sification ds
D) Technology
16. A g oup of nu ses a e eviewing info mation about the potential oppo tunities fo nu
ds ds ds ds ds ds ds
ses who have advanced assessment skills. When discussing phenomena that have
ds
cont ibuted to these inc eased oppo tunities, what should the nu ses identify?
ds ds ds ds
A) Expansion of health ca e netwo ks ds ds
B) Dec ease in client pa ticipation in ca e
ds ds ds
C) The sh inking cost of medical ca e ds ds
D) Public mist ust of physicians ds
