NUR Exam 1 with all Correct & 100% Verified Answers |
Actual Complete Exam |Already Graded A+
An assessment of a client who already has a complete recorded database in the system and
returns to the health care agency with a specific health concern is referred to as a(n)?
✔Correct Answer-focused or problem-oriented assessment.
When a client first enters the hospital for an elective surgical procedure, the nurse should
perform an assessment termed? ✔Correct Answer-comprehensive
After completing a health history and physical assessment the nurse prepared to analyze the
collected data. In which phase of the nursing process is the nurse focusing? ✔Correct Answer-
Nursing diagnosis
A nurse has assessed a client who was admitted to the medical unit to treat acute complications
of type 1 diabetes. During the assessment, the client admitted that his blood sugar monitoring
when he is at home is "a bit sporadic." How should the nurse best respond to this assessment
finding? ✔Correct Answer-Identify a nursing diagnosis of Ineffective Health Maintenance.
The nurse is completing a health assessment with a newly admitted client. What should the
nurse do after completing the health history?
perform a physical examination
document the findings
determine a problem list
cluster the data ✔Correct Answer-perform a physical examination
The nurse notes that an intervention provided to a client for a specific health problem was not
effective. Which action should the nurse take next?
Analyze the newly collected data
Implement a new action
Identify a new outcome
Assess the status of the health problem ✔Correct Answer-Assess the status of the health
problem
The nurse is performing a health assessment with a client who presented to the emergency
department after falling as a result of feeling dizzy. Which questions demonstrates that the
nurse understands the initial purpose of effectively conducting a health assessment? Select all
that apply.
A. "Do you know what may have caused you to fall?"
, B. "Are you experiencing any pain at this time?"
C. "Do you know what your blood pressure is usually?"
D. "What do you think will help you from falling again?"
E. "Are you feeling dizzy now?" ✔Correct Answer-B, C, E
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 whether the client has
achieved the outcome criteria of the treatment? ✔Correct Answer-Evaluation
A nurse provides care for a client with impaired respiratory function. The nurse frequently
assesses the client's skin color and temperature of the extremities. What is the purpose of this
ongoing or partial assessment?
To evaluate whether outcomes of treatment are met
To collect subjective data related to the client's overall health
To determine any changes from the baseline data
To perform a rapid assessment for prompt treatment ✔Correct Answer-To determine any
changes from the baseline data
When performing the steps of the assessment phase of the nursing process, which of the
following would the nurse do first?
Validate the data
Collect objective data
Collect subjective data
Document the data ✔Correct Answer-Collect subjective data
Although the assessment phase of the nursing process precedes the other phases, the
assessment phase is
performed only by nurses.
linear.
completed on admission.
continuous. ✔Correct Answer-continuous.
What will be the nurse's initial role when conducting a health assessment with a client reporting
abdominal pain?
Collecting data regarding the nature of the pain
Actual Complete Exam |Already Graded A+
An assessment of a client who already has a complete recorded database in the system and
returns to the health care agency with a specific health concern is referred to as a(n)?
✔Correct Answer-focused or problem-oriented assessment.
When a client first enters the hospital for an elective surgical procedure, the nurse should
perform an assessment termed? ✔Correct Answer-comprehensive
After completing a health history and physical assessment the nurse prepared to analyze the
collected data. In which phase of the nursing process is the nurse focusing? ✔Correct Answer-
Nursing diagnosis
A nurse has assessed a client who was admitted to the medical unit to treat acute complications
of type 1 diabetes. During the assessment, the client admitted that his blood sugar monitoring
when he is at home is "a bit sporadic." How should the nurse best respond to this assessment
finding? ✔Correct Answer-Identify a nursing diagnosis of Ineffective Health Maintenance.
The nurse is completing a health assessment with a newly admitted client. What should the
nurse do after completing the health history?
perform a physical examination
document the findings
determine a problem list
cluster the data ✔Correct Answer-perform a physical examination
The nurse notes that an intervention provided to a client for a specific health problem was not
effective. Which action should the nurse take next?
Analyze the newly collected data
Implement a new action
Identify a new outcome
Assess the status of the health problem ✔Correct Answer-Assess the status of the health
problem
The nurse is performing a health assessment with a client who presented to the emergency
department after falling as a result of feeling dizzy. Which questions demonstrates that the
nurse understands the initial purpose of effectively conducting a health assessment? Select all
that apply.
A. "Do you know what may have caused you to fall?"
, B. "Are you experiencing any pain at this time?"
C. "Do you know what your blood pressure is usually?"
D. "What do you think will help you from falling again?"
E. "Are you feeling dizzy now?" ✔Correct Answer-B, C, E
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 whether the client has
achieved the outcome criteria of the treatment? ✔Correct Answer-Evaluation
A nurse provides care for a client with impaired respiratory function. The nurse frequently
assesses the client's skin color and temperature of the extremities. What is the purpose of this
ongoing or partial assessment?
To evaluate whether outcomes of treatment are met
To collect subjective data related to the client's overall health
To determine any changes from the baseline data
To perform a rapid assessment for prompt treatment ✔Correct Answer-To determine any
changes from the baseline data
When performing the steps of the assessment phase of the nursing process, which of the
following would the nurse do first?
Validate the data
Collect objective data
Collect subjective data
Document the data ✔Correct Answer-Collect subjective data
Although the assessment phase of the nursing process precedes the other phases, the
assessment phase is
performed only by nurses.
linear.
completed on admission.
continuous. ✔Correct Answer-continuous.
What will be the nurse's initial role when conducting a health assessment with a client reporting
abdominal pain?
Collecting data regarding the nature of the pain
