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by Janet R Weber and Jane H Kelley Fully Covered
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, 1 fA fnurse fon fa fpostsurgical funit fis fadmitting fa fclient ffollowing fthe fclient's
fcholecystectomy f(gall fbladder fremoval). fWhat fis fthe foverall fpurpose fof fassessment fforthis
fclient?
A) Collecting faccurate fdata
B) Assisting fthe fprimary fcare fprovider
C) Validating fprevious fdata
D) Making fclinical fjudgments
2. A fclient fhas fpresented fto fthe femergency fdepartment f(ED) fwith fcomplaints fof fabdominal
fpain. fWhich fmember fof fthe fcare fteam fwould fmost flikely fbe fresponsible ffor fcollecting
fthe fsubjective fdata fon fthe fclient fduring fthe finitial fcomprehensive fassessment?
A) Gastroenterologist
B) ED fnurse
C) Admissions fclerk
D) Diagnostic ftechnician
3. The fnurse fhas fcompleted fan finitial fassessment fof fa fnewly fadmitted fclient fand fis fapplying
fthe fnursing fprocess fto fplan fthe fclient's fcare. fWhat fprinciple fshould fthe fnurse fapply fwhen
fusing fthe fnursing fprocess?
A) Each fstep fis findependent fof fthe fothers.
B) It fis fongoing fand fcontinuous.
C) It fis fused fprimarily fin facute fcare fsettings.
D) It finvolves findependent fnursing factions.
4. The fnurse fwho fprovides fcare fat fan fambulatory fclinic fis fpreparing fto fmeet fa fclient fand
fperform fa fcomprehensive fhealth fassessment. fWhich fof fthe ffollowing factions fshould fthe
fnurse fperform ffirst?
A) Review fthe fclient's fmedical frecord.
B) Obtain fbasic fbiographic fdata.
C) Consult fclinical fresources fexplaining fthe fclient's fdiagnosis.
D) Validate finformation fwith fthe fclient.
5. Which fof fthe ffollowing fclient fsituations fwould fthe fnurse finterpret fas frequiring fan
femergency fassessment?
A) A fpediatric fclient fwith fsevere fsunburn
B) A fclient fneeding fan femployment fphysical
C) A fclient fwho foverdosed fon facetaminophen
D) A fdistraught fclient fwho fwants fa fpregnancy ftest
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,6. In fresponse fto fa fclient's fquery, fthe fnurse fis fexplaining fthe fdifferences fbetween fthe
fphysician's fmedical fexam fand fthe fcomprehensive fhealth fassessment fperformed fby fthe
fnurse. fThe fnurse fshould fdescribe fthe ffact fthat fthe fnursing fassessment ffocuses fon fwhich
faspect fof fthe fclient's fsituation?
A) Current fphysiologic fstatus
B) Effect fof fhealth fon ffunctional fstatus
C) Past fmedical fhistory
D) Motivation ffor fadherence fto ftreatment
7. After fteaching fa fgroup fof fstudents fabout fthe fphases fof fthe fnursing fprocess, fthe finstructor
fdetermines fthat fthe fteaching fwas fsuccessful fwhen fthe fstudents fidentify fwhich fphase fas
fbeing ffoundational fto fall fother fphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The fnurse fhas fcompleted fthe fcomprehensive fhealth fassessment fof fa fclient fwho fhas fbeen
fadmitted ffor fthe ftreatment fof fcommunity-acquired fpneumonia. fFollowing fthe
fcompletion fof fthis fassessment, fthe fnurse fperiodically fperforms fa fpartial fassessment
fprimarily ffor fwhich freason?
A) Reassess fpreviously fdetected fproblems
B) Provide finformation ffor fthe fclient's frecord
C) Address fareas fpreviously fomitted
D) Determine fthe fneed ffor fcrisis fintervention
9. The fnurse fis fworking fin fan fambulatory fcare fclinic fthat fis flocated fin fa fbusy, finner-city
fneighborhood. fWhich fclient fwould fthe fnurse fdetermine fto fbe fin fmost fneed fof fan
femergency fassessment?
A) A f14-year-old fgirl fwho fis fcrying fbecause fshe fthinks fshe fis fpregnant
B) A f45-year-old fman fwith fchest fpain fand fdiaphoresis ffor f1 fhour
C) A f3-year-old fchild fwith ffever, frash, fand fsore fthroat
D) A f20-year-old fman fwith fa f3-inch fshallow flaceration fon fhis fleg
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, 10. A fnurse fhas fcompleted fgathering fsome fbasic fdata fabout fa fclient fwho fhas fmultiple fhealth
fproblems fthat fstem ffrom fheavy falcohol fuse. fThe fnurse fhas fthen freflected fon fher fpersonal
ffeelings fabout fthe fclient fand fhis fcircumstances. fThe fnurse fdoes fthis fprimarily fto
faccomplish fwhich fof fthe ffollowing?
A) Determine fif fpertinent fdata fhas fbeen fomitted
B) Identify fthe fneed ffor freferral
C) Avoid fbiases fand fjudgments
D) Construct fa fplan fof fcare
11. The fnurse fis fcollecting fdata ffrom fa fclient fwho fhas frecently fbeen fdiagnosed fwith ftype f1
fdiabetes fand fwho fwill fbegin fan feducational fprogram. fThe fnurse fis fcollecting fsubjective
fand fobjective fdata. fWhich fof fthe ffollowing fwould fthe fnurse fcategorize fas fobjective fdata?
A) Family fhistory
B) Occupation
C) Appearance
D) History fof fpresent fhealth fconcern
12. An folder fadult fclient fhas fbeen fadmitted fto fthe fhospital fwith ffailure fto fthrive fresulting
ffrom fcomplications fof fdiabetes. fWhich fof fthe ffollowing fwould fthe fnurse fimplement fin
fresponse fto fa fcollaborative fproblem?
A) Encourage fthe fclient fto fincrease foral ffluid fintake.
B) Provide fthe fclient fwith fa fbedtime fprotein fsnack.
C) Assist fthe fclient fwith fpersonal fhygiene.
D) Measure fthe fclient's fblood fglucose ffour ftimes fdaily.
13. The fnurse fat fa fbusy fprimary fcare fclinic fis fanalyzing fthe fdata fobtained ffrom fthe
ffollowing fclients. fFor fwhich fclients fwould fthe fnurse fmost flikely fexpect fto ffacilitate fa
freferral?
A) An f80-year-old fclient fwho flives fwith fher fdaughter
B) A f50-year-old fclient fnewly fdiagnosed fwith fdiabetes
C) An fadult fpresenting ffor fan finfluenza fvaccination
D) A fteenager fseeking finformation fabout fcontraception
14. An finstructor fis freviewing fthe fevolution fof fthe fnurse's frole fin fhealth fassessment. fThe
finstructor fdetermines fthat fthe fteaching fwas fsuccessful fwhen fthe fstudents fidentify fwhich
fof fthe ffollowing fas fthe fmajor fmethod fused fby fnurses fearly fin fthe fhistory fof fthe
fprofession?
A) Natural fsenses
B) Biomedical fknowledge
C) Simple ftechnology
D) Critical fpathways
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