,lOMoARcPSD|12286418
, lOMoARcPSD|12286418
Chapter 1 cn
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystecto
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my (gall bladder removal). What is the overall purpose of assessment for this client?
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A) Collecting accurate data cn cn
B) Assisting the primary care provider cn cn cn cn
C) Validating previous data cn cn
D) Making clinical judgments cn cn
2. A client has presented to the emergency department (ED) with complaints of abdominal
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pain. Which member of the care team would most likely be responsible for collecting th
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e subjective data on the client during the initial comprehensive assessment?
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A) Gastroenterologist
B) ED nurse cn
C) Admissions clerk cn
D) Diagnostic technician cn
3. The nurse has completed an initial assessment of a newly admitted client and is applying t
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he nursing process to plan the client's care. What principle should the nurse apply when
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using the nursing process? cn cn cn
A) Each step is independent of the others. cn cn cn cn cn cn
B) It is ongoing and continuous. cn cn cn cn
C) It is used primarily in acute care settings.
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D) It involves independent nursing actions.
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4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and p
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erform a comprehensive health assessment. Which of the following actions should the n
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urse perform first? cn cn
A) Review the client's medical record. cn cn cn cn
B) Obtain basic biographic data. cn cn cn
C) Consult clinical resources explaining the client's diagnosis. cn cn cn cn cn cn
D) Validate information with the client. cn cn cn cn
5. Which of the following client situations would the nurse interpret as requiring an
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emergency assessment? cn
A) A pediatric client with severe sunburn
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B) A client needing an employment physical
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C) A client who overdosed on acetaminophen
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D) A distraught client who wants a pregnancy test
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, lOMoARcPSD|12286418
6. In response to a client's query, the nurse is explaining the differences between the phys
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ician's medical exam and the comprehensive health assessment performed by the nurse
cn cn cn cn cn cn cn cn cn cn cn
. The nurse should describe the fact that the nursing assessment focuses on which aspect
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nof the client's situation?
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A) Current physiologic status cn cn
B) Effect of health on functional status cn cn cn cn cn
C) Past medical history cn cn
D) Motivation for adherence to treatment cn cn cn cn
7. After teaching a group of students about the phases of the nursing process, the instructor
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determines that the teaching was successful when the students identify which phase as b
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eing foundational to all other phases?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been
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admitted for the treatment of community- cn cn cn cn cn
acquired pneumonia. Following the completion of this assessment, the nurse periodicall
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y performs a partial assessment primarily for which reason?
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A) Reassess previously detected problems cn cn cn
B) Provide information for the client's record cn cn cn cn cn
C) Address areas previously omitted cn cn cn
D) Determine the need for crisis intervention cn cn cn cn cn
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
city neighborhood. Which client would the nurse determine to be in most need of an
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
emergency assessment? cn
A) A 14-year-old girl who is crying because she thinks she is pregnant
cn cn cn cn cn cn cn cn cn cn cn
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
cn cn cn cn cn cn cn cn cn cn
C) A 3-year-old child with fever, rash, and sore throat
cn cn cn cn cn cn cn cn
D) A 20-year-old man with a 3-inch shallow laceration on his leg
cn cn cn cn cn cn cn cn cn cn
, lOMoARcPSD|12286418
Chapter 1 cn
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystecto
cn cn cn cn cn cn cn cn cn cn cn cn cn
my (gall bladder removal). What is the overall purpose of assessment for this client?
cn cn cn cn cn cn cn cn cn cn cn cn cn
A) Collecting accurate data cn cn
B) Assisting the primary care provider cn cn cn cn
C) Validating previous data cn cn
D) Making clinical judgments cn cn
2. A client has presented to the emergency department (ED) with complaints of abdominal
cn cn cn cn cn cn cn cn cn cn cn cn cn
pain. Which member of the care team would most likely be responsible for collecting th
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
e subjective data on the client during the initial comprehensive assessment?
cn cn cn cn cn cn cn cn cn cn
A) Gastroenterologist
B) ED nurse cn
C) Admissions clerk cn
D) Diagnostic technician cn
3. The nurse has completed an initial assessment of a newly admitted client and is applying t
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
he nursing process to plan the client's care. What principle should the nurse apply when
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
using the nursing process? cn cn cn
A) Each step is independent of the others. cn cn cn cn cn cn
B) It is ongoing and continuous. cn cn cn cn
C) It is used primarily in acute care settings.
cn cn cn cn cn cn cn
D) It involves independent nursing actions.
cn cn cn cn
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and p
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
erform a comprehensive health assessment. Which of the following actions should the n
cn cn cn cn cn cn cn cn cn cn cn cn
urse perform first? cn cn
A) Review the client's medical record. cn cn cn cn
B) Obtain basic biographic data. cn cn cn
C) Consult clinical resources explaining the client's diagnosis. cn cn cn cn cn cn
D) Validate information with the client. cn cn cn cn
5. Which of the following client situations would the nurse interpret as requiring an
cn cn cn cn cn cn cn cn cn cn cn cn cn
emergency assessment? cn
A) A pediatric client with severe sunburn
cn cn cn cn cn
B) A client needing an employment physical
cn cn cn cn cn
C) A client who overdosed on acetaminophen
cn cn cn cn cn
D) A distraught client who wants a pregnancy test
cn cn cn cn cn cn cn
, lOMoARcPSD|12286418
6. In response to a client's query, the nurse is explaining the differences between the phys
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
ician's medical exam and the comprehensive health assessment performed by the nurse
cn cn cn cn cn cn cn cn cn cn cn
. The nurse should describe the fact that the nursing assessment focuses on which aspect
cn cn cn cn cn cn cn cn cn cn cn cn cn cn c
nof the client's situation?
cn cn cn
A) Current physiologic status cn cn
B) Effect of health on functional status cn cn cn cn cn
C) Past medical history cn cn
D) Motivation for adherence to treatment cn cn cn cn
7. After teaching a group of students about the phases of the nursing process, the instructor
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
determines that the teaching was successful when the students identify which phase as b
cn cn cn cn cn cn cn cn cn cn cn cn cn
eing foundational to all other phases?
cn cn cn cn cn
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been
cn cn cn cn cn cn cn cn cn cn cn cn cn cn
admitted for the treatment of community- cn cn cn cn cn
acquired pneumonia. Following the completion of this assessment, the nurse periodicall
cn cn cn cn cn cn cn cn cn cn
y performs a partial assessment primarily for which reason?
cn cn cn cn cn cn cn cn
A) Reassess previously detected problems cn cn cn
B) Provide information for the client's record cn cn cn cn cn
C) Address areas previously omitted cn cn cn
D) Determine the need for crisis intervention cn cn cn cn cn
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
city neighborhood. Which client would the nurse determine to be in most need of an
cn cn cn cn cn cn cn cn cn cn cn cn cn cn cn
emergency assessment? cn
A) A 14-year-old girl who is crying because she thinks she is pregnant
cn cn cn cn cn cn cn cn cn cn cn
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
cn cn cn cn cn cn cn cn cn cn
C) A 3-year-old child with fever, rash, and sore throat
cn cn cn cn cn cn cn cn
D) A 20-year-old man with a 3-inch shallow laceration on his leg
cn cn cn cn cn cn cn cn cn cn
