NR 222 HEALTH ASSESSMENT COMPREHENSIVE EXAM
CHAMBERLAIN UNIVERSITY ACTUAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH RATIONALES
100% GUARANTEED PASS!!
<LATEST VERSION>
1. A nurse is completing an initial assessment of a client who reports, “I have been
exhausted for the past month.” Which finding is subjective data?
A. Heart rate of 104/min
B. Pale conjunctivae observed during assessment
C. Client reports sleeping 4 hours each night
D. Hemoglobin level of 10.2 g/dL
Answer: C
Rationale: Subjective data are symptoms or experiences reported by the client and
cannot be directly measured by the nurse. Sleep duration reported by the client is
subjective. Heart rate, observed pallor, and laboratory values are objective
findings.
2. A client tells the nurse, “I don't think I can afford the medications prescribed for
my hypertension.” Which nursing action best demonstrates the nurse's role as a
client advocate?
A. Tell the client to take half the prescribed dose until the medication can be
purchased
B. Ask the client to discuss the concern with the provider at the next appointment
C. Explore lower-cost medication options with the healthcare team and connect the
,client with available resources
D. Explain that medication adherence is the client's personal responsibility
Answer: C
Rationale: Advocacy involves protecting the client's rights, safety, access to care,
and ability to make informed decisions. The nurse should identify barriers and
collaborate with the healthcare team and appropriate resources rather than
independently altering treatment.
3. During a health interview, a client repeatedly looks away and gives brief
answers when asked about intimate relationships. Which action should the nurse
take first?
A. Ask more direct questions to obtain complete information
B. Document that the client is unwilling to cooperate
C. Acknowledge the client's discomfort and reinforce privacy and confidentiality
D. Skip the topic because it appears uncomfortable
Answer: C
Rationale: Sensitive assessment requires establishment of trust and psychological
safety. Acknowledging discomfort while reinforcing privacy may encourage the
client to communicate more openly. The nurse should not pressure, label, or
automatically omit clinically relevant information.
4. A community health nurse organizes a vaccination clinic for adults who have
not previously received an indicated vaccine. Which level of prevention does this
intervention represent?
A. Primary
B. Secondary
C. Tertiary
D. Restorative
Answer: A
,Rationale: Primary prevention aims to prevent disease before it develops.
Immunization is a classic primary prevention intervention. Secondary prevention
focuses on early detection, while tertiary prevention reduces complications or
disability associated with an established condition.
5. A nurse is reviewing assessment findings from a client who reports increasing
shortness of breath when climbing stairs. Which action represents the assessment
phase of the nursing process?
A. Teaching the client pursed-lip breathing
B. Identifying activity intolerance as a nursing diagnosis
C. Measuring oxygen saturation while the client ambulates
D. Setting a goal for the client to tolerate 10 minutes of activity
Answer: C
Rationale: Assessment involves systematic collection of subjective and objective
information. Measuring oxygen saturation during activity provides objective
assessment data. Teaching, diagnosis, and goal setting occur in later phases of the
nursing process.
6. A nurse identifies the nursing diagnosis “Imbalanced nutrition: less than body
requirements” for a client who has experienced unintended weight loss. Which
outcome is written most appropriately?
A. Client will understand the importance of nutrition
B. Client will improve nutritional status
C. Client will consume at least 75% of each prescribed meal within 5 days
D. Nurse will monitor the client's weight every morning
Answer: C
Rationale: A well-written outcome is specific and measurable and describes the
client's expected response. Consuming at least 75% of meals within a defined time
frame can be objectively evaluated. The other options are vague, nurse-centered, or
lack measurable criteria.
, 7. A client with newly diagnosed hypertension says, “I don't want to take
medication. I want to try changing my diet and exercising first.” The client
understands the potential consequences and demonstrates decision-making
capacity. Which ethical principle primarily supports the client's decision?
A. Justice
B. Autonomy
C. Fidelity
D. Nonmaleficence
Answer: B
Rationale: Autonomy is the client's right to make informed decisions regarding
personal healthcare. The nurse should ensure the client understands the benefits,
risks, and alternatives while respecting the client's informed choice.
8. A nurse is evaluating a client's progress after implementing interventions for
ineffective health maintenance. Which finding best demonstrates the evaluation
phase?
A. The nurse identifies barriers to following the treatment plan
B. The client states three strategies for improving medication adherence
C. The nurse establishes a goal for medication adherence
D. The nurse determines that the client has met the adherence goal after reviewing
medication records
Answer: D
Rationale: Evaluation determines whether established outcomes have been
achieved. Reviewing medication records and comparing adherence with the
predetermined goal allows the nurse to determine whether the intervention was
effective.
CHAMBERLAIN UNIVERSITY ACTUAL EXAM QUESTIONS
AND CORRECT VERIFIED ANSWERS WITH RATIONALES
100% GUARANTEED PASS!!
<LATEST VERSION>
1. A nurse is completing an initial assessment of a client who reports, “I have been
exhausted for the past month.” Which finding is subjective data?
A. Heart rate of 104/min
B. Pale conjunctivae observed during assessment
C. Client reports sleeping 4 hours each night
D. Hemoglobin level of 10.2 g/dL
Answer: C
Rationale: Subjective data are symptoms or experiences reported by the client and
cannot be directly measured by the nurse. Sleep duration reported by the client is
subjective. Heart rate, observed pallor, and laboratory values are objective
findings.
2. A client tells the nurse, “I don't think I can afford the medications prescribed for
my hypertension.” Which nursing action best demonstrates the nurse's role as a
client advocate?
A. Tell the client to take half the prescribed dose until the medication can be
purchased
B. Ask the client to discuss the concern with the provider at the next appointment
C. Explore lower-cost medication options with the healthcare team and connect the
,client with available resources
D. Explain that medication adherence is the client's personal responsibility
Answer: C
Rationale: Advocacy involves protecting the client's rights, safety, access to care,
and ability to make informed decisions. The nurse should identify barriers and
collaborate with the healthcare team and appropriate resources rather than
independently altering treatment.
3. During a health interview, a client repeatedly looks away and gives brief
answers when asked about intimate relationships. Which action should the nurse
take first?
A. Ask more direct questions to obtain complete information
B. Document that the client is unwilling to cooperate
C. Acknowledge the client's discomfort and reinforce privacy and confidentiality
D. Skip the topic because it appears uncomfortable
Answer: C
Rationale: Sensitive assessment requires establishment of trust and psychological
safety. Acknowledging discomfort while reinforcing privacy may encourage the
client to communicate more openly. The nurse should not pressure, label, or
automatically omit clinically relevant information.
4. A community health nurse organizes a vaccination clinic for adults who have
not previously received an indicated vaccine. Which level of prevention does this
intervention represent?
A. Primary
B. Secondary
C. Tertiary
D. Restorative
Answer: A
,Rationale: Primary prevention aims to prevent disease before it develops.
Immunization is a classic primary prevention intervention. Secondary prevention
focuses on early detection, while tertiary prevention reduces complications or
disability associated with an established condition.
5. A nurse is reviewing assessment findings from a client who reports increasing
shortness of breath when climbing stairs. Which action represents the assessment
phase of the nursing process?
A. Teaching the client pursed-lip breathing
B. Identifying activity intolerance as a nursing diagnosis
C. Measuring oxygen saturation while the client ambulates
D. Setting a goal for the client to tolerate 10 minutes of activity
Answer: C
Rationale: Assessment involves systematic collection of subjective and objective
information. Measuring oxygen saturation during activity provides objective
assessment data. Teaching, diagnosis, and goal setting occur in later phases of the
nursing process.
6. A nurse identifies the nursing diagnosis “Imbalanced nutrition: less than body
requirements” for a client who has experienced unintended weight loss. Which
outcome is written most appropriately?
A. Client will understand the importance of nutrition
B. Client will improve nutritional status
C. Client will consume at least 75% of each prescribed meal within 5 days
D. Nurse will monitor the client's weight every morning
Answer: C
Rationale: A well-written outcome is specific and measurable and describes the
client's expected response. Consuming at least 75% of meals within a defined time
frame can be objectively evaluated. The other options are vague, nurse-centered, or
lack measurable criteria.
, 7. A client with newly diagnosed hypertension says, “I don't want to take
medication. I want to try changing my diet and exercising first.” The client
understands the potential consequences and demonstrates decision-making
capacity. Which ethical principle primarily supports the client's decision?
A. Justice
B. Autonomy
C. Fidelity
D. Nonmaleficence
Answer: B
Rationale: Autonomy is the client's right to make informed decisions regarding
personal healthcare. The nurse should ensure the client understands the benefits,
risks, and alternatives while respecting the client's informed choice.
8. A nurse is evaluating a client's progress after implementing interventions for
ineffective health maintenance. Which finding best demonstrates the evaluation
phase?
A. The nurse identifies barriers to following the treatment plan
B. The client states three strategies for improving medication adherence
C. The nurse establishes a goal for medication adherence
D. The nurse determines that the client has met the adherence goal after reviewing
medication records
Answer: D
Rationale: Evaluation determines whether established outcomes have been
achieved. Reviewing medication records and comparing adherence with the
predetermined goal allows the nurse to determine whether the intervention was
effective.
