NURS 198 Exam 1 verified questions with correct answers A+
Grade 2026\2027
A nurse conducts an initial comprehensive assessment for a client admitted with a fever of unknown
origin. Which area of assessment is primarily the nurse's responsibility?
-Collect subjective data related to overall function
-Perform a musculoskeletal examination
-Take anthropometric measurements
-Obtain a 24-hour diet recall
- correct answer collect subjective data related to overall function
An older adult client has been admitted to the hospital with failure to thrive resulting from
complications of diabetes. What would the nurse implement in response to a collaborative problem?
- correct answer Measure the client's blood glucose four times daily.
When performing the steps of the assessment phase of the nursing process, which of the following
would the nurse do first?
- correct answer collect subjective data
The nurse performs an assessment on a newly admitted client. Data analysis reveals temperature 100.9
F (38.3 C), BP 82/58 mm Hg, 02 Saturation 91% RA, productive cough, lethargy, diaphoresis, WBC 15,000
mm3, Hemoglobin 9 g/dL, Hematocrit 29%. What action should the nurse take next?
- correct answer develop diagnosis
A client admitted to the hospital with status asthmaticus suddenly develops the following signs and
symptoms: increased heart rate (105 bpm), increased respiratory rate (24/min), O2 saturation 90% on
100% nonrebreather mask, and sudden absence of wheezing. What action should the nurse take?
- correct answer perform emergency assessment
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 home health nurse is visiting a client who recently was hospitalized for repair of a fractured hip. The
client tells the nurse, "I have had a lot of pain in my abdomen." What type of assessment would the
nurse conduct?
- correct answer focused
When planning a community program related to Healthy People 2030, the critical first step involves
- correct answer defining the community
After assessment and documentation of the information obtained from the client, the nurse needs to
analyze the data collected. Which nursing actions depend on accurate analysis of data during this phase
of the nursing process?
- correct answer - Identification of collaborative problems
- Identification of the need for referrals
- Formulation of nursing diagnosis/es
The nurse learns that a client is unable to sleep because of high anxiety. On which category of health
patterns should the nurse focus?
- correct answer coping-stress-tolerance
The nurse has been assigned to a group of clients on a medical surgical unit. What is the best action of
the nurse prior to receiving a report on these clients?
- correct answer Conduct a brief review of the client's charts
While discussing health patterns, a client says, "I hate my job." In which category should the nurse
document and further assess this information?
- correct answer role-relationship
The nurse is the primary care provider for a 21-year-old man who, as the result of a brain injury suffered
in a mountain-biking accident in his teens, has the cognitive abilities of a 9-year-old. How should the
nurse accommodate the client's cognition and comprehension during assessment?
- correct answer Use the client's family as a source of information
, A client has just been admitted to the postsurgical unit from postanesthetic recovery, and the nurse is in
the introductory phase of the client interview. Which of the following activities should the nurse
perform first?
- correct answer explain the purpose of the interview
During the working phase of an interview the nurse encourages the client to continue and expand on
the health issues. What technique is the nurse using?
- correct answer active listening
A nurse is preparing to assess a client who is new to the clinic. When beginning the collection of the
client's data, what action should the nurse prioritize?
- correct answer establishing a trusting relationship
During the review of systems, a client reports having difficulty with urination and with establishing an
erection. Which additional information should the nurse recognize as the highest priority to assess at
this time?
- correct answer sexual history
The nurse would document driving with car seatbelt fastened, bicycling with properly-fitted helmet, and
installing a smoke detector in a vacation home in the client's health history under which of the
following?
- correct answer personal and social history
A client scheduled for surgery tells the nurse that he is very anxious about the surgery. What is an
appropriate action by the nurse when interacting with this client?
- correct answer Provide simple and organized information.
A nurse is performing a health history on a new client. What biographical data should the nurse obtain?
- correct answer date of birth
religion
occupation
What does the COLDSPA mnemonic stand for?
- correct answer Character
Onset
Grade 2026\2027
A nurse conducts an initial comprehensive assessment for a client admitted with a fever of unknown
origin. Which area of assessment is primarily the nurse's responsibility?
-Collect subjective data related to overall function
-Perform a musculoskeletal examination
-Take anthropometric measurements
-Obtain a 24-hour diet recall
- correct answer collect subjective data related to overall function
An older adult client has been admitted to the hospital with failure to thrive resulting from
complications of diabetes. What would the nurse implement in response to a collaborative problem?
- correct answer Measure the client's blood glucose four times daily.
When performing the steps of the assessment phase of the nursing process, which of the following
would the nurse do first?
- correct answer collect subjective data
The nurse performs an assessment on a newly admitted client. Data analysis reveals temperature 100.9
F (38.3 C), BP 82/58 mm Hg, 02 Saturation 91% RA, productive cough, lethargy, diaphoresis, WBC 15,000
mm3, Hemoglobin 9 g/dL, Hematocrit 29%. What action should the nurse take next?
- correct answer develop diagnosis
A client admitted to the hospital with status asthmaticus suddenly develops the following signs and
symptoms: increased heart rate (105 bpm), increased respiratory rate (24/min), O2 saturation 90% on
100% nonrebreather mask, and sudden absence of wheezing. What action should the nurse take?
- correct answer perform emergency assessment
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 home health nurse is visiting a client who recently was hospitalized for repair of a fractured hip. The
client tells the nurse, "I have had a lot of pain in my abdomen." What type of assessment would the
nurse conduct?
- correct answer focused
When planning a community program related to Healthy People 2030, the critical first step involves
- correct answer defining the community
After assessment and documentation of the information obtained from the client, the nurse needs to
analyze the data collected. Which nursing actions depend on accurate analysis of data during this phase
of the nursing process?
- correct answer - Identification of collaborative problems
- Identification of the need for referrals
- Formulation of nursing diagnosis/es
The nurse learns that a client is unable to sleep because of high anxiety. On which category of health
patterns should the nurse focus?
- correct answer coping-stress-tolerance
The nurse has been assigned to a group of clients on a medical surgical unit. What is the best action of
the nurse prior to receiving a report on these clients?
- correct answer Conduct a brief review of the client's charts
While discussing health patterns, a client says, "I hate my job." In which category should the nurse
document and further assess this information?
- correct answer role-relationship
The nurse is the primary care provider for a 21-year-old man who, as the result of a brain injury suffered
in a mountain-biking accident in his teens, has the cognitive abilities of a 9-year-old. How should the
nurse accommodate the client's cognition and comprehension during assessment?
- correct answer Use the client's family as a source of information
, A client has just been admitted to the postsurgical unit from postanesthetic recovery, and the nurse is in
the introductory phase of the client interview. Which of the following activities should the nurse
perform first?
- correct answer explain the purpose of the interview
During the working phase of an interview the nurse encourages the client to continue and expand on
the health issues. What technique is the nurse using?
- correct answer active listening
A nurse is preparing to assess a client who is new to the clinic. When beginning the collection of the
client's data, what action should the nurse prioritize?
- correct answer establishing a trusting relationship
During the review of systems, a client reports having difficulty with urination and with establishing an
erection. Which additional information should the nurse recognize as the highest priority to assess at
this time?
- correct answer sexual history
The nurse would document driving with car seatbelt fastened, bicycling with properly-fitted helmet, and
installing a smoke detector in a vacation home in the client's health history under which of the
following?
- correct answer personal and social history
A client scheduled for surgery tells the nurse that he is very anxious about the surgery. What is an
appropriate action by the nurse when interacting with this client?
- correct answer Provide simple and organized information.
A nurse is performing a health history on a new client. What biographical data should the nurse obtain?
- correct answer date of birth
religion
occupation
What does the COLDSPA mnemonic stand for?
- correct answer Character
Onset
