by Janet R Weber and Jane H Kelley Fully Covered
Page 1
, 1 iA inurse ion ia ipostsurgical iunit iis iadmitting ia iclient ifollowing ithe iclient's
icholecystectomy i(gall ibladder iremoval). iWhat iis ithe ioverall ipurpose iof iassessment
iforthis iclient?
A) Collecting iaccurate idata
B) Assisting ithe iprimary icare iprovider
C) Validating iprevious idata
D) Making iclinical ijudgments
2. A iclient ihas ipresented ito ithe iemergency idepartment i(ED) iwith icomplaints iof
iabdominal ipain. iWhich imember iof ithe icare iteam iwould imost ilikely ibe iresponsible
ifor icollecting ithe isubjective idata ion ithe iclient iduring ithe iinitial icomprehensive
iassessment?
A) Gastroenterologist
B) ED inurse
C) Admissions iclerk
D) Diagnostic itechnician
3. The inurse ihas icompleted ian iinitial iassessment iof ia inewly iadmitted iclient iand iis
iapplying ithe inursing iprocess ito iplan ithe iclient's icare. iWhat iprinciple ishould ithe
inurse iapply iwhen iusing ithe inursing iprocess?
A) Each istep iis iindependent iof ithe iothers.
B) It iis iongoing iand icontinuous.
C) It iis iused iprimarily iin iacute icare isettings.
D) It iinvolves iindependent inursing iactions.
4. The inurse iwho iprovides icare iat ian iambulatory iclinic iis ipreparing ito imeet ia iclient
iand iperform ia icomprehensive ihealth iassessment. iWhich iof ithe ifollowing iactions
ishould ithe inurse iperform ifirst?
A) Review ithe iclient's imedical irecord.
B) Obtain ibasic ibiographic idata.
C) Consult iclinical iresources iexplaining ithe iclient's idiagnosis.
D) Validate iinformation iwith ithe iclient.
5. Which iof ithe ifollowing iclient isituations iwould ithe inurse iinterpret ias irequiring
ian iemergency iassessment?
A) A ipediatric iclient iwith isevere isunburn
B) A iclient ineeding ian iemployment iphysical
C) A iclient iwho ioverdosed ion iacetaminophen
D) A idistraught iclient iwho iwants ia ipregnancy itest
Page 1
,6. In iresponse ito ia iclient's iquery, ithe inurse iis iexplaining ithe idifferences ibetween ithe
iphysician's imedical iexam iand ithe icomprehensive ihealth iassessment iperformed iby
ithe inurse. iThe inurse ishould idescribe ithe ifact ithat ithe inursing iassessment ifocuses ion
iwhich iaspect iof ithe iclient's isituation?
A) Current iphysiologic istatus
B) Effect iof ihealth ion ifunctional istatus
C) Past imedical ihistory
D) Motivation ifor iadherence ito itreatment
7. After iteaching ia igroup iof istudents iabout ithe iphases iof ithe inursing iprocess, ithe
iinstructor idetermines ithat ithe iteaching iwas isuccessful iwhen ithe istudents iidentify
iwhich iphase ias ibeing ifoundational ito iall iother iphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The inurse ihas icompleted ithe icomprehensive ihealth iassessment iof ia iclient iwho ihas
ibeen iadmitted ifor ithe itreatment iof icommunity-acquired ipneumonia. iFollowing ithe
icompletion iof ithis iassessment, ithe inurse iperiodically iperforms ia ipartial iassessment
iprimarily ifor iwhich ireason?
A) Reassess ipreviously idetected iproblems
B) Provide iinformation ifor ithe iclient's irecord
C) Address iareas ipreviously iomitted
D) Determine ithe ineed ifor icrisis iintervention
9. The inurse iis iworking iin ian iambulatory icare iclinic ithat iis ilocated iin ia ibusy, iinner-
city ineighborhood. iWhich iclient iwould ithe inurse idetermine ito ibe iin imost ineed iof
ian iemergency iassessment?
A) A i14-year-old igirl iwho iis icrying ibecause ishe ithinks ishe iis ipregnant
B) A i45-year-old iman iwith ichest ipain iand idiaphoresis ifor i1 ihour
C) A i3-year-old ichild iwith ifever, irash, iand isore ithroat
D) A i20-year-old iman iwith ia i3-inch ishallow ilaceration ion ihis ileg
Page 1
, 10. A inurse ihas icompleted igathering isome ibasic idata iabout ia iclient iwho ihas imultiple
ihealth iproblems ithat istem ifrom iheavy ialcohol iuse. iThe inurse ihas ithen ireflected ion
iher ipersonal ifeelings iabout ithe iclient iand ihis icircumstances. iThe inurse idoes ithis
iprimarily ito iaccomplish iwhich iof ithe ifollowing?
A) Determine iif ipertinent idata ihas ibeen iomitted
B) Identify ithe ineed ifor ireferral
C) Avoid ibiases iand ijudgments
D) Construct ia iplan iof icare
11. The inurse iis icollecting idata ifrom ia iclient iwho ihas irecently ibeen idiagnosed iwith itype
i1 idiabetes iand iwho iwill ibegin ian ieducational iprogram. iThe inurse iis icollecting
isubjective iand iobjective idata. iWhich iof ithe ifollowing iwould ithe inurse icategorize ias
iobjective idata?
A) Family ihistory
B) Occupation
C) Appearance
D) History iof ipresent i health iconcern
12. An iolder iadult iclient ihas ibeen iadmitted ito ithe ihospital iwith ifailure ito ithrive
iresulting ifrom icomplications iof idiabetes. iWhich iof ithe ifollowing iwould ithe inurse
iimplement iin iresponse ito ia icollaborative iproblem?
A) Encourage ithe iclient ito iincrease ioral ifluid iintake.
B) Provide ithe iclient iwith ia ibedtime iprotein isnack.
C) Assist ithe iclient iwith ipersonal ihygiene.
D) Measure ithe iclient's iblood iglucose ifour itimes idaily.
13. The inurse iat ia ibusy iprimary icare iclinic iis ianalyzing ithe idata iobtained ifrom ithe
ifollowing iclients. iFor iwhich iclients iwould ithe inurse imost ilikely iexpect ito
ifacilitate ia ireferral?
A) An i80-year-old iclient iwho ilives iwith iher idaughter
B) A i50-year-old iclient inewly idiagnosed iwith idiabetes
C) An iadult ipresenting ifor ian iinfluenza ivaccination
D) A iteenager iseeking iinformation iabout icontraception
14. An iinstructor iis ireviewing ithe ievolution iof ithe inurse's irole iin ihealth iassessment.
iThe iinstructor idetermines ithat ithe iteaching iwas isuccessful iwhen ithe istudents
iidentify iwhich iof ithe ifollowing ias ithe imajor imethod iused iby inurses iearly iin ithe
ihistory iof ithe iprofession?
A) Natural isenses
B) Biomedical iknowledge
C) Simple itechnology
D) Critical ipathways
Page 3