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Chapter r1
1. A rnurse ron ra rpostsurgical runit ris radmitting ra rclient rfollowing rthe rclient's
rcholecystectomy r(gall rbladder rremoval). rWhat ris rthe roverall rpurpose rof
rassessment rfor rthis rclient?
A) Collecting raccurate rdata
B) Assisting rthe rprimary rcare rprovider
C) Validating rprevious
rdata rMaking
D) clinical judgments
f f
2. A rclient rhas rpresented rto rthe remergency rdepartment r(ED) rwith rcomplaints rof
rabdominal rpain. rWhich rmember rof rthe rcare rteam rwould rmost rlikely rbe rresponsible
rfor rcollecting rthe rsubjective rdata ron rthe rclient rduring rthe rinitial rcomprehensive
rassessment?
A) Gastroenterologist
rB) ED nurse f
C) Admissions rclerk
D) Diagnostic rtechnician
3. The rnurse rhas rcompleted ran rinitial rassessment rof ra rnewly radmitted rclient rand ris
rapplying rthe rnursing rprocess rto rplan rthe rclient's rcare. rWhat rprinciple rshould rthe
rnurse rapply rwhen rusing rthe rnursing rprocess?
A) Each rstep ris rindependent rof rthe
rothers.
It isrB)
f ongoing and continuous.
f f f
C) It ris rused rprimarily rin racute rcare rsettings.
D) It rinvolves rindependent rnursing ractions.
4. The rnurse rwho rprovides rcare rat ran rambulatory rclinic ris rpreparing rto rmeet ra
rclient rand rperform ra rcomprehensive rhealth rassessment. rWhich rof rthe rfollowing
ractions rshould rthe rnurse rperform rfirst?
A) Review the client's medical record.
f f f f
B) Obtain rbasic rbiographic rdata.
C) Consult rclinical rresources rexplaining rthe rclient's rdiagnosis.
D) Validate rinformation rwith rthe rclient.
5. Which rof rthe rfollowing rclient rsituations rwould rthe rnurse rinterpret ras
rrequiring ran remergency rassessment?
A) A rpediatric rclient rwith rsevere rsunburn
B) A rclient rneeding ran remployment
A client
rphysical rC) who overdosed on acetaminophen
f f f f f
D) A rdistraught rclient rwho rwants ra rpregnancy rtest
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6. In rresponse rto ra rclient's rquery, rthe rnurse ris rexplaining rthe rdifferences rbetween
rthe rphysician's rmedical rexam rand rthe rcomprehensive rhealth rassessment
rperformed rby rthe rnurse. rThe rnurse rshould rdescribe rthe rfact rthat rthe rnursing
rassessment rfocuses ron rwhich raspect rof rthe rclient's rsituation?
A) Current rphysiologic
rstatusEffect
rB) of health on functional status
f f f f f
C) Past rmedical rhistory
D) Motivation rfor radherence rto rtreatment
7. After rteaching ra rgroup rof rstudents rabout rthe rphases rof rthe rnursing rprocess, rthe
rinstructor rdetermines rthat rthe rteaching rwas rsuccessful rwhen rthe rstudents
ridentify rwhich rphase ras rbeing rfoundational rto rall rother rphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The rnurse rhas rcompleted rthe rcomprehensive rhealth rassessment rof ra rclient rwho rhas
rbeen radmitted rfor rthe rtreatment rof rcommunity-acquired rpneumonia. rFollowing
rthe rcompletion rof rthis rassessment, rthe rnurse rperiodically rperforms ra rpartial
rassessment rprimarily rfor rwhich rreason?
A) Reassess previously detected problems
f f f
B) Provide rinformation rfor rthe rclient's rrecord
C) Address rareas rpreviously romitted
D) Determine rthe rneed rfor rcrisis rintervention
9. The rnurse ris rworking rin ran rambulatory rcare rclinic rthat ris rlocated rin ra rbusy,
rinner-city rneighborhood. rWhich rclient rwould rthe rnurse rdetermine rto rbe rin
rmost rneed rof ran remergency rassessment?
A) A r14-year-old rgirl rwho ris rcrying rbecause rshe rthinks rshe ris
A 45-year-old
rpregnant
f rB) man with chest pain and diaphoresis for 1 hour
f f f f f f f f f
C) A r3-year-old rchild rwith rfever, rrash, rand rsore rthroat
D) A r20-year-old rman rwith ra r3-inch rshallow rlaceration ron rhis rleg
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10. A rnurse rhas rcompleted rgathering rsome rbasic rdata rabout ra rclient rwho rhas rmultiple
rhealth rproblems rthat rstem rfrom rheavy ralcohol ruse. rThe rnurse rhas rthen rreflected
ron rher rpersonal rfeelings rabout rthe rclient rand rhis rcircumstances. rThe rnurse rdoes
rthis rprimarily rto raccomplish rwhich rof rthe rfollowing?
A) Determine rif rpertinent rdata rhas rbeen romitted
B) Identify rthe rneed rfor
Avoid
rreferral rC) biases and judgments
f f f
D) Construct ra rplan rof rcare
11. The rnurse ris rcollecting rdata rfrom ra rclient rwho rhas rrecently rbeen rdiagnosed rwith
rtype r1 rdiabetes rand rwho rwill rbegin ran reducational rprogram. rThe rnurse ris
rcollecting rsubjective rand robjective rdata. rWhich rof rthe rfollowing rwould rthe rnurse
rcategorize ras robjective rdata?
A) Family rhistory
B) Occupation
C) Appearance
D) History rof rpresent rhealth rconcern
12. An rolder radult rclient rhas rbeen radmitted rto rthe rhospital rwith rfailure rto rthrive
rresulting rfrom rcomplications rof rdiabetes. rWhich rof rthe rfollowing rwould rthe
rnurse rimplement rin rresponse rto ra rcollaborative rproblem?
A) Encourage rthe rclient rto rincrease roral rfluid rintake.
B) Provide rthe rclient rwith ra rbedtime rprotein rsnack.
C) Assist rthe rclient rwith rpersonal
rhygiene.
Measure
rD) the client's blood glucose four times daily.
f f f f f f f
13. The rnurse rat ra rbusy rprimary rcare rclinic ris ranalyzing rthe rdata robtained rfrom
rthe rfollowing rclients. rFor rwhich rclients rwould rthe rnurse rmost rlikely rexpect rto
rfacilitate ra rreferral?
A) An r80-year-old rclient rwho rlives rwith rher
rdaughter
A 50-year-old
f rB) client newly diagnosed with diabetes
f f f f f
C) An radult rpresenting rfor ran rinfluenza rvaccination
D) A rteenager rseeking rinformation rabout rcontraception
14. An rinstructor ris rreviewing rthe revolution rof rthe rnurse's rrole rin rhealth
rassessment. rThe rinstructor rdetermines rthat rthe rteaching rwas rsuccessful rwhen rthe
rstudents ridentify rwhich rof rthe rfollowing ras rthe rmajor rmethod rused rby rnurses
rearly rin rthe rhistory rof rthe rprofession?
A) Natural sensesf
B) Biomedical rknowledge
C) Simple rtechnology
D) Critical rpathways
Page
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r cPSD|
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Page
r1
, lOMoAR
r cPSD|
r 32744169
Chapter r1
1. A rnurse ron ra rpostsurgical runit ris radmitting ra rclient rfollowing rthe rclient's
rcholecystectomy r(gall rbladder rremoval). rWhat ris rthe roverall rpurpose rof
rassessment rfor rthis rclient?
A) Collecting raccurate rdata
B) Assisting rthe rprimary rcare rprovider
C) Validating rprevious
rdata rMaking
D) clinical judgments
f f
2. A rclient rhas rpresented rto rthe remergency rdepartment r(ED) rwith rcomplaints rof
rabdominal rpain. rWhich rmember rof rthe rcare rteam rwould rmost rlikely rbe rresponsible
rfor rcollecting rthe rsubjective rdata ron rthe rclient rduring rthe rinitial rcomprehensive
rassessment?
A) Gastroenterologist
rB) ED nurse f
C) Admissions rclerk
D) Diagnostic rtechnician
3. The rnurse rhas rcompleted ran rinitial rassessment rof ra rnewly radmitted rclient rand ris
rapplying rthe rnursing rprocess rto rplan rthe rclient's rcare. rWhat rprinciple rshould rthe
rnurse rapply rwhen rusing rthe rnursing rprocess?
A) Each rstep ris rindependent rof rthe
rothers.
It isrB)
f ongoing and continuous.
f f f
C) It ris rused rprimarily rin racute rcare rsettings.
D) It rinvolves rindependent rnursing ractions.
4. The rnurse rwho rprovides rcare rat ran rambulatory rclinic ris rpreparing rto rmeet ra
rclient rand rperform ra rcomprehensive rhealth rassessment. rWhich rof rthe rfollowing
ractions rshould rthe rnurse rperform rfirst?
A) Review the client's medical record.
f f f f
B) Obtain rbasic rbiographic rdata.
C) Consult rclinical rresources rexplaining rthe rclient's rdiagnosis.
D) Validate rinformation rwith rthe rclient.
5. Which rof rthe rfollowing rclient rsituations rwould rthe rnurse rinterpret ras
rrequiring ran remergency rassessment?
A) A rpediatric rclient rwith rsevere rsunburn
B) A rclient rneeding ran remployment
A client
rphysical rC) who overdosed on acetaminophen
f f f f f
D) A rdistraught rclient rwho rwants ra rpregnancy rtest
Page
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r 32744169
6. In rresponse rto ra rclient's rquery, rthe rnurse ris rexplaining rthe rdifferences rbetween
rthe rphysician's rmedical rexam rand rthe rcomprehensive rhealth rassessment
rperformed rby rthe rnurse. rThe rnurse rshould rdescribe rthe rfact rthat rthe rnursing
rassessment rfocuses ron rwhich raspect rof rthe rclient's rsituation?
A) Current rphysiologic
rstatusEffect
rB) of health on functional status
f f f f f
C) Past rmedical rhistory
D) Motivation rfor radherence rto rtreatment
7. After rteaching ra rgroup rof rstudents rabout rthe rphases rof rthe rnursing rprocess, rthe
rinstructor rdetermines rthat rthe rteaching rwas rsuccessful rwhen rthe rstudents
ridentify rwhich rphase ras rbeing rfoundational rto rall rother rphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The rnurse rhas rcompleted rthe rcomprehensive rhealth rassessment rof ra rclient rwho rhas
rbeen radmitted rfor rthe rtreatment rof rcommunity-acquired rpneumonia. rFollowing
rthe rcompletion rof rthis rassessment, rthe rnurse rperiodically rperforms ra rpartial
rassessment rprimarily rfor rwhich rreason?
A) Reassess previously detected problems
f f f
B) Provide rinformation rfor rthe rclient's rrecord
C) Address rareas rpreviously romitted
D) Determine rthe rneed rfor rcrisis rintervention
9. The rnurse ris rworking rin ran rambulatory rcare rclinic rthat ris rlocated rin ra rbusy,
rinner-city rneighborhood. rWhich rclient rwould rthe rnurse rdetermine rto rbe rin
rmost rneed rof ran remergency rassessment?
A) A r14-year-old rgirl rwho ris rcrying rbecause rshe rthinks rshe ris
A 45-year-old
rpregnant
f rB) man with chest pain and diaphoresis for 1 hour
f f f f f f f f f
C) A r3-year-old rchild rwith rfever, rrash, rand rsore rthroat
D) A r20-year-old rman rwith ra r3-inch rshallow rlaceration ron rhis rleg
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10. A rnurse rhas rcompleted rgathering rsome rbasic rdata rabout ra rclient rwho rhas rmultiple
rhealth rproblems rthat rstem rfrom rheavy ralcohol ruse. rThe rnurse rhas rthen rreflected
ron rher rpersonal rfeelings rabout rthe rclient rand rhis rcircumstances. rThe rnurse rdoes
rthis rprimarily rto raccomplish rwhich rof rthe rfollowing?
A) Determine rif rpertinent rdata rhas rbeen romitted
B) Identify rthe rneed rfor
Avoid
rreferral rC) biases and judgments
f f f
D) Construct ra rplan rof rcare
11. The rnurse ris rcollecting rdata rfrom ra rclient rwho rhas rrecently rbeen rdiagnosed rwith
rtype r1 rdiabetes rand rwho rwill rbegin ran reducational rprogram. rThe rnurse ris
rcollecting rsubjective rand robjective rdata. rWhich rof rthe rfollowing rwould rthe rnurse
rcategorize ras robjective rdata?
A) Family rhistory
B) Occupation
C) Appearance
D) History rof rpresent rhealth rconcern
12. An rolder radult rclient rhas rbeen radmitted rto rthe rhospital rwith rfailure rto rthrive
rresulting rfrom rcomplications rof rdiabetes. rWhich rof rthe rfollowing rwould rthe
rnurse rimplement rin rresponse rto ra rcollaborative rproblem?
A) Encourage rthe rclient rto rincrease roral rfluid rintake.
B) Provide rthe rclient rwith ra rbedtime rprotein rsnack.
C) Assist rthe rclient rwith rpersonal
rhygiene.
Measure
rD) the client's blood glucose four times daily.
f f f f f f f
13. The rnurse rat ra rbusy rprimary rcare rclinic ris ranalyzing rthe rdata robtained rfrom
rthe rfollowing rclients. rFor rwhich rclients rwould rthe rnurse rmost rlikely rexpect rto
rfacilitate ra rreferral?
A) An r80-year-old rclient rwho rlives rwith rher
rdaughter
A 50-year-old
f rB) client newly diagnosed with diabetes
f f f f f
C) An radult rpresenting rfor ran rinfluenza rvaccination
D) A rteenager rseeking rinformation rabout rcontraception
14. An rinstructor ris rreviewing rthe revolution rof rthe rnurse's rrole rin rhealth
rassessment. rThe rinstructor rdetermines rthat rthe rteaching rwas rsuccessful rwhen rthe
rstudents ridentify rwhich rof rthe rfollowing ras rthe rmajor rmethod rused rby rnurses
rearly rin rthe rhistory rof rthe rprofession?
A) Natural sensesf
B) Biomedical rknowledge
C) Simple rtechnology
D) Critical rpathways
Page
r3 .
