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Chapter 1 Q
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystecto
Q Q Q Q Q Q Q Q Q Q Q Q Q
my (gall bladder removal). What is the overall purpose of assessment for this client?
Q Q Q Q Q Q Q Q Q Q Q Q Q
A) Collecting accurate data Q Q
B) Assisting the primary care provider Q Q Q Q
C) Validating previous data Q Q
D) Making clinical judgments Q Q
2. A client has presented to the emergency department (ED) with complaints of abdominal
Q Q Q Q Q Q Q Q Q Q Q Q Q
pain. Which member of the care team would most likely be responsible for collecting th
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
e subjective data on the client during the initial comprehensive assessment?
Q Q Q Q Q Q Q Q Q Q
A) Gastroenterologist
B) ED nurse Q
C) Admissions clerk Q
D) Diagnostic technician Q
3. The nurse has completed an initial assessment of a newly admitted client and is applying
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
the nursing process to plan the client's care. What principle should the nurse apply when
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
using the nursing process?
Q Q Q
A) Each step is independent of the others.
Q Q Q Q Q Q
B) It is ongoing and continuous.
Q Q Q Q
C) It is used primarily in acute care settings.
Q Q Q Q Q Q Q
D) It involves independent nursing actions.
Q Q Q Q
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and p
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
erform a comprehensive health assessment. Which of the following actions should the n
Q Q Q Q Q Q Q Q Q Q Q Q
urse perform first?
Q Q
A) Review the client's medical record. Q Q Q Q
B) Obtain basic biographic data. Q Q Q
C) Consult clinical resources explaining the client's diagnosis.
Q Q Q Q Q Q
D) Validate information with the client. Q Q Q Q
5. Which of the following client situations would the nurse interpret as requiring an
Q Q Q Q Q Q Q Q Q Q Q Q Q
emergency assessment? Q
A) A pediatric client with severe sunburn
Q Q Q Q Q
B) A client needing an employment physical
Q Q Q Q Q
C) A client who overdosed on acetaminophen
Q Q Q Q Q
D) A distraught client who wants a pregnancy test
Q Q Q Q Q Q Q
, lOMoARcPSD| 12286418
6. In response to a client's query, the nurse is explaining the differences between the phy
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
sician's medical exam and the comprehensive health assessment performed by the nurs
Q Q Q Q Q Q Q Q Q Q Q
e. The nurse should describe the fact that the nursing assessment focuses on which aspe
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
ct of the client's situation?
Q Q Q Q
A) Current physiologic status Q Q
B) Effect of health on functional status
Q Q Q Q Q
C) Past medical history Q Q
D) Motivation for adherence to treatment Q Q Q Q
7. After teaching a group of students about the phases of the nursing process, the instructor
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
determines that the teaching was successful when the students identify which phase as b
Q Q Q Q Q Q Q Q Q Q Q Q Q
eing foundational to all other phases?
Q Q Q Q Q
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
admitted for the treatment of community-
Q Q Q Q Q
acquired pneumonia. Following the completion of this assessment, the nurse periodical
Q Q Q Q Q Q Q Q Q Q
ly performs a partial assessment primarily for which reason?
Q Q Q Q Q Q Q Q
A) Reassess previously detected problems Q Q Q
B) Provide information for the client's recordQ Q Q Q Q
C) Address areas previously omitted Q Q Q
D) Determine the need for crisis intervention Q Q Q Q Q
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
city neighborhood. Which client would the nurse determine to be in most need of an
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
emergency assessment? Q
A) A 14-year-old girl who is crying because she thinks she is pregnant
Q Q Q Q Q Q Q Q Q Q Q
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
Q Q Q Q Q Q Q Q Q Q
C) A 3-year-old child with fever, rash, and sore throat
Q Q Q Q Q Q Q Q
D) A 20-year-old man with a 3-inch shallow laceration on his leg
Q Q Q Q Q Q Q Q Q Q
, lOMoARcPSD| 12286418
10. A nurse has completed gathering some basic data about a client who has multiple health
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
problems that stem from heavy alcohol use. The nurse has then reflected on her personal
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
feelings about the client and his circumstances. The nurse does this primarily to accomp
Q Q Q Q Q Q Q Q Q Q Q Q Q
lish which of the following?
Q Q Q Q
A) Determine if pertinent data has been omitted Q Q Q Q Q Q
B) Identify the need for referral Q Q Q Q
C) Avoid biases and judgments Q Q Q
D) Construct a plan of care Q Q Q Q
11. The nurse is collecting data from a client who has recently been diagnosed with type 1 d
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
iabetes and who will begin an educational program. The nurse is collecting subjective an
Q Q Q Q Q Q Q Q Q Q Q Q Q
d objective data. Which of the following would the nurse categorize as objective data?
Q Q Q Q Q Q Q Q Q Q Q Q Q
A) Family history Q
B) Occupation
C) Appearance
D) History of present health concern Q Q Q Q
12. An older adult client has been admitted to the hospital with failure to thrive resulting f
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
rom complications of diabetes. Which of the following would the nurse implement in r
Q Q Q Q Q Q Q Q Q Q Q Q Q
esponse to a collaborative problem?
Q Q Q Q
A) Encourage the client to increase oral fluid intake. Q Q Q Q Q Q Q
B) Provide the client with a bedtime protein snack.
Q Q Q Q Q Q Q
C) Assist the client with personal hygiene.
Q Q Q Q Q
D) Measure the client's blood glucose four times daily.
Q Q Q Q Q Q Q
13. The nurse at a busy primary care clinic is analyzing the data obtained from the follo
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
wing clients. For which clients would the nurse most likely expect to facilitate a refer
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
ral?
A) An 80-year-old client who lives with her daughter
Q Q Q Q Q Q Q
B) A 50-year-old client newly diagnosed with diabetes
Q Q Q Q Q Q
C) An adult presenting for an influenza vaccination
Q Q Q Q Q Q
D) A teenager seeking information about contraception
Q Q Q Q Q
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The in
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
structor determines that the teaching was successful when the students identify which o
Q Q Q Q Q Q Q Q Q Q Q Q
f the following as the major method used by nurses early in the history of the professio
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
n?
A) Natural senses Q
B) Biomedical knowledge Q
C) Simple technology Q
D) Critical pathways Q
Chapter 1 Q
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystecto
Q Q Q Q Q Q Q Q Q Q Q Q Q
my (gall bladder removal). What is the overall purpose of assessment for this client?
Q Q Q Q Q Q Q Q Q Q Q Q Q
A) Collecting accurate data Q Q
B) Assisting the primary care provider Q Q Q Q
C) Validating previous data Q Q
D) Making clinical judgments Q Q
2. A client has presented to the emergency department (ED) with complaints of abdominal
Q Q Q Q Q Q Q Q Q Q Q Q Q
pain. Which member of the care team would most likely be responsible for collecting th
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
e subjective data on the client during the initial comprehensive assessment?
Q Q Q Q Q Q Q Q Q Q
A) Gastroenterologist
B) ED nurse Q
C) Admissions clerk Q
D) Diagnostic technician Q
3. The nurse has completed an initial assessment of a newly admitted client and is applying
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
the nursing process to plan the client's care. What principle should the nurse apply when
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
using the nursing process?
Q Q Q
A) Each step is independent of the others.
Q Q Q Q Q Q
B) It is ongoing and continuous.
Q Q Q Q
C) It is used primarily in acute care settings.
Q Q Q Q Q Q Q
D) It involves independent nursing actions.
Q Q Q Q
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and p
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
erform a comprehensive health assessment. Which of the following actions should the n
Q Q Q Q Q Q Q Q Q Q Q Q
urse perform first?
Q Q
A) Review the client's medical record. Q Q Q Q
B) Obtain basic biographic data. Q Q Q
C) Consult clinical resources explaining the client's diagnosis.
Q Q Q Q Q Q
D) Validate information with the client. Q Q Q Q
5. Which of the following client situations would the nurse interpret as requiring an
Q Q Q Q Q Q Q Q Q Q Q Q Q
emergency assessment? Q
A) A pediatric client with severe sunburn
Q Q Q Q Q
B) A client needing an employment physical
Q Q Q Q Q
C) A client who overdosed on acetaminophen
Q Q Q Q Q
D) A distraught client who wants a pregnancy test
Q Q Q Q Q Q Q
, lOMoARcPSD| 12286418
6. In response to a client's query, the nurse is explaining the differences between the phy
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
sician's medical exam and the comprehensive health assessment performed by the nurs
Q Q Q Q Q Q Q Q Q Q Q
e. The nurse should describe the fact that the nursing assessment focuses on which aspe
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
ct of the client's situation?
Q Q Q Q
A) Current physiologic status Q Q
B) Effect of health on functional status
Q Q Q Q Q
C) Past medical history Q Q
D) Motivation for adherence to treatment Q Q Q Q
7. After teaching a group of students about the phases of the nursing process, the instructor
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
determines that the teaching was successful when the students identify which phase as b
Q Q Q Q Q Q Q Q Q Q Q Q Q
eing foundational to all other phases?
Q Q Q Q Q
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
admitted for the treatment of community-
Q Q Q Q Q
acquired pneumonia. Following the completion of this assessment, the nurse periodical
Q Q Q Q Q Q Q Q Q Q
ly performs a partial assessment primarily for which reason?
Q Q Q Q Q Q Q Q
A) Reassess previously detected problems Q Q Q
B) Provide information for the client's recordQ Q Q Q Q
C) Address areas previously omitted Q Q Q
D) Determine the need for crisis intervention Q Q Q Q Q
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
city neighborhood. Which client would the nurse determine to be in most need of an
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
emergency assessment? Q
A) A 14-year-old girl who is crying because she thinks she is pregnant
Q Q Q Q Q Q Q Q Q Q Q
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
Q Q Q Q Q Q Q Q Q Q
C) A 3-year-old child with fever, rash, and sore throat
Q Q Q Q Q Q Q Q
D) A 20-year-old man with a 3-inch shallow laceration on his leg
Q Q Q Q Q Q Q Q Q Q
, lOMoARcPSD| 12286418
10. A nurse has completed gathering some basic data about a client who has multiple health
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
problems that stem from heavy alcohol use. The nurse has then reflected on her personal
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
feelings about the client and his circumstances. The nurse does this primarily to accomp
Q Q Q Q Q Q Q Q Q Q Q Q Q
lish which of the following?
Q Q Q Q
A) Determine if pertinent data has been omitted Q Q Q Q Q Q
B) Identify the need for referral Q Q Q Q
C) Avoid biases and judgments Q Q Q
D) Construct a plan of care Q Q Q Q
11. The nurse is collecting data from a client who has recently been diagnosed with type 1 d
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
iabetes and who will begin an educational program. The nurse is collecting subjective an
Q Q Q Q Q Q Q Q Q Q Q Q Q
d objective data. Which of the following would the nurse categorize as objective data?
Q Q Q Q Q Q Q Q Q Q Q Q Q
A) Family history Q
B) Occupation
C) Appearance
D) History of present health concern Q Q Q Q
12. An older adult client has been admitted to the hospital with failure to thrive resulting f
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
rom complications of diabetes. Which of the following would the nurse implement in r
Q Q Q Q Q Q Q Q Q Q Q Q Q
esponse to a collaborative problem?
Q Q Q Q
A) Encourage the client to increase oral fluid intake. Q Q Q Q Q Q Q
B) Provide the client with a bedtime protein snack.
Q Q Q Q Q Q Q
C) Assist the client with personal hygiene.
Q Q Q Q Q
D) Measure the client's blood glucose four times daily.
Q Q Q Q Q Q Q
13. The nurse at a busy primary care clinic is analyzing the data obtained from the follo
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
wing clients. For which clients would the nurse most likely expect to facilitate a refer
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
ral?
A) An 80-year-old client who lives with her daughter
Q Q Q Q Q Q Q
B) A 50-year-old client newly diagnosed with diabetes
Q Q Q Q Q Q
C) An adult presenting for an influenza vaccination
Q Q Q Q Q Q
D) A teenager seeking information about contraception
Q Q Q Q Q
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The in
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
structor determines that the teaching was successful when the students identify which o
Q Q Q Q Q Q Q Q Q Q Q Q
f the following as the major method used by nurses early in the history of the professio
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
n?
A) Natural senses Q
B) Biomedical knowledge Q
C) Simple technology Q
D) Critical pathways Q