,lOMoARcPSD|12286418
, lOMoARcPSD|12286418
Chapter 1 st
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystectom
st st st st st st st st st st st st st
y (gall bladder removal). What is the overall purpose of assessment for this client?
st st st st st st st st st st st st st
A) Collecting accurate data st st
B) Assisting the primary care provider st st st st
C) Validating previous data st st
D) Making clinical judgments st st
2. A client has presented to the emergency department (ED) with complaints of abdominal pai
st st st st st st st st st st st st st
n. Which member of the care team would most likely be responsible for collecting the subj
st st st st st st st st st st st st st st st
ective data on the client during the initial comprehensive assessment?
st st st st st st st st st
A) Gastroenterologist
B) ED nurse st
C) Admissions clerk st
D) Diagnostic technician st
3. The nurse has completed an initial assessment of a newly admitted client and is applying the
st st st st st st st st st st st st st st st st
nursing process to plan the client's care. What principle should the nurse apply when using t
st st st st st st st st st st st st st st st
he nursing process?
st st
A) Each step is independent of the others. st st st st st st
B) It is ongoing and continuous.
st st st st
C) It is used primarily in acute care settings.
st st st st st st st
D) It involves independent nursing actions.
st st st st
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and perf
st st st st st st st st st st st st st st st st
orm a comprehensive health assessment. Which of the following actions should the nurse
st st st st st st st st st st st st st
perform first? st
A) Review the client's medical record. st st st st
B) Obtain basic biographic data. st st st
C) Consult clinical resources explaining the client's diagnosis. st st st st st st
D) Validate information with the client. st st st st
5. Which of the following client situations would the nurse interpret as requiring an em
st st st st st st st st st st st st st
ergency assessment? st
A) A pediatric client with severe sunburn
st st st st st
B) A client needing an employment physical
st st st st st
C) A client who overdosed on acetaminophen
st st st st st
D) A distraught client who wants a pregnancy test
st st st st st st st
, lOMoARcPSD|12286418
6. In response to a client's query, the nurse is explaining the differences between the physici
st st st st st st st st st st st st st st
an's medical exam and the comprehensive health assessment performed by the nurse. Th
st st st st st st st st st st st st
e nurse should describe the fact that the nursing assessment focuses on which aspect of the
st st st st st st st st st st st st st st st st
client's situation? st
A) Current physiologic status st st
B) Effect of health on functional status st st st st st
C) Past medical history st st
D) Motivation for adherence to treatment st st st st
7. After teaching a group of students about the phases of the nursing process, the instructor det
st st st st st st st st st st st st st st st
ermines that the teaching was successful when the students identify which phase as being f
st st st st st st st st st st st st st st
oundational to all other phases? st st st st
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been ad
st st st st st st st st st st st st st st
mitted for the treatment of community-
st st st st st
acquired pneumonia. Following the completion of this assessment, the nurse periodically
st st st st st st st st st st st
performs a partial assessment primarily for which reason?
st st st st st st st
A) Reassess previously detected problems st st st
B) Provide information for the client's record st st st st st
C) Address areas previously omitted st st st
D) Determine the need for crisis intervention st st st st st
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
st st st st st st st st st st st st st st st
city neighborhood. Which client would the nurse determine to be in most need of an e
st st st st st st st st st st st st st st st
mergency assessment? st
A) A 14-year-old girl who is crying because she thinks she is pregnant
st st st st st st st st st st st
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
st st st st st st st st st st
C) A 3-year-old child with fever, rash, and sore throat
st st st st st st st st
D) A 20-year-old man with a 3-inch shallow laceration on his leg
st st st st st st st st st st
, lOMoARcPSD|12286418
Chapter 1 st
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystectom
st st st st st st st st st st st st st
y (gall bladder removal). What is the overall purpose of assessment for this client?
st st st st st st st st st st st st st
A) Collecting accurate data st st
B) Assisting the primary care provider st st st st
C) Validating previous data st st
D) Making clinical judgments st st
2. A client has presented to the emergency department (ED) with complaints of abdominal pai
st st st st st st st st st st st st st
n. Which member of the care team would most likely be responsible for collecting the subj
st st st st st st st st st st st st st st st
ective data on the client during the initial comprehensive assessment?
st st st st st st st st st
A) Gastroenterologist
B) ED nurse st
C) Admissions clerk st
D) Diagnostic technician st
3. The nurse has completed an initial assessment of a newly admitted client and is applying the
st st st st st st st st st st st st st st st st
nursing process to plan the client's care. What principle should the nurse apply when using t
st st st st st st st st st st st st st st st
he nursing process?
st st
A) Each step is independent of the others. st st st st st st
B) It is ongoing and continuous.
st st st st
C) It is used primarily in acute care settings.
st st st st st st st
D) It involves independent nursing actions.
st st st st
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and perf
st st st st st st st st st st st st st st st st
orm a comprehensive health assessment. Which of the following actions should the nurse
st st st st st st st st st st st st st
perform first? st
A) Review the client's medical record. st st st st
B) Obtain basic biographic data. st st st
C) Consult clinical resources explaining the client's diagnosis. st st st st st st
D) Validate information with the client. st st st st
5. Which of the following client situations would the nurse interpret as requiring an em
st st st st st st st st st st st st st
ergency assessment? st
A) A pediatric client with severe sunburn
st st st st st
B) A client needing an employment physical
st st st st st
C) A client who overdosed on acetaminophen
st st st st st
D) A distraught client who wants a pregnancy test
st st st st st st st
, lOMoARcPSD|12286418
6. In response to a client's query, the nurse is explaining the differences between the physici
st st st st st st st st st st st st st st
an's medical exam and the comprehensive health assessment performed by the nurse. Th
st st st st st st st st st st st st
e nurse should describe the fact that the nursing assessment focuses on which aspect of the
st st st st st st st st st st st st st st st st
client's situation? st
A) Current physiologic status st st
B) Effect of health on functional status st st st st st
C) Past medical history st st
D) Motivation for adherence to treatment st st st st
7. After teaching a group of students about the phases of the nursing process, the instructor det
st st st st st st st st st st st st st st st
ermines that the teaching was successful when the students identify which phase as being f
st st st st st st st st st st st st st st
oundational to all other phases? st st st st
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been ad
st st st st st st st st st st st st st st
mitted for the treatment of community-
st st st st st
acquired pneumonia. Following the completion of this assessment, the nurse periodically
st st st st st st st st st st st
performs a partial assessment primarily for which reason?
st st st st st st st
A) Reassess previously detected problems st st st
B) Provide information for the client's record st st st st st
C) Address areas previously omitted st st st
D) Determine the need for crisis intervention st st st st st
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
st st st st st st st st st st st st st st st
city neighborhood. Which client would the nurse determine to be in most need of an e
st st st st st st st st st st st st st st st
mergency assessment? st
A) A 14-year-old girl who is crying because she thinks she is pregnant
st st st st st st st st st st st
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
st st st st st st st st st st
C) A 3-year-old child with fever, rash, and sore throat
st st st st st st st st
D) A 20-year-old man with a 3-inch shallow laceration on his leg
st st st st st st st st st st
