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