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