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