,Chapter 1
1lAlnurselonlalpostsurgicallunitlisladmittinglalclientlfollowinglthelclient'slcholecystectomyl(ga
lllbladderlremoval).lWhatlisltheloveralllpurposeloflassessmentlforthislclient?
A) Collectinglaccurateldata
B) Assistinglthelprimarylcarelprovider
C) Validatinglpreviousldata
D) Makinglclinicalljudgments
2. Alclientlhaslpresentedltolthelemergencyldepartmentl(ED)lwithlcomplaintsloflabdominallpai
n.lWhichlmemberloflthelcarelteamlwouldlmostllikelylbelresponsiblelforlcollectinglthelsubje
ctiveldatalonlthelclientlduringlthelinitiallcomprehensivelassessment?
A) Gastroenterologist
B) EDlnurse
C) Admissionslclerk
D) Diagnosticltechnician
3. Thelnurselhaslcompletedlanlinitiallassessmentloflalnewlyladmittedlclientlandlislapplyingltheln
ursinglprocessltolplanlthelclient'slcare.lWhatlprinciplelshouldlthelnurselapplylwhenlusinglthel
nursinglprocess?
A) Eachlsteplislindependentloflthelothers.
B) Itlislongoinglandlcontinuous.
C) Itlislusedlprimarilylinlacutelcarelsettings.
D) Itlinvolveslindependentlnursinglactions.
4. Thelnurselwholprovideslcarelatlanlambulatorylcliniclislpreparingltolmeetlalclientlandlperfor
mlalcomprehensivelhealthlassessment.lWhichloflthelfollowinglactionslshouldlthelnurselperf
ormlfirst?
A) Reviewlthelclient'slmedicallrecord.
B) Obtainlbasiclbiographicldata.
C) Consultlclinicallresourceslexplaininglthelclient'sldiagnosis.
D) Validatelinformationlwithlthelclient.
5. Whichloflthelfollowinglclientlsituationslwouldlthelnurselinterpretlaslrequiringlanleme
rgencylassessment?
A) Alpediatriclclientlwithlseverelsunburn
B) Alclientlneedinglanlemploymentlphysical
C) Alclientlwholoverdosedlonlacetaminophen
D) Aldistraughtlclientlwholwantslalpregnancyltest
Pagel1
,6. Inlresponseltolalclient'slquery,lthelnurselislexplainingltheldifferenceslbetweenlthelphysicia
n'slmedicallexamlandlthelcomprehensivelhealthlassessmentlperformedlbylthelnurse.lTheln
urselshouldldescribelthelfactlthatlthelnursinglassessmentlfocuseslonlwhichlaspectloflthelclie
nt'slsituation?
A) Currentlphysiologiclstatus
B) Effectloflhealthlonlfunctionallstatus
C) Pastlmedicallhistory
D) Motivationlforladherenceltoltreatment
7. Afterlteachinglalgrouploflstudentslaboutlthelphasesloflthelnursinglprocess,lthelinstructorldete
rmineslthatlthelteachinglwaslsuccessfullwhenlthelstudentslidentifylwhichlphaselaslbeinglfou
ndationalltolalllotherlphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. Thelnurselhaslcompletedlthelcomprehensivelhealthlassessmentloflalclientlwholhaslbeenladm
ittedlforltheltreatmentloflcommunity-
acquiredlpneumonia.lFollowinglthelcompletionloflthislassessment,lthelnurselperiodicallylp
erformslalpartiallassessmentlprimarilylforlwhichlreason?
A) Reassesslpreviouslyldetectedlproblems
B) Providelinformationlforlthelclient'slrecord
C) Addresslareaslpreviouslylomitted
D) Determinelthelneedlforlcrisislintervention
9. Thelnurselislworkinglinlanlambulatorylcarelcliniclthatlisllocatedlinlalbusy,linner-
citylneighborhood.lWhichlclientlwouldlthelnurseldetermineltolbelinlmostlneedloflanlemer
gencylassessment?
A) Al14-year-oldlgirllwholislcryinglbecauselshelthinkslshelislpregnant
B) Al45-year-oldlmanlwithlchestlpainlandldiaphoresislforl1lhour
C) Al3-year-oldlchildlwithlfever,lrash,landlsorelthroat
D) Al20-year-oldlmanlwithlal3-inchlshallowllacerationlonlhislleg
Pagel1
, 10. Alnurselhaslcompletedlgatheringlsomelbasicldatalaboutlalclientlwholhaslmultiplelhealthlprob
lemslthatlstemlfromlheavylalcoholluse.lThelnurselhaslthenlreflectedlonlherlpersonallfeelingsla
boutlthelclientlandlhislcircumstances.lThelnurseldoeslthislprimarilyltolaccomplishlwhichloflt
helfollowing?
A) Determineliflpertinentldatalhaslbeenlomitted
B) Identifylthelneedlforlreferral
C) Avoidlbiaseslandljudgments
D) Constructlalplanloflcare
11. Thelnurselislcollectingldatalfromlalclientlwholhaslrecentlylbeenldiagnosedlwithltypel1ldiabet
eslandlwholwilllbeginlanleducationallprogram.lThelnurselislcollectinglsubjectivelandlobjecti
veldata.lWhichloflthelfollowinglwouldlthelnurselcategorizelaslobjectiveldata?
A) Familylhistory
B) Occupation
C) Appearance
D) Historyloflpresentl healthlconcern
12. Anlolderladultlclientlhaslbeenladmittedltolthelhospitallwithlfailureltolthrivelresultinglfroml
complicationslofldiabetes.lWhichloflthelfollowinglwouldlthelnurselimplementlinlresponsel
tolalcollaborativelproblem?
A) Encouragelthelclientltolincreaselorallfluidlintake.
B) Providelthelclientlwithlalbedtimelproteinlsnack.
C) Assistlthelclientlwithlpersonallhygiene.
D) Measurelthelclient'slbloodlglucoselfourltimesldaily.
13. Thelnurselatlalbusylprimarylcarelcliniclislanalyzingltheldatalobtainedlfromlthelfollowingl
clients.lForlwhichlclientslwouldlthelnurselmostllikelylexpectltolfacilitatelalreferral?
A) Anl80-year-oldlclientlwholliveslwithlherldaughter
B) Al50-year-oldlclientlnewlyldiagnosedlwithldiabetes
C) Anladultlpresentinglforlanlinfluenzalvaccination
D) Alteenagerlseekinglinformationlaboutlcontraception
14. Anlinstructorlislreviewinglthelevolutionloflthelnurse'slrolelinlhealthlassessment.lThelinstruc
torldetermineslthatlthelteachinglwaslsuccessfullwhenlthelstudentslidentifylwhichloflthelfollo
winglaslthelmajorlmethodlusedlbylnurseslearlylinlthelhistoryloflthelprofession?
A) Naturallsenses
B) Biomedicallknowledge
C) Simpleltechnology
D) Criticallpathways
Pagel 3
.