NURS 5220- Exam 1: Module 1: Chapter 1, 2, 3, 5, 6, 8
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The nurse who provides care at an ambulatory clinic is
preparing to meet a client and
perform a comprehensive health assessment. Which of
the following actions should the
nurse perform first?
A. Review the client's medical record.
B. Obtain basic biographic data.
C. Consult clinical resources explaining the client's
diagnosis.
D. Validate information with the client. - Answers-Answer:
A
In response to a client's query, the nurse is explaining the
differences between the
physician's medical exam and the comprehensive health
assessment performed by the nurse.
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The nurse should describe the fact that the nursing
assessment focuses on which aspect of
the client's situation?
A. Current physiologic status
B. Effect of health on functional status
C. Past medical history
D. Motivation for adherence to treatment - Answers-
Answer: B
After teaching a group of students about the phases of the
nursing process, the
instructor determines that the teaching was successful
when the students identify which
phase as being foundational to all other phases?
A. Assessment
B. Planning
C. Implementation
D. Evaluation - Answers-Answer: A
The nurse has completed the comprehensive health
assessment of a client who has
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been admitted for the treatment of community-acquired
pneumonia. Following the
completion of this assessment, the nurse periodically
performs a partial assessment
primarily for which reason?
A. Reassess previously detected problems
B. Provide information for the client's record
C. Address areas previously omitted
D. Determine the need for crisis intervention - Answers-
Answer: A
The nurse is working in an ambulatory care clinic that is
located in a busy, inner-city
neighborhood. Which client would the nurse determine to
be in most need of an
emergency assessment?
A. A 14-year-old girl who is crying because she thinks she
is pregnant
B. A 45-year-old man with chest pain and diaphoresis for 1
hour
C. A 3-year-old child with fever, rash, and sore throat
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D. A 20-year-old man with a 3-inch shallow laceration on
his leg - Answers-Answer:B
A nurse has completed gathering some basic data about a
client who has multiple
health problems that stem from heavy alcohol use. The
nurse has then reflected on her
personal feelings about the client and his circumstances.
The nurse does this primarily to
accomplish which of the following?
A. Determine if pertinent data has been omitted
B. Identify the need for referral
C. Avoid biases and judgments
D. Construct a plan of care - Answers-Answer: C
The nurse is collecting data from a client who has recently
been diagnosed with type 1
diabetes and who will begin an educational program. The
nurse is collecting subjective and
objective data. Which of the following would the nurse
categorize as objective data?
A. Family history