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