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ADVANCED ASSESSMENT: UNIT 1
90 QUESTIONS AND ANSWERS
100% CORRECT |WITH DETAILED
EXPLANATIONS | LATEST
UPDATE 2025/2026
An older adult client had hip replacement surgery 2 days ago. The nurse
enters the client's room and encourages the client to use the incentive
spirometer ten times every hour. What is this action an example of? -
ANSWER ✔✔- Nursing intervention
Explanation:
Nursing interventions are used to monitor health status; prevent, resolve,
or control a problem; assist with ADLs; or promote optimum health and
independence. Nursing goals are the client's desired outcomes. Nursing
evaluation is deciding whether the nursing goals have been reached.
Nursing assessment is an overview of the patient's health status and
current problems.
You are taking a health history on a new patient. While performing your
assessment, the patient informs you that her mother has type 1 diabetes.
What is the significance of this information to the health history? -
ANSWER ✔✔- The patient may be at risk for developing diabetes.
Explanation:
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Nurses incorporate a genetics focus into the health assessments of family
history to assess for genetics-related risk factors. The information aids
the nurse in determining if the patient may be predisposed to diseases
that are genetic in origin.
On a very busy day in the office, Mrs. Donelan, 81 years old, comes for
her usual visit to check her blood pressure. She has been on a low-dose
diuretic for many years and denies any side effects. Today, her blood
pressure is 118/78 today, which is well-controlled. The client mentions
that it is hard not having her husband Bill around anymore. What would
the nurse do next? - ANSWER ✔✔- Ask why Bill is not there.
Explanation:
Sometimes, the client's greatest need is for support and empathy. It
would be inappropriate to ignore this comment today. The client may
have relied heavily upon Bill for care, and may be in danger. She may be
depressed and even suicidal, but the nurse will not know unless the topic
is explored. Most importantly, the nurse should empathize with the
client by saying something like "It must be very difficult not to have him
at home" and allow a pause for her to answer. The nurse may also ask
"What did you rely on him to do for you?" Only a life-threatening crisis
with another client should take the nurse out of her room at this point;
the nurse may need to adjust the office schedule to allow adequate time
for her.
Which observation would cause the nurse to suspect an abusive
situation? Select all that apply. - ANSWER ✔✔- A child is persistent in
trying to please a parent.
A caregiver of a cognitively intact older adult dominates the interview.
A pre-schooler rubs her perineum and complains of it hurting.
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Explanation:
Observations suggestive of possible abuse include a caregiver of a
cognitively intact older adult dominating the interview, a child being
persistent in trying to please a parent, and a pre-schooler rubbing her
perineum and complaining of it hurting. Observations not suggestive of
abuse include a parent allowing an adolescent to speak privately with the
nurse and an explanation that is appropriate for an injury.
A nurse is assessing the cognitive function of a 13-year-old boy who is
in the hospital following a head injury sustained while playing football.
The boy acts annoyed with the assessment questions and asks how often
he will have to answer them. The nurse should respond with which of
the following? - ANSWER ✔✔- "I'm sorry, but assessment is ongoing
and continuous."
Explanation:
Although the assessment phase of the nursing process precedes the other
phases in the formal nursing process, be aware that assessment is
ongoing and continuous throughout all the phases of the nursing process.
A nurse recommends that a client come back once every 3 months in the
coming year to have his cholesterol checked, to make sure he is
maintaining a healthy level. Which type of assessment is the nurse
proposing? - ANSWER ✔✔- A nurse recommends that a client come
back once every 3 months in the coming year to have his cholesterol
checked, to make sure he is maintaining a healthy level. Which type of
Ongoing or partial
Explanation:
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An ongoing, follow-up or partial assessment of the client consists of data
collection that occurs after the comprehensive database is established.
Any problems that were initially detected in the client's body system or
holistic health patterns are reassessed to determine any changes
(deterioration or improvement) from the baseline data. In addition, a
brief reassessment of the client's body systems and holistic health
patterns is performed to detect any new problems. An initial
comprehensive assessment involves collection of subjective data about
the client's perception of own health of all body parts or systems, past
health history, family history, and lifestyle and health practices. A
focused or problem-oriented assessment does not replace the
comprehensive health assessment. It is performed when a
comprehensive database exists for a client who comes to the health care
agency with a specific health concern and consists of a thorough
assessment of a particular client problem, and does not cover areas not
related to the problem. An emergency assessment is a very rapid
assessment performed in life-threatening situations.
A nurse draws a genogram to help organize and illustrate a client's
family history. Which shape is a standard format for representing a
deceased female relative? - ANSWER ✔✔- Circle with a cross
Explanation:
The standard format for representing a deceased female relative in a
genogram is using a circle with a cross. A simple circle indicates a living
female relative. A simple square indicates a living male relative. A
square with a cross indicates a deceased male relative.
A nurse assesses a client with regard to nutritional habits, use of
substances, education, and work and stress levels. The nurse recognizes
ADVANCED ASSESSMENT: UNIT 1
90 QUESTIONS AND ANSWERS
100% CORRECT |WITH DETAILED
EXPLANATIONS | LATEST
UPDATE 2025/2026
An older adult client had hip replacement surgery 2 days ago. The nurse
enters the client's room and encourages the client to use the incentive
spirometer ten times every hour. What is this action an example of? -
ANSWER ✔✔- Nursing intervention
Explanation:
Nursing interventions are used to monitor health status; prevent, resolve,
or control a problem; assist with ADLs; or promote optimum health and
independence. Nursing goals are the client's desired outcomes. Nursing
evaluation is deciding whether the nursing goals have been reached.
Nursing assessment is an overview of the patient's health status and
current problems.
You are taking a health history on a new patient. While performing your
assessment, the patient informs you that her mother has type 1 diabetes.
What is the significance of this information to the health history? -
ANSWER ✔✔- The patient may be at risk for developing diabetes.
Explanation:
,2|Page
Nurses incorporate a genetics focus into the health assessments of family
history to assess for genetics-related risk factors. The information aids
the nurse in determining if the patient may be predisposed to diseases
that are genetic in origin.
On a very busy day in the office, Mrs. Donelan, 81 years old, comes for
her usual visit to check her blood pressure. She has been on a low-dose
diuretic for many years and denies any side effects. Today, her blood
pressure is 118/78 today, which is well-controlled. The client mentions
that it is hard not having her husband Bill around anymore. What would
the nurse do next? - ANSWER ✔✔- Ask why Bill is not there.
Explanation:
Sometimes, the client's greatest need is for support and empathy. It
would be inappropriate to ignore this comment today. The client may
have relied heavily upon Bill for care, and may be in danger. She may be
depressed and even suicidal, but the nurse will not know unless the topic
is explored. Most importantly, the nurse should empathize with the
client by saying something like "It must be very difficult not to have him
at home" and allow a pause for her to answer. The nurse may also ask
"What did you rely on him to do for you?" Only a life-threatening crisis
with another client should take the nurse out of her room at this point;
the nurse may need to adjust the office schedule to allow adequate time
for her.
Which observation would cause the nurse to suspect an abusive
situation? Select all that apply. - ANSWER ✔✔- A child is persistent in
trying to please a parent.
A caregiver of a cognitively intact older adult dominates the interview.
A pre-schooler rubs her perineum and complains of it hurting.
,3|Page
Explanation:
Observations suggestive of possible abuse include a caregiver of a
cognitively intact older adult dominating the interview, a child being
persistent in trying to please a parent, and a pre-schooler rubbing her
perineum and complaining of it hurting. Observations not suggestive of
abuse include a parent allowing an adolescent to speak privately with the
nurse and an explanation that is appropriate for an injury.
A nurse is assessing the cognitive function of a 13-year-old boy who is
in the hospital following a head injury sustained while playing football.
The boy acts annoyed with the assessment questions and asks how often
he will have to answer them. The nurse should respond with which of
the following? - ANSWER ✔✔- "I'm sorry, but assessment is ongoing
and continuous."
Explanation:
Although the assessment phase of the nursing process precedes the other
phases in the formal nursing process, be aware that assessment is
ongoing and continuous throughout all the phases of the nursing process.
A nurse recommends that a client come back once every 3 months in the
coming year to have his cholesterol checked, to make sure he is
maintaining a healthy level. Which type of assessment is the nurse
proposing? - ANSWER ✔✔- A nurse recommends that a client come
back once every 3 months in the coming year to have his cholesterol
checked, to make sure he is maintaining a healthy level. Which type of
Ongoing or partial
Explanation:
, 4|Page
An ongoing, follow-up or partial assessment of the client consists of data
collection that occurs after the comprehensive database is established.
Any problems that were initially detected in the client's body system or
holistic health patterns are reassessed to determine any changes
(deterioration or improvement) from the baseline data. In addition, a
brief reassessment of the client's body systems and holistic health
patterns is performed to detect any new problems. An initial
comprehensive assessment involves collection of subjective data about
the client's perception of own health of all body parts or systems, past
health history, family history, and lifestyle and health practices. A
focused or problem-oriented assessment does not replace the
comprehensive health assessment. It is performed when a
comprehensive database exists for a client who comes to the health care
agency with a specific health concern and consists of a thorough
assessment of a particular client problem, and does not cover areas not
related to the problem. An emergency assessment is a very rapid
assessment performed in life-threatening situations.
A nurse draws a genogram to help organize and illustrate a client's
family history. Which shape is a standard format for representing a
deceased female relative? - ANSWER ✔✔- Circle with a cross
Explanation:
The standard format for representing a deceased female relative in a
genogram is using a circle with a cross. A simple circle indicates a living
female relative. A simple square indicates a living male relative. A
square with a cross indicates a deceased male relative.
A nurse assesses a client with regard to nutritional habits, use of
substances, education, and work and stress levels. The nurse recognizes
