1
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NURS 198 Exam 1 Questions and Answers
(100% Correct Answers) Already Graded
A+
A nurse conducts an initial comprehensive assessment for a client
admitted with a fever of unknown origin. Which area of
assessment is primarily the nurse's responsibility?
-Collect subjective data related to overall function
-Perform a musculoskeletal examination
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-Take anthropometric measurements
-Obtain a 24-hour diet recall [ ANS: ] collect subjective data
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related to overall function
An older adult client has been admitted to the hospital with failure
to thrive resulting from complications of diabetes. What would the
nurse implement in response to a collaborative problem? [ ANS: ]
Measure the client's blood glucose four times daily.
When performing the steps of the assessment phase of the nursing
process, which of the following would the nurse do first? [ ANS: ]
collect subjective data
The nurse performs an assessment on a newly admitted client.
Data analysis reveals temperature 100.9 F (38.3 C), BP 82/58 mm
Hg, 02 Saturation 91% RA, productive cough, lethargy, diaphoresis,
WBC 15,000 mm3, Hemoglobin 9 g/dL, Hematocrit 29%. What
action should the nurse take next? [ ANS: ] develop diagnosis
A client admitted to the hospital with status asthmaticus suddenly
develops the following signs and symptoms: increased heart rate
(105 bpm), increased respiratory rate (24/min), O2 saturation 90%
on 100% nonrebreather mask, and sudden absence of wheezing.
, 2
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What action should the nurse take? [ ANS: ] perform emergency
assessment
A nurse provides care for a client with an elevated temperature.
The client is given the prescribed medication and the nurse
checks the client's temperature at repeated intervals. What step
of the nursing process is the nurse using to determine whether the
client has achieved the outcome criteria of the treatment? [ ANS:
] evaluation
A home health nurse is visiting a client who recently was
hospitalized for repair of a fractured hip. The client tells the nurse, "I
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have had a lot of pain in my abdomen." What type of assessment
would the nurse conduct? [ ANS: ] focused
When planning a community program related to Healthy People
2030, the critical first step involves [ ANS: ] defining the community
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After assessment and documentation of the information obtained
from the client, the nurse needs to analyze the data collected.
Which nursing actions depend on accurate analysis of data
during this phase of the nursing process? [ ANS: ] - Identification of
collaborative problems
- Identification of the need for referrals
- Formulation of nursing diagnosis/es
The nurse learns that a client is unable to sleep because of high
anxiety. On which category of health patterns should the nurse
focus? [ ANS: ] coping-stress-tolerance
The nurse has been assigned to a group of clients on a medical
surgical unit. What is the best action of the nurse prior to receiving
a report on these clients? [ ANS: ] Conduct a brief review of the
client's charts
, 3
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While discussing health patterns, a client says, "I hate my job." In
which category should the nurse document and further assess this
information? [ ANS: ] role-relationship
The nurse is the primary care provider for a 21-year-old man who,
as the result of a brain injury suffered in a mountain-biking
accident in his teens, has the cognitive abilities of a 9-year-old.
How should the nurse accommodate the client's cognition and
comprehension during assessment? [ ANS: ] Use the client's family
as a source of information
A client has just been admitted to the postsurgical unit from
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postanesthetic recovery, and the nurse is in the introductory
phase of the client interview. Which of the following activities
should the nurse perform first? [ ANS: ] explain the purpose of the
interview
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During the working phase of an interview the nurse encourages
the client to continue and expand on the health issues. What
technique is the nurse using? [ ANS: ] active listening
A nurse is preparing to assess a client who is new to the clinic.
When beginning the collection of the client's data, what action
should the nurse prioritize? [ ANS: ] establishing a trusting
relationship
During the review of systems, a client reports having difficulty with
urination and with establishing an erection. Which additional
information should the nurse recognize as the highest priority to
assess at this time? [ ANS: ] sexual history
The nurse would document driving with car seatbelt fastened,
bicycling with properly-fitted helmet, and installing a smoke
detector in a vacation home in the client's health history under
which of the following? [ ANS: ] personal and social history
A client scheduled for surgery tells the nurse that he is very anxious
about the surgery. What is an appropriate action by the nurse
For Expert help and assignment solutions, +254707240657
NURS 198 Exam 1 Questions and Answers
(100% Correct Answers) Already Graded
A+
A nurse conducts an initial comprehensive assessment for a client
admitted with a fever of unknown origin. Which area of
assessment is primarily the nurse's responsibility?
-Collect subjective data related to overall function
-Perform a musculoskeletal examination
© 2025 Assignment Expert
-Take anthropometric measurements
-Obtain a 24-hour diet recall [ ANS: ] collect subjective data
Guru01 - Stuvia
related to overall function
An older adult client has been admitted to the hospital with failure
to thrive resulting from complications of diabetes. What would the
nurse implement in response to a collaborative problem? [ ANS: ]
Measure the client's blood glucose four times daily.
When performing the steps of the assessment phase of the nursing
process, which of the following would the nurse do first? [ ANS: ]
collect subjective data
The nurse performs an assessment on a newly admitted client.
Data analysis reveals temperature 100.9 F (38.3 C), BP 82/58 mm
Hg, 02 Saturation 91% RA, productive cough, lethargy, diaphoresis,
WBC 15,000 mm3, Hemoglobin 9 g/dL, Hematocrit 29%. What
action should the nurse take next? [ ANS: ] develop diagnosis
A client admitted to the hospital with status asthmaticus suddenly
develops the following signs and symptoms: increased heart rate
(105 bpm), increased respiratory rate (24/min), O2 saturation 90%
on 100% nonrebreather mask, and sudden absence of wheezing.
, 2
For Expert help and assignment solutions, +254707240657
What action should the nurse take? [ ANS: ] perform emergency
assessment
A nurse provides care for a client with an elevated temperature.
The client is given the prescribed medication and the nurse
checks the client's temperature at repeated intervals. What step
of the nursing process is the nurse using to determine whether the
client has achieved the outcome criteria of the treatment? [ ANS:
] evaluation
A home health nurse is visiting a client who recently was
hospitalized for repair of a fractured hip. The client tells the nurse, "I
© 2025 Assignment Expert
have had a lot of pain in my abdomen." What type of assessment
would the nurse conduct? [ ANS: ] focused
When planning a community program related to Healthy People
2030, the critical first step involves [ ANS: ] defining the community
Guru01 - Stuvia
After assessment and documentation of the information obtained
from the client, the nurse needs to analyze the data collected.
Which nursing actions depend on accurate analysis of data
during this phase of the nursing process? [ ANS: ] - Identification of
collaborative problems
- Identification of the need for referrals
- Formulation of nursing diagnosis/es
The nurse learns that a client is unable to sleep because of high
anxiety. On which category of health patterns should the nurse
focus? [ ANS: ] coping-stress-tolerance
The nurse has been assigned to a group of clients on a medical
surgical unit. What is the best action of the nurse prior to receiving
a report on these clients? [ ANS: ] Conduct a brief review of the
client's charts
, 3
For Expert help and assignment solutions, +254707240657
While discussing health patterns, a client says, "I hate my job." In
which category should the nurse document and further assess this
information? [ ANS: ] role-relationship
The nurse is the primary care provider for a 21-year-old man who,
as the result of a brain injury suffered in a mountain-biking
accident in his teens, has the cognitive abilities of a 9-year-old.
How should the nurse accommodate the client's cognition and
comprehension during assessment? [ ANS: ] Use the client's family
as a source of information
A client has just been admitted to the postsurgical unit from
© 2025 Assignment Expert
postanesthetic recovery, and the nurse is in the introductory
phase of the client interview. Which of the following activities
should the nurse perform first? [ ANS: ] explain the purpose of the
interview
Guru01 - Stuvia
During the working phase of an interview the nurse encourages
the client to continue and expand on the health issues. What
technique is the nurse using? [ ANS: ] active listening
A nurse is preparing to assess a client who is new to the clinic.
When beginning the collection of the client's data, what action
should the nurse prioritize? [ ANS: ] establishing a trusting
relationship
During the review of systems, a client reports having difficulty with
urination and with establishing an erection. Which additional
information should the nurse recognize as the highest priority to
assess at this time? [ ANS: ] sexual history
The nurse would document driving with car seatbelt fastened,
bicycling with properly-fitted helmet, and installing a smoke
detector in a vacation home in the client's health history under
which of the following? [ ANS: ] personal and social history
A client scheduled for surgery tells the nurse that he is very anxious
about the surgery. What is an appropriate action by the nurse
