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