1. Acnurseconcacpostsurgicalcunitciscadmittingcacclientcfollowingcthecclient'sccholecystectom
yc(gallcbladdercremoval).cWhatciscthecoverallcpurposecofcassessmentcforcthiscclient?
A) Collectingcaccuratecdata
B) Assistingcthecprimaryccarecprovider
C) Validatingcpreviouscdata
D) Makingcclinicalcjudgments
2. Acclientchascpresentedctocthecemergencycdepartmentc(ED)cwithccomplaintscofcabdominalcp
ain.cWhichcmembercofctheccarecteamcwouldcmostclikelycbecresponsiblecforccollectingcthecs
ubjectivecdataconcthecclientcduringcthecinitialccomprehensivecassessment?
A) Gastroenterologist
B) EDcnurse
C) Admissionscclerk
D) Diagnosticctechnician
3. Thecnursechasccompletedcancinitialcassessmentcofcacnewlycadmittedcclientcandciscapplyingcth
ecnursingcprocessctocplancthecclient'sccare.cWhatcprinciplecshouldcthecnursecapplycwhencusin
gcthecnursingcprocess?
A) Eachcstepciscindependentcofcthecothers.
B) Itciscongoingcandccontinuous.
C) Itciscusedcprimarilycincacuteccarecsettings.
D) Itcinvolvescindependentcnursingcactions.
4. Thecnursecwhocprovidesccarecatcancambulatorycclinicciscpreparingctocmeetcacclientcandcperf
ormcaccomprehensivechealthcassessment.cWhichcofcthecfollowingcactionscshouldcthecnurse
cperformcfirst?
A) Reviewcthecclient'scmedicalcrecord.
B) Obtaincbasiccbiographiccdata.
C) Consultcclinicalcresourcescexplainingcthecclient'scdiagnosis.
D) Validatecinformationcwithcthecclient.
5. Whichcofcthecfollowingcclientcsituationscwouldcthecnursecinterpretcascrequiringcance
mergencycassessment?
A) Acpediatriccclientcwithcseverecsunburn
B) Acclientcneedingcancemploymentcphysical
C) Acclientcwhocoverdosedconcacetaminophen
D) Acdistraughtcclientcwhocwantscacpregnancyctest
Pagec1
,6. Incresponsectocacclient'scquery,cthecnurseciscexplainingcthecdifferencescbetweencthecphysic
ian'scmedicalcexamcandctheccomprehensivechealthcassessmentcperformedcbycthecnurse.cT
hecnursecshouldcdescribecthecfactcthatcthecnursingcassessmentcfocusesconcwhichcaspectcofct
hecclient'scsituation?
A) Currentcphysiologiccstatus
B) Effectcofchealthconcfunctionalcstatus
C) Pastcmedicalchistory
D) Motivationcforcadherencectoctreatment
7. Aftercteachingcacgroupcofcstudentscaboutcthecphasescofcthecnursingcprocess,cthecinstructorcd
eterminescthatcthecteachingcwascsuccessfulcwhencthecstudentscidentifycwhichcphasecascbein
gcfoundationalctocallcothercphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. Thecnursechasccompletedctheccomprehensivechealthcassessmentcofcacclientcwhochascbeenca
dmittedcforcthectreatmentcofccommunity-
acquiredcpneumonia.cFollowingctheccompletioncofcthiscassessment,cthecnursecperiodically
cperformscacpartialcassessmentcprimarilycforcwhichcreason?
A) Reassesscpreviouslycdetectedcproblems
B) Providecinformationcforcthecclient'screcord
C) Addresscareascpreviouslycomitted
D) Determinecthecneedcforccrisiscintervention
9. Thecnurseciscworkingcincancambulatoryccareccliniccthatcisclocatedcincacbusy,cinner-
citycneighborhood.cWhichcclientcwouldcthecnursecdeterminectocbecincmostcneedcofcance
mergencycassessment?
A) Ac14-year-oldcgirlcwhocisccryingcbecausecshecthinkscsheciscpregnant
B) Ac45-year-oldcmancwithcchestcpaincandcdiaphoresiscforc1chour
C) Ac3-year-oldcchildcwithcfever,crash,candcsorecthroat
D) Ac20-year-oldcmancwithcac3-inchcshallowclacerationconchiscleg
Pagec1
,10. Acnursechasccompletedcgatheringcsomecbasiccdatacaboutcacclientcwhochascmultiplechealthcpr
oblemscthatcstemcfromcheavycalcoholcuse.cThecnursechascthencreflectedconchercpersonalcfeel
ingscaboutcthecclientcandchisccircumstances.cThecnursecdoescthiscprimarilyctocaccomplishcw
hichcofcthecfollowing?
A) Determinecifcpertinentcdatachascbeencomitted
B) Identifycthecneedcforcreferral
C) Avoidcbiasescandcjudgments
D) Constructcacplancofccare
11. Thecnursecisccollectingcdatacfromcacclientcwhochascrecentlycbeencdiagnosedcwithctypec1cdia
betescandcwhocwillcbegincanceducationalcprogram.cThecnursecisccollectingcsubjectivecandco
bjectivecdata.cWhichcofcthecfollowingcwouldcthecnurseccategorizecascobjectivecdata?
A) Familychistory
B) Occupation
C) Appearance
D) Historycofcpresentchealthcconcern
12. Ancoldercadultcclientchascbeencadmittedctocthechospitalcwithcfailurectocthrivecresultingcfro
mccomplicationscofcdiabetes.cWhichcofcthecfollowingcwouldcthecnursecimplementcincresp
onsectocaccollaborativecproblem?
A) Encouragecthecclientctocincreasecoralcfluidcintake.
B) Providecthecclientcwithcacbedtimecproteincsnack.
C) Assistcthecclientcwithcpersonalchygiene.
D) Measurecthecclient'scbloodcglucosecfourctimescdaily.
13. Thecnursecatcacbusycprimaryccarecclinicciscanalyzingcthecdatacobtainedcfromcthecfollowi
ngcclients.cForcwhichcclientscwouldcthecnursecmostclikelycexpectctocfacilitatecacreferral?
A) Anc80-year-oldcclientcwhoclivescwithchercdaughter
B) Ac50-year-oldcclientcnewlycdiagnosedcwithcdiabetes
C) Ancadultcpresentingcforcancinfluenzacvaccination
D) Acteenagercseekingcinformationcaboutccontraception
14. Ancinstructorciscreviewingcthecevolutioncofcthecnurse'scrolecinchealthcassessment.cThecinstr
uctorcdeterminescthatcthecteachingcwascsuccessfulcwhencthecstudentscidentifycwhichcofcthec
followingcascthecmajorcmethodcusedcbycnursescearlycincthechistorycofcthecprofession?
A) Naturalcsenses
B) Biomedicalcknowledge
C) Simplectechnology
D) Criticalcpathways
Pagec3
.
, 15. Whencdescribingcthecexpansioncofcthecdepthcandcscopecofcnursingcassessmentcovercthecp
astcseveralcdecades,cwhichcofcthecfollowingcwouldcthecnursecidentifycascbeingcthecprimar
ycforce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
16. Acgroupcofcnursescarecreviewingcinformationcaboutcthecpotentialcopportunitiescforcnursescw
hochavecadvancedcassessmentcskills.cWhencdiscussingcphenomenacthatchaveccontributedct
octhesecincreasedcopportunities,cwhatcshouldcthecnursescidentify?
A) Expansioncofchealthccarecnetworks
B) Decreasecincclientcparticipationcinccare
C) Thecshrinkingccostcofcmedicalccare
D) Publiccmistrustcofcphysicians
17. Acnursechascdocumentedcthecfindingscofcaccomprehensivecassessmentcofcacnewcclient.cW
hatciscthecprimarycrationalecthatcthecnursecshouldcidentifycforcaccuratecandcthoroughcdoc
umentation?
A) Guaranteeingcaccontinualcassessmentcprocess
B) Identifyingcabnormalcdata
C) Assuringcvalidcconclusionscfromcanalyzedcdata
D) Allowingcforcdrawingcinferencescandcidentifyingcproblems
18. Acnursechascreceivedcacreportconcacclientcwhocwillcsooncbecadmittedctocthecmedicalcunitcfr
omcthecemergencycdepartment.cWhencpreparingcforcthecassessmentcphasecofcthecnursingc
process,cwhichcofcthecfollowingcshouldcthecnursecdocfirst?
A) Collectcobjectivecdata.
B) Validatecimportantcdata.
C) Collectcsubjectivecdata.
D) Documentcthecdata.
19. Accommunitychealthcnurseciscassessingcancoldercadultcclientcincthecclient'schome.cWhencth
ecnurseciscgatheringcsubjectivecdata,cwhichcofcthecfollowingcwouldcthecnursecidentify?
A) Thecclient'scfeelingscofchappiness
B) Thecclient'scposture
C) Thecclient'scaffect
D) Thecclient'scbehavior
Pagec3
.
yc(gallcbladdercremoval).cWhatciscthecoverallcpurposecofcassessmentcforcthiscclient?
A) Collectingcaccuratecdata
B) Assistingcthecprimaryccarecprovider
C) Validatingcpreviouscdata
D) Makingcclinicalcjudgments
2. Acclientchascpresentedctocthecemergencycdepartmentc(ED)cwithccomplaintscofcabdominalcp
ain.cWhichcmembercofctheccarecteamcwouldcmostclikelycbecresponsiblecforccollectingcthecs
ubjectivecdataconcthecclientcduringcthecinitialccomprehensivecassessment?
A) Gastroenterologist
B) EDcnurse
C) Admissionscclerk
D) Diagnosticctechnician
3. Thecnursechasccompletedcancinitialcassessmentcofcacnewlycadmittedcclientcandciscapplyingcth
ecnursingcprocessctocplancthecclient'sccare.cWhatcprinciplecshouldcthecnursecapplycwhencusin
gcthecnursingcprocess?
A) Eachcstepciscindependentcofcthecothers.
B) Itciscongoingcandccontinuous.
C) Itciscusedcprimarilycincacuteccarecsettings.
D) Itcinvolvescindependentcnursingcactions.
4. Thecnursecwhocprovidesccarecatcancambulatorycclinicciscpreparingctocmeetcacclientcandcperf
ormcaccomprehensivechealthcassessment.cWhichcofcthecfollowingcactionscshouldcthecnurse
cperformcfirst?
A) Reviewcthecclient'scmedicalcrecord.
B) Obtaincbasiccbiographiccdata.
C) Consultcclinicalcresourcescexplainingcthecclient'scdiagnosis.
D) Validatecinformationcwithcthecclient.
5. Whichcofcthecfollowingcclientcsituationscwouldcthecnursecinterpretcascrequiringcance
mergencycassessment?
A) Acpediatriccclientcwithcseverecsunburn
B) Acclientcneedingcancemploymentcphysical
C) Acclientcwhocoverdosedconcacetaminophen
D) Acdistraughtcclientcwhocwantscacpregnancyctest
Pagec1
,6. Incresponsectocacclient'scquery,cthecnurseciscexplainingcthecdifferencescbetweencthecphysic
ian'scmedicalcexamcandctheccomprehensivechealthcassessmentcperformedcbycthecnurse.cT
hecnursecshouldcdescribecthecfactcthatcthecnursingcassessmentcfocusesconcwhichcaspectcofct
hecclient'scsituation?
A) Currentcphysiologiccstatus
B) Effectcofchealthconcfunctionalcstatus
C) Pastcmedicalchistory
D) Motivationcforcadherencectoctreatment
7. Aftercteachingcacgroupcofcstudentscaboutcthecphasescofcthecnursingcprocess,cthecinstructorcd
eterminescthatcthecteachingcwascsuccessfulcwhencthecstudentscidentifycwhichcphasecascbein
gcfoundationalctocallcothercphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. Thecnursechasccompletedctheccomprehensivechealthcassessmentcofcacclientcwhochascbeenca
dmittedcforcthectreatmentcofccommunity-
acquiredcpneumonia.cFollowingctheccompletioncofcthiscassessment,cthecnursecperiodically
cperformscacpartialcassessmentcprimarilycforcwhichcreason?
A) Reassesscpreviouslycdetectedcproblems
B) Providecinformationcforcthecclient'screcord
C) Addresscareascpreviouslycomitted
D) Determinecthecneedcforccrisiscintervention
9. Thecnurseciscworkingcincancambulatoryccareccliniccthatcisclocatedcincacbusy,cinner-
citycneighborhood.cWhichcclientcwouldcthecnursecdeterminectocbecincmostcneedcofcance
mergencycassessment?
A) Ac14-year-oldcgirlcwhocisccryingcbecausecshecthinkscsheciscpregnant
B) Ac45-year-oldcmancwithcchestcpaincandcdiaphoresiscforc1chour
C) Ac3-year-oldcchildcwithcfever,crash,candcsorecthroat
D) Ac20-year-oldcmancwithcac3-inchcshallowclacerationconchiscleg
Pagec1
,10. Acnursechasccompletedcgatheringcsomecbasiccdatacaboutcacclientcwhochascmultiplechealthcpr
oblemscthatcstemcfromcheavycalcoholcuse.cThecnursechascthencreflectedconchercpersonalcfeel
ingscaboutcthecclientcandchisccircumstances.cThecnursecdoescthiscprimarilyctocaccomplishcw
hichcofcthecfollowing?
A) Determinecifcpertinentcdatachascbeencomitted
B) Identifycthecneedcforcreferral
C) Avoidcbiasescandcjudgments
D) Constructcacplancofccare
11. Thecnursecisccollectingcdatacfromcacclientcwhochascrecentlycbeencdiagnosedcwithctypec1cdia
betescandcwhocwillcbegincanceducationalcprogram.cThecnursecisccollectingcsubjectivecandco
bjectivecdata.cWhichcofcthecfollowingcwouldcthecnurseccategorizecascobjectivecdata?
A) Familychistory
B) Occupation
C) Appearance
D) Historycofcpresentchealthcconcern
12. Ancoldercadultcclientchascbeencadmittedctocthechospitalcwithcfailurectocthrivecresultingcfro
mccomplicationscofcdiabetes.cWhichcofcthecfollowingcwouldcthecnursecimplementcincresp
onsectocaccollaborativecproblem?
A) Encouragecthecclientctocincreasecoralcfluidcintake.
B) Providecthecclientcwithcacbedtimecproteincsnack.
C) Assistcthecclientcwithcpersonalchygiene.
D) Measurecthecclient'scbloodcglucosecfourctimescdaily.
13. Thecnursecatcacbusycprimaryccarecclinicciscanalyzingcthecdatacobtainedcfromcthecfollowi
ngcclients.cForcwhichcclientscwouldcthecnursecmostclikelycexpectctocfacilitatecacreferral?
A) Anc80-year-oldcclientcwhoclivescwithchercdaughter
B) Ac50-year-oldcclientcnewlycdiagnosedcwithcdiabetes
C) Ancadultcpresentingcforcancinfluenzacvaccination
D) Acteenagercseekingcinformationcaboutccontraception
14. Ancinstructorciscreviewingcthecevolutioncofcthecnurse'scrolecinchealthcassessment.cThecinstr
uctorcdeterminescthatcthecteachingcwascsuccessfulcwhencthecstudentscidentifycwhichcofcthec
followingcascthecmajorcmethodcusedcbycnursescearlycincthechistorycofcthecprofession?
A) Naturalcsenses
B) Biomedicalcknowledge
C) Simplectechnology
D) Criticalcpathways
Pagec3
.
, 15. Whencdescribingcthecexpansioncofcthecdepthcandcscopecofcnursingcassessmentcovercthecp
astcseveralcdecades,cwhichcofcthecfollowingcwouldcthecnursecidentifycascbeingcthecprimar
ycforce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
16. Acgroupcofcnursescarecreviewingcinformationcaboutcthecpotentialcopportunitiescforcnursescw
hochavecadvancedcassessmentcskills.cWhencdiscussingcphenomenacthatchaveccontributedct
octhesecincreasedcopportunities,cwhatcshouldcthecnursescidentify?
A) Expansioncofchealthccarecnetworks
B) Decreasecincclientcparticipationcinccare
C) Thecshrinkingccostcofcmedicalccare
D) Publiccmistrustcofcphysicians
17. Acnursechascdocumentedcthecfindingscofcaccomprehensivecassessmentcofcacnewcclient.cW
hatciscthecprimarycrationalecthatcthecnursecshouldcidentifycforcaccuratecandcthoroughcdoc
umentation?
A) Guaranteeingcaccontinualcassessmentcprocess
B) Identifyingcabnormalcdata
C) Assuringcvalidcconclusionscfromcanalyzedcdata
D) Allowingcforcdrawingcinferencescandcidentifyingcproblems
18. Acnursechascreceivedcacreportconcacclientcwhocwillcsooncbecadmittedctocthecmedicalcunitcfr
omcthecemergencycdepartment.cWhencpreparingcforcthecassessmentcphasecofcthecnursingc
process,cwhichcofcthecfollowingcshouldcthecnursecdocfirst?
A) Collectcobjectivecdata.
B) Validatecimportantcdata.
C) Collectcsubjectivecdata.
D) Documentcthecdata.
19. Accommunitychealthcnurseciscassessingcancoldercadultcclientcincthecclient'schome.cWhencth
ecnurseciscgatheringcsubjectivecdata,cwhichcofcthecfollowingcwouldcthecnursecidentify?
A) Thecclient'scfeelingscofchappiness
B) Thecclient'scposture
C) Thecclient'scaffect
D) Thecclient'scbehavior
Pagec3
.
