NURS 198 – Fundamentals of Nursing Practice – Exam 1 Review with
Questions and Correct answers
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
-Take anthropometric measurements
-Obtain a 24-hour diet recall - correct answer collect subjective data 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? - correct answer 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? - correct answer 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? - correct answer 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. What action
should the nurse take? - correct answer 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? - correct answer 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 have had a lot of pain in my abdomen." What type of
assessment would the nurse conduct? - correct answer focused
When planning a community program related to Healthy People 2030, the critical first step
involves - correct answer defining the community
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? - correct answer - 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? - correct answer 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? - correct answer Conduct a brief
review of the client's charts
While discussing health patterns, a client says, "I hate my job." In which category should the
nurse document and further assess this information? - correct answer 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? - correct answer Use the client's family as a source of information
A client has just been admitted to the postsurgical unit from postanesthetic recovery, and the
nurse is in the introductory phase of the client interview. Which of the following activities
should the nurse perform first? - correct answer explain the purpose of the interview
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? - correct answer 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? - correct answer 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? - correct answer 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? - correct answer 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 when interacting with this client? - correct answer Provide
simple and organized information.
Questions and Correct answers
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
-Take anthropometric measurements
-Obtain a 24-hour diet recall - correct answer collect subjective data 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? - correct answer 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? - correct answer 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? - correct answer 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. What action
should the nurse take? - correct answer 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? - correct answer 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 have had a lot of pain in my abdomen." What type of
assessment would the nurse conduct? - correct answer focused
When planning a community program related to Healthy People 2030, the critical first step
involves - correct answer defining the community
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? - correct answer - 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? - correct answer 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? - correct answer Conduct a brief
review of the client's charts
While discussing health patterns, a client says, "I hate my job." In which category should the
nurse document and further assess this information? - correct answer 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? - correct answer Use the client's family as a source of information
A client has just been admitted to the postsurgical unit from postanesthetic recovery, and the
nurse is in the introductory phase of the client interview. Which of the following activities
should the nurse perform first? - correct answer explain the purpose of the interview
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? - correct answer 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? - correct answer 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? - correct answer 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? - correct answer 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 when interacting with this client? - correct answer Provide
simple and organized information.
