NUR-210 Exam 1
A client comes to the health care provider's office for a visit. The client has been seen in
this office for the past five years and arrives today complaining of a fever and sore
throat. Which type of assessment would the nurse most likely perform? - Correct
Answer ✔✔ - focused assessment
Nurses provide both direct and indirect care. What is an example of indirect care? -
Correct Answer ✔✔ - Participating in a client care conference
A nurse is completing an assessment that will involve gathering subjective and objective
data. Which of the following assessment techniques will best allow the nurse to collect
objective data? - Correct Answer ✔✔ - Inspection
When doing an overall assessment of a patient, the nurse is able to utilize findings and
do what? - Correct Answer ✔✔ - Identify in what areas the patient needs the most care
The preceptor of the student nurse is explaining the assessment that is considered the
most organized for gathering comprehensive physical data. What assessment is the
preceptor talking about? - Correct Answer ✔✔ - head to toe
A nurse provides care for a client with impaired respiratory function. The nurse
frequently assesses the client's skin color and the temperature of the extremities. What
is the purpose of this ongoing or partial assessment? - Correct Answer ✔✔ - Determine
any changes from the baseline data
Mrs. Williams is an 89-year-old independent woman who lives alone and has severe
arthritis in her hands. Over the last few months the arthritis has gotten worse and she is
concerned because she can no longer clean her apartment. What question by the nurse
would gain the most usable information to assist with this concern? - Correct Answer
✔✔ - "Do you have family who visit you regularly?"
A group of nurses are reviewing information about the potential opportunities for nurses
who have advanced assessment skills. When discussing phenomena that have
contributed to these increased opportunities, what should the nurses identify? - Correct
Answer ✔✔ - Expansion of health care networks
A nurse will complete an initial comprehensive assessment of a 60-year-old client who
is new to the clinic. What goal should the nurse identify for this type of assessment? -
Correct Answer ✔✔ - Establish a baseline for the comparison of future health changes.
The nurse is reviewing a client's health history and the results of the most recent
physical examination. Which of the following data would the nurse identify as being
subjective? Select all that apply. - Correct Answer ✔✔ - 1. "I feel so tired sometimes."
2. Client complains of a headache
3. "My father died of a heart attack."
,subjective data - Correct Answer ✔✔ - things a person tells you about that you cannot
observe through your senses; symptoms
objective data - Correct Answer ✔✔ - information that is seen, heard, felt, or smelled by
an observer; signs
When discussing the nursing process with a group of students, which of the following
statements best describes it? - Correct Answer ✔✔ - It is ongoing and continuous.
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 if the client
has achieved the outcome criteria of the treatment? - Correct Answer ✔✔ - Evaluation
A nurse recognizes that a thorough and accurate assessment of a client is important to
prevent what error from occurring when utilizing the nursing process? - Correct Answer
✔✔ - Making incorrect nursing judgments or diagnoses
The nurse discusses ear plugs for a patient with low tone deafness when working in a
noisy environment. The nurse is utilizing - Correct Answer ✔✔ - tertiary prevention
A nurse is distracted during her assessment of a client and does not take as thorough or
as accurate notes as usual. Her supervisor, who is familiar with the client, reads the
patient's chart and questions the nurse. The supervisor should point out to the nurse
that which of the following errors is most likely to occur due to the nurse's lapse? -
Correct Answer ✔✔ - Making incorrect nursing judgments or diagnoses
A client who is new to the facility has a recent history of chronic pain that is attributed to
fibromyalgia. The nurse has reviewed the available health records and suspects that
pain management will be a major focus of nursing care. How can the nurse best
validate this assumption? - Correct Answer ✔✔ - Ask the client about the most recent
experiences of pain.
The nurse is exhibiting critical thinking in which client care situation? - Correct Answer
✔✔ - Performing a focused assessemt on a client who is complaining of shortness of
breath.
This type of assessment includes a health history and physical assessment. - Correct
Answer ✔✔ - Comprehensive
A student nurse is learning to document an initial assessment. What would the
instructor tell the student that accurate documentation of this specific assessment best
provides? - Correct Answer ✔✔ - A baseline for comparison with future findings
After receiving morning report the nurse prepares to assess a client who was admitted
the day before. Which type of assessment will the nurse complete at this time? - Correct
Answer ✔✔ - Ongoing
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
A home health nurse is visiting a patient who recently was hospitalized for repair of a
fractured hip. The patient tells the nurse, "I have had a lot of pain in my abdomen."
What type of assessment would the nurse conduct? - Correct Answer ✔✔ - focused
A community health nurse is assessing an older adult client in the client's home. When
the nurse is gathering subjective data, which of the following would the nurse identify? -
Correct Answer ✔✔ - The client's feelings of happiness
What are nurses able to detect through the health assessment? - Correct Answer ✔✔ -
Areas in need of health adjustments
,The result of a nursing assessment is the - Correct Answer ✔✔ - formulation of nursing
diagnoses.
Nurses provide both direct and indirect care. What is an example of indirect care? -
Correct Answer ✔✔ - Participating in a client care conference
A nurse is conducting a health assessment. How will the information collected from the
patient be used? - Correct Answer ✔✔ - as a basis for the nursing process
The nurse at a busy primary care clinic is analyzing the data obtained from the following
clients. For which clients would the nurse most likely expect to facilitate a referral? -
Correct Answer ✔✔ - A 50-year-old client newly diagnosed with diabetes
When assisting a patient with health promotion, what must the nurse also nurture? -
Correct Answer ✔✔ - A healthy environment
How does a nurse best facilitate the nursing health assessment? - Correct Answer ✔✔
- Asking the appropriate questions
Why is it important for a new nurse, working on a step-down unit, to know the standards
of care for the facility in which the nurse is working? - Correct Answer ✔✔ - Standards
of care often set the time frame for assessing the clients on the unit
A nurse is gathering data from a client during a health assessment. Which assessment
finding should the nurse document as objective data? - Correct Answer ✔✔ - The
client's range of motion in her right arm
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? - Correct Answer ✔✔ - Ongoing or partial
The nurse has completed the comprehensive health assessment of a client who has
been admitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason? - Correct Answer ✔✔ - Reassess previously detected
problems
A client comes to the health care provider's office for a visit. The client has been seen in
this office on occasion for the past 5 years and arrives today complaining of a fever and
sore throat. Which type of assessment would the nurse most likely perform? - Correct
Answer ✔✔ - Focused assessment
The RN is implementing which level of intervention when administering immunizations
at a pediatric clinic? - Correct Answer ✔✔ - Primary
A patient is brought to the emergency department by ambulance after a motor vehicle
accident. What would be given the highest priority by the staff triaging the patient? -
Correct Answer ✔✔ - Airway
A client is being admitted to the medical unit after being seen in the emergency
department. Which statement by the nurse indicates an understanding of the
importance of the appropriate timing of a health assessment? - Correct Answer ✔✔ -
"I'm going to assess the client now so that I can begin formulating the care plan."
An older adult client is brought to the ED. The client tells the nurse, "I feel like
something really heavy is sitting on my chest." The nurse then says to the client, "You
feel as if something heavy is sitting on your chest?" Of what type of nurse-client
communication is this an example? - Correct Answer ✔✔ - Restatement
During an interview, the patient begins to talk about the frequency of being abused by a
spouse. What can the nurse do at this time to acknowledge the sensitivity of the
, information the patient is providing? - Correct Answer ✔✔ - Stop documenting in order
to maintain eye contact with the patient.
An elderly patient arrives in the Emergency Department with nonspecific symptoms.
When the nurse attempts to take the health history, the patient appears not to
understand and does not answer the questions. The nurse realizes that this might be
because of a common problem in the elderly, which is: - Correct Answer ✔✔ - sensory
deficits
A client complains of knee pain on the nurse's arrival in the room. What should the
nurse's first sentence be after greeting the client? - Correct Answer ✔✔ - "Could you
please describe what happened?"
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.
A client admitted to the health care facility for new onset of abdominal pain expresses to
the nurse that she was treated for gastroesophageal reflux disease in the past. In which
section of the comprehensive health assessment should the nurse document this
information? - Correct Answer ✔✔ - Personal health history
A nurse is interviewing a man complaining of a pain in his shoulder. The nurse asks him
where exactly the pain is, and he points to a spot on the lateral, posterior upper arm.
The nurse has seen similar cases in other clients and recognizes that is likely from
prolonged work at a computer, particularly using a mouse. Which of the following is the
most effective use of inferring that the nurse might implement in this situation? - Correct
Answer ✔✔ - "Do you perform any sustained or continually repetitive motions with that
arm?"
A nurse is discussing with a client the client's personal health history. Which of the
following would be an appropriate question to ask at this time? - Correct Answer ✔✔ -
"What diseases did you have as a child?"
In interviewing a client about substance use, a nurse asks her whether she takes any
herbal supplements. Which of the following is the best rationale for asking this
question? - Correct Answer ✔✔ - Some herbal supplements may interact with
prescribed medications.
A clinic nurse has reviewed a new client's available health record and will now begin
taking the client's health history. Which of the following questions should the nurse ask
first when obtaining the health history? - Correct Answer ✔✔ - "What is your major
health concern at this time?"
Learning about the effects of the illness does what for the nurse and the patient? -
Correct Answer ✔✔ - Gives them the opportunity to create a complete and congruent
picture of the problem
A student nurse is conducting her first patient interview. The student suddenly draws a
blank on what to ask the patient next. What is a useful interview technique for the
student to use at this point? - Correct Answer ✔✔ - Summarization
A female client tells the nurse it has been 5 years since her last pap smear examination.
Where should the nurse document this information? - Correct Answer ✔✔ - health
maintenance
A client comes to the health care provider's office for a visit. The client has been seen in
this office for the past five years and arrives today complaining of a fever and sore
throat. Which type of assessment would the nurse most likely perform? - Correct
Answer ✔✔ - focused assessment
Nurses provide both direct and indirect care. What is an example of indirect care? -
Correct Answer ✔✔ - Participating in a client care conference
A nurse is completing an assessment that will involve gathering subjective and objective
data. Which of the following assessment techniques will best allow the nurse to collect
objective data? - Correct Answer ✔✔ - Inspection
When doing an overall assessment of a patient, the nurse is able to utilize findings and
do what? - Correct Answer ✔✔ - Identify in what areas the patient needs the most care
The preceptor of the student nurse is explaining the assessment that is considered the
most organized for gathering comprehensive physical data. What assessment is the
preceptor talking about? - Correct Answer ✔✔ - head to toe
A nurse provides care for a client with impaired respiratory function. The nurse
frequently assesses the client's skin color and the temperature of the extremities. What
is the purpose of this ongoing or partial assessment? - Correct Answer ✔✔ - Determine
any changes from the baseline data
Mrs. Williams is an 89-year-old independent woman who lives alone and has severe
arthritis in her hands. Over the last few months the arthritis has gotten worse and she is
concerned because she can no longer clean her apartment. What question by the nurse
would gain the most usable information to assist with this concern? - Correct Answer
✔✔ - "Do you have family who visit you regularly?"
A group of nurses are reviewing information about the potential opportunities for nurses
who have advanced assessment skills. When discussing phenomena that have
contributed to these increased opportunities, what should the nurses identify? - Correct
Answer ✔✔ - Expansion of health care networks
A nurse will complete an initial comprehensive assessment of a 60-year-old client who
is new to the clinic. What goal should the nurse identify for this type of assessment? -
Correct Answer ✔✔ - Establish a baseline for the comparison of future health changes.
The nurse is reviewing a client's health history and the results of the most recent
physical examination. Which of the following data would the nurse identify as being
subjective? Select all that apply. - Correct Answer ✔✔ - 1. "I feel so tired sometimes."
2. Client complains of a headache
3. "My father died of a heart attack."
,subjective data - Correct Answer ✔✔ - things a person tells you about that you cannot
observe through your senses; symptoms
objective data - Correct Answer ✔✔ - information that is seen, heard, felt, or smelled by
an observer; signs
When discussing the nursing process with a group of students, which of the following
statements best describes it? - Correct Answer ✔✔ - It is ongoing and continuous.
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 if the client
has achieved the outcome criteria of the treatment? - Correct Answer ✔✔ - Evaluation
A nurse recognizes that a thorough and accurate assessment of a client is important to
prevent what error from occurring when utilizing the nursing process? - Correct Answer
✔✔ - Making incorrect nursing judgments or diagnoses
The nurse discusses ear plugs for a patient with low tone deafness when working in a
noisy environment. The nurse is utilizing - Correct Answer ✔✔ - tertiary prevention
A nurse is distracted during her assessment of a client and does not take as thorough or
as accurate notes as usual. Her supervisor, who is familiar with the client, reads the
patient's chart and questions the nurse. The supervisor should point out to the nurse
that which of the following errors is most likely to occur due to the nurse's lapse? -
Correct Answer ✔✔ - Making incorrect nursing judgments or diagnoses
A client who is new to the facility has a recent history of chronic pain that is attributed to
fibromyalgia. The nurse has reviewed the available health records and suspects that
pain management will be a major focus of nursing care. How can the nurse best
validate this assumption? - Correct Answer ✔✔ - Ask the client about the most recent
experiences of pain.
The nurse is exhibiting critical thinking in which client care situation? - Correct Answer
✔✔ - Performing a focused assessemt on a client who is complaining of shortness of
breath.
This type of assessment includes a health history and physical assessment. - Correct
Answer ✔✔ - Comprehensive
A student nurse is learning to document an initial assessment. What would the
instructor tell the student that accurate documentation of this specific assessment best
provides? - Correct Answer ✔✔ - A baseline for comparison with future findings
After receiving morning report the nurse prepares to assess a client who was admitted
the day before. Which type of assessment will the nurse complete at this time? - Correct
Answer ✔✔ - Ongoing
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
A home health nurse is visiting a patient who recently was hospitalized for repair of a
fractured hip. The patient tells the nurse, "I have had a lot of pain in my abdomen."
What type of assessment would the nurse conduct? - Correct Answer ✔✔ - focused
A community health nurse is assessing an older adult client in the client's home. When
the nurse is gathering subjective data, which of the following would the nurse identify? -
Correct Answer ✔✔ - The client's feelings of happiness
What are nurses able to detect through the health assessment? - Correct Answer ✔✔ -
Areas in need of health adjustments
,The result of a nursing assessment is the - Correct Answer ✔✔ - formulation of nursing
diagnoses.
Nurses provide both direct and indirect care. What is an example of indirect care? -
Correct Answer ✔✔ - Participating in a client care conference
A nurse is conducting a health assessment. How will the information collected from the
patient be used? - Correct Answer ✔✔ - as a basis for the nursing process
The nurse at a busy primary care clinic is analyzing the data obtained from the following
clients. For which clients would the nurse most likely expect to facilitate a referral? -
Correct Answer ✔✔ - A 50-year-old client newly diagnosed with diabetes
When assisting a patient with health promotion, what must the nurse also nurture? -
Correct Answer ✔✔ - A healthy environment
How does a nurse best facilitate the nursing health assessment? - Correct Answer ✔✔
- Asking the appropriate questions
Why is it important for a new nurse, working on a step-down unit, to know the standards
of care for the facility in which the nurse is working? - Correct Answer ✔✔ - Standards
of care often set the time frame for assessing the clients on the unit
A nurse is gathering data from a client during a health assessment. Which assessment
finding should the nurse document as objective data? - Correct Answer ✔✔ - The
client's range of motion in her right arm
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? - Correct Answer ✔✔ - Ongoing or partial
The nurse has completed the comprehensive health assessment of a client who has
been admitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason? - Correct Answer ✔✔ - Reassess previously detected
problems
A client comes to the health care provider's office for a visit. The client has been seen in
this office on occasion for the past 5 years and arrives today complaining of a fever and
sore throat. Which type of assessment would the nurse most likely perform? - Correct
Answer ✔✔ - Focused assessment
The RN is implementing which level of intervention when administering immunizations
at a pediatric clinic? - Correct Answer ✔✔ - Primary
A patient is brought to the emergency department by ambulance after a motor vehicle
accident. What would be given the highest priority by the staff triaging the patient? -
Correct Answer ✔✔ - Airway
A client is being admitted to the medical unit after being seen in the emergency
department. Which statement by the nurse indicates an understanding of the
importance of the appropriate timing of a health assessment? - Correct Answer ✔✔ -
"I'm going to assess the client now so that I can begin formulating the care plan."
An older adult client is brought to the ED. The client tells the nurse, "I feel like
something really heavy is sitting on my chest." The nurse then says to the client, "You
feel as if something heavy is sitting on your chest?" Of what type of nurse-client
communication is this an example? - Correct Answer ✔✔ - Restatement
During an interview, the patient begins to talk about the frequency of being abused by a
spouse. What can the nurse do at this time to acknowledge the sensitivity of the
, information the patient is providing? - Correct Answer ✔✔ - Stop documenting in order
to maintain eye contact with the patient.
An elderly patient arrives in the Emergency Department with nonspecific symptoms.
When the nurse attempts to take the health history, the patient appears not to
understand and does not answer the questions. The nurse realizes that this might be
because of a common problem in the elderly, which is: - Correct Answer ✔✔ - sensory
deficits
A client complains of knee pain on the nurse's arrival in the room. What should the
nurse's first sentence be after greeting the client? - Correct Answer ✔✔ - "Could you
please describe what happened?"
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.
A client admitted to the health care facility for new onset of abdominal pain expresses to
the nurse that she was treated for gastroesophageal reflux disease in the past. In which
section of the comprehensive health assessment should the nurse document this
information? - Correct Answer ✔✔ - Personal health history
A nurse is interviewing a man complaining of a pain in his shoulder. The nurse asks him
where exactly the pain is, and he points to a spot on the lateral, posterior upper arm.
The nurse has seen similar cases in other clients and recognizes that is likely from
prolonged work at a computer, particularly using a mouse. Which of the following is the
most effective use of inferring that the nurse might implement in this situation? - Correct
Answer ✔✔ - "Do you perform any sustained or continually repetitive motions with that
arm?"
A nurse is discussing with a client the client's personal health history. Which of the
following would be an appropriate question to ask at this time? - Correct Answer ✔✔ -
"What diseases did you have as a child?"
In interviewing a client about substance use, a nurse asks her whether she takes any
herbal supplements. Which of the following is the best rationale for asking this
question? - Correct Answer ✔✔ - Some herbal supplements may interact with
prescribed medications.
A clinic nurse has reviewed a new client's available health record and will now begin
taking the client's health history. Which of the following questions should the nurse ask
first when obtaining the health history? - Correct Answer ✔✔ - "What is your major
health concern at this time?"
Learning about the effects of the illness does what for the nurse and the patient? -
Correct Answer ✔✔ - Gives them the opportunity to create a complete and congruent
picture of the problem
A student nurse is conducting her first patient interview. The student suddenly draws a
blank on what to ask the patient next. What is a useful interview technique for the
student to use at this point? - Correct Answer ✔✔ - Summarization
A female client tells the nurse it has been 5 years since her last pap smear examination.
Where should the nurse document this information? - Correct Answer ✔✔ - health
maintenance
