CHAPTER 1: NURSE’S ROLE IN HEALTH ASSESSMENT: COLLECTING AND ANALYZING DATA
1. A nurse on a postsurgical unit is admitting a client following the
... [Show More] client's cholecystectomy (gall
bladder removal). What is the overall purpose of assessment for this client?
A) Collecting accurate data
B) Assisting the primary care provider
C) Validating previous data
D) Making clinical judgments
2. A client has presented to the emergency department (ED) with complaints of abdominal pain.
Which member of the care team would most likely be responsible for collecting the subjective data on
the client during the initial comprehensive assessment?
A) Gastroenterologist
B) ED nurse
C) Admissions clerk
D) Diagnostic technician
3. The nurse has completed an initial assessment of a newly admitted client and is applying the
nursing process to plan the client's care. What principle should the nurse apply when using the nursing
process?
A) Each step is independent of the others.
B) It is ongoing and continuous.
C) It is used primarily in acute care settings. N
D) It involves independent nursing actions.
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and perform a
comprehensive health assessment. Which of the following actions should the nurse perform first?
A) Review the client's medical record.
B) Obtain basic biographic data.
C) Consult clinical resources explaining the client's diagnosis.
D) Validate information with the client.
5. Which of the following client situations would the nurse interpret as requiring an emergency
assessment?
A) A pediatric client with severe sunburn
B) A client needing an employment physical
C) A client who overdosed on acetaminophen
D) A distraught client who wants a pregnancy test
10. A nurse has completed gathering some basic data about a client who has multiple health problems
that stem from heavy alcohol use. The nurse has then reflected on her personal
6. In response to a client's query, the nurse is explaining the differences between the physician's
medical exam and the comprehensive health assessment performed by the nurse. The nurse should
describe the fact that the nursing assessment focuses on which aspect of the client's situation?
A) Current physiologic status
B) Effect of health on functional status
C) Past medical history
D) Motivation for adherence to treatment
7. After teaching a group of students about the phases of the nursing process, the instructor
determines that the teaching was successful when the students identify which phase as being
foundational to all other pha ses?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. 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?
A) Reassess previously deteNcted problems
B) Provide information for the client's record [Show Less]