NURS 2092 HEALTH ASS EXAM2 QUESTIONS WITH
ANSWERS 2023 UPDATE A+
1. The nurse is working in an ambulatory care clinic that is located in a busy, inner-city
neighborhood. Which client would the nurse determine to be in most need of an
emergency assessment?
A) A 14-year-old girl who is crying because she thinks she is pregnant
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
C) A 3-year-old child with fever, rash, and sore throat
D) A 20-year-old man with a 3-inch shallow laceration on his leg
2. 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
feelings about the client and his circumstances. The nurse does this primarily to
accomplish which of the following?
A) Determine if pertinent data has been omitted
B) Identify the need for referral
C) Avoid biases and judgments
D) Construct a plan of care
3. The nurse is collecting data from a client who has recently been diagnosed with type 1
diabetes and who will begin an educational program. The nurse is collecting subjective
and objective data. Which of the following would the nurse categorize as objective data?
A) Family history
B) Occupation
C) Appearance
D) History of present health concern
4. An older adult client has been admitted to the hospital with failure to thrive resulting
from complications of diabetes. Which of the following would the nurse implement in
response to a collaborative problem?
A) Encourage the client to increase oral fluid intake.
B) Provide the client with a bedtime protein snack.
C) Assist the client with personal hygiene.
D) Measure the client's blood glucose four times daily.
5. 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?
A) An 80-year-old client who lives with her daughter
B) A 50-year-old client newly diagnosed with diabetes
C) An adult presenting for an influenza vaccination
D) A teenager seeking information about contraception
6. An instructor is reviewing the evolution of the nurse's role in health assessment. The
instructor determines that the teaching was successful when the students identify which
Page 3
.
,NURS 2092 HEALTH ASS EXAM2 QUESTIONS WITH
ANSWERS 2023 UPDATE A+
of the following as the major method used by nurses early in the history of the
profession?
A) Natural senses
B) Biomedical knowledge
C) Simple technology
D) Critical pathways
7. When describing the expansion of the depth and scope of nursing assessment over the
past several decades, which of the following would the nurse identify as being the
primary force?
A) Documentation
B) Informatics
C) Diversification
D) Technology
8. 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?
A) Expansion of health care networks
B) Decrease in client participation in care
C) The shrinking cost of medical care
D) Public mistrust of physicians
9. A nurse has documented the findings of a comprehensive assessment of a new client.
What is the primary rationale that the nurse should identify for accurate and thorough
documentation?
A) Guaranteeing a continual assessment process
B) Identifying abnormal data
C) Assuring valid conclusions from analyzed data
D) Allowing for drawing inferences and identifying problems
10. A nurse has received a report on a client who will soon be admitted to the medical unit
from the emergency department. When preparing for the assessment phase of the
nursing process, which of the following should the nurse do first?
A) Collect objective data.
B) Validate important data.
C) Collect subjective data.
D) Document the data.
11. 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?
A) The client's feelings of happiness
B) The client's posture
C) The client's affect
D) The client's behavior
Page 3
.
,NURS 2092 HEALTH ASS EXAM2 QUESTIONS WITH
ANSWERS 2023 UPDATE A+
12. A nurse on the hospital's subacute medical unit is planning to perform a client's focused
assessment. Which of the following statements should inform the nurse's practice?
A) The focused assessment should be done before the physical exam.
B) The focused assessment replaces the comprehensive database.
C) The focused assessment addresses a particular client problem.
D) The focused assessment is done after gathering subjective data.
13. 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.
A) ìI feel so tired sometimes.î
B) Weight: 145 lbs
C) Lungs clear to auscultation
D) Client complains of a headache
E) ìMy father died of a heart attack.î
F) Pupils equal, round, and reactive to light
14. The nurse has been applying the nursing process in the care of an adult client who is
being treated for acute pancreatitis. Place the nurse's actions in their proper sequence
from first to last.
A) Identifying outcomes C,B,A,E,D
B) Determining client's nursing problem
C) Collecting information about the client
D) Determining outcome achievement
E) Carrying out interventions
15. 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?
A) Inspection
B) Therapeutic communication
C) Interviewing
D) Active listening
16. The nurse is performing a health assessment on a community-dwelling client who is
recovering from hip replacement surgery. Which of the following actions should the
nurse prioritize during assessment?
A) Focus the assessment on the client as a member of her age group.
B) Interpret the information about the client in context.
C) Corroborate the client's statements with trusted sources.
D) Gather information from a variety of sources.
Page 3
.
, NURS 2092 HEALTH ASS EXAM2 QUESTIONS WITH
ANSWERS 2023 UPDATE A+
17. 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?
A) Comprehensive assessment
B) Ongoing assessment
C) Focused assessment
D) Emergency assessment
18. A nurse has assessed a client who was admitted to the medical unit to treat acute
complications of type 1 diabetes. During the assessment, the client admitted that his
blood sugar monitoring when he is at home is ìa bit sporadic.î How should the nurse
best respond to this assessment finding?
A) Identify a nursing diagnosis of Ineffective Health Maintenance.
B) Identify a collaborative problem that should involve the occupational therapist.
C) Make a referral to the unit's social work department.
D) Reassess the client's blood glucose level.
19. The nurse is utilizing the Health Belief Model in the care of a client whose type 1
diabetes is inadequately controlled. When implementing this model, the nurse should
begin by assessing which of the following?
A) The client's motivation for change
B) The client's medical comorbidities
C) The client's learning style
D) The client's prognosis for recovery
20. 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?
A) Identify the most appropriate forms of medical intervention for the client.
B) Determine the most likely prognosis for the client's health problem.
C) Identify the status of the client's airway, breathing, and circulation.
D) Establish a baseline for the comparison of future health changes.
21. A nurse who provides care in a hospital setting is creating a plan of nursing care for a
client who has a diagnosis of chronic renal failure. The nurse's plan specifies frequent
ongoing assessments. The frequency of these nursing assessments should be primarily
determined by what variable?
A) The client's age
B) The unit's protocols
C) The client's acuity
D) The nurse's potential for liability
Page 3
.
ANSWERS 2023 UPDATE A+
1. The nurse is working in an ambulatory care clinic that is located in a busy, inner-city
neighborhood. Which client would the nurse determine to be in most need of an
emergency assessment?
A) A 14-year-old girl who is crying because she thinks she is pregnant
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
C) A 3-year-old child with fever, rash, and sore throat
D) A 20-year-old man with a 3-inch shallow laceration on his leg
2. 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
feelings about the client and his circumstances. The nurse does this primarily to
accomplish which of the following?
A) Determine if pertinent data has been omitted
B) Identify the need for referral
C) Avoid biases and judgments
D) Construct a plan of care
3. The nurse is collecting data from a client who has recently been diagnosed with type 1
diabetes and who will begin an educational program. The nurse is collecting subjective
and objective data. Which of the following would the nurse categorize as objective data?
A) Family history
B) Occupation
C) Appearance
D) History of present health concern
4. An older adult client has been admitted to the hospital with failure to thrive resulting
from complications of diabetes. Which of the following would the nurse implement in
response to a collaborative problem?
A) Encourage the client to increase oral fluid intake.
B) Provide the client with a bedtime protein snack.
C) Assist the client with personal hygiene.
D) Measure the client's blood glucose four times daily.
5. 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?
A) An 80-year-old client who lives with her daughter
B) A 50-year-old client newly diagnosed with diabetes
C) An adult presenting for an influenza vaccination
D) A teenager seeking information about contraception
6. An instructor is reviewing the evolution of the nurse's role in health assessment. The
instructor determines that the teaching was successful when the students identify which
Page 3
.
,NURS 2092 HEALTH ASS EXAM2 QUESTIONS WITH
ANSWERS 2023 UPDATE A+
of the following as the major method used by nurses early in the history of the
profession?
A) Natural senses
B) Biomedical knowledge
C) Simple technology
D) Critical pathways
7. When describing the expansion of the depth and scope of nursing assessment over the
past several decades, which of the following would the nurse identify as being the
primary force?
A) Documentation
B) Informatics
C) Diversification
D) Technology
8. 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?
A) Expansion of health care networks
B) Decrease in client participation in care
C) The shrinking cost of medical care
D) Public mistrust of physicians
9. A nurse has documented the findings of a comprehensive assessment of a new client.
What is the primary rationale that the nurse should identify for accurate and thorough
documentation?
A) Guaranteeing a continual assessment process
B) Identifying abnormal data
C) Assuring valid conclusions from analyzed data
D) Allowing for drawing inferences and identifying problems
10. A nurse has received a report on a client who will soon be admitted to the medical unit
from the emergency department. When preparing for the assessment phase of the
nursing process, which of the following should the nurse do first?
A) Collect objective data.
B) Validate important data.
C) Collect subjective data.
D) Document the data.
11. 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?
A) The client's feelings of happiness
B) The client's posture
C) The client's affect
D) The client's behavior
Page 3
.
,NURS 2092 HEALTH ASS EXAM2 QUESTIONS WITH
ANSWERS 2023 UPDATE A+
12. A nurse on the hospital's subacute medical unit is planning to perform a client's focused
assessment. Which of the following statements should inform the nurse's practice?
A) The focused assessment should be done before the physical exam.
B) The focused assessment replaces the comprehensive database.
C) The focused assessment addresses a particular client problem.
D) The focused assessment is done after gathering subjective data.
13. 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.
A) ìI feel so tired sometimes.î
B) Weight: 145 lbs
C) Lungs clear to auscultation
D) Client complains of a headache
E) ìMy father died of a heart attack.î
F) Pupils equal, round, and reactive to light
14. The nurse has been applying the nursing process in the care of an adult client who is
being treated for acute pancreatitis. Place the nurse's actions in their proper sequence
from first to last.
A) Identifying outcomes C,B,A,E,D
B) Determining client's nursing problem
C) Collecting information about the client
D) Determining outcome achievement
E) Carrying out interventions
15. 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?
A) Inspection
B) Therapeutic communication
C) Interviewing
D) Active listening
16. The nurse is performing a health assessment on a community-dwelling client who is
recovering from hip replacement surgery. Which of the following actions should the
nurse prioritize during assessment?
A) Focus the assessment on the client as a member of her age group.
B) Interpret the information about the client in context.
C) Corroborate the client's statements with trusted sources.
D) Gather information from a variety of sources.
Page 3
.
, NURS 2092 HEALTH ASS EXAM2 QUESTIONS WITH
ANSWERS 2023 UPDATE A+
17. 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?
A) Comprehensive assessment
B) Ongoing assessment
C) Focused assessment
D) Emergency assessment
18. A nurse has assessed a client who was admitted to the medical unit to treat acute
complications of type 1 diabetes. During the assessment, the client admitted that his
blood sugar monitoring when he is at home is ìa bit sporadic.î How should the nurse
best respond to this assessment finding?
A) Identify a nursing diagnosis of Ineffective Health Maintenance.
B) Identify a collaborative problem that should involve the occupational therapist.
C) Make a referral to the unit's social work department.
D) Reassess the client's blood glucose level.
19. The nurse is utilizing the Health Belief Model in the care of a client whose type 1
diabetes is inadequately controlled. When implementing this model, the nurse should
begin by assessing which of the following?
A) The client's motivation for change
B) The client's medical comorbidities
C) The client's learning style
D) The client's prognosis for recovery
20. 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?
A) Identify the most appropriate forms of medical intervention for the client.
B) Determine the most likely prognosis for the client's health problem.
C) Identify the status of the client's airway, breathing, and circulation.
D) Establish a baseline for the comparison of future health changes.
21. A nurse who provides care in a hospital setting is creating a plan of nursing care for a
client who has a diagnosis of chronic renal failure. The nurse's plan specifies frequent
ongoing assessments. The frequency of these nursing assessments should be primarily
determined by what variable?
A) The client's age
B) The unit's protocols
C) The client's acuity
D) The nurse's potential for liability
Page 3
.
