Assessment Exam | Most Recent Exam 2026-2027
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1
Q
Who spends the most time with the client, knows the most about the client, and
is able to communicate the client’s needs to the rest of the health care team the
most effectively?
ANSWERS:
The nurse
2
Q
What are the 3 areas of assessment the nurse focuses on in order to get a
complete picture of the client?
ANSWERS:
1. Body: assess the physical systems
2. Mind: assess mental health
3. Spirit: assess for religious or spiritual beliefs
3
Q
What is the ADPIE nursing process?
ANSWERS:
Assess: gather data
, Diagnosis: client problems that are based on medical diagnosis
Plan: goals
Implement: interventions
Evaluate: how the client responded to the intervention
The nursing process is not linear. The nurse will jump back and forth between
the steps depending on additional data acquired about the client.
4
Q
What are nursing clinical judgment skills?
ANSWERS:
interpreting sign and symptom data
prioritizing what is important
generating solutions by making a plan
understanding WHY an intervention is done
gathering more information if there is not enough to make an informed
decision
evaluating if interventions or teaching was effective
5
Q
What is a clinical pathway or care plan?
ANSWERS:
A plan that the healthcare team agrees to for guiding client care and is based on
evidence based practice (EBP).
6
Q
When does teaching and discharge planning by the nurse begin with a client?
ANSWERS:
,During the assessment even while the client is being admitted
During the admission, assessment data is gathered by the nurse such as home
environment and available resources so that teaching can begin right away, if
there are needs.
7
Q
How should you identify a client before giving meds, doing a procedure, or
performing an assessment?
ANSWERS:
By using 2 client identifiers:
1. name and
2. date of birth, social security number, phone number or address
Name and date of birth is most typically used.
8
Q
What are the two purposes of doing a nursing assessment on a client?
ANSWERS:
1. gather data (especially abnormal data) about the client to heal the client
or prevent them from getting sick.
2. notify the health care provider (HCP) of immediate complications or
changes in the client’s condition in order to update the care plan.
The HCP can be a doctor, nurse practitioner or physician assistant.
9
Q
What is the typical assessment order for most body systems?
ANSWERS:
, 1. inspect
2. palpate
3. percuss
4. auscultate
10
Q
What is the difference between a focused health assessment and a
comprehensive health assessment?
ANSWERS:
Focused health assessment: Focuses on the immediate concern and is
done when the client has a specific complaint or immediate information is
needed.
Comprehensive health assessment: When the nurse assesses the entire
client head to toe.
11
Q
Which main physical systems are assessed in a comprehensive assessment
starting from head to toe?
ANSWERS:
neuro
respiratory
cardiac
gastrointestinal
kidneys
musculoskeletal
skin
12