answers already passed 2025/2026
An assessment of a client who already has a complete recorded database in the system and returns to
the health care agency with a specific health concern is referred to as a(n)? - correct answer ✔focused
or problem-oriented assessment.
When a client first enters the hospital for an elective surgical procedure, the nurse should perform an
assessment termed? - correct answer ✔comprehensive
After completing a health history and physical assessment the nurse prepared to analyze the collected
data. In which phase of the nursing process is the nurse focusing? - correct answer ✔Nursing diagnosis
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 "a bit sporadic." How should the nurse best respond to this assessment finding? - correct
answer ✔Identify a nursing diagnosis of Ineffective Health Maintenance.
The nurse is completing a health assessment with a newly admitted client. What should the nurse do
after completing the health history?
perform a physical examination
document the findings
determine a problem list
cluster the data - correct answer ✔perform a physical examination
The nurse notes that an intervention provided to a client for a specific health problem was not effective.
Which action should the nurse take next?
,Analyze the newly collected data
Implement a new action
Identify a new outcome
Assess the status of the health problem - correct answer ✔Assess the status of the health problem
The nurse is performing a health assessment with a client who presented to the emergency department
after falling as a result of feeling dizzy. Which questions demonstrates that the nurse understands the
initial purpose of effectively conducting a health assessment? Select all that apply.
A. "Do you know what may have caused you to fall?"
B. "Are you experiencing any pain at this time?"
C. "Do you know what your blood pressure is usually?"
D. "What do you think will help you from falling again?"
E. "Are you feeling dizzy now?" - correct answer ✔B, C, E
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 nurse provides care for a client with impaired respiratory function. The nurse frequently assesses the
client's skin color and temperature of the extremities. What is the purpose of this ongoing or partial
assessment?
, To evaluate whether outcomes of treatment are met
To collect subjective data related to the client's overall health
To determine any changes from the baseline data
To perform a rapid assessment for prompt treatment - correct answer ✔To determine any changes
from the baseline data
When performing the steps of the assessment phase of the nursing process, which of the following
would the nurse do first?
Validate the data
Collect objective data
Collect subjective data
Document the data - correct answer ✔Collect subjective data
Although the assessment phase of the nursing process precedes the other phases, the assessment phase
is
performed only by nurses.
linear.
completed on admission.
continuous. - correct answer ✔continuous.
What will be the nurse's initial role when conducting a health assessment with a client reporting
abdominal pain?
Collecting data regarding the nature of the pain
Identifying pain management interventions with input from the client