NURS 4455 QUIZ 1 QUESTIONS AND
ANSWERS
1. A nurse on a postsurgical unit is admitting a client following the 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. 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
Page 2
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 phases? 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 detected problems B) Provide
information for the client's record C) Address areas previously omitted D) Determine the
need for crisis intervention
9. 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
Page 3
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 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
11. 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
12. 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.
13. 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
,14. 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 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
Page 4
15. 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
16. 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
17. 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
18. 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.
19. 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 5
, 20. 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.
21. 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
22. 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 B) Determining client's nursing problem
C) Collecting information about the client D) Determining outcome achievement E)
Carrying out interventions
C, B, A, E, D
23. 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
24. 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 6
25. 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
ANSWERS
1. A nurse on a postsurgical unit is admitting a client following the 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. 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
Page 2
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 phases? 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 detected problems B) Provide
information for the client's record C) Address areas previously omitted D) Determine the
need for crisis intervention
9. 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
Page 3
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 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
11. 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
12. 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.
13. 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
,14. 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 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
Page 4
15. 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
16. 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
17. 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
18. 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.
19. 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 5
, 20. 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.
21. 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
22. 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 B) Determining client's nursing problem
C) Collecting information about the client D) Determining outcome achievement E)
Carrying out interventions
C, B, A, E, D
23. 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
24. 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 6
25. 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
