, 1
1. Agnursegongagpostsurgicalgunitgisgadmittinggagclientgfollowinggthegclient's
cholecystectomyg(gallgbladdergremoval).gWhatgisgthegoverallgpurposegofgassessmentgforgthi
sgclient?
A) Collectinggaccurategdata
B) Assistinggthegprimarygcaregprovider
C) Validatinggpreviousgdata
D) Makinggclinicalgjudgments
D)gMakinggclinicalgjudgments
2. Agclientghasgpresentedgtogthegemergencygdepartmentg(ED)gwithgcomplaintsgofgabdom
inalgpain.gWhichgmembergofgthegcaregteamgwouldgmostglikelygbegresponsiblegforgcollectin
ggthegsubjectivegdatagongthegclientgduringgtheginitialgcomprehensivegassessment?
A) Gastroenterologist
B) EDgnurse
C) Admissionsgclerk
D) Diagnosticgtechnician
B)gEDgnurse
3. Thegnurseghasgcompletedganginitialgassessmentgofgagnewlygadmittedgclientgandgisgapp
lyinggthegnursinggprocessgtogplangthegclient'sgcare.gWhatgprinciplegshouldgthegnursegappl
ygwhengusinggthegnursinggprocess?
A) Eachgstepgisgindependentgofgthegothers.
B) Itgisgongoinggandgcontinuous.
C) Itgisgusedgprimarilygingacutegcaregsettings.
D) Itginvolvesgindependentgnursinggactions.
B) Itgisgongoinggandgcontinuous.
4. Thegnursegwhogprovidesgcaregatgangambulatorygclinicgisgpreparinggtogmeetgagclientgandgp
erformgagcomprehensiveghealthgassessment.gWhichgofgthegfollowinggactionsgshouldgthegn
ursegperformgfirst?
A) Reviewgthegclient'sgmedicalgrecord.
B) Obtaingbasicgbiographicgdata.
C) Consultgclinicalgresourcesgexplaininggthegclient'sgdiagnosis.
D) Validateginformationgwithgthegclient.
A) Reviewgthegclient'sgmedicalgrecord.
5. Whichgofgthegfollowinggclientgsituationsgwouldgthegnurseginterpretgasgrequiringgang
emergencygassessment?
A) Agpediatricgclientgwithgseveregsunburn
B) Agclientgneedinggangemploymentgphysical
C) Agclientgwhogoverdosedgongacetaminophen
D) Agdistraughtgclientgwhogwantsgagpregnancygtest
C) Agclientgwhogoverdosedgongacetaminophen
6. Ingresponsegtogagclient'sgquery,gthegnursegisgexplaininggthegdifferencesgbetweengthegp
hysician'sgmedicalgexamgandgthegcomprehensiveghealthgassessmentgperformedgbygtheg
nurse.gThegnursegshouldgdescribegthegfactgthatgthegnursinggassessmentgfocusesgongwhic
hgaspectgofgthegclient'sgsituation?gA)gCurrentgphysiologicgstatus
B) Effectgofghealthgongfunctionalgstatus
C) Pastgmedicalghistory
, 2
D) Motivationgforgadherencegtogtreatment
B)gEffectgofghealthgongfunctionalgstatus
7. Aftergteachinggaggroupgofgstudentsgaboutgthegphasesgofgthegnursinggprocess,gthe
instructorgdeterminesgthatgthegteachinggwasgsuccessfulgwhengthegstudentsgidentifygwhichgp
hasegasgbeinggfoundationalgtogallgothergphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Thegnurseghasgcompletedgthegcomprehensiveghealthgassessmentgofgagclientgwhoghasg
beengadmittedgforgthegtreatmentgofgcommunity-
acquiredgpneumonia.gFollowinggthegcompletiongofgthisgassessment,gthegnursegperiodicall
ygperformsgagpartialgassessmentgprimarilygforgwhichgreason?
A) Reassessgpreviouslygdetectedgproblems
B) Provideginformationgforgthegclient'sgrecord
C) Addressgareasgpreviouslygomitted
D) Determinegthegneedgforgcrisisgintervention
A) Reassessgpreviouslygdetectedgproblems
9. Thegnursegisgworkinggingangambulatorygcaregclinicgthatgisglocatedgingagbusy,ginner-
citygneighborhood.gWhichgclientgwouldgthegnursegdeterminegtogbegingmostgneedgofgangem
ergencygassessment?
A) Ag14-year-oldggirlgwhogisgcryinggbecausegshegthinksgshegisgpregnant
B) Ag45-year-oldgmangwithgchestgpaingandgdiaphoresisgforg1ghour
C) Ag3-year-oldgchildgwithgfever,grash,gandgsoregthroat
D) Ag20-year-oldgmangwithgag3-inchgshallowglacerationgonghisgleg
B) Ag45-year-oldgmangwithgchestgpaingandgdiaphoresisgforg1ghour
10. Agnurseghasgcompletedggatheringgsomegbasicgdatagaboutgagclientgwhoghasgmultiplegh
ealthgproblemsgthatgstemgfromgheavygalcoholguse.gThegnurseghasgthengreflectedgonghergpe
rsonalgfeelingsgaboutgthegclientgandghisgcircumstances.gThegnursegdoesgthisgprimarilygtoga
ccomplishgwhichgofgthegfollowing?
A) Determinegifgpertinentgdataghasgbeengomitted
B) Identifygthegneedgforgreferral
C) Avoidgbiasesgandgjudgments
D) Constructgagplangofgcare
C) Avoidgbiasesgandgjudgments
11. Thegnursegisgcollectinggdatagfromgagclientgwhoghasgrecentlygbeengdiagnosedgwithgtypeg1
gdiabetesgandgwhogwillgbegingangeducationalgprogram.gThegnursegisgcollecting
subjectivegandgobjectivegdata.gWhichgofgthegfollowinggwouldgthegnursegcategorizegasgobject
ivegdata?gA)gFamilyghistory
B) Occupation
C) Appearance
D) Historygofgpresentghealthgconcern
C)gAppearance
12. Angoldergadultgclientghasgbeengadmittedgtogtheghospitalgwithgfailuregtogthrivegresultinggfr
omgcomplicationsgofgdiabetes.gWhichgofgthegfollowinggwouldgthegnursegimplementgingresp
onsegtogagcollaborativegproblem?
A) Encouragegthegclientgtogincreasegoralgfluidgintake.
B) Providegthegclientgwithgagbedtimegproteingsnack.
C) Assistgthegclientgwithgpersonalghygiene.
D) Measuregthegclient'sgbloodgglucosegfourgtimesgdaily.
D)gMeasuregthegclient'sgbloodgglucosegfourgtimesgdaily.
, 3
13. Thegnursegatgagbusygprimarygcaregclinicgisganalyzinggthegdatagobtainedgfromgthegf
ollowinggclients.gForgwhichgclientsgwouldgthegnursegmostglikelygexpectgtogfacilitategagr
eferral?
A) Ang80-year-oldgclientgwhoglivesgwithghergdaughter
B) Ag50-year-oldgclientgnewlygdiagnosedgwithgdiabetes
C) Angadultgpresentinggforganginfluenzagvaccination
D) Agteenagergseekingginformationgaboutgcontraception
B) Ag50-year-oldgclientgnewlygdiagnosedgwithgdiabetes
14. Anginstructorgisgreviewinggthegevolutiongofgthegnurse'sgroleginghealthgassessment.gThegi
nstructorgdeterminesgthatgthegteachinggwasgsuccessfulgwhengthegstudentsgidentifygwhichgo
fgthegfollowinggasgthegmajorgmethodgusedgbygnursesgearlygingtheghistorygofgthegprofession?g
A)gNaturalgsenses
B) Biomedicalgknowledge
C) Simplegtechnology
D) Criticalgpathways
A) Naturalgsenses
15. Whengdescribinggthegexpansiongofgthegdepthgandgscopegofgnursinggassessmentgovergt
hegpastgseveralgdecades,gwhichgofgthegfollowinggwouldgthegnursegidentifygasgbeinggthegpri
marygforce?gA)gDocumentation
B) Informatics
C) Diversification
D) Technology
D)gPublicgmistrustgofgphysicians
16. Aggroupgofgnursesgaregreviewingginformationgaboutgthegpotentialgopportunitiesgforgnur
sesgwhoghavegadvancedgassessmentgskills.gWhengdiscussinggphenomenagthatghavegcon
tributedgtogthesegincreasedgopportunities,gwhatgshouldgthegnursesgidentify?
A) Expansiongofghealthgcaregnetworks
B) Decreasegingclientgparticipationgingcare
C) Thegshrinkinggcostgofgmedicalgcare
D) Publicgmistrustgofgphysicians
A) Expansiongofghealthgcaregnetworks
17. Agnurseghasgdocumentedgthegfindingsgofgagcomprehensivegassessmentgofgagnewg
client.gWhatgisgthegprimarygrationalegthatgthegnursegshouldgidentifygforgaccurategandgth
oroughgdocumentation?
A) Guaranteeinggagcontinualgassessmentgprocess
B) Identifyinggabnormalgdata
C) Assuringgvalidgconclusionsgfromganalyzedgdata
D) Allowinggforgdrawingginferencesgandgidentifyinggproblems
C) Assuringgvalidgconclusionsgfromganalyzedgdata
18. Agnurseghasgreceivedgagreportgongagclientgwhogwillgsoongbegadmittedgtogthegmedicalgu
nitgfromgthegemergencygdepartment.gWhengpreparinggforgthegassessmentgphasegofgtheg
nursinggprocess,gwhichgofgthegfollowinggshouldgthegnursegdogfirst?gA)gCollect
objectivegdata.
B) Validategimportantgdata.
C) Collectgsubjectivegdata.
D) Documentgthegdata.
C)gCollectgsubjectivegdata.
19. Agcommunityghealthgnursegisgassessinggangoldergadultgclientgingthegclient'sghome.g
Whengthegnursegisggatheringgsubjectivegdata,gwhichgofgthegfollowinggwouldgthegnursegi
dentify?
A) Thegclient'sgfeelingsgofghappiness
B) Thegclient'sgposture
C) Thegclient'sgaffect
1. Agnursegongagpostsurgicalgunitgisgadmittinggagclientgfollowinggthegclient's
cholecystectomyg(gallgbladdergremoval).gWhatgisgthegoverallgpurposegofgassessmentgforgthi
sgclient?
A) Collectinggaccurategdata
B) Assistinggthegprimarygcaregprovider
C) Validatinggpreviousgdata
D) Makinggclinicalgjudgments
D)gMakinggclinicalgjudgments
2. Agclientghasgpresentedgtogthegemergencygdepartmentg(ED)gwithgcomplaintsgofgabdom
inalgpain.gWhichgmembergofgthegcaregteamgwouldgmostglikelygbegresponsiblegforgcollectin
ggthegsubjectivegdatagongthegclientgduringgtheginitialgcomprehensivegassessment?
A) Gastroenterologist
B) EDgnurse
C) Admissionsgclerk
D) Diagnosticgtechnician
B)gEDgnurse
3. Thegnurseghasgcompletedganginitialgassessmentgofgagnewlygadmittedgclientgandgisgapp
lyinggthegnursinggprocessgtogplangthegclient'sgcare.gWhatgprinciplegshouldgthegnursegappl
ygwhengusinggthegnursinggprocess?
A) Eachgstepgisgindependentgofgthegothers.
B) Itgisgongoinggandgcontinuous.
C) Itgisgusedgprimarilygingacutegcaregsettings.
D) Itginvolvesgindependentgnursinggactions.
B) Itgisgongoinggandgcontinuous.
4. Thegnursegwhogprovidesgcaregatgangambulatorygclinicgisgpreparinggtogmeetgagclientgandgp
erformgagcomprehensiveghealthgassessment.gWhichgofgthegfollowinggactionsgshouldgthegn
ursegperformgfirst?
A) Reviewgthegclient'sgmedicalgrecord.
B) Obtaingbasicgbiographicgdata.
C) Consultgclinicalgresourcesgexplaininggthegclient'sgdiagnosis.
D) Validateginformationgwithgthegclient.
A) Reviewgthegclient'sgmedicalgrecord.
5. Whichgofgthegfollowinggclientgsituationsgwouldgthegnurseginterpretgasgrequiringgang
emergencygassessment?
A) Agpediatricgclientgwithgseveregsunburn
B) Agclientgneedinggangemploymentgphysical
C) Agclientgwhogoverdosedgongacetaminophen
D) Agdistraughtgclientgwhogwantsgagpregnancygtest
C) Agclientgwhogoverdosedgongacetaminophen
6. Ingresponsegtogagclient'sgquery,gthegnursegisgexplaininggthegdifferencesgbetweengthegp
hysician'sgmedicalgexamgandgthegcomprehensiveghealthgassessmentgperformedgbygtheg
nurse.gThegnursegshouldgdescribegthegfactgthatgthegnursinggassessmentgfocusesgongwhic
hgaspectgofgthegclient'sgsituation?gA)gCurrentgphysiologicgstatus
B) Effectgofghealthgongfunctionalgstatus
C) Pastgmedicalghistory
, 2
D) Motivationgforgadherencegtogtreatment
B)gEffectgofghealthgongfunctionalgstatus
7. Aftergteachinggaggroupgofgstudentsgaboutgthegphasesgofgthegnursinggprocess,gthe
instructorgdeterminesgthatgthegteachinggwasgsuccessfulgwhengthegstudentsgidentifygwhichgp
hasegasgbeinggfoundationalgtogallgothergphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Thegnurseghasgcompletedgthegcomprehensiveghealthgassessmentgofgagclientgwhoghasg
beengadmittedgforgthegtreatmentgofgcommunity-
acquiredgpneumonia.gFollowinggthegcompletiongofgthisgassessment,gthegnursegperiodicall
ygperformsgagpartialgassessmentgprimarilygforgwhichgreason?
A) Reassessgpreviouslygdetectedgproblems
B) Provideginformationgforgthegclient'sgrecord
C) Addressgareasgpreviouslygomitted
D) Determinegthegneedgforgcrisisgintervention
A) Reassessgpreviouslygdetectedgproblems
9. Thegnursegisgworkinggingangambulatorygcaregclinicgthatgisglocatedgingagbusy,ginner-
citygneighborhood.gWhichgclientgwouldgthegnursegdeterminegtogbegingmostgneedgofgangem
ergencygassessment?
A) Ag14-year-oldggirlgwhogisgcryinggbecausegshegthinksgshegisgpregnant
B) Ag45-year-oldgmangwithgchestgpaingandgdiaphoresisgforg1ghour
C) Ag3-year-oldgchildgwithgfever,grash,gandgsoregthroat
D) Ag20-year-oldgmangwithgag3-inchgshallowglacerationgonghisgleg
B) Ag45-year-oldgmangwithgchestgpaingandgdiaphoresisgforg1ghour
10. Agnurseghasgcompletedggatheringgsomegbasicgdatagaboutgagclientgwhoghasgmultiplegh
ealthgproblemsgthatgstemgfromgheavygalcoholguse.gThegnurseghasgthengreflectedgonghergpe
rsonalgfeelingsgaboutgthegclientgandghisgcircumstances.gThegnursegdoesgthisgprimarilygtoga
ccomplishgwhichgofgthegfollowing?
A) Determinegifgpertinentgdataghasgbeengomitted
B) Identifygthegneedgforgreferral
C) Avoidgbiasesgandgjudgments
D) Constructgagplangofgcare
C) Avoidgbiasesgandgjudgments
11. Thegnursegisgcollectinggdatagfromgagclientgwhoghasgrecentlygbeengdiagnosedgwithgtypeg1
gdiabetesgandgwhogwillgbegingangeducationalgprogram.gThegnursegisgcollecting
subjectivegandgobjectivegdata.gWhichgofgthegfollowinggwouldgthegnursegcategorizegasgobject
ivegdata?gA)gFamilyghistory
B) Occupation
C) Appearance
D) Historygofgpresentghealthgconcern
C)gAppearance
12. Angoldergadultgclientghasgbeengadmittedgtogtheghospitalgwithgfailuregtogthrivegresultinggfr
omgcomplicationsgofgdiabetes.gWhichgofgthegfollowinggwouldgthegnursegimplementgingresp
onsegtogagcollaborativegproblem?
A) Encouragegthegclientgtogincreasegoralgfluidgintake.
B) Providegthegclientgwithgagbedtimegproteingsnack.
C) Assistgthegclientgwithgpersonalghygiene.
D) Measuregthegclient'sgbloodgglucosegfourgtimesgdaily.
D)gMeasuregthegclient'sgbloodgglucosegfourgtimesgdaily.
, 3
13. Thegnursegatgagbusygprimarygcaregclinicgisganalyzinggthegdatagobtainedgfromgthegf
ollowinggclients.gForgwhichgclientsgwouldgthegnursegmostglikelygexpectgtogfacilitategagr
eferral?
A) Ang80-year-oldgclientgwhoglivesgwithghergdaughter
B) Ag50-year-oldgclientgnewlygdiagnosedgwithgdiabetes
C) Angadultgpresentinggforganginfluenzagvaccination
D) Agteenagergseekingginformationgaboutgcontraception
B) Ag50-year-oldgclientgnewlygdiagnosedgwithgdiabetes
14. Anginstructorgisgreviewinggthegevolutiongofgthegnurse'sgroleginghealthgassessment.gThegi
nstructorgdeterminesgthatgthegteachinggwasgsuccessfulgwhengthegstudentsgidentifygwhichgo
fgthegfollowinggasgthegmajorgmethodgusedgbygnursesgearlygingtheghistorygofgthegprofession?g
A)gNaturalgsenses
B) Biomedicalgknowledge
C) Simplegtechnology
D) Criticalgpathways
A) Naturalgsenses
15. Whengdescribinggthegexpansiongofgthegdepthgandgscopegofgnursinggassessmentgovergt
hegpastgseveralgdecades,gwhichgofgthegfollowinggwouldgthegnursegidentifygasgbeinggthegpri
marygforce?gA)gDocumentation
B) Informatics
C) Diversification
D) Technology
D)gPublicgmistrustgofgphysicians
16. Aggroupgofgnursesgaregreviewingginformationgaboutgthegpotentialgopportunitiesgforgnur
sesgwhoghavegadvancedgassessmentgskills.gWhengdiscussinggphenomenagthatghavegcon
tributedgtogthesegincreasedgopportunities,gwhatgshouldgthegnursesgidentify?
A) Expansiongofghealthgcaregnetworks
B) Decreasegingclientgparticipationgingcare
C) Thegshrinkinggcostgofgmedicalgcare
D) Publicgmistrustgofgphysicians
A) Expansiongofghealthgcaregnetworks
17. Agnurseghasgdocumentedgthegfindingsgofgagcomprehensivegassessmentgofgagnewg
client.gWhatgisgthegprimarygrationalegthatgthegnursegshouldgidentifygforgaccurategandgth
oroughgdocumentation?
A) Guaranteeinggagcontinualgassessmentgprocess
B) Identifyinggabnormalgdata
C) Assuringgvalidgconclusionsgfromganalyzedgdata
D) Allowinggforgdrawingginferencesgandgidentifyinggproblems
C) Assuringgvalidgconclusionsgfromganalyzedgdata
18. Agnurseghasgreceivedgagreportgongagclientgwhogwillgsoongbegadmittedgtogthegmedicalgu
nitgfromgthegemergencygdepartment.gWhengpreparinggforgthegassessmentgphasegofgtheg
nursinggprocess,gwhichgofgthegfollowinggshouldgthegnursegdogfirst?gA)gCollect
objectivegdata.
B) Validategimportantgdata.
C) Collectgsubjectivegdata.
D) Documentgthegdata.
C)gCollectgsubjectivegdata.
19. Agcommunityghealthgnursegisgassessinggangoldergadultgclientgingthegclient'sghome.g
Whengthegnursegisggatheringgsubjectivegdata,gwhichgofgthegfollowinggwouldgthegnursegi
dentify?
A) Thegclient'sgfeelingsgofghappiness
B) Thegclient'sgposture
C) Thegclient'sgaffect
