1.
AA nurseAA AonAA AaAA ApostsurgicalAA AunitAA AisAA Aadmitting A AaAA AclientAA AfollowingAA AtheAA Acli
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ent'sAcholecystectomy(gallA bladderA removal).A WhatA isA theAoverallA purposeAofA asses
smentAforthisA client?
A) CollectingA accurateA data
, B) AssistingAtheA primaryAcareA provider
C) ValidatingApreviousAd at a
DM)Aaking clinical judgments
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2.
AA clientA hasA presentedA toA theA emergencyAdepartmentA (ED)A withA complaintsA ofAab
dominalpain.A WhichA memberA ofA theA careA teamA wouldA mostA likelyAbeA responsibleAf
orcollectingA theA subjectiveAdataA onAtheA clientA duringAtheAinitialA comprehensiveAasse
ssment?
A) Gastroenterologist .l
A B) ED nurse .lju
C) AdmissionsAclerk
D) DiagnosticAtechnician
3.
TheAnurseAhasAcompletedAanAinitialAassessmentAofAaAnewlyAadmittedAclientAandAisAapplyi
ngtheAnursingAprocessAtoAplanAtheAclient'sAcare.AWhatAprincipleAshouldAtheAnurseAapplyA
when usingAtheA nursingAprocess?
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A) EachAstepAisAindependentAofAtheAothers.
AB) It is ongoing and continuous.
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C) ItA isA usedA primarilyA inA acuteA careA settings.
D) ItA involvesA independentA nursingA actions.
4.
TheAnurseAwhoAprovidesAcareAatAanAambulatoryAclinicAisApreparingAtoAmeetAaAclientAa
ndAperformAaAcomprehensiveAhealthAassessment.AWhichAofAtheAfollowingAactionsAsh
ouldAthenurseAperformA first?
A) Review the client's medical record. ju .lju .lju .lju
B) ObtainAbasicA biographicA data.
C) ConsultA clinicalA resourcesA explainingA theA client'sA diagnosis.
D) ValidateAinformationAwithAtheAclient.
5.
WhichAofA theAfollowingA clientA situationsA wouldA theAnurseAinterpretA as
ArequiringanemergencyAassessment? .l
A) AApediatricAclientA withAsevereAsunburn
B) AAclientAneedingAanAemploymentAphysiA cac .lju
llCie)nt who overdosed on acetaminophen
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D) AAdistraughtA clientA whoA wantsAaA pregnancyA test
,6.
InAresponseAtoAaAclient'sAquery,AtheAnurseAisAexplainingAtheAdifferencesAbetweenAtheAp
hysician'sAmedicalAexamAandAtheAcomprehensiveAhealthAassessmentAperformedAbyA th
eAnurse.ATheAnurseAshouldAdescribeAtheAfactAthatAtheAnursingAassessmentAfocusesAon w .l
hichaspectA ofA theA client'sA situation?
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A) CurrentAphysiologicAstatusEBf)fect of l. .lj u .l
health on functional status
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C) PastAmedicalA history
D) MotivationAforAadherenceAtoA treatment
7.
AfterA teachingAaA groupA ofA studentsA aboutA theA phasesA ofA theAnursingAprocess
,AtheAinstructordeterminesAthatAtheAteachingAwasAsuccessfulAwhenAtheAstudents
AidentifywhichA phaseA asA beingA foundationalA toA allA otherA phases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8.
TheAnurseA hasA completedA theA comprehensiveA healthA assessmentA ofA aA clientA wh
oAhasAbeenadmittedA forAtheAtreatmentA ofA community-
acquiredA pneumonia.AFollowingA theAcompletionA ofAthisA assessment,A theA nurseAp
eriodicallyAperformsA aApartialA assessmentprimarilyAforAwhichA reason? .l
A) Reassess previously detected problems.lju .lju .lju
B) ProvideAinformationA forA theA client'sArecord
C) AddressAareasA previouslyAomitted
D) DetermineAtheA needA forAcrisisA intervention
9.
TheA nurseA isA workingA inA anA ambulatoryAcareA clinicA thatA isA locatedA inA aA busy,A
inner-
cityneighborhood.A WhichAclientA wouldAtheAnurseA determineAtoAbeAinAmostAneedA
ofAanA emergencyA assessment?
A) AA14-year-
oldA girlA whoAisA cryingAbecauseA sheAthinksAsheAisApregnAa n4t5B- . lj u .l
)year-old man with chest pain and diaphoresis for 1 hour
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C) AA3-year-oldA childA withAfever,A rash,A andA soreAthroat
D) AA20-year-oldA manA withAaA 3-inchA shallowAlacerationA onA hisA leg
, 10.
AA nurseA hasA completedA gatheringA someA basicA dataA aboutA aA clientA whoA hasA multipl
eAhealthproblemsA thatA stemA fromA heavyAalcoholA use.A TheA nurseA hasA thenA reflected
A onAherApersonalfeelingsA aboutA theAclientA andA hisA circumstances.A TheA nurseAdoesA t
hisAprimarilytoAaccomplishA whichAofA theA following?
A) DetermineAifA pertinentA dataA hasA beenA omitted
B) IdentifyAtheAneedA forAreferr
AalvCo)id biases and judgments
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D) ConstructA aA planA ofA care
11.
TheA nurseA isA collectingA dataA fromA aA clientA whoA hasA recentlyAbeenA diagnosedA wit
hAtype1A diabetesA andA whoA willA beginA anA educationalA program.A TheA nurseA isAco
llectingAsubjectiveA andAobjectiveA data.AWhichAofAtheAfollowingAwouldAtheAnurseAca
tegorizeA asAobjectiveAdata?
A) FamilyAhistory
B) Occupation
C) Appearance
D) HistoryAofA presentA healthA concern
12.
AnAolderAadultAclientAhasAbeenAadmittedAtoAtheAhospitalAwithAfailureAtoAthriveAre
sultingAfromAcomplicationsAofAdiabetes.AWhichAofAtheAfollowingAwouldAtheAnur
seimplementA inresponseA toA aAcollaborativeA problem?
A) EncourageA theA clientA toA increaseA oralA fluidA intake.
B) ProvideAtheAclientAwithAaA bedtimeAproteinA snack.
C) AssistAtheA clientA withApersonal
hygieMnee.aDsu)Are the client's blood glucose four times daily.
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13.
TheAnurseAatAaAbusyAprimaryAcareAclinicAisAanalyzingAtheAdataAobtainedAfromAth
efollowingA clients.A ForA whichA clientsA wouldA theA nurseA mostA likelyAexpectA
toAfacilitateA a referral? uj
A) AnA80-year-
oldA clientAwhoAlivesAwithAherAdaughAt e5r0B-)year- .jl u l.
old client newly diagnosed with diabetes
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C) AnAadultA presentingA forA anA influenzaA vaccination
D) AAteenagerA seekingAinformationA aboutA contraception
14.
AnA instructorA isA reviewingA theA evolutionA ofA theA nurse'sA roleA inA healthA assessmen
t.ATheAinstructorA determinesA thatA theA teachingAwasA successfulA whenA theA student
sAidentifyAwhichofA theA followingA asA theA majorA methodA usedA byAnursesA earlyAinA
theAhistoryA ofA theAprofession?
A) Natural senses ju
B) BiomedicalA knowledge
C) SimpleAtechnology
D) CriticalA pathways