NUR-210 Exam 1 || with Complete Solutions.
A client comes to the health care provider's office for a visit. The client has been seen in this
office for the past five years and arrives today complaining of a fever and sore throat. Which
type of assessment would the nurse most likely perform? correct answers focused assessment
Nurses provide both direct and indirect care. What is an example of indirect care? correct
answers Participating in a client care conference
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?
correct answers Inspection
When doing an overall assessment of a patient, the nurse is able to utilize findings and do what?
correct answers Identify in what areas the patient needs the most care
The preceptor of the student nurse is explaining the assessment that is considered the most
organized for gathering comprehensive physical data. What assessment is the preceptor talking
about? correct answers head to toe
A nurse provides care for a client with impaired respiratory function. The nurse frequently
assesses the client's skin color and the temperature of the extremities. What is the purpose of this
ongoing or partial assessment? correct answers Determine any changes from the baseline data
Mrs. Williams is an 89-year-old independent woman who lives alone and has severe arthritis in
her hands. Over the last few months the arthritis has gotten worse and she is concerned because
she can no longer clean her apartment. What question by the nurse would gain the most usable
information to assist with this concern? correct answers "Do you have family who visit you
regularly?"
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? correct answers Expansion of health
care networks
A nurse will complete an initial comprehensive assessment of a 60-year-old client who is new to
the clinic. What goal should the nurse identify for this type of assessment? correct answers
Establish a baseline for the comparison of future health changes.
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. correct answers 1. "I feel so tired sometimes."
2. Client complains of a headache
3. "My father died of a heart attack."
subjective data correct answers things a person tells you about that you cannot observe through
your senses; symptoms
objective data correct answers information that is seen, heard, felt, or smelled by an observer;
signs
When discussing the nursing process with a group of students, which of the following statements
best describes it? correct answers It is ongoing and continuous.
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 if the client has achieved the outcome criteria of
the treatment? correct answers Evaluation
A nurse recognizes that a thorough and accurate assessment of a client is important to prevent
what error from occurring when utilizing the nursing process? correct answers Making incorrect
nursing judgments or diagnoses
,The nurse discusses ear plugs for a patient with low tone deafness when working in a noisy
environment. The nurse is utilizing correct answers tertiary prevention
A nurse is distracted during her assessment of a client and does not take as thorough or as
accurate notes as usual. Her supervisor, who is familiar with the client, reads the patient's chart
and questions the nurse. The supervisor should point out to the nurse that which of the following
errors is most likely to occur due to the nurse's lapse? correct answers Making incorrect nursing
judgments or diagnoses
A client who is new to the facility has a recent history of chronic pain that is attributed to
fibromyalgia. The nurse has reviewed the available health records and suspects that pain
management will be a major focus of nursing care. How can the nurse best validate this
assumption? correct answers Ask the client about the most recent experiences of pain.
The nurse is exhibiting critical thinking in which client care situation? correct answers
Performing a focused assessemt on a client who is complaining of shortness of breath.
This type of assessment includes a health history and physical assessment. correct answers
Comprehensive
A student nurse is learning to document an initial assessment. What would the instructor tell the
student that accurate documentation of this specific assessment best provides? correct answers A
baseline for comparison with future findings
After receiving morning report the nurse prepares to assess a client who was admitted the day
before. Which type of assessment will the nurse complete at this time? correct answers Ongoing
When performing the steps of the assessment phase of the nursing process, which of the
following would the nurse do first? correct answers Collect subjective data
, A home health nurse is visiting a patient who recently was hospitalized for repair of a fractured
hip. The patient tells the nurse, "I have had a lot of pain in my abdomen." What type of
assessment would the nurse conduct? correct answers focused
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? correct answers
The client's feelings of happiness
What are nurses able to detect through the health assessment? correct answers Areas in need of
health adjustments
The result of a nursing assessment is the correct answers formulation of nursing diagnoses.
Nurses provide both direct and indirect care. What is an example of indirect care? correct
answers Participating in a client care conference
A nurse is conducting a health assessment. How will the information collected from the patient
be used? correct answers as a basis for the nursing process
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? correct answers A
50-year-old client newly diagnosed with diabetes
When assisting a patient with health promotion, what must the nurse also nurture? correct
answers A healthy environment
How does a nurse best facilitate the nursing health assessment? correct answers Asking the
appropriate questions
A client comes to the health care provider's office for a visit. The client has been seen in this
office for the past five years and arrives today complaining of a fever and sore throat. Which
type of assessment would the nurse most likely perform? correct answers focused assessment
Nurses provide both direct and indirect care. What is an example of indirect care? correct
answers Participating in a client care conference
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?
correct answers Inspection
When doing an overall assessment of a patient, the nurse is able to utilize findings and do what?
correct answers Identify in what areas the patient needs the most care
The preceptor of the student nurse is explaining the assessment that is considered the most
organized for gathering comprehensive physical data. What assessment is the preceptor talking
about? correct answers head to toe
A nurse provides care for a client with impaired respiratory function. The nurse frequently
assesses the client's skin color and the temperature of the extremities. What is the purpose of this
ongoing or partial assessment? correct answers Determine any changes from the baseline data
Mrs. Williams is an 89-year-old independent woman who lives alone and has severe arthritis in
her hands. Over the last few months the arthritis has gotten worse and she is concerned because
she can no longer clean her apartment. What question by the nurse would gain the most usable
information to assist with this concern? correct answers "Do you have family who visit you
regularly?"
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? correct answers Expansion of health
care networks
A nurse will complete an initial comprehensive assessment of a 60-year-old client who is new to
the clinic. What goal should the nurse identify for this type of assessment? correct answers
Establish a baseline for the comparison of future health changes.
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. correct answers 1. "I feel so tired sometimes."
2. Client complains of a headache
3. "My father died of a heart attack."
subjective data correct answers things a person tells you about that you cannot observe through
your senses; symptoms
objective data correct answers information that is seen, heard, felt, or smelled by an observer;
signs
When discussing the nursing process with a group of students, which of the following statements
best describes it? correct answers It is ongoing and continuous.
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 if the client has achieved the outcome criteria of
the treatment? correct answers Evaluation
A nurse recognizes that a thorough and accurate assessment of a client is important to prevent
what error from occurring when utilizing the nursing process? correct answers Making incorrect
nursing judgments or diagnoses
,The nurse discusses ear plugs for a patient with low tone deafness when working in a noisy
environment. The nurse is utilizing correct answers tertiary prevention
A nurse is distracted during her assessment of a client and does not take as thorough or as
accurate notes as usual. Her supervisor, who is familiar with the client, reads the patient's chart
and questions the nurse. The supervisor should point out to the nurse that which of the following
errors is most likely to occur due to the nurse's lapse? correct answers Making incorrect nursing
judgments or diagnoses
A client who is new to the facility has a recent history of chronic pain that is attributed to
fibromyalgia. The nurse has reviewed the available health records and suspects that pain
management will be a major focus of nursing care. How can the nurse best validate this
assumption? correct answers Ask the client about the most recent experiences of pain.
The nurse is exhibiting critical thinking in which client care situation? correct answers
Performing a focused assessemt on a client who is complaining of shortness of breath.
This type of assessment includes a health history and physical assessment. correct answers
Comprehensive
A student nurse is learning to document an initial assessment. What would the instructor tell the
student that accurate documentation of this specific assessment best provides? correct answers A
baseline for comparison with future findings
After receiving morning report the nurse prepares to assess a client who was admitted the day
before. Which type of assessment will the nurse complete at this time? correct answers Ongoing
When performing the steps of the assessment phase of the nursing process, which of the
following would the nurse do first? correct answers Collect subjective data
, A home health nurse is visiting a patient who recently was hospitalized for repair of a fractured
hip. The patient tells the nurse, "I have had a lot of pain in my abdomen." What type of
assessment would the nurse conduct? correct answers focused
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? correct answers
The client's feelings of happiness
What are nurses able to detect through the health assessment? correct answers Areas in need of
health adjustments
The result of a nursing assessment is the correct answers formulation of nursing diagnoses.
Nurses provide both direct and indirect care. What is an example of indirect care? correct
answers Participating in a client care conference
A nurse is conducting a health assessment. How will the information collected from the patient
be used? correct answers as a basis for the nursing process
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? correct answers A
50-year-old client newly diagnosed with diabetes
When assisting a patient with health promotion, what must the nurse also nurture? correct
answers A healthy environment
How does a nurse best facilitate the nursing health assessment? correct answers Asking the
appropriate questions
