HA FINAL EXAM QUESTIONS WITH ACCURATE ANSWERS
1-1 A nurse on a post surgical unit is admitting a client following the client's
cholecystectomy (gall bladder removal). What is the overall purpose assessment
for this client?
a. collecting accurate data
b. assisting the primary care provider
c. validating previous data
d. making clinical judgements correct answer d. making clinical judgements
1-2 A client has presented to the emergency department 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 correct answer b. ED nurse
1-3 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 correct answer b. it is ongoing and
continuous
,1-4 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 correct answer a. review the client's
medical record
1-5 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 correct answer c. a client who
overdosed on acetaminophen
1-6 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 correct answer b. effect of health on
functional status
,1-7 After teaching a group of students about the phases of the nursing process,
the instructor determines that teaching was successful when the students identify
which phase as being foundational to all other phases?
a. assessment
b. planning
c. implementation
d. evaluation correct answer a. assessment
1-8 The nurse has completed the comprehensive health assessment of a client
who has been admitted for the treatment of community-aquired 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 correct answer a. reassess previously
detected problems
1-9 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 most in
need of an emergency assessment?
a. a 14-year-old girl who is crying because she thinks she's 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 aeration on his leg correct answer b. a 45-year-
old man with chest pain and diaphoresis for 1 hour
, 1-10 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 judgements
d. construct a plan of care correct answer c. avoid biases and judgements
1-11 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 correct answer c. appearance
1-12 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 correct answer d. measure
the client's blood glucose four times daily
1-1 A nurse on a post surgical unit is admitting a client following the client's
cholecystectomy (gall bladder removal). What is the overall purpose assessment
for this client?
a. collecting accurate data
b. assisting the primary care provider
c. validating previous data
d. making clinical judgements correct answer d. making clinical judgements
1-2 A client has presented to the emergency department 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 correct answer b. ED nurse
1-3 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 correct answer b. it is ongoing and
continuous
,1-4 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 correct answer a. review the client's
medical record
1-5 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 correct answer c. a client who
overdosed on acetaminophen
1-6 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 correct answer b. effect of health on
functional status
,1-7 After teaching a group of students about the phases of the nursing process,
the instructor determines that teaching was successful when the students identify
which phase as being foundational to all other phases?
a. assessment
b. planning
c. implementation
d. evaluation correct answer a. assessment
1-8 The nurse has completed the comprehensive health assessment of a client
who has been admitted for the treatment of community-aquired 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 correct answer a. reassess previously
detected problems
1-9 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 most in
need of an emergency assessment?
a. a 14-year-old girl who is crying because she thinks she's 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 aeration on his leg correct answer b. a 45-year-
old man with chest pain and diaphoresis for 1 hour
, 1-10 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 judgements
d. construct a plan of care correct answer c. avoid biases and judgements
1-11 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 correct answer c. appearance
1-12 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 correct answer d. measure
the client's blood glucose four times daily
