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NUR-210 Exam 1 2024/2025 Questions With Completed & Verified Solution.
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NUR-210 Exam 1 2024/2025 Questions With Completed & Verified Solution.
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NUR-210 Exam 1A 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? - ANS focused assessment
Nurses provide both direct and indirect care. What is an example of indirect care? - ANS
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?
- ANS Inspection
When doing an overall assessment of a patient, the nurse is able to utilize findings and do
what? - ANS 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? - ANS 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? - ANS 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? - ANS "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? - ANS 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? - ANS 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. - ANS 1. "I feel so tired sometimes."
,2. Client complains of a headache
3. "My father died of a heart attack."
subjective data - ANS things a person tells you about that you cannot observe through your
senses; symptoms
objective data - ANS 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? - ANS 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? - ANS 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? - ANS 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 - ANS 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? - ANS 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? - ANS Ask the client about the most recent experiences of pain.
The nurse is exhibiting critical thinking in which client care situation? - ANS 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. - ANS
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? - ANS 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? - ANS Ongoing
When performing the steps of the assessment phase of the nursing process, which of the
following would the nurse do first? - ANS 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? - ANS 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? - ANS The
client's feelings of happiness
What are nurses able to detect through the health assessment? - ANS Areas in need of health
adjustments
The result of a nursing assessment is the - ANS formulation of nursing diagnoses.
Nurses provide both direct and indirect care. What is an example of indirect care? - ANS
Participating in a client care conference
A nurse is conducting a health assessment. How will the information collected from the patient
be used? - ANS 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? - ANS A 50-year-old
client newly diagnosed with diabetes
When assisting a patient with health promotion, what must the nurse also nurture? - ANS A
healthy environment
How does a nurse best facilitate the nursing health assessment? - ANS Asking the appropriate
questions
Why is it important for a new nurse, working on a step-down unit, to know the standards of care
for the facility in which the nurse is working? - ANS Standards of care often set the time frame
for assessing the clients on the unit
A nurse is gathering data from a client during a health assessment. Which assessment finding
should the nurse document as objective data? - ANS The client's range of motion in her right
arm
, A nurse recommends that a client come back once every 3 months in the coming year to have
his cholesterol checked, to make sure he is maintaining a healthy level. Which type of
assessment is the nurse proposing? - ANS Ongoing or partial
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? -
ANS Reassess previously detected problems
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? - ANS Focused assessment
The RN is implementing which level of intervention when administering immunizations at a
pediatric clinic? - ANS Primary
A patient is brought to the emergency department by ambulance after a motor vehicle accident.
What would be given the highest priority by the staff triaging the patient? - ANS Airway
A client is being admitted to the medical unit after being seen in the emergency department.
Which statement by the nurse indicates an understanding of the importance of the appropriate
timing of a health assessment? - ANS "I'm going to assess the client now so that I can begin
formulating the care plan."
An older adult client is brought to the ED. The client tells the nurse, "I feel like something really
heavy is sitting on my chest." The nurse then says to the client, "You feel as if something heavy
is sitting on your chest?" Of what type of nurse-client communication is this an example? - ANS
Restatement
During an interview, the patient begins to talk about the frequency of being abused by a spouse.
What can the nurse do at this time to acknowledge the sensitivity of the information the patient
is providing? - ANS Stop documenting in order to maintain eye contact with the patient.
An elderly patient arrives in the Emergency Department with nonspecific symptoms. When the
nurse attempts to take the health history, the patient appears not to understand and does not
answer the questions. The nurse realizes that this might be because of a common problem in
the elderly, which is: - ANS sensory deficits
A client complains of knee pain on the nurse's arrival in the room. What should the nurse's first
sentence be after greeting the client? - ANS "Could you please describe what happened?"
A client scheduled for surgery tells the nurse that he is very anxious about the surgery. What is
an appropriate action by the nurse when interacting with this client? - ANS Provide simple and
organized information.
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