Exam 1: Health Assessment

While conducting a health history, a client states, "I am healthy, I don't know why I have to be here to get a check-up." However, the client reports, type 2 diabetes mellitus and an unhealed ulcer on the left foot. Based on this information, which statement by the nurse is the most appropriate?

The nurse educator is presenting information about the nursing process to a group of students. Which statement by a student reflects the appropriate sequence when implementing the nursing process?

The nurse is admitting a client to a mental health unit for an exacerbation of bipolar disorder. When conducting the health history for this client, which is important to keep in mind regarding the client's confidentiality?

The nurse is reviewing flow chart entries for a client experiencing pain. Which chart entries represent subjective data?

The nurse educator is presenting information about the APIE method of charting as it will be implemented by the facility in a few weeks. Which statements by the participants indicate an appropriate understanding of this method of charting?

The nurse is conducting a workshop on wellness and health promotion using the initiatives of Healthy People 2020. After the session, which statement by a participant indicates an understanding of the initiatives?

The novice nurse working on a medical-surgical unit is preparing a plan of care for a client admitted for irritable bowel syndrome. The goal statement is, "The client will resume normal bowel elimination patterns." When reviewing the plan of care with the novice nurse, which statement by the preceptor is the most appropriate?

The nurse is evaluating the plan of care and notes that none of the goals have been met for the client with impaired gas exchange. Which action by the nurse is the most appropriate?

The nurse is preparing a teaching plan for a client diagnosed with hypertension. Which objective is appropriate when addressing the psychomotor domain for the client?

During step 3 of the nursing process, which activity is performed?

A novice nurse is conducting a focused interview on an older adult client who is being admitted for a urinary tract infection (UTI). Which action by the novice nurse is appropriate?

The nurse conducts a health history while admitting a client to the acute care facility. When collecting primary subjective data, which is an appropriate source for the nurse to use?

The nurse is developing a plan of care for a recently admitted client to the medical-surgical unit. Which is the basis for the plan and implementation of the client's care?

The nurse manager is reviewing SOAP entries in the medical record for a novice nurse. Which entry indicates that the nurse needs further instruction concerning documentation?

The community health nurse is preparing to conduct a program for a group of nursing students concerning health and wellness. Which statement by a participant indicates the most comprehensive and accurate understanding of health?

Which statement best describes the active role of the professional nurse as an educator?

The nurse is preparing the care plan for a client who admitted to the unit after an abdominal hysterectomy to manage endometriosis. Which goal statements reflect the need for further development by the nurse?

The nurse is assessing a client who presents in the emergency department (ED) with abdominal pain, nausea, and vomiting. Vital signs are within normal limits. The client's health history indicates pelvic inflammatory disease, mitral valve prolapse, and childbirth. When analyzing the available data, what items should be clustered together?

The nurse is caring for a newly admitted client with Methicillin-resistant Staphylococcus Aureus (MRSA). Which are appropriate goals for the initial health assessment?

The nurse is reviewing a client's medical record while planning care. Which data from the medical record is an example of objective data?