277-NCLEX-CH1-WEEK1

The nurse begins to document the health and physical assessment of a client that was performed approximately 3 hours ago. The nurse's documentation: Hint: Documentation a. will be highly accurate because the nurse has had more time to interact with the client b. may not be as detailed due to the time that has elapsed since the assessment c. will be focused and concise d. will be thorough and complete

b. may not be as detailed due to the time that has elapsed since the assessment

After conducting the health interview, the nurse begins to measure the client's vital signs. Vital signs are considered: Hint: Types of data a. subjective data b. objective data c. secondary data constant data

b. objective data

The nursing staff on a rehabilitation unit is attending an educational session to review the newest treatment options for clients with knee injuries. This program is most likely being presented by a: Hint: Role of the Professional Nurse; Clinical Nurse Specialist a. nurse researcher b. clinical nurse specialist c. nurse practitioner d. nurse administrator

b. clinical nurse specialist

As part of a complete health assessment, the nurse reviews the client's laboratory data. Laboratory data is an example of: Hint: Types of data a. constant data b. primary source data c. subjective data d. secondary source data

d. secondary source data

After completing the health history, the nurse begins to ask more detailed questions to clarify points and follow up on concerns expressed by the client during the interview. This portion of the health assessment is known as: Hint: The Health History a. informal teaching b. objective data c. a focused interview d. interpretation of findings

c. a focused interview

A client describes feeling increasingly short of breath when sitting in city traffic. The nurse understands that this is likely the result of a/an: Hint: Environmental Factors a. cultural factor b. internal environmental factor c. external environmental factor d. family factor

c. external environmental factor

The nurse is developing a formal teaching plan for a client recently diagnosed with diabetes. At the completion of the teaching session, the client will demonstrate self-administration of insulin. This is an example of a/an: Hint: Formal Teaching; Objective a. learning need b. content c. objective d. teaching method

c. objective

The nurse understands evidence-based practice is based on: Select all that apply. a. malpractice claims b. insurance company mandates c. provider expertise d. patient preferences e. scientific evidence

c. provider expertise d. patient preferences e. scientific evidence

The nurse understands that the Healthy People 2020 objectives are evaluated and revised every 10 years based on: a. health concerns of the dominant cultural group in the United States b. health concerns of the largest cities in the United States c. public health concerns in the United States d. the needs of the people in the most populated states in the United States

c. public health concerns in the United States

The nurse interviews a client about lifestyle, social support, and activities of daily living. This information should be included in a: Hint: Components of health assessment a. physical assessment b. musculoskeletal assessment c. fall-risk assessment d. health assessment

d. health assessment

After conducting a health assessment on a new client, the nurse uses critical thinking to develop an appropriate plan of care for the client. Which step of the critical thinking process does the nurse use when developing the plan of care? Hint: Critical Thinking a. Analysis of the situation b. Collection of information c. Selecting alternatives d. Evaluation

c. Selecting alternatives

Which assessment finding does the nurse identify as one that would be obtained during the subjective assessment of a client? Hint: Assessment client's perception a. "It hurts when I put weight on my leg." b. Abdomen soft and nontender to palpation c. Blood pressure 110/68 Pulses present in lower extremities

a. "It hurts when I put weight on my leg."

During an interview, the nurse learns that a client wants to stop smoking but needs help making this behavior change. Which model of health will be most useful to the nurse in developing a plan to help the client quit smoking? Hint: Health; Models of Health a. Health promotion model b. Ecologic model c. Clinical model d. Eudaemonistic model

a. Health promotion model

The nurse uses the APIE method to document the health assessment of a client. Which information should the nurse include in the 'A' (Assessment) of the client? Hint: Documentation a. Subjective and objective data b. Interventions c. Problems d. Response of client to plan

a. Subjective and objective data

While performing a physical assessment, the nurse explains, "I'll be placing my stethoscope on your abdomen to listen for bowel sounds. The presence of bowel sounds indicates that the intestines are working." This nurse is functioning as a: Hint: Role of the Professional Nurse a. teacher b. caregiver c. client advocate d. manager

a. teacher

The nurse is looking at the information collected during the health interview in an effort to cluster or group the data together. The nurse is demonstrating which phase of the nursing process? Hint: Nursing Process a. Assessment b. Diagnosis c. Planning d. Evaluation

b. Diagnosis

A client with a lower respiratory tract infection mentions feeling "very stressed about a situation at home." The nurse is concerned that this stressor may negatively impact the healing process of this client. The nurse's concern is based on: Hint: Interpretation of Findings; Holism a. cultural factors b. holistic factors c. developmental factors d. communication

b. holistic factors