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    Exam Review

    1. The nurse is preparing to assess a group of clients. Place the clients in the order that the nurse should assess them.
      A)A client with difficulty breathing2
      B)A client with abdominal pain3
      C)A client with a mental status change1
      D)A client that needs education4
    2. A client from a low-income background presents with symptoms of uncontrolled hypertension. If the nurse does not address their personal biases, how might that impact the assessment of the client?
      A)The nurse may overestimate the severity of the client's symptoms
      B)The nurse may disregard the client's over-the-counter medications
      C)The nurse may underestimate the client's ability to manage their condition
      D)The nurse may provide a more thorough assessment due to adherence
    3. The nurse is reviewing first-level priority client needs with the nursing student. Select the 2 healthcare settings that are most likely to treat first-level clients. Select two healthcare settings.(SATA)
      A)Surgery center
      B)Emergency department
      C)Dialysis center
      D)Medical office
      E)Urgent care
    4. Which communication skill stated by the student nurse to the primary nurse indicates an understanding of recommended practice when providing health education to the client?
      RecommendedNot Recommended
      Starting with the most important information✓
      Using passive voice✓
      Including extra information to the client✓
      Limiting the number of messages given to the client✓
      Using short sentences and simple words✓
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    Exam Review

    1. The nurse is caring for a client who is alert and oriented. What is the most reliable indicator of pain in this client?
      A)Facial expression
      B)Body movements
      C)Change in vital signs
      D)Client's self-report
    2. A nurse is completing a health history and physical examination. Which information documented by the nurse is subjective data?
      A)Right arm painful and hot for 3 days
      B)Facial grimace and clenched hands
      C)Blood pressure of 136/84
      D)Healed scar on left knee
    3. The nurse completes a general survey of a client. For each finding in the general survey, click to specify whether the finding should be documented as body structure or behavior.
      Body StructureBehavior
      The client is dressed appropriately for the weather✓
      The client has no physical deformities noted✓
      The client conveys ideas clearly and at an even pace✓
      The client's height seems appropriate for age and heritage✓
      The client's arm span, fingertip to fingertip, equals height✓
      The client maintains eye contact throughout the assessment✓
    4. A nurse is planning to interview a client. Place the nurse's interview statements in the order they should be asked. Items to be Ordered
      A)"Can you tell me what brings you to the clinic today?"2
      B)"When you said you had been having pain in your stomach what did you mean?"3
      C)am your nurse today"1
      D)"We are almost done; do you have any questions for me?"4
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    Exam Review

    1. How should a nurse document the client's reason for seeking care?
      A)As a comprehensive health history.
      B)As a diagnostic statement.
      C)In quotes using the client's own words.
      D)In the nurse's own words.
    2. A nurse is caring for a client who has been dizzy recently. What safety precaution should the nurse implement to prevent falls?
      A)Raise the bed to the highest position before leaving the room.
      B)Encourage the client to walk around frequently to increase strength.
      C)Instruct the client to use the call light before getting out of bed.
      D)Lower all the side rails so the client can easily exit the bed.
    3. A client comes to the clinic because they have been having "abdominal pain for the past 24 hours." How should the nurse document this client's reason for seeking care?
      A)The client came to the clinic complaining of abdominal pain.
      B)The client with abdominal pain states, "I am in pain."
      C)The client is here for "gastrointestinal problems."
      D)The client reports "abdominal pain for the past 24 hours."
    4. A nurse is preparing to assess a group of clients. The nurse should adhere to which principle(s) when assessing clients? Select all that apply.(SATA)
      A)Base the frequency of assessments on client condition
      B)Depend on provider prescriptions to determine the frequency of assessments
      C)Record findings at the end of the shift
      D)Assess each client at the beginning of every shift
      E)Begin assessments with the most seriously ill client first
    Page 3 of 5

    Exam Review

    1. Which section of the SOAP note should the nurse look to find the results of a recent X-ray?
      A)Objective
      B)Plan
      C)Subjective
      D)Assessment
    2. What question should the nurse ask a client to assess for understanding of confidentiality during a health interview?
      A)"Would you like your family to be present during the interview?"
      B)"Do you want to close the door before we begin?"
      C)"Do you know who can access your medical records?"
      D)Are you comfortable changing into a gown for the exam?"
    3. During an interview, the nurse states, "Have you experienced any pain or discomfort in the last 24 hours?" Which communication technique is the nurse using?
      A)Open-ended question
      B)Reflection
      C)Close-ended question
      D)Facilitation
    4. A nurse is assessing a client with a productive cough. Which of the following actions is most appropriate?
      A)Provide the client with a tissue and a waste bin.
      B)Delay the assessment until the cough resolves.
      C)Ask the client to cover their mouth with their hand.
      D)Wear gloves only if touching the client.
    Page 4 of 5

    Exam Review

    1. A nurse is assessing a client's health literacy level. Which action should the nurse take to determine the client's understanding of health information?
      A)Consult with other healthcare professionals for input on the client's health literacy.
      B)Provide written materials for the client to review.
      C)Conduct a physical examination to assess the client's health status.
      D)Ask the client to explain the instructions in their own words.
    2. A nurse prepares a client for same-day surgery. Which action should the nurse take to demonstrate the ethical principle of veracity?
      A)Tell the client not to expect a lot of pain
      B)Reassure the client that they will not experience pain
      C)Explain how post-operative pain will be managed
      D)Avoid discussing potential pain to reduce anxiety
    3. The nurse obtains the following data as part of the assessment phase of the nursing process. Which finding represents objective data?
      A)Emotional status
      B)Weight
      C)Pain level
      D)Stated agitation
    4. A nurse is assessing the healthcare environment for safety hazards. What environmental hazard poses the greatest risk to the client falling?
      A)There are used tissues on the client's nightstand.
      B)There is a lunch tray left on the client's table.
      C)The bed is in a high and locked position.
      D)The dirty linen bin is full of used sheets.
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