1. 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 in most need of an
emergency assessment?
A) A 14-year-old girl who is crying because she thinks she is 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 shallow laceration on his leg
2. 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 judgments
D) Construct a plan of care
3. 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
4. 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.
5. 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?
A) An 80-year-old client who lives with her daughter
B) A 50-year-old client newly diagnosed with diabetes
C) An adult presenting for an influenza vaccination
D) A teenager seeking information about contraception
6. An instructor is reviewing the evolution of the nurse's role in health assessment. The
instructor determines that the teaching was successful when the students identify
which