, 1
TESTkBANK
5thkEditionkWeberkandkKelleykHealthkAssessmentkinkNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardskhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-
flash-kcards/
QuizletkName:klei_achacoso
1. Aknursekonkakpostsurgicalkunitkiskadmittingkakclientkfollowingkthekclient'skcholecystec
tomyk(gallkbladderkremoval).kWhatkiskthekoverallkpurposekofkassessmentkforkthiskclient?
A) Collectingkaccuratekdata
B) Assistingkthekprimarykcarekprovider
C) Validatingkpreviouskdata
D) Makingkclinicalkjudgments
D)kMakingkclinicalkjudgments
2. Akclientkhaskpresentedktokthekemergencykdepartmentk(ED)kwithkcomplaintskofkabdomi
nalkpain.kWhichkmemberkofkthekcarekteamkwouldkmostklikelykbekresponsiblekforkcollectin
gktheksubjectivekdatakonkthekclientkduringkthekinitialkcomprehensivekassessment?
A) Gastroenterologist
B) EDknurse
C) Admissionskclerk
D) Diagnosticktechnician
B)kEDknurse
3. Theknursekhaskcompletedkankinitialkassessmentkofkaknewlykadmittedkclientkandkiska
pplyingktheknursingkprocessktokplankthekclient'skcare.kWhatkprinciplekshouldktheknursek
applykwhenkusingktheknursingkprocess?
A) Eachkstepkiskindependentkofkthekothers.
B) Itkiskongoingkandkcontinuous.
C) Itkiskusedkprimarilykinkacutekcareksettings.
D) Itkinvolveskindependentknursingkactions.
B) Itkiskongoingkandkcontinuous.
4. Theknursekwhokprovideskcarekatkankambulatorykclinickiskpreparingktokmeetkakclientkan
dkperformkakcomprehensivekhealthkassessment.kWhichkofkthekfollowingkactionskshouldkt
heknursekperformkfirst?
A) Reviewkthekclient'skmedicalkrecord.
B) Obtainkbasickbiographickdata.
C) Consultkclinicalkresourceskexplainingkthekclient'skdiagnosis.
D) Validatekinformationkwithkthekclient.
A) Reviewkthekclient'skmedicalkrecord.
5. Whichkofkthekfollowingkclientksituationskwouldktheknursekinterpretkaskrequiringkan
kemergencykassessment?
A) Akpediatrickclientkwithksevereksunburn
B) Akclientkneedingkankemploymentkphysical
C) Akclientkwhokoverdosedkonkacetaminophen
D) Akdistraughtkclientkwhokwantskakpregnancyktest
C) Akclientkwhokoverdosedkonkacetaminophen
6. Inkresponsektokakclient'skquery,ktheknursekiskexplainingkthekdifferenceskbetweenkthek
physician'skmedicalkexamkandkthekcomprehensivekhealthkassessmentkperformedkbykthe
knurse.kTheknursekshouldkdescribekthekfactkthatktheknursingkassessmentkfocuseskonkwh
ichkaspectkofkthekclient'sksituation?
A) Currentkphysiologickstatus
B) Effectkofkhealthkonkfunctionalkstatus
, 2
C) Pastkmedicalkhistory
D) Motivationkforkadherencektoktreatment
B) Effectkofkhealthkonkfunctionalkstatus
7. Afterkteachingkakgroupkofkstudentskaboutkthekphaseskofktheknursingkprocess,kthekinstr
uctorkdetermineskthatkthekteachingkwasksuccessfulkwhenkthekstudentskidentifykwhichkph
asekaskbeingkfoundationalktokallkotherkphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Theknursekhaskcompletedkthekcomprehensivekhealthkassessmentkofkakclientkwhokhas
kbeenkadmittedkforkthektreatmentkofkcommunity-
acquiredkpneumonia.kFollowingkthekcompletionkofkthiskassessment,ktheknursekperiodic
allykperformskakpartialkassessmentkprimarilykforkwhichkreason?
A) Reassesskpreviouslykdetectedkproblems
B) Providekinformationkforkthekclient'skrecord
C) Addresskareaskpreviouslykomitted
D) Determinekthekneedkforkcrisiskintervention
A) Reassesskpreviouslykdetectedkproblems
9. Theknursekiskworkingkinkankambulatorykcarekclinickthatkisklocatedkinkakbusy,kinner-
citykneighborhood.kWhichkclientkwouldktheknursekdeterminektokbekinkmostkneedkofkanke
mergencykassessment?
A) Ak14-year-oldkgirlkwhokiskcryingkbecausekshekthinkskshekiskpregnant
B) Ak45-year-oldkmankwithkchestkpainkandkdiaphoresiskfork1khour
C) Ak3-year-oldkchildkwithkfever,krash,kandksorekthroat
D) Ak20-year-oldkmankwithkak3-inchkshallowklacerationkonkhiskleg
B) Ak45-year-oldkmankwithkchestkpainkandkdiaphoresiskfork1khour
10. Aknursekhaskcompletedkgatheringksomekbasickdatakaboutkakclientkwhokhaskmultiplek
healthkproblemskthatkstemkfromkheavykalcoholkuse.kTheknursekhaskthenkreflectedkonkher
kpersonalkfeelingskaboutkthekclientkandkhiskcircumstances.kTheknursekdoeskthiskprimaril
yktokaccomplishkwhichkofkthekfollowing?
A) Determinekifkpertinentkdatakhaskbeenkomitted
B) Identifykthekneedkforkreferral
C) Avoidkbiaseskandkjudgments
D) Constructkakplankofkcare
C) Avoidkbiaseskandkjudgments
11. Theknursekiskcollectingkdatakfromkakclientkwhokhaskrecentlykbeenkdiagnosedkwithktyp
ek1kdiabeteskandkwhokwillkbeginkankeducationalkprogram.kTheknursekiskcollectingk subjec
tivekandkobjectivekdata.kWhichkofkthekfollowingkwouldktheknursekcategorizekaskobjectivek
data?
A) Familykhistory
B) Occupation
C) Appearance
D) Historykofkpresentkhealthkconcern
C)kAppearance
12. Ankolderkadultkclientkhaskbeenkadmittedktokthekhospitalkwithkfailurektokthrivekresulting
kfromkcomplicationskofkdiabetes.kWhichkofkthekfollowingkwouldktheknursekimplementkinkr
esponsektokakcollaborativekproblem?
A) Encouragekthekclientktokincreasekoralkfluidkintake.
B) Providekthekclientkwithkakbedtimekproteinksnack.
C) Assistkthekclientkwithkpersonalkhygiene.
D) Measurekthekclient'skbloodkglucosekfourktimeskdaily.
D)kMeasurekthekclient'skbloodkglucosekfourktimeskdaily.
13. Theknursekatkakbusykprimarykcarekclinickiskanalyzingkthekdatakobtainedkfromkthe
, 3
A) Ank80-year-oldkclientkwhokliveskwithkherkdaughter
B) Ak50-year-oldkclientknewlykdiagnosedkwithkdiabetes
C) Ankadultkpresentingkforkankinfluenzakvaccination
D) Akteenagerkseekingkinformationkaboutkcontraception
B) Ak50-year-oldkclientknewlykdiagnosedkwithkdiabetes
14. Ankinstructorkiskreviewingkthekevolutionkofktheknurse'skrolekinkhealthkassessment.kThe
kinstructorkdetermineskthatkthekteachingkwasksuccessfulkwhenkthekstudentskidentifykwhic
hkofkthekfollowingkaskthekmajorkmethodkusedkbyknurseskearlykinkthekhistorykofkthekprofes
sion?
A) Naturalksenses
B) Biomedicalkknowledge
C) Simplektechnology
D) Criticalkpathways
A) Naturalksenses
15. Whenkdescribingkthekexpansionkofkthekdepthkandkscopekofknursingkassessmentkover
kthekpastkseveralkdecades,kwhichkofkthekfollowingkwouldktheknursekidentifykaskbeingkthek
primarykforce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Publickmistrustkofkphysicians
16. Akgroupkofknurseskarekreviewingkinformationkaboutkthekpotentialkopportunitieskforkn
urseskwhokhavekadvancedkassessmentkskills.kWhenkdiscussingkphenomenakthatkhavek
contributedktokthesekincreasedkopportunities,kwhatkshouldktheknurseskidentify?
A) Expansionkofkhealthkcareknetworks
B) Decreasekinkclientkparticipationkinkcare
C) Thekshrinkingkcostkofkmedicalkcare
D) Publickmistrustkofkphysicians
A) Expansionkofkhealthkcareknetworks
17. Aknursekhaskdocumentedkthekfindingskofkakcomprehensivekassessmentkofkaknew
kclient.kWhatkiskthekprimarykrationalekthatktheknursekshouldkidentifykforkaccuratekand
kthoroughkdocumentation?
A) Guaranteeingkakcontinualkassessmentkprocess
B) Identifyingkabnormalkdata
C) Assuringkvalidkconclusionskfromkanalyzedkdata
D) Allowingkforkdrawingkinferenceskandkidentifyingkproblems
C) Assuringkvalidkconclusionskfromkanalyzedkdata
18. Aknursekhaskreceivedkakreportkonkakclientkwhokwillksoonkbekadmittedktokthekmedical
kunitkfromkthekemergencykdepartment.kWhenkpreparingkforkthekassessmentkphasekofkth
eknursingkprocess,kwhichkofkthekfollowingkshouldktheknursekdokfirst?
A) Collectkobjectivekdata.
B) Validatekimportantkdata.
C) Collectksubjectivekdata.
D) Documentkthekdata.
C)kCollectksubjectivekdata.
19. Akcommunitykhealthknursekiskassessingkankolderkadultkclientkinkthekclient'skhome.
kWhenktheknursekiskgatheringksubjectivekdata,kwhichkofkthekfollowingkwouldktheknurs
ekidentify?
A) Thekclient'skfeelingskofkhappiness
B) Thekclient'skposture
C) Thekclient'skaffect
D) Thekclient'skbehavior
A) Thekclient'skfeelingskofkhappiness
20. Aknursekonkthekhospital'sksubacutekmedicalkunitkiskplanningktokperformkakclient's
TESTkBANK
5thkEditionkWeberkandkKelleykHealthkAssessmentkinkNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardskhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-
flash-kcards/
QuizletkName:klei_achacoso
1. Aknursekonkakpostsurgicalkunitkiskadmittingkakclientkfollowingkthekclient'skcholecystec
tomyk(gallkbladderkremoval).kWhatkiskthekoverallkpurposekofkassessmentkforkthiskclient?
A) Collectingkaccuratekdata
B) Assistingkthekprimarykcarekprovider
C) Validatingkpreviouskdata
D) Makingkclinicalkjudgments
D)kMakingkclinicalkjudgments
2. Akclientkhaskpresentedktokthekemergencykdepartmentk(ED)kwithkcomplaintskofkabdomi
nalkpain.kWhichkmemberkofkthekcarekteamkwouldkmostklikelykbekresponsiblekforkcollectin
gktheksubjectivekdatakonkthekclientkduringkthekinitialkcomprehensivekassessment?
A) Gastroenterologist
B) EDknurse
C) Admissionskclerk
D) Diagnosticktechnician
B)kEDknurse
3. Theknursekhaskcompletedkankinitialkassessmentkofkaknewlykadmittedkclientkandkiska
pplyingktheknursingkprocessktokplankthekclient'skcare.kWhatkprinciplekshouldktheknursek
applykwhenkusingktheknursingkprocess?
A) Eachkstepkiskindependentkofkthekothers.
B) Itkiskongoingkandkcontinuous.
C) Itkiskusedkprimarilykinkacutekcareksettings.
D) Itkinvolveskindependentknursingkactions.
B) Itkiskongoingkandkcontinuous.
4. Theknursekwhokprovideskcarekatkankambulatorykclinickiskpreparingktokmeetkakclientkan
dkperformkakcomprehensivekhealthkassessment.kWhichkofkthekfollowingkactionskshouldkt
heknursekperformkfirst?
A) Reviewkthekclient'skmedicalkrecord.
B) Obtainkbasickbiographickdata.
C) Consultkclinicalkresourceskexplainingkthekclient'skdiagnosis.
D) Validatekinformationkwithkthekclient.
A) Reviewkthekclient'skmedicalkrecord.
5. Whichkofkthekfollowingkclientksituationskwouldktheknursekinterpretkaskrequiringkan
kemergencykassessment?
A) Akpediatrickclientkwithksevereksunburn
B) Akclientkneedingkankemploymentkphysical
C) Akclientkwhokoverdosedkonkacetaminophen
D) Akdistraughtkclientkwhokwantskakpregnancyktest
C) Akclientkwhokoverdosedkonkacetaminophen
6. Inkresponsektokakclient'skquery,ktheknursekiskexplainingkthekdifferenceskbetweenkthek
physician'skmedicalkexamkandkthekcomprehensivekhealthkassessmentkperformedkbykthe
knurse.kTheknursekshouldkdescribekthekfactkthatktheknursingkassessmentkfocuseskonkwh
ichkaspectkofkthekclient'sksituation?
A) Currentkphysiologickstatus
B) Effectkofkhealthkonkfunctionalkstatus
, 2
C) Pastkmedicalkhistory
D) Motivationkforkadherencektoktreatment
B) Effectkofkhealthkonkfunctionalkstatus
7. Afterkteachingkakgroupkofkstudentskaboutkthekphaseskofktheknursingkprocess,kthekinstr
uctorkdetermineskthatkthekteachingkwasksuccessfulkwhenkthekstudentskidentifykwhichkph
asekaskbeingkfoundationalktokallkotherkphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Theknursekhaskcompletedkthekcomprehensivekhealthkassessmentkofkakclientkwhokhas
kbeenkadmittedkforkthektreatmentkofkcommunity-
acquiredkpneumonia.kFollowingkthekcompletionkofkthiskassessment,ktheknursekperiodic
allykperformskakpartialkassessmentkprimarilykforkwhichkreason?
A) Reassesskpreviouslykdetectedkproblems
B) Providekinformationkforkthekclient'skrecord
C) Addresskareaskpreviouslykomitted
D) Determinekthekneedkforkcrisiskintervention
A) Reassesskpreviouslykdetectedkproblems
9. Theknursekiskworkingkinkankambulatorykcarekclinickthatkisklocatedkinkakbusy,kinner-
citykneighborhood.kWhichkclientkwouldktheknursekdeterminektokbekinkmostkneedkofkanke
mergencykassessment?
A) Ak14-year-oldkgirlkwhokiskcryingkbecausekshekthinkskshekiskpregnant
B) Ak45-year-oldkmankwithkchestkpainkandkdiaphoresiskfork1khour
C) Ak3-year-oldkchildkwithkfever,krash,kandksorekthroat
D) Ak20-year-oldkmankwithkak3-inchkshallowklacerationkonkhiskleg
B) Ak45-year-oldkmankwithkchestkpainkandkdiaphoresiskfork1khour
10. Aknursekhaskcompletedkgatheringksomekbasickdatakaboutkakclientkwhokhaskmultiplek
healthkproblemskthatkstemkfromkheavykalcoholkuse.kTheknursekhaskthenkreflectedkonkher
kpersonalkfeelingskaboutkthekclientkandkhiskcircumstances.kTheknursekdoeskthiskprimaril
yktokaccomplishkwhichkofkthekfollowing?
A) Determinekifkpertinentkdatakhaskbeenkomitted
B) Identifykthekneedkforkreferral
C) Avoidkbiaseskandkjudgments
D) Constructkakplankofkcare
C) Avoidkbiaseskandkjudgments
11. Theknursekiskcollectingkdatakfromkakclientkwhokhaskrecentlykbeenkdiagnosedkwithktyp
ek1kdiabeteskandkwhokwillkbeginkankeducationalkprogram.kTheknursekiskcollectingk subjec
tivekandkobjectivekdata.kWhichkofkthekfollowingkwouldktheknursekcategorizekaskobjectivek
data?
A) Familykhistory
B) Occupation
C) Appearance
D) Historykofkpresentkhealthkconcern
C)kAppearance
12. Ankolderkadultkclientkhaskbeenkadmittedktokthekhospitalkwithkfailurektokthrivekresulting
kfromkcomplicationskofkdiabetes.kWhichkofkthekfollowingkwouldktheknursekimplementkinkr
esponsektokakcollaborativekproblem?
A) Encouragekthekclientktokincreasekoralkfluidkintake.
B) Providekthekclientkwithkakbedtimekproteinksnack.
C) Assistkthekclientkwithkpersonalkhygiene.
D) Measurekthekclient'skbloodkglucosekfourktimeskdaily.
D)kMeasurekthekclient'skbloodkglucosekfourktimeskdaily.
13. Theknursekatkakbusykprimarykcarekclinickiskanalyzingkthekdatakobtainedkfromkthe
, 3
A) Ank80-year-oldkclientkwhokliveskwithkherkdaughter
B) Ak50-year-oldkclientknewlykdiagnosedkwithkdiabetes
C) Ankadultkpresentingkforkankinfluenzakvaccination
D) Akteenagerkseekingkinformationkaboutkcontraception
B) Ak50-year-oldkclientknewlykdiagnosedkwithkdiabetes
14. Ankinstructorkiskreviewingkthekevolutionkofktheknurse'skrolekinkhealthkassessment.kThe
kinstructorkdetermineskthatkthekteachingkwasksuccessfulkwhenkthekstudentskidentifykwhic
hkofkthekfollowingkaskthekmajorkmethodkusedkbyknurseskearlykinkthekhistorykofkthekprofes
sion?
A) Naturalksenses
B) Biomedicalkknowledge
C) Simplektechnology
D) Criticalkpathways
A) Naturalksenses
15. Whenkdescribingkthekexpansionkofkthekdepthkandkscopekofknursingkassessmentkover
kthekpastkseveralkdecades,kwhichkofkthekfollowingkwouldktheknursekidentifykaskbeingkthek
primarykforce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Publickmistrustkofkphysicians
16. Akgroupkofknurseskarekreviewingkinformationkaboutkthekpotentialkopportunitieskforkn
urseskwhokhavekadvancedkassessmentkskills.kWhenkdiscussingkphenomenakthatkhavek
contributedktokthesekincreasedkopportunities,kwhatkshouldktheknurseskidentify?
A) Expansionkofkhealthkcareknetworks
B) Decreasekinkclientkparticipationkinkcare
C) Thekshrinkingkcostkofkmedicalkcare
D) Publickmistrustkofkphysicians
A) Expansionkofkhealthkcareknetworks
17. Aknursekhaskdocumentedkthekfindingskofkakcomprehensivekassessmentkofkaknew
kclient.kWhatkiskthekprimarykrationalekthatktheknursekshouldkidentifykforkaccuratekand
kthoroughkdocumentation?
A) Guaranteeingkakcontinualkassessmentkprocess
B) Identifyingkabnormalkdata
C) Assuringkvalidkconclusionskfromkanalyzedkdata
D) Allowingkforkdrawingkinferenceskandkidentifyingkproblems
C) Assuringkvalidkconclusionskfromkanalyzedkdata
18. Aknursekhaskreceivedkakreportkonkakclientkwhokwillksoonkbekadmittedktokthekmedical
kunitkfromkthekemergencykdepartment.kWhenkpreparingkforkthekassessmentkphasekofkth
eknursingkprocess,kwhichkofkthekfollowingkshouldktheknursekdokfirst?
A) Collectkobjectivekdata.
B) Validatekimportantkdata.
C) Collectksubjectivekdata.
D) Documentkthekdata.
C)kCollectksubjectivekdata.
19. Akcommunitykhealthknursekiskassessingkankolderkadultkclientkinkthekclient'skhome.
kWhenktheknursekiskgatheringksubjectivekdata,kwhichkofkthekfollowingkwouldktheknurs
ekidentify?
A) Thekclient'skfeelingskofkhappiness
B) Thekclient'skposture
C) Thekclient'skaffect
D) Thekclient'skbehavior
A) Thekclient'skfeelingskofkhappiness
20. Aknursekonkthekhospital'sksubacutekmedicalkunitkiskplanningktokperformkakclient's
