HEALTH ASSESSMENT IN NURSING
8TH EDITION
• AUTHOR(S)JANET R. WEBER, JANE
HARMON KELLEY-LANDAETA
TEST BANK
1
Reference
Ch. 1 — The Nurse’s Role in Health Assessment — Unit 1:
Nursing Data Collection, Documentation, and Analysis
Stem
A 68-year-old male is admitted for elective hernia repair. During
the initial nursing health assessment, he reports chronic cough
and notes he smokes one pack per day. Which nursing action
best reflects the nurse’s role in comprehensive data collection
at this point?
A. Record the smoking history and plan to teach smoking
cessation postoperatively.
B. Document the smoking history and notify the surgeon
,because smoking contraindicates the procedure.
C. Record the smoking history, ask follow-up questions about
cough characteristics, and inspect the respiratory rate and
effort.
D. Note the smoking history and proceed directly to
preoperative teaching about activity restrictions.
Correct answer: C
Rationales
Correct (C): The nurse’s role includes comprehensive data
collection: recording subjective data (smoking, cough), asking
focused follow-up questions to clarify symptoms, and
performing targeted objective assessment (respiratory rate,
effort). This integrates history and physical findings to inform
risk assessment and perioperative planning. It exemplifies
application of clinical judgment to gather additional relevant
data before planning interventions.
A: Teaching is important but premature; first complete focused
assessment to characterize the cough and respiratory status.
B: Notifying the surgeon without assessment omits data
necessary for risk communication; smoking is a risk factor but
not an automatic contraindication.
D: Proceeding directly to teaching skips necessary symptom
clarification and objective assessment that could change
perioperative risk.
,Teaching point
Collect subjective + focused objective data before planning
interventions or notifications.
Citation
Weber, J. R., & Kelley-Landaeta, J. H. (2025). Health Assessment
in Nursing (8th ed.). Ch. 1.
2
Reference
Ch. 1 — The Nurse’s Role in Health Assessment — Unit 1:
Nursing Data Collection, Documentation, and Analysis
Stem
During a wellness visit, a 24-year-old woman mentions
occasional palpitations when stressed. The nurse documents
the subjective description but notes no palpitations during the
visit and normal vital signs. Which statement illustrates
appropriate nursing analysis of the data?
A. Treat the palpitations as nonurgent because none were
present during the exam.
B. Interpret palpitations as a potential anxiety-related symptom
and plan targeted screening questions and further assessment.
C. Diagnose anxiety related to palpitations and begin teaching
relaxation techniques.
D. Ignore the report because it conflicts with objective findings
and focus on measurable signs.
, Correct answer: B
Rationales
Correct (B): Nursing analysis synthesizes subjective reports with
objective findings; intermittent symptoms warrant targeted
screening (timing, triggers, associated symptoms) and further
assessment rather than dismissal. This approach is within
nursing scope and guides appropriate referrals or diagnostics.
A: Labeling as nonurgent solely because not observed is
unsafe—intermittent symptoms can indicate important
conditions.
C: Making a medical diagnosis (anxiety) exceeds nursing
assessment scope without further evaluation and is premature.
D: Ignoring subjective data contradicts comprehensive
assessment principles; subjective symptoms guide focused
objective evaluation.
Teaching point
Intermittent symptoms require focused history and targeted
assessment, not dismissal.
Citation
Weber, J. R., & Kelley-Landaeta, J. H. (2025). Health Assessment
in Nursing (8th ed.). Ch. 1.
3
8TH EDITION
• AUTHOR(S)JANET R. WEBER, JANE
HARMON KELLEY-LANDAETA
TEST BANK
1
Reference
Ch. 1 — The Nurse’s Role in Health Assessment — Unit 1:
Nursing Data Collection, Documentation, and Analysis
Stem
A 68-year-old male is admitted for elective hernia repair. During
the initial nursing health assessment, he reports chronic cough
and notes he smokes one pack per day. Which nursing action
best reflects the nurse’s role in comprehensive data collection
at this point?
A. Record the smoking history and plan to teach smoking
cessation postoperatively.
B. Document the smoking history and notify the surgeon
,because smoking contraindicates the procedure.
C. Record the smoking history, ask follow-up questions about
cough characteristics, and inspect the respiratory rate and
effort.
D. Note the smoking history and proceed directly to
preoperative teaching about activity restrictions.
Correct answer: C
Rationales
Correct (C): The nurse’s role includes comprehensive data
collection: recording subjective data (smoking, cough), asking
focused follow-up questions to clarify symptoms, and
performing targeted objective assessment (respiratory rate,
effort). This integrates history and physical findings to inform
risk assessment and perioperative planning. It exemplifies
application of clinical judgment to gather additional relevant
data before planning interventions.
A: Teaching is important but premature; first complete focused
assessment to characterize the cough and respiratory status.
B: Notifying the surgeon without assessment omits data
necessary for risk communication; smoking is a risk factor but
not an automatic contraindication.
D: Proceeding directly to teaching skips necessary symptom
clarification and objective assessment that could change
perioperative risk.
,Teaching point
Collect subjective + focused objective data before planning
interventions or notifications.
Citation
Weber, J. R., & Kelley-Landaeta, J. H. (2025). Health Assessment
in Nursing (8th ed.). Ch. 1.
2
Reference
Ch. 1 — The Nurse’s Role in Health Assessment — Unit 1:
Nursing Data Collection, Documentation, and Analysis
Stem
During a wellness visit, a 24-year-old woman mentions
occasional palpitations when stressed. The nurse documents
the subjective description but notes no palpitations during the
visit and normal vital signs. Which statement illustrates
appropriate nursing analysis of the data?
A. Treat the palpitations as nonurgent because none were
present during the exam.
B. Interpret palpitations as a potential anxiety-related symptom
and plan targeted screening questions and further assessment.
C. Diagnose anxiety related to palpitations and begin teaching
relaxation techniques.
D. Ignore the report because it conflicts with objective findings
and focus on measurable signs.
, Correct answer: B
Rationales
Correct (B): Nursing analysis synthesizes subjective reports with
objective findings; intermittent symptoms warrant targeted
screening (timing, triggers, associated symptoms) and further
assessment rather than dismissal. This approach is within
nursing scope and guides appropriate referrals or diagnostics.
A: Labeling as nonurgent solely because not observed is
unsafe—intermittent symptoms can indicate important
conditions.
C: Making a medical diagnosis (anxiety) exceeds nursing
assessment scope without further evaluation and is premature.
D: Ignoring subjective data contradicts comprehensive
assessment principles; subjective symptoms guide focused
objective evaluation.
Teaching point
Intermittent symptoms require focused history and targeted
assessment, not dismissal.
Citation
Weber, J. R., & Kelley-Landaeta, J. H. (2025). Health Assessment
in Nursing (8th ed.). Ch. 1.
3
