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 — Purpose &
Scope of Assessment
Stem
A 68-year-old man is admitted for elective hip replacement.
During the preoperative nursing assessment you note he uses a
cane, reports occasional dizziness when standing, and lists two
prescription medications. Which nursing action best reflects the
primary purpose of the comprehensive preoperative health
assessment?
A. Complete a head-to-toe physical to identify any medical
diagnoses requiring treatment.
,B. Gather baseline data to detect current and potential
problems that affect nursing care.
C. Perform focused assessment only on musculoskeletal and
cardiovascular systems.
D. Document only information required by the surgeon and
anesthesiologist.
Correct answer: B
Rationale — Correct (B)
The primary purpose of a comprehensive preoperative
assessment is to establish baseline data and identify current
and potential problems that will affect nursing care and
perioperative planning. This includes functional status and risk
factors such as dizziness that may alter mobility and safety.
Nursing assessment emphasizes detection and planning rather
than making medical diagnoses.
Rationale — Incorrect
A: Overemphasizes diagnosing; nursing assessment identifies
findings that inform care and referrals.
C: Focused assessment would miss other relevant baseline
issues (e.g., dizziness, medication interactions).
D: Documentation limited to surgeon/anesthesiologist neglects
nursing priorities and safety data.
Teaching point
Baseline data identify risks and guide individualized nursing care
and safety planning.
,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 — Subjective vs.
Objective Data
Stem
During a home visit, a 22-year-old woman reports “feeling very
tired lately” and shows pale conjunctiva on inspection. Which
combination best represents subjective and objective data for
the nursing record?
A. Subjective: pale conjunctiva; Objective: feeling very tired.
B. Subjective: vital signs; Objective: patient report of fatigue.
C. Subjective: patient report of fatigue; Objective: pale
conjunctiva on inspection.
D. Subjective: family history; Objective: social history.
Correct answer: C
Rationale — Correct (C)
Subjective data are the patient’s verbal reports (fatigue).
Objective data are observable or measurable findings (pale
conjunctiva). Correct classification supports accurate
documentation and guides further assessment (e.g.,
hemoglobin check).
, Rationale — Incorrect
A: Reverses subjective/objective definitions.
B: Misclassifies vital signs (objective) and patient report
(subjective).
D: Vague pairing; both family and social history are
subjective/history data, not clear objective findings.
Teaching point
Record patient-reported symptoms as subjective; observable
signs are objective and require measurement when possible.
Citation
Weber, J. R., & Kelley-Landaeta, J. H. (2025). Health Assessment
in Nursing (8th ed.). Ch. 1.
3
Reference
Ch. 1 — The Nurse’s Role in Health Assessment — Sources of
Data & Validation
Stem
A confused 82-year-old patient in the ED gives inconsistent
medication histories. The nurse’s next best action is to:
A. Accept the patient’s report and proceed with planned care.
B. Contact the family, review the medication bottle, and check
the electronic health record to validate information.
C. Withhold all medications until the patient can remember
them.
8TH EDITION
• AUTHOR(S)JANET R. WEBER, JANE
HARMON KELLEY-LANDAETA
TEST BANK
1
Reference
Ch. 1 — The Nurse’s Role in Health Assessment — Purpose &
Scope of Assessment
Stem
A 68-year-old man is admitted for elective hip replacement.
During the preoperative nursing assessment you note he uses a
cane, reports occasional dizziness when standing, and lists two
prescription medications. Which nursing action best reflects the
primary purpose of the comprehensive preoperative health
assessment?
A. Complete a head-to-toe physical to identify any medical
diagnoses requiring treatment.
,B. Gather baseline data to detect current and potential
problems that affect nursing care.
C. Perform focused assessment only on musculoskeletal and
cardiovascular systems.
D. Document only information required by the surgeon and
anesthesiologist.
Correct answer: B
Rationale — Correct (B)
The primary purpose of a comprehensive preoperative
assessment is to establish baseline data and identify current
and potential problems that will affect nursing care and
perioperative planning. This includes functional status and risk
factors such as dizziness that may alter mobility and safety.
Nursing assessment emphasizes detection and planning rather
than making medical diagnoses.
Rationale — Incorrect
A: Overemphasizes diagnosing; nursing assessment identifies
findings that inform care and referrals.
C: Focused assessment would miss other relevant baseline
issues (e.g., dizziness, medication interactions).
D: Documentation limited to surgeon/anesthesiologist neglects
nursing priorities and safety data.
Teaching point
Baseline data identify risks and guide individualized nursing care
and safety planning.
,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 — Subjective vs.
Objective Data
Stem
During a home visit, a 22-year-old woman reports “feeling very
tired lately” and shows pale conjunctiva on inspection. Which
combination best represents subjective and objective data for
the nursing record?
A. Subjective: pale conjunctiva; Objective: feeling very tired.
B. Subjective: vital signs; Objective: patient report of fatigue.
C. Subjective: patient report of fatigue; Objective: pale
conjunctiva on inspection.
D. Subjective: family history; Objective: social history.
Correct answer: C
Rationale — Correct (C)
Subjective data are the patient’s verbal reports (fatigue).
Objective data are observable or measurable findings (pale
conjunctiva). Correct classification supports accurate
documentation and guides further assessment (e.g.,
hemoglobin check).
, Rationale — Incorrect
A: Reverses subjective/objective definitions.
B: Misclassifies vital signs (objective) and patient report
(subjective).
D: Vague pairing; both family and social history are
subjective/history data, not clear objective findings.
Teaching point
Record patient-reported symptoms as subjective; observable
signs are objective and require measurement when possible.
Citation
Weber, J. R., & Kelley-Landaeta, J. H. (2025). Health Assessment
in Nursing (8th ed.). Ch. 1.
3
Reference
Ch. 1 — The Nurse’s Role in Health Assessment — Sources of
Data & Validation
Stem
A confused 82-year-old patient in the ED gives inconsistent
medication histories. The nurse’s next best action is to:
A. Accept the patient’s report and proceed with planned care.
B. Contact the family, review the medication bottle, and check
the electronic health record to validate information.
C. Withhold all medications until the patient can remember
them.
