Health Assessment Answered test bank
Chapter 01: Evidence-Based Assessment
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of
data would be:
a. Objective.
2. A patient tells the nurse that he is very nervous, is nauseated, and “feels
hot.” These types of data would be:
a. Subjective.
3. The patient’s record, laboratory studies, objective data, and subjective
data combine to form the:
a. Data base.
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that
is heard. The nurse’s next action should be to:
a. Validate the data by asking a coworker to listen to the breath sounds.
5. The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a background
of skills and experience from which to draw, are more likely to make their
decisions using:
a. A set of rules.
6. Expert nurses learn to attend to a pattern of assessment data and act
without consciously labeling it. These responses are referred to as:
a. Intuition.
7. The nurse is reviewing information about evidence-based practice (EBP).
Which statement best reflects EBP?
a. EBP emphasizes the use of best evidence with the clinician’s experience.
8. The nurse is conducting a class on priority setting for a group of new graduate
nurses. Which is an example of a first-level priority problem?
a. Individual with shortness of breath and respiratory distress
9. When considering priority setting of problems, the nurse keeps in mind that
second-level priority problems include which of these aspects?
a. Abnormal laboratory values
10. Which critical thinking skill helps the nurse see relationships among the data?
a. Clustering related cues
11. The nurse knows that developing appropriate nursing interventions for a patient
relies on the appropriateness of the diagnosis.
a. Nursing
12. The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
a. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation
13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems?
a. Breathing, pain, and sleep
14. Which of these would be formulated by a nurse using diagnostic reasoning?
a. Diagnostic hypothesis
,1
, 15. Barriers to incorporating EBP include:
a. Nurses’ lack of research skills in evaluating the quality of research studies.
16. What step of the nursing process includes data collection by health
history, physical examination, and interview?
a. Assessment
17. During a staff meeting, nurses discuss the problems with accessing research
studies to incorporate evidence-based clinical decision making into their practice.
Which suggestion by the nurse manager would best help these problems?
a. Teach the nurses how to conduct electronic searches for research studies.
18. When reviewing the concepts of health, the nurse recalls that the components of
holistic health include which of these?
a. Holistic health views the mind, body, and spirit as interdependent.
19. The nurse recognizes that the concept of prevention in describing health is
essential because:
a. Prevention places the emphasis on the link between health and personal
behavior.
20. The nurse is performing a physical assessment on a newly admitted patient.
An example of objective information obtained during the physical assessment
includes the:
a. 2 5 cm scar on the right lower forearm.
21. A visiting nurse is making an initial home visit for a patient who has many
chronic medical problems. Which type of data base is most appropriate to
collect in this setting?
a. A follow-up data base to evaluate changes at appropriate intervals
b. An episodic data base because of the continuing, complex medical
problems of this patient
c. A complete health data base because of the nurse’s primary responsibility
for monitoring the patient’s health
d. An emergency data base because of the need to collect information
and make accurate diagnoses rapidly
22. Which situation is most appropriate during which the nurse performs a focused
or problem-centered history?
a. Patient is admitted to the hospital for surgery the following day.
b. Patient in an outpatient clinic has cold and influenza-like symptoms.
23. A patient is at the clinic to have her blood pressure checked. She has been coming
to the clinic weekly since she changed medications 2 months ago. The nurse
should:
a. Collect a follow-up data base and then check her blood pressure.
24. A patient is brought by ambulance to the emergency department with multiple
traumas received in an automobile accident. He is alert and cooperative, but his
injuries are quite severe. How would the nurse proceed with data collection?
a. Simultaneously ask history questions while performing the
examination and initiating life-saving measures.
25. A 42-year-old patient of Asian descent is being seen at the clinic for an initial
examination. The nurse knows that including cultural information in his
health assessment is important to:
2
Chapter 01: Evidence-Based Assessment
1. After completing an initial assessment of a patient, the nurse has charted that his
respirations are eupneic and his pulse is 58 beats per minute. These types of
data would be:
a. Objective.
2. A patient tells the nurse that he is very nervous, is nauseated, and “feels
hot.” These types of data would be:
a. Subjective.
3. The patient’s record, laboratory studies, objective data, and subjective
data combine to form the:
a. Data base.
4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that
is heard. The nurse’s next action should be to:
a. Validate the data by asking a coworker to listen to the breath sounds.
5. The nurse is conducting a class for new graduate nurses. During the teaching
session, the nurse should keep in mind that novice nurses, without a background
of skills and experience from which to draw, are more likely to make their
decisions using:
a. A set of rules.
6. Expert nurses learn to attend to a pattern of assessment data and act
without consciously labeling it. These responses are referred to as:
a. Intuition.
7. The nurse is reviewing information about evidence-based practice (EBP).
Which statement best reflects EBP?
a. EBP emphasizes the use of best evidence with the clinician’s experience.
8. The nurse is conducting a class on priority setting for a group of new graduate
nurses. Which is an example of a first-level priority problem?
a. Individual with shortness of breath and respiratory distress
9. When considering priority setting of problems, the nurse keeps in mind that
second-level priority problems include which of these aspects?
a. Abnormal laboratory values
10. Which critical thinking skill helps the nurse see relationships among the data?
a. Clustering related cues
11. The nurse knows that developing appropriate nursing interventions for a patient
relies on the appropriateness of the diagnosis.
a. Nursing
12. The nursing process is a sequential method of problem solving that nurses use and
includes which steps?
a. Assessment, diagnosis, outcome identification, planning,
implementation, and evaluation
13. A newly admitted patient is in acute pain, has not been sleeping well lately, and is
having difficulty breathing. How should the nurse prioritize these problems?
a. Breathing, pain, and sleep
14. Which of these would be formulated by a nurse using diagnostic reasoning?
a. Diagnostic hypothesis
,1
, 15. Barriers to incorporating EBP include:
a. Nurses’ lack of research skills in evaluating the quality of research studies.
16. What step of the nursing process includes data collection by health
history, physical examination, and interview?
a. Assessment
17. During a staff meeting, nurses discuss the problems with accessing research
studies to incorporate evidence-based clinical decision making into their practice.
Which suggestion by the nurse manager would best help these problems?
a. Teach the nurses how to conduct electronic searches for research studies.
18. When reviewing the concepts of health, the nurse recalls that the components of
holistic health include which of these?
a. Holistic health views the mind, body, and spirit as interdependent.
19. The nurse recognizes that the concept of prevention in describing health is
essential because:
a. Prevention places the emphasis on the link between health and personal
behavior.
20. The nurse is performing a physical assessment on a newly admitted patient.
An example of objective information obtained during the physical assessment
includes the:
a. 2 5 cm scar on the right lower forearm.
21. A visiting nurse is making an initial home visit for a patient who has many
chronic medical problems. Which type of data base is most appropriate to
collect in this setting?
a. A follow-up data base to evaluate changes at appropriate intervals
b. An episodic data base because of the continuing, complex medical
problems of this patient
c. A complete health data base because of the nurse’s primary responsibility
for monitoring the patient’s health
d. An emergency data base because of the need to collect information
and make accurate diagnoses rapidly
22. Which situation is most appropriate during which the nurse performs a focused
or problem-centered history?
a. Patient is admitted to the hospital for surgery the following day.
b. Patient in an outpatient clinic has cold and influenza-like symptoms.
23. A patient is at the clinic to have her blood pressure checked. She has been coming
to the clinic weekly since she changed medications 2 months ago. The nurse
should:
a. Collect a follow-up data base and then check her blood pressure.
24. A patient is brought by ambulance to the emergency department with multiple
traumas received in an automobile accident. He is alert and cooperative, but his
injuries are quite severe. How would the nurse proceed with data collection?
a. Simultaneously ask history questions while performing the
examination and initiating life-saving measures.
25. A 42-year-old patient of Asian descent is being seen at the clinic for an initial
examination. The nurse knows that including cultural information in his
health assessment is important to:
2
