Test.Bank.for.Health.Assessment.in.Nursing.7th.
Edition.by.Janet.R.Weber.and.Jane.H.Kelley.Fully.Covere
d.
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.1.A.nurse.on.a.postsurgical.unit.is.admitting.a.client.following.the.client's....................cholecystectomy.
(gall.bladder.removal)..What.is.the.overall.purpose.of.assessment.for.this.
Page.1.
.
,client?.
A) Collecting.accurate.data.
B) Assisting.the.primary.care.provider.
C) Validating.previous.data.
D) Making.clinical.judgments.
.
.
2..A.client.has.presented.to.the.emergency.department.(ED).with.complaints.of.abdominal.pai
n..Which.member.of.the.care.team.would.most.likely.be.responsible.for.collecting.the.subje
ctive.data.on.the.client.during.the.initial.comprehensive.assessment?.
A) Gastroenterologist.
B) ED.nurse.
C) Admissions.clerk.
D) Diagnostic.technician.
.
.
3..The.nurse.has.completed.an.initial.assessment.of.a.newly.admitted.client.and.is.applying.the.
nursing.process.to.plan.the.client's.care..What.principle.should.the.nurse.apply.when.using.t
he.nursing.process?.
A) Each.step.is.independent.of.the.others..
B) It.is.ongoing.and.continuous..
C) It.is.used.primarily.in.acute.care.settings..
D) It.involves.independent.nursing.actions..
.
.
4..The.nurse.who.provides.care.at.an.ambulatory.clinic.is.preparing.to.meet.a.client.and.perform.
a.comprehensive.health.assessment..Which.of.the.following.actions.should.the.nurse.perfor
m.first?.
A) Review.the.client's.medical.record..
B) Obtain.basic.biographic.data..
C) Consult.clinical.resources.explaining.the.client's.diagnosis..
D) Validate.information.with.the.client..
.
.
5..Which.of.the.following.client.situations.would.the.nurse.interpret.as.requiring.an.emergency.
assessment?.
A) A.pediatric.client.with.severe.sunburn.
B) A.client.needing.an.employment.physical.
C) A.client.who.overdosed.on.acetaminophen.
D) A.distraught.client.who.wants.a.pregnancy.test.
6..In.response.to.a.client's.query,.the.nurse.is.explaining.the.differences.between.the.physician's.
medical.exam.and.the.comprehensive.health.assessment.performed.by.the.nurse..The.nurse.s
hould.describe.the.fact.that.the.nursing.assessment.focuses.on.which.aspect.of.the.client's.sit
uation?.
A) Current.physiologic.status.
B) Effect.of.health.on.functional.status.
C) Past.medical.history.
D) Motivation.for.adherence.to.treatment.
Page.1.
.
,.
.
7..After.teaching.a.group.of.students.about.the.phases.of.the.nursing.process,.the.instructor.deter
mines.that.the.teaching.was.successful.when.the.students.identify.which.phase.as.being.foun
dational.to.all.other.phases?.
A) Assessment.
B) Planning.
C) Implementation.
D) Evaluation.
.
.
8..The.nurse.has.completed.the.comprehensive.health.assessment.of.a.client.who.has.been.adm
itted.for.the.treatment.of.community-
acquired.pneumonia..Following.the.completion.of.this.assessment,.the.nurse.periodically.p
erforms.a.partial.assessment.primarily.for.which.reason?.
A) Reassess.previously.detected.problems.
B) Provide.information.for.the.client's.record.
C) Address.areas.previously.omitted.
D) Determine.the.need.for.crisis.intervention.
.
.
9..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.em
ergency.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.
Page.1.
.
, 10..A.nurse.has.completed.gathering.some.basic.data.about.a.client.who.has.multiple.health.pro
blems.that.stem.from.heavy.alcohol.use..The.nurse.has.then.reflected.on.her.personal.feelin
gs.about.the.client.and.his.circumstances..The.nurse.does.this.primarily.to.accomplish.whi
ch.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.
.
.
11..The.nurse.is.collecting.data.from.a.client.who.has.recently.been.diagnosed.with.type.1.diabe
tes.and.who.will.begin.an.educational.program..The.nurse.is.collecting.subjective.and.obje
ctive.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.
.
.
12..An.older.adult.client.has.been.admitted.to.the.hospital.with.failure.to.thrive.resulting.from.c
omplications.of.diabetes..Which.of.the.following.would.the.nurse.implement.in.response.t
o.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..
.
.
13..The.nurse.at.a.busy.primary.care.clinic.is.analyzing.the.data.obtained.from.the.following.cli
ents..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.
.
.
14..An.instructor.is.reviewing.the.evolution.of.the.nurse's.role.in.health.assessment..The.instruc
tor.determines.that.the.teaching.was.successful.when.the.students.identify.which.of.the.foll
owing.as.the.major.method.used.by.nurses.early.in.the.history.of.the.
profession?.
A) Natural.senses.
B) Biomedical.knowledge.
C) Simple.technology.
Page.3.
.
..
Edition.by.Janet.R.Weber.and.Jane.H.Kelley.Fully.Covere
d.
.
.
.
.
.
.
.
.
.1.A.nurse.on.a.postsurgical.unit.is.admitting.a.client.following.the.client's....................cholecystectomy.
(gall.bladder.removal)..What.is.the.overall.purpose.of.assessment.for.this.
Page.1.
.
,client?.
A) Collecting.accurate.data.
B) Assisting.the.primary.care.provider.
C) Validating.previous.data.
D) Making.clinical.judgments.
.
.
2..A.client.has.presented.to.the.emergency.department.(ED).with.complaints.of.abdominal.pai
n..Which.member.of.the.care.team.would.most.likely.be.responsible.for.collecting.the.subje
ctive.data.on.the.client.during.the.initial.comprehensive.assessment?.
A) Gastroenterologist.
B) ED.nurse.
C) Admissions.clerk.
D) Diagnostic.technician.
.
.
3..The.nurse.has.completed.an.initial.assessment.of.a.newly.admitted.client.and.is.applying.the.
nursing.process.to.plan.the.client's.care..What.principle.should.the.nurse.apply.when.using.t
he.nursing.process?.
A) Each.step.is.independent.of.the.others..
B) It.is.ongoing.and.continuous..
C) It.is.used.primarily.in.acute.care.settings..
D) It.involves.independent.nursing.actions..
.
.
4..The.nurse.who.provides.care.at.an.ambulatory.clinic.is.preparing.to.meet.a.client.and.perform.
a.comprehensive.health.assessment..Which.of.the.following.actions.should.the.nurse.perfor
m.first?.
A) Review.the.client's.medical.record..
B) Obtain.basic.biographic.data..
C) Consult.clinical.resources.explaining.the.client's.diagnosis..
D) Validate.information.with.the.client..
.
.
5..Which.of.the.following.client.situations.would.the.nurse.interpret.as.requiring.an.emergency.
assessment?.
A) A.pediatric.client.with.severe.sunburn.
B) A.client.needing.an.employment.physical.
C) A.client.who.overdosed.on.acetaminophen.
D) A.distraught.client.who.wants.a.pregnancy.test.
6..In.response.to.a.client's.query,.the.nurse.is.explaining.the.differences.between.the.physician's.
medical.exam.and.the.comprehensive.health.assessment.performed.by.the.nurse..The.nurse.s
hould.describe.the.fact.that.the.nursing.assessment.focuses.on.which.aspect.of.the.client's.sit
uation?.
A) Current.physiologic.status.
B) Effect.of.health.on.functional.status.
C) Past.medical.history.
D) Motivation.for.adherence.to.treatment.
Page.1.
.
,.
.
7..After.teaching.a.group.of.students.about.the.phases.of.the.nursing.process,.the.instructor.deter
mines.that.the.teaching.was.successful.when.the.students.identify.which.phase.as.being.foun
dational.to.all.other.phases?.
A) Assessment.
B) Planning.
C) Implementation.
D) Evaluation.
.
.
8..The.nurse.has.completed.the.comprehensive.health.assessment.of.a.client.who.has.been.adm
itted.for.the.treatment.of.community-
acquired.pneumonia..Following.the.completion.of.this.assessment,.the.nurse.periodically.p
erforms.a.partial.assessment.primarily.for.which.reason?.
A) Reassess.previously.detected.problems.
B) Provide.information.for.the.client's.record.
C) Address.areas.previously.omitted.
D) Determine.the.need.for.crisis.intervention.
.
.
9..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.em
ergency.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.
Page.1.
.
, 10..A.nurse.has.completed.gathering.some.basic.data.about.a.client.who.has.multiple.health.pro
blems.that.stem.from.heavy.alcohol.use..The.nurse.has.then.reflected.on.her.personal.feelin
gs.about.the.client.and.his.circumstances..The.nurse.does.this.primarily.to.accomplish.whi
ch.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.
.
.
11..The.nurse.is.collecting.data.from.a.client.who.has.recently.been.diagnosed.with.type.1.diabe
tes.and.who.will.begin.an.educational.program..The.nurse.is.collecting.subjective.and.obje
ctive.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.
.
.
12..An.older.adult.client.has.been.admitted.to.the.hospital.with.failure.to.thrive.resulting.from.c
omplications.of.diabetes..Which.of.the.following.would.the.nurse.implement.in.response.t
o.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..
.
.
13..The.nurse.at.a.busy.primary.care.clinic.is.analyzing.the.data.obtained.from.the.following.cli
ents..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.
.
.
14..An.instructor.is.reviewing.the.evolution.of.the.nurse's.role.in.health.assessment..The.instruc
tor.determines.that.the.teaching.was.successful.when.the.students.identify.which.of.the.foll
owing.as.the.major.method.used.by.nurses.early.in.the.history.of.the.
profession?.
A) Natural.senses.
B) Biomedical.knowledge.
C) Simple.technology.
Page.3.
.
..