Test Bank - Health Assessment in Nursing 7th Edition by Janet R. Weber, (All Chapters Included 1-34)

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Test Bank: Assessment in Nursing 7th Edition by Janet R. Weber; Jane H.
Kelley

Chapter 1: The Nurse’s Role in Health Assessment

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,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,pain
.,Which,member,of,the,care,team,would,most,likely,be,responsible,for,collecting,the,subjecti
ve,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,n
ursing,process,to,plan,the,client's,care.,What,principle,should,the,nurse,apply,when,using,the,
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,perfor
m,a,comprehensive,health,assessment.,Which,of,the,following,actions,should,the,nurse,perf
orm,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,eme
rgency,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

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6. In,response,to,a,client's,query,,the,nurse,is,explaining,the,differences,between,the,physicia
n's,medical,exam,and,the,comprehensive,health,assessment,performed,by,the,nurse.,The,n
urse,should,describe,the,fact,that,the,nursing,assessment,focuses,on,which,aspect,of,the,clie
nt's,situation?
A) Current,physiologic,status
B) Effect,of,health,on,functional,status
C) Past,medical,history
D) Motivation,for,adherence,to,treatment


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,emer
gency,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

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10. A,nurse,has,completed,gathering,some,basic,data,about,a,client,who,has,multiple,health,probl
ems,that,stem,from,heavy,alcohol,use.,The,nurse,has,then,reflected,on,her,personal,feelings,ab
out,the,client,and,his,circumstances.,The,nurse,does,this,primarily,to,accomplish,which,of,th
e,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,diabete
s,and,who,will,begin,an,educational,program.,The,nurse,is,collecting,subjective,and,objectiv
e,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,
complications,of,diabetes.,Which,of,the,following,would,the,nurse,implement,in,response,
to,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,
clients.,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,follo
wing,as,the,major,method,used,by,nurses,early,in,the,history,of,the,profession?
A) Natural,senses
B) Biomedical,knowledge
C) Simple,technology
D) Critical,pathways