TestBankforHealthAssessmentinNursing7th
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Edition by Janet RWeberand Jane H Kelley
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FullyCovered
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Page
,1 A nurse on a postsurgical unit is admitting a client following the client's
s s s s s s s s s s s s s s s s s s s s s s s s s s
cholecystectomy (gall bladder removal). What is the overall purpose of
ss s s s s s s s s s s s s s s s s s s
assessment forthisclient?
s s ss
A) Collecting accurate data s s s s
B) Assisting the primary care provider ss s s ss s s
C) Validating previous data ss ss
D) Making clinical judgments
ss gg gg
2. A client has presented to the emergency department (ED) with complaints of
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abdominal pain. Which member of the care team would most likely be
ss gg s s s s s s s s s s s s s s s s s s s s
responsible for collecting the subjective data on the client during the initial
s s ss s s s s s s s s ss ss s s s s s s s s
comprehensive assessment?
ss ss
A) Gastroenterologist
B) ED nurse
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C) Admissions clerk ss
D) Diagnostic technician ss
3. The nurse has completed an initial assessment of a newly admitted client and is
ss ss ss ss ss ss ss ss ss ss ss ss ss
applyingthe nursing process to plan the client's care. What principle
ss s s s s s s s s s s s s s s s s s s
should the nurse apply when using the nursing process?
s s s s ss s s s s gg s s s s s s
A) Each step is independent of the others. ss ss ss ss ss ss
B) It is ongoing and continuous.
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C) It is used primarily in acute care settings.
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D) It involves independent nursing actions.
s s s s s s s s
4. The nurse who provides care at an ambulatory clinic is preparing to
s s s s s s s s s s s s s s s s s s s s s s
meet a client and perform a comprehensive health assessment. Which of the
s s s s s s ss s s ss s s s s ss s s ss ss
following actions should thenurse perform first?
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A) Review the client's medical record. gg gg ssgg gg
B) Obtain basic biographic data. ss s s s s
C) Consult clinical resources explaining the client's diagnosis. s s ss s s s s s s s s
D) Validate information with the client. s s s s ss s s
5. Which of the following client situations would the nurse interpret
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as requiring anemergency assessment?
s s ss s s ss
A) A pediatric client with severe sunburn
ss s s s s ss s s
B) A client needing an employment
ss s s ss ss
physical
s s C) who overdosed on acetaminophen
A client gg ss sgg gg gg gg
D) A distraught client who wants a pregnancy test
ss s s s s s s s s ss ss
Page
,6. In response to a client's query, the nurse is explaining the differences
s s s s s s s s s s s s s s s s s s s s s s
between the physician's medical exam and the comprehensive health
s s ss s s s s s s s s s s s s s s
assessment performed by the nurse. The nurse should describe the
s s ss s s s s s s s s s s s s s s s s
fact that the nursing assessment focuses on whichaspect of the client's
s s s s s s s s ss s s s s ss s s ss s s
situation?
s s
A) Current physiologic s s
statusEffect
ss B) of health on functional status
ss gg gg gg ssgg gg
C) Past medical history s s s s
D) Motivation for adherence to treatment ss s s s s ss
7. After teaching a group of students about the phases of the nursing
s s s s s s s s ss s s s s s s s s ss s s
process, the instructordetermines that the teaching was successful when
s s s s ss s s s s s s s s s s s s
the students identify which phase as being foundational to all other
s s s s s s ss s s s s s s s s s s s s ss
phases?
s s
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client
ss s s s s s s s s s s s s s s ss s s
who has beenadmitted for the treatment of community-acquired
s s s s ss s s s s s s s s s s
pneumonia. Following the completion of this assessment, the nurse
s s s s s s ss s s s s s s s s s s
periodically performs a partial assessment primarily for which reason?
s s s s s s s s ss s s ss s s s s
A) Reassess previously detected problems gg gg gg
B) Provide information for the client's record s s s s ss s s s s
C) Address areas previously omitted ss s s ss
D) Determine the need for crisis intervention ss s s s s s s s s
9. The nurse is working in an ambulatory care clinic that is located in
s s s s s s s s s s s s s s s s s s s s s s s s
a busy, inner-cityneighborhood. Which client would the nurse determine
s s s s ss s s s s s s s s s s s s
to be in most need of an emergency assessment?
s s s s s s s s ss s s s s s s ss
A) A 14-year-old girl who is crying because she thinks she is
ss s s ss s s ss s s ss s s s s s s
pregnant
ss B)
A 45-year-old man with chest pain and diaphoresis for 1 hour
gg ss sgg gg gg sgg gg gg sgg gg gg
C) A 3-year-old child with fever, rash, and sore throat
ss s s s s s s s s s s s s ss
D) A 20-year-old man with a 3-inch shallow laceration on his leg
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Page
, 10. A nurse has completed gathering some basic data about a client who has
s s s s s s s s s s s s s s s s s s s s s s s s
multiple healthproblems that stem from heavy alcohol use. The nurse has
s s ss s s s s s s s s s s s s s s s s s s
then reflected on her personalfeelings about the client and his
s s s s s s ss s s s s s s s s s s s s
circumstances. The nurse does this primarily to accomplish which of the
s s s s s s s s s s ss s s s s ss s s ss
following?
s s
A) Determine if pertinent data has been omitted s s s s s s ss s s s s
B) Identify the need for ss ss s s
referral
s s C) biases and judgments
Avoid ss gg gg gg
D) Construct a plan of care s s s s s s ss
11. The nurse is collecting data from a client who has recently been
s s s s s s s s s s s s s s s s s s s s s s
diagnosed with type 1 diabetes and who will begin an educational
s s s s ss s s s s s s s s s s s s s s s s
program. The nurse is collecting subjective and objective data. Which of
s s s s s s s s ss s s s s s s s s s s ss
the following would the nurse categorize as objective data?
ss s s s s s s s s ss s s ss s s
A) Family history ss
B) Occupation
C) Appearance
D) History of present health concern ss ss s s s s
12. An older adult client has been admitted to the hospital with failure to
s s s s s s s s s s s s s s s s s s s s s s s s
thrive resulting from complications of diabetes. Which of the following would
s s ss s s ss ss ss s s ss ss s s s s
the nurse implement in response to a collaborative problem?
s s s s ss s s gg s s s s ss s s
A) Encourage the client to increase oral fluid intake. ss s s s s s s s s ss s s
B) Provide the client with a bedtime protein snack. ss s s s s ss s s s s ss
C) Assist the client with personal hygiene. ss ss s s ss ss
D) Measure the client's blood glucose four times daily.
ss gg gg gg gg gg gg gg
13. The nurse at a busy primary care clinic is analyzing the data obtained
s s s s s s s s s s s s s s s s s s s s s s s s
from the following clients. For which clients would the nurse most
s s s s ss s s s s s s ss ss s s s s s s
likely expect to facilitate a referral?
s s ss s s ss ss gg
A) An 80-year-old client who lives with her
ss s s s s ss ss ss
daughter
s s B)
A 50-year-old client newly diagnosed with diabetes
gg ss gg sgg gg gg gg
C) An adult presenting for an influenza vaccination
ss s s s s s s s s s s
D) A teenager seeking information about contraception
ss s s s s ss s s
14. An instructor is reviewing the evolution of the nurse's role in health
s s s s s s s s s s s s s s s s s s s s s s
assessment. The instructor determines that the teaching was successful
s s ss s s ss s s s s s s s s s s
when the students identify whichof the following as the major method
ss ss s s ss ss s s s s s s s s s s s s
used by nurses early in the history of the profession?
s s s s s s s s s s s s ss s s s s s s
A) Natural senses gg
B) Biomedical knowledge ss
C) Simple technology ss
D) Critical pathways ss
Page s s 3
ss ss ss ss ss ss ss
Edition by Janet RWeberand Jane H Kelley
ss ss ss ss s s ss ss ss
FullyCovered
ss
Page
,1 A nurse on a postsurgical unit is admitting a client following the client's
s s s s s s s s s s s s s s s s s s s s s s s s s s
cholecystectomy (gall bladder removal). What is the overall purpose of
ss s s s s s s s s s s s s s s s s s s
assessment forthisclient?
s s ss
A) Collecting accurate data s s s s
B) Assisting the primary care provider ss s s ss s s
C) Validating previous data ss ss
D) Making clinical judgments
ss gg gg
2. A client has presented to the emergency department (ED) with complaints of
ss s s s s ss s s s s ss s s s s ss s s
abdominal pain. Which member of the care team would most likely be
ss gg s s s s s s s s s s s s s s s s s s s s
responsible for collecting the subjective data on the client during the initial
s s ss s s s s s s s s ss ss s s s s s s s s
comprehensive assessment?
ss ss
A) Gastroenterologist
B) ED nurse
ss gg
C) Admissions clerk ss
D) Diagnostic technician ss
3. The nurse has completed an initial assessment of a newly admitted client and is
ss ss ss ss ss ss ss ss ss ss ss ss ss
applyingthe nursing process to plan the client's care. What principle
ss s s s s s s s s s s s s s s s s s s
should the nurse apply when using the nursing process?
s s s s ss s s s s gg s s s s s s
A) Each step is independent of the others. ss ss ss ss ss ss
B) It is ongoing and continuous.
ss sgg gg gg sgg
C) It is used primarily in acute care settings.
s s s s s s s s s s s s s s
D) It involves independent nursing actions.
s s s s s s s s
4. The nurse who provides care at an ambulatory clinic is preparing to
s s s s s s s s s s s s s s s s s s s s s s
meet a client and perform a comprehensive health assessment. Which of the
s s s s s s ss s s ss s s s s ss s s ss ss
following actions should thenurse perform first?
s s s s ss s s s s ss
A) Review the client's medical record. gg gg ssgg gg
B) Obtain basic biographic data. ss s s s s
C) Consult clinical resources explaining the client's diagnosis. s s ss s s s s s s s s
D) Validate information with the client. s s s s ss s s
5. Which of the following client situations would the nurse interpret
ss ss s s s s s s ss s s ss s s
as requiring anemergency assessment?
s s ss s s ss
A) A pediatric client with severe sunburn
ss s s s s ss s s
B) A client needing an employment
ss s s ss ss
physical
s s C) who overdosed on acetaminophen
A client gg ss sgg gg gg gg
D) A distraught client who wants a pregnancy test
ss s s s s s s s s ss ss
Page
,6. In response to a client's query, the nurse is explaining the differences
s s s s s s s s s s s s s s s s s s s s s s
between the physician's medical exam and the comprehensive health
s s ss s s s s s s s s s s s s s s
assessment performed by the nurse. The nurse should describe the
s s ss s s s s s s s s s s s s s s s s
fact that the nursing assessment focuses on whichaspect of the client's
s s s s s s s s ss s s s s ss s s ss s s
situation?
s s
A) Current physiologic s s
statusEffect
ss B) of health on functional status
ss gg gg gg ssgg gg
C) Past medical history s s s s
D) Motivation for adherence to treatment ss s s s s ss
7. After teaching a group of students about the phases of the nursing
s s s s s s s s ss s s s s s s s s ss s s
process, the instructordetermines that the teaching was successful when
s s s s ss s s s s s s s s s s s s
the students identify which phase as being foundational to all other
s s s s s s ss s s s s s s s s s s s s ss
phases?
s s
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client
ss s s s s s s s s s s s s s s ss s s
who has beenadmitted for the treatment of community-acquired
s s s s ss s s s s s s s s s s
pneumonia. Following the completion of this assessment, the nurse
s s s s s s ss s s s s s s s s s s
periodically performs a partial assessment primarily for which reason?
s s s s s s s s ss s s ss s s s s
A) Reassess previously detected problems gg gg gg
B) Provide information for the client's record s s s s ss s s s s
C) Address areas previously omitted ss s s ss
D) Determine the need for crisis intervention ss s s s s s s s s
9. The nurse is working in an ambulatory care clinic that is located in
s s s s s s s s s s s s s s s s s s s s s s s s
a busy, inner-cityneighborhood. Which client would the nurse determine
s s s s ss s s s s s s s s s s s s
to be in most need of an emergency assessment?
s s s s s s s s ss s s s s s s ss
A) A 14-year-old girl who is crying because she thinks she is
ss s s ss s s ss s s ss s s s s s s
pregnant
ss B)
A 45-year-old man with chest pain and diaphoresis for 1 hour
gg ss sgg gg gg sgg gg gg sgg gg gg
C) A 3-year-old child with fever, rash, and sore throat
ss s s s s s s s s s s s s ss
D) A 20-year-old man with a 3-inch shallow laceration on his leg
ss s s ss s s s s ss s s ss ss s s
Page
, 10. A nurse has completed gathering some basic data about a client who has
s s s s s s s s s s s s s s s s s s s s s s s s
multiple healthproblems that stem from heavy alcohol use. The nurse has
s s ss s s s s s s s s s s s s s s s s s s
then reflected on her personalfeelings about the client and his
s s s s s s ss s s s s s s s s s s s s
circumstances. The nurse does this primarily to accomplish which of the
s s s s s s s s s s ss s s s s ss s s ss
following?
s s
A) Determine if pertinent data has been omitted s s s s s s ss s s s s
B) Identify the need for ss ss s s
referral
s s C) biases and judgments
Avoid ss gg gg gg
D) Construct a plan of care s s s s s s ss
11. The nurse is collecting data from a client who has recently been
s s s s s s s s s s s s s s s s s s s s s s
diagnosed with type 1 diabetes and who will begin an educational
s s s s ss s s s s s s s s s s s s s s s s
program. The nurse is collecting subjective and objective data. Which of
s s s s s s s s ss s s s s s s s s s s ss
the following would the nurse categorize as objective data?
ss s s s s s s s s ss s s ss s s
A) Family history ss
B) Occupation
C) Appearance
D) History of present health concern ss ss s s s s
12. An older adult client has been admitted to the hospital with failure to
s s s s s s s s s s s s s s s s s s s s s s s s
thrive resulting from complications of diabetes. Which of the following would
s s ss s s ss ss ss s s ss ss s s s s
the nurse implement in response to a collaborative problem?
s s s s ss s s gg s s s s ss s s
A) Encourage the client to increase oral fluid intake. ss s s s s s s s s ss s s
B) Provide the client with a bedtime protein snack. ss s s s s ss s s s s ss
C) Assist the client with personal hygiene. ss ss s s ss ss
D) Measure the client's blood glucose four times daily.
ss gg gg gg gg gg gg gg
13. The nurse at a busy primary care clinic is analyzing the data obtained
s s s s s s s s s s s s s s s s s s s s s s s s
from the following clients. For which clients would the nurse most
s s s s ss s s s s s s ss ss s s s s s s
likely expect to facilitate a referral?
s s ss s s ss ss gg
A) An 80-year-old client who lives with her
ss s s s s ss ss ss
daughter
s s B)
A 50-year-old client newly diagnosed with diabetes
gg ss gg sgg gg gg gg
C) An adult presenting for an influenza vaccination
ss s s s s s s s s s s
D) A teenager seeking information about contraception
ss s s s s ss s s
14. An instructor is reviewing the evolution of the nurse's role in health
s s s s s s s s s s s s s s s s s s s s s s
assessment. The instructor determines that the teaching was successful
s s ss s s ss s s s s s s s s s s
when the students identify whichof the following as the major method
ss ss s s ss ss s s s s s s s s s s s s
used by nurses early in the history of the profession?
s s s s s s s s s s s s ss s s s s s s
A) Natural senses gg
B) Biomedical knowledge ss
C) Simple technology ss
D) Critical pathways ss
Page s s 3
