Advanced Health Assessment & Clinical Diagnosis in Primary Care (7th Edition, 2025–2026) – Joyce E. Dains – Complete Study Summary

TEST BANK- Advanced Health Assessment & Clinical Diagnosis in
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Primary Care (7th Edition,2024|2025) Joyce E. Dains|
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1.
A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
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(gall bladder removal). What is the overall purpose of assessment forthis client?
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A) Collecting accurate data jr jr

, B) Assisting the primarycare provider jr jr rj j r




C) Validatingpreviousdata rj rj




D) Making clinical judgments ju j r ju




2.
A client has presented to the emergency department (ED) with complaints of
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abdominalpain. Which member of the care team would most likely be responsible for col j r j r jr j r j r j r j r j r j r jr j r j r j r




lecting the subjective data on the client during the initial comprehensive assessment?
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A) Gastroenterologist
B) ED nurse ju



C) Admissionsclerk rj




D) Diagnostictechnician rj




3.
The nurse has completed an initial assessment of a newly admitted client and is
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applyingthe nursing process to plan the client's care. What principle should the nurse a j r j r j r j r j r j r j r j r j r j r j r j r j r




pply whenusing the nursing process?
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A) Each step is independent of the others. j r j r jr j r j r jr




B) It is ongoing and continuous. ju
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C) It is used primarily in acute care settings.
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D) It involves independent nursing actions.
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4.
The nurse who provides care at an ambulatory clinic is preparing to meet a client
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and perform a comprehensive health assessment. Which of the following actions sh
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uld thenurse
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perform
the client's first?record.
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A)
B) Obtainbasic biographic data. rj jr jr




C) Consult clinical resources explaining the client's diagnosis. jr j r jr jr jr jr




D) Validateinformation with theclient. jr jr jr jr




5.
Which of the following client situations would the nurse interpret as requiring
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an emergencyassessment?
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A) Apediatric client with severesunburn rj jr jr jr jr




B) A client needing an employment physical
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C) A client who overdosed on acetaminophen ju ju
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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
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physician's medical exam and the comprehensive health assessment performed by the n j r j r j r j r j r j r j r j r j r j r j r




urse. The nurse should describe the fact that the nursing assessment focuses on which as
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pect of the client's situation?
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A) Currentphysiologicstatus rj rj




B) Effect of health on functional status ju
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C) Past medical history jr j r




D) Motivationforadherence to treatment jr rj jr jr




7.
After teaching a group of students about the phases of the nursing process, the
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instructordetermines that the teaching was successful when the students identify whi j r j r jr jr j r j r jr jr j r j r




ch phase as being foundational to all other phases?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation


8.
The nurse has completed the comprehensive health assessment of a client who has
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beenadmitted for the treatment of community- jr jr jr j r jr




acquired pneumonia. Following the completion of this assessment, the nurse periodically
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performs
marily afor
partial
whichassessment
reason? j rj r j r jr j r j r




pri Reassess previously detected problems ju
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B) Provideinformation for the client's record jr j r jr jr jr




C) Address areas previously omitted jr jr jr




D) Determine the need for crisis intervention jr jr jr jr jr




9.
The nurse is working in an ambulatory care clinic that is located in a busy, inner-
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cityneighborhood. Which client would the nurse determine to be in most need of an e j r j r j r j r j r j r j r jr j r j r j r j r j r j r




mergency assessment? jr




A) A 14-year-old girl who is crying because she thinks she is pregnant
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B) A 45-year-old man with chest pain and diaphoresis for 1 hour
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C) A 3-year-old child with fever, rash, and sore throat
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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 pro
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blems that stem from heavy alcohol use. The nurse has then reflected on her personalfeelin
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gs about the client and his circumstances. The nurse does this primarily to accomplish whi
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ch of the following?
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A) Determineif pertinent data has been omitted rj jr jr jr jr jr




B) Identify the need for referral jr j r j r j r




C) Avoid biases and judgments ju
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D) Construct a plan of care j r j r j r j r




11.
The nurse is collecting data from a client who has recently been diagnosed with type 1 dia
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betes and who will begin an educational program. The nurse is collecting subjective and
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objective data. Which of the following would the nurse categorize as objectivedata?
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A) Familyhistory rj




B) Occupation
C) Appearance
D) Historyof present health concern rj jr jr jr




12.
An older adult client has been admitted to the hospital with failure to thrive resulting f
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rom complications of diabetes. Which of the following would the nurse implement in
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response to a collaborative problem? j r j r jr j r




A) Encourage the client to increase oral fluid intake. jr jr j r jr jr j r j r




B) Providethe client with a bedtime protein snack. jr jr jr jr jr jr jr




C) Assistthe client withpersonal hygiene. rj jr jr rj jr




D) Measure the client's blood glucose four times daily. ju ju
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13.
The nurse at a busy primary care clinic is analyzing the data obtained from the followi
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ng clients. For which clients would the nurse most likely expect to facilitate areferral?
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A) An 80-year-old client who lives with her daughter jr j r jr jr jr jr j r




B) A 50-year-old client newly diagnosed with diabetes ju ju
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C) An adult presenting for an influenza vaccination jr j r j r j r jr j r




D) Ateenager seeking information about contraception
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14.
An instructor is reviewing the evolution of the nurse's role in health assessment. The instru
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ctor determines that the teaching was successful when the students identify which of the fol
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lowing as the major method used by nurses early in the history of the prof Natural senses
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A) ession?
B) Biomedicalknowledge rj




C) Simpletechnology rj




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