Weber: Health Assessment in Nursing 7th Edition Test Bank
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1
TEST BANK
,Weber: Health Assessment in Nursing 7th Edition Test Bank
!~*&#*&!^!398*&#!7&*^!#&(*!&#*()~*0_(@~@0#)(#8i1
2
Table of Contents
Unit 1: Nursing Data Collection, Documentation, and Analysis
Chapter 1 Nurse’s Role in Health Assessment: Collecting and Analyzing Data
Chapter 2 Collecting Subjective Data: The Interview and Health History
Chapter 3 Collecting Objective Data: The Physical Examination
Chapter 4 Validating and Documenting Data
Chapter 5 Thinking Critically to Analyze Data and Make Informed Nursing Judgments
Unit 2: Integrative Holistic Nursing Assessment
Chapter 6 Assessing Mental Status and Substance Abuse
Chapter 7 Assessing Psychosocial, Cognitive, and Moral Development
Chapter 8 Assessing General Status and Vital Signs
Chapter 9 Assessing Pain: The 5th Vital Sign
Chapter 10 Assessing for Violence
Chapter 11 Assessing Culture
Chapter 12 Assessing Spirituality and Religious Practices
Chapter 13 Assessing Nutritional Status
Unit 3: Nursing Assessment of Physical Systems
Chapter 14 Assessing Skin, Hair, and Nails
Chapter 15 Assessing Head and Neck
Chapter 16 Assessing Eyes
Chapter 17 Assessing Ears
Chapter 18 Assessing Mouth, Throat, Nose, and Sinuses
Chapter 19 Assessing Thorax and Lungs
Chapter 20 Assessing Breasts and Lymphatic System
Chapter 21 Assessing Heart and Neck Vessels
Chapter 22 Assessing Peripheral Vascular System
Chapter 23 Assessing Abdomen
Chapter 24 Assessing Musculoskeletal System
Chapter 25 Assessing Neurologic System
Chapter 26 Assessing Male Genitalia and Rectum
Chapter 27 Assessing Female Genitalia and Rectum
Chapter 28 Pulling It All Together: Integrated Head-to-Toe Assessment
Unit 4: Nursing Assessment of Special Groups
Chapter 29 Assessing Childbearing Women
Chapter 30 Assessing Newborns and Infants
Chapter 31 Assessing Children and Adolescents
Chapter 32 Assessing Older Adults
Chapter 33 Assessing Families
Chapter 34 Assessing Communities
,Weber: Health Assessment in Nursing 7th Edition Test Bank
!~*&#*&!^!398*&#!7&*^!#&(*!&#*()~*0_(@~@0#)(#8i1
3
Chapter 1: Nurses Role in Health Assessment- Collecting and Analyzing Data
Weber: Health Assessment in Nursing 7th Edition Test Bank
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 subjective 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 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 perform a comprehensive
health assessment. Which of the following actions should the nurse perform 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 should describe the fact that the nursing
assessment focuses on which aspect of the client'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 determines that the
teaching was successful when the students identify which phase as being foundational to all other phases?
, Weber: Health Assessment in Nursing 7th Edition Test Bank
!~*&#*&!^!398*&#!7&*^!#&(*!&#*()~*0_(@~@0#)(#8i1
4
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8.
The nurse has completed the comprehensive health assessment of a client who has been admitted for the treatment of
community-acquired pneumonia. Following the completion of this assessment, the nurse periodically performs 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 emergency 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
10. A nurse has completed gathering some basic data about a client who has multiple health problems that stem from
heavy alcohol use. The nurse has then reflected on her personal feelings about the client and his circumstances. The
nurse does this primarily to accomplish which 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 diabetes and who will
begin an educational program. The nurse is collecting subjective and objective 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
!~*&#*&!^!398*&#!7&*^!#&(*!&#*()~*0_(@~@0#)(#8i1
1
TEST BANK
,Weber: Health Assessment in Nursing 7th Edition Test Bank
!~*&#*&!^!398*&#!7&*^!#&(*!&#*()~*0_(@~@0#)(#8i1
2
Table of Contents
Unit 1: Nursing Data Collection, Documentation, and Analysis
Chapter 1 Nurse’s Role in Health Assessment: Collecting and Analyzing Data
Chapter 2 Collecting Subjective Data: The Interview and Health History
Chapter 3 Collecting Objective Data: The Physical Examination
Chapter 4 Validating and Documenting Data
Chapter 5 Thinking Critically to Analyze Data and Make Informed Nursing Judgments
Unit 2: Integrative Holistic Nursing Assessment
Chapter 6 Assessing Mental Status and Substance Abuse
Chapter 7 Assessing Psychosocial, Cognitive, and Moral Development
Chapter 8 Assessing General Status and Vital Signs
Chapter 9 Assessing Pain: The 5th Vital Sign
Chapter 10 Assessing for Violence
Chapter 11 Assessing Culture
Chapter 12 Assessing Spirituality and Religious Practices
Chapter 13 Assessing Nutritional Status
Unit 3: Nursing Assessment of Physical Systems
Chapter 14 Assessing Skin, Hair, and Nails
Chapter 15 Assessing Head and Neck
Chapter 16 Assessing Eyes
Chapter 17 Assessing Ears
Chapter 18 Assessing Mouth, Throat, Nose, and Sinuses
Chapter 19 Assessing Thorax and Lungs
Chapter 20 Assessing Breasts and Lymphatic System
Chapter 21 Assessing Heart and Neck Vessels
Chapter 22 Assessing Peripheral Vascular System
Chapter 23 Assessing Abdomen
Chapter 24 Assessing Musculoskeletal System
Chapter 25 Assessing Neurologic System
Chapter 26 Assessing Male Genitalia and Rectum
Chapter 27 Assessing Female Genitalia and Rectum
Chapter 28 Pulling It All Together: Integrated Head-to-Toe Assessment
Unit 4: Nursing Assessment of Special Groups
Chapter 29 Assessing Childbearing Women
Chapter 30 Assessing Newborns and Infants
Chapter 31 Assessing Children and Adolescents
Chapter 32 Assessing Older Adults
Chapter 33 Assessing Families
Chapter 34 Assessing Communities
,Weber: Health Assessment in Nursing 7th Edition Test Bank
!~*&#*&!^!398*&#!7&*^!#&(*!&#*()~*0_(@~@0#)(#8i1
3
Chapter 1: Nurses Role in Health Assessment- Collecting and Analyzing Data
Weber: Health Assessment in Nursing 7th Edition Test Bank
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 subjective 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 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 perform a comprehensive
health assessment. Which of the following actions should the nurse perform 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 should describe the fact that the nursing
assessment focuses on which aspect of the client'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 determines that the
teaching was successful when the students identify which phase as being foundational to all other phases?
, Weber: Health Assessment in Nursing 7th Edition Test Bank
!~*&#*&!^!398*&#!7&*^!#&(*!&#*()~*0_(@~@0#)(#8i1
4
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8.
The nurse has completed the comprehensive health assessment of a client who has been admitted for the treatment of
community-acquired pneumonia. Following the completion of this assessment, the nurse periodically performs 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 emergency 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
10. A nurse has completed gathering some basic data about a client who has multiple health problems that stem from
heavy alcohol use. The nurse has then reflected on her personal feelings about the client and his circumstances. The
nurse does this primarily to accomplish which 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 diabetes and who will
begin an educational program. The nurse is collecting subjective and objective 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
