TEST BANK HEALTH
Y Y
ASSESSMENT IN NURS Y Y
ING 7TH EDITIONWEBE
Y Y Y
R KELLEY|COMPLETE
Y Y
GUIDE SOLUTION Y
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ChapterY1
1. AYnurseYonYaYpostsurgicalYunitYisYadmittingYaYclientYfollowingYtheYclient'sYcholecystec
tomyY(gallYbladderYremoval).YWhatYisYtheYoverallYpurposeYofYassessmentYforYthisYclient
?
A) CollectingYaccurateYdata
B) AssistingYtheYprimaryYcareYprovider
C) ValidatingYpreviousYdata
D) MakingYclinicalYjudgments
2. AYclientYhasYpresentedYtoYtheYemergencyYdepartmentY(ED)YwithYcomplaintsYofYabdomin
alYpain.YWhichYmemberYofYtheYcareYteamYwouldYmostYlikelyYbeYresponsibleYforYcollectin
gYtheYsubjectiveYdataYonYtheYclientYduringYtheYinitialYcomprehensiveYassessment?
A) Gastroenterologist
B) EDYnurse
C) AdmissionsYclerk
D) DiagnosticYtechnician
3. TheYnurseYhasYcompletedYanYinitialYassessmentYofYaYnewlyYadmittedYclientYandYisYapplyi
ngYtheYnursingYprocessYtoYplanYtheYclient'sYcare.YWhatYprincipleYshouldYtheYnurseYapplyY
whenYusingYtheYnursingYprocess?
A) EachYstepYisYindependentYofYtheYothers.
B) ItYisYongoingYandYcontinuous.
C) ItYisYusedYprimarilyYinYacuteYcareYsettings.
D) ItYinvolvesYindependentYnursingYactions.
4. TheYnurseYwhoYprovidesYcareYatYanYambulatoryYclinicYisYpreparingYtoYmeetYaYclientYand
YperformYaYcomprehensiveYhealthYassessment.YWhichYofYtheYfollowingYactionsYshouldYt
heYnurseYperformYfirst?
A) ReviewYtheYclient'sYmedicalYrecord.
B) ObtainYbasicYbiographicYdata.
C) ConsultYclinicalYresourcesYexplainingYtheYclient'sYdiagnosis.
D) ValidateYinformationYwithYtheYclient.
5. WhichYofYtheYfollowingYclientYsituationsYwouldYtheYnurseYinterpretYasYrequiringY
anYemergencyYassessment?
A) AYpediatricYclientYwithYsevereYsunburn
B) AYclientYneedingYanYemploymentYphysical
C) AYclientYwhoYoverdosedYonYacetaminophen
D) AYdistraughtYclientYwhoYwantsYaYpregnancyYtest
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6. InYresponseYtoYaYclient'sYquery,YtheYnurseYisYexplainingYtheYdifferencesYbetweenYtheYph
ysician'sYmedicalYexamYandYtheYcomprehensiveYhealthYassessmentYperformedYbyYtheYn
urse.YTheYnurseYshouldYdescribeYtheYfactYthatYtheYnursingYassessmentYfocusesYonYwhic
hYaspectYofYtheYclient'sYsituation?
A) CurrentYphysiologicYstatus
B) EffectYofYhealthYonYfunctionalYstatus
C) PastYmedicalYhistory
D) MotivationYforYadherenceYtoYtreatment
7. AfterYteachingYaYgroupYofYstudentsYaboutYtheYphasesYofYtheYnursingYprocess,YtheYinstruct
orYdeterminesYthatYtheYteachingYwasYsuccessfulYwhenYtheYstudentsYidentifyYwhichYphaseY
asYbeingYfoundationalYtoYallYotherYphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. TheYnurseYhasYcompletedYtheYcomprehensiveYhealthYassessmentYofYaYclientYwhoYhasYbe
enYadmittedYforYtheYtreatmentYofYcommunity-
acquiredYpneumonia.YFollowingYtheYcompletionYofYthisYassessment,YtheYnurseYperiodica
llyYperformsYaYpartialYassessmentYprimarilyYforYwhichYreason?
A) ReassessYpreviouslyYdetectedYproblems
B) ProvideYinformationYforYtheYclient'sYrecord
C) AddressYareasYpreviouslyYomitted
D) DetermineYtheYneedYforYcrisisYintervention
9. TheYnurseYisYworkingYinYanYambulatoryYcareYclinicYthatYisYlocatedYinYaYbusy,Yinner-
cityYneighborhood.YWhichYclientYwouldYtheYnurseYdetermineYtoYbeYinYmostYneedYofYa
nYemergencyYassessment?
A) AY14-year-oldYgirlYwhoYisYcryingYbecauseYsheYthinksYsheYisYpregnant
B) AY45-year-oldYmanYwithYchestYpainYandYdiaphoresisYforY1Yhour
C) AY3-year-oldYchildYwithYfever,Yrash,YandYsoreYthroat
D) AY20-year-oldYmanYwithYaY3-inchYshallowYlacerationYonYhisYleg
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10. AYnurseYhasYcompletedYgatheringYsomeYbasicYdataYaboutYaYclientYwhoYhasYmultipleYheal
thYproblemsYthatYstemYfromYheavyYalcoholYuse.YTheYnurseYhasYthenYreflectedYonYherYpers
onalYfeelingsYaboutYtheYclientYandYhisYcircumstances.YTheYnurseYdoesYthisYprimarilyYtoYa
ccomplishYwhichYofYtheYfollowing?
A) DetermineYifYpertinentYdataYhasYbeenYomitted
B) IdentifyYtheYneedYforYreferral
C) AvoidYbiasesYandYjudgments
D) ConstructYaYplanYofYcare
11. TheYnurseYisYcollectingYdataYfromYaYclientYwhoYhasYrecentlyYbeenYdiagnosedYwithYtypeY1
YdiabetesYandYwhoYwillYbeginYanYeducationalYprogram.YTheYnurseYisYcollectingYsubjectiv
eYandYobjectiveYdata.YWhichYofYtheYfollowingYwouldYtheYnurseYcategorizeYasYobjectiveYd
ata?
A) FamilyYhistory
B) Occupation
C) Appearance
D) HistoryYofYpresentYhealthYconcern
12. AnYolderYadultYclientYhasYbeenYadmittedYtoYtheYhospitalYwithYfailureYtoYthriveYresultin
gYfromYcomplicationsYofYdiabetes.YWhichYofYtheYfollowingYwouldYtheYnurseYimpleme
ntYinYresponseYtoYaYcollaborativeYproblem?
A) EncourageYtheYclientYtoYincreaseYoralYfluidYintake.
B) ProvideYtheYclientYwithYaYbedtimeYproteinYsnack.
C) AssistYtheYclientYwithYpersonalYhygiene.
D) MeasureYtheYclient'sYbloodYglucoseYfourYtimesYdaily.
13. TheYnurseYatYaYbusyYprimaryYcareYclinicYisYanalyzingYtheYdataYobtainedYfromYtheYfoll
owingYclients.YForYwhichYclientsYwouldYtheYnurseYmostYlikelyYexpectYtoYfacilitateYaYr
eferral?
A) AnY80-year-oldYclientYwhoYlivesYwithYherYdaughter
B) AY50-year-oldYclientYnewlyYdiagnosedYwithYdiabetes
C) AnYadultYpresentingYforYanYinfluenzaYvaccination
D) AYteenagerYseekingYinformationYaboutYcontraception
14. AnYinstructorYisYreviewingYtheYevolutionYofYtheYnurse'sYroleYinYhealthYassessment.YTheY
instructorYdeterminesYthatYtheYteachingYwasYsuccessfulYwhenYtheYstudentsYidentifyYwhi
chYofYtheYfollowingYasYtheYmajorYmethodYusedYbyYnursesYearlyYinYtheYhistoryYofYtheYpro
fession?
A) NaturalYsenses
B) BiomedicalYknowledge
C) SimpleYtechnology
D) CriticalYpathways
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