, 1
TESTlBANK
5thlEditionlWeberlandlKelleylHealthlAssessmentlinlNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardslhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-
flash-lcards/
QuizletlName:llei_achacoso
1. Alnurselonlalpostsurgicallunitlisladmittinglalclientlfollowinglthelclient'slcholecystectomyl
(galllbladderlremoval).lWhatlisltheloveralllpurposeloflassessmentlforlthislclient?
A) Collectinglaccurateldata
B) Assistinglthelprimarylcarelprovider
C) Validatinglpreviousldata
D) Makinglclinicalljudgments
D)lMakinglclinicalljudgments
2. Alclientlhaslpresentedltolthelemergencyldepartmentl(ED)lwithlcomplaintsloflabdominallp
ain.lWhichlmemberloflthelcarelteamlwouldlmostllikelylbelresponsiblelforlcollectinglthelsubje
ctiveldatalonlthelclientlduringlthelinitiallcomprehensivelassessment?
A) Gastroenterologist
B) EDlnurse
C) Admissionslclerk
D) Diagnosticltechnician
B)lEDlnurse
3. Thelnurselhaslcompletedlanlinitiallassessmentloflalnewlyladmittedlclientlandlislapplyi
nglthelnursinglprocessltolplanlthelclient'slcare.lWhatlprinciplelshouldlthelnurselapplylwhe
nlusinglthelnursinglprocess?
A) Eachlsteplislindependentloflthelothers.
B) Itlislongoinglandlcontinuous.
C) Itlislusedlprimarilylinlacutelcarelsettings.
D) Itlinvolveslindependentlnursinglactions.
B) Itlislongoinglandlcontinuous.
4. Thelnurselwholprovideslcarelatlanlambulatorylcliniclislpreparingltolmeetlalclientlandlperfo
rmlalcomprehensivelhealthlassessment.lWhichloflthelfollowinglactionslshouldlthelnurselpe
rformlfirst?
A) Reviewlthelclient'slmedicallrecord.
B) Obtainlbasiclbiographicldata.
C) Consultlclinicallresourceslexplaininglthelclient'sldiagnosis.
D) Validatelinformationlwithlthelclient.
A) Reviewlthelclient'slmedicallrecord.
5. Whichloflthelfollowinglclientlsituationslwouldlthelnurselinterpretlaslrequiringlanlem
ergencylassessment?
A) Alpediatriclclientlwithlseverelsunburn
B) Alclientlneedinglanlemploymentlphysical
C) Alclientlwholoverdosedlonlacetaminophen
D) Aldistraughtlclientlwholwantslalpregnancyltest
C) Alclientlwholoverdosedlonlacetaminophen
6. Inlresponseltolalclient'slquery,lthelnurselislexplainingltheldifferenceslbetweenlthelphysi
cian'slmedicallexamlandlthelcomprehensivelhealthlassessmentlperformedlbylthelnurse.lT
helnurselshouldldescribelthelfactlthatlthelnursinglassessmentlfocuseslonlwhichlaspectloflt
helclient'slsituation?
A) Currentlphysiologiclstatus
B) Effectloflhealthlonlfunctionallstatus
, 2
C) Pastlmedicallhistory
D) Motivationlforladherenceltoltreatment
B) Effectloflhealthlonlfunctionallstatus
7. Afterlteachinglalgrouploflstudentslaboutlthelphasesloflthelnursinglprocess,lthelinstructorl
determineslthatlthelteachinglwaslsuccessfullwhenlthelstudentslidentifylwhichlphaselaslbei
nglfoundationalltolalllotherlphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Thelnurselhaslcompletedlthelcomprehensivelhealthlassessmentloflalclientlwholhaslbee
nladmittedlforltheltreatmentloflcommunity-
acquiredlpneumonia.lFollowinglthelcompletionloflthislassessment,lthelnurselperiodicallyl
performslalpartiallassessmentlprimarilylforlwhichlreason?
A) Reassesslpreviouslyldetectedlproblems
B) Providelinformationlforlthelclient'slrecord
C) Addresslareaslpreviouslylomitted
D) Determinelthelneedlforlcrisislintervention
A) Reassesslpreviouslyldetectedlproblems
9. Thelnurselislworkinglinlanlambulatorylcarelcliniclthatlisllocatedlinlalbusy,linner-
citylneighborhood.lWhichlclientlwouldlthelnurseldetermineltolbelinlmostlneedloflanlemerg
encylassessment?
A) Al14-year-oldlgirllwholislcryinglbecauselshelthinkslshelislpregnant
B) Al45-year-oldlmanlwithlchestlpainlandldiaphoresislforl1lhour
C) Al3-year-oldlchildlwithlfever,lrash,landlsorelthroat
D) Al20-year-oldlmanlwithlal3-inchlshallowllacerationlonlhislleg
B) Al45-year-oldlmanlwithlchestlpainlandldiaphoresislforl1lhour
10. Alnurselhaslcompletedlgatheringlsomelbasicldatalaboutlalclientlwholhaslmultiplelhealt
hlproblemslthatlstemlfromlheavylalcoholluse.lThelnurselhaslthenlreflectedlonlherlpersonallf
eelingslaboutlthelclientlandlhislcircumstances.lThelnurseldoeslthislprimarilyltolaccomplishl
whichloflthelfollowing?
A) Determineliflpertinentldatalhaslbeenlomitted
B) Identifylthelneedlforlreferral
C) Avoidlbiaseslandljudgments
D) Constructlalplanloflcare
C) Avoidlbiaseslandljudgments
11. Thelnurselislcollectingldatalfromlalclientlwholhaslrecentlylbeenldiagnosedlwithltypel1ldia
beteslandlwholwilllbeginlanleducationallprogram.lThelnurselislcollectingl subjectivelandlobj
ectiveldata.lWhichloflthelfollowinglwouldlthelnurselcategorizelaslobjectiveldata?
A) Familylhistory
B) Occupation
C) Appearance
D) Historyloflpresentlhealthlconcern
C)lAppearance
12. Anlolderladultlclientlhaslbeenladmittedltolthelhospitallwithlfailureltolthrivelresultinglfroml
complicationslofldiabetes.lWhichloflthelfollowinglwouldlthelnurselimplementlinlresponselt
olalcollaborativelproblem?
A) Encouragelthelclientltolincreaselorallfluidlintake.
B) Providelthelclientlwithlalbedtimelproteinlsnack.
C) Assistlthelclientlwithlpersonallhygiene.
D) Measurelthelclient'slbloodlglucoselfourltimesldaily.
D)lMeasurelthelclient'slbloodlglucoselfourltimesldaily.
13. Thelnurselatlalbusylprimarylcarelcliniclislanalyzingltheldatalobtainedlfromlthelfollo
winglclients.lForlwhichlclientslwouldlthelnurselmostllikelylexpectltolfacilitatelalreferral?
, 3
A) Anl80-year-oldlclientlwholliveslwithlherldaughter
B) Al50-year-oldlclientlnewlyldiagnosedlwithldiabetes
C) Anladultlpresentinglforlanlinfluenzalvaccination
D) Alteenagerlseekinglinformationlaboutlcontraception
B) Al50-year-oldlclientlnewlyldiagnosedlwithldiabetes
14. Anlinstructorlislreviewinglthelevolutionloflthelnurse'slrolelinlhealthlassessment.lThelinstr
uctorldetermineslthatlthelteachinglwaslsuccessfullwhenlthelstudentslidentifylwhichloflthelfol
lowinglaslthelmajorlmethodlusedlbylnurseslearlylinlthelhistoryloflthelprofession?
A) Naturallsenses
B) Biomedicallknowledge
C) Simpleltechnology
D) Criticallpathways
A) Naturallsenses
15. Whenldescribinglthelexpansionlofltheldepthlandlscopeloflnursinglassessmentloverlthel
pastlseveralldecades,lwhichloflthelfollowinglwouldlthelnurselidentifylaslbeinglthelprimarylfo
rce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Publiclmistrustloflphysicians
16. Algrouploflnurseslarelreviewinglinformationlaboutlthelpotentiallopportunitieslforlnurse
slwholhaveladvancedlassessmentlskills.lWhenldiscussinglphenomenalthatlhavelcontribut
edltoltheselincreasedlopportunities,lwhatlshouldlthelnurseslidentify?
A) Expansionloflhealthlcarelnetworks
B) Decreaselinlclientlparticipationlinlcare
C) Thelshrinkinglcostloflmedicallcare
D) Publiclmistrustloflphysicians
A) Expansionloflhealthlcarelnetworks
17. Alnurselhasldocumentedlthelfindingsloflalcomprehensivelassessmentloflalnewlclie
nt.lWhatlislthelprimarylrationalelthatlthelnurselshouldlidentifylforlaccuratelandlthoroug
hldocumentation?
A) Guaranteeinglalcontinuallassessmentlprocess
B) Identifyinglabnormalldata
C) Assuringlvalidlconclusionslfromlanalyzedldata
D) Allowinglforldrawinglinferenceslandlidentifyinglproblems
C) Assuringlvalidlconclusionslfromlanalyzedldata
18. Alnurselhaslreceivedlalreportlonlalclientlwholwilllsoonlbeladmittedltolthelmedicallunitlfr
omlthelemergencyldepartment.lWhenlpreparinglforlthelassessmentlphaseloflthelnursinglp
rocess,lwhichloflthelfollowinglshouldlthelnurseldolfirst?
A) Collectlobjectiveldata.
B) Validatelimportantldata.
C) Collectlsubjectiveldata.
D) Documentltheldata.
C)lCollectlsubjectiveldata.
19. Alcommunitylhealthlnurselislassessinglanlolderladultlclientlinlthelclient'slhome.lWh
enlthelnurselislgatheringlsubjectiveldata,lwhichloflthelfollowinglwouldlthelnurselidentify
?
A) Thelclient'slfeelingsloflhappiness
B) Thelclient'slposture
C) Thelclient'slaffect
D) Thelclient'slbehavior
A) Thelclient'slfeelingsloflhappiness
20. Alnurselonlthelhospital'slsubacutelmedicallunitlislplanningltolperformlalclient'slfocu
sedlassessment.lWhichloflthelfollowinglstatementslshouldlinformlthelnurse'slpractice
TESTlBANK
5thlEditionlWeberlandlKelleylHealthlAssessmentlinlNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardslhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-
flash-lcards/
QuizletlName:llei_achacoso
1. Alnurselonlalpostsurgicallunitlisladmittinglalclientlfollowinglthelclient'slcholecystectomyl
(galllbladderlremoval).lWhatlisltheloveralllpurposeloflassessmentlforlthislclient?
A) Collectinglaccurateldata
B) Assistinglthelprimarylcarelprovider
C) Validatinglpreviousldata
D) Makinglclinicalljudgments
D)lMakinglclinicalljudgments
2. Alclientlhaslpresentedltolthelemergencyldepartmentl(ED)lwithlcomplaintsloflabdominallp
ain.lWhichlmemberloflthelcarelteamlwouldlmostllikelylbelresponsiblelforlcollectinglthelsubje
ctiveldatalonlthelclientlduringlthelinitiallcomprehensivelassessment?
A) Gastroenterologist
B) EDlnurse
C) Admissionslclerk
D) Diagnosticltechnician
B)lEDlnurse
3. Thelnurselhaslcompletedlanlinitiallassessmentloflalnewlyladmittedlclientlandlislapplyi
nglthelnursinglprocessltolplanlthelclient'slcare.lWhatlprinciplelshouldlthelnurselapplylwhe
nlusinglthelnursinglprocess?
A) Eachlsteplislindependentloflthelothers.
B) Itlislongoinglandlcontinuous.
C) Itlislusedlprimarilylinlacutelcarelsettings.
D) Itlinvolveslindependentlnursinglactions.
B) Itlislongoinglandlcontinuous.
4. Thelnurselwholprovideslcarelatlanlambulatorylcliniclislpreparingltolmeetlalclientlandlperfo
rmlalcomprehensivelhealthlassessment.lWhichloflthelfollowinglactionslshouldlthelnurselpe
rformlfirst?
A) Reviewlthelclient'slmedicallrecord.
B) Obtainlbasiclbiographicldata.
C) Consultlclinicallresourceslexplaininglthelclient'sldiagnosis.
D) Validatelinformationlwithlthelclient.
A) Reviewlthelclient'slmedicallrecord.
5. Whichloflthelfollowinglclientlsituationslwouldlthelnurselinterpretlaslrequiringlanlem
ergencylassessment?
A) Alpediatriclclientlwithlseverelsunburn
B) Alclientlneedinglanlemploymentlphysical
C) Alclientlwholoverdosedlonlacetaminophen
D) Aldistraughtlclientlwholwantslalpregnancyltest
C) Alclientlwholoverdosedlonlacetaminophen
6. Inlresponseltolalclient'slquery,lthelnurselislexplainingltheldifferenceslbetweenlthelphysi
cian'slmedicallexamlandlthelcomprehensivelhealthlassessmentlperformedlbylthelnurse.lT
helnurselshouldldescribelthelfactlthatlthelnursinglassessmentlfocuseslonlwhichlaspectloflt
helclient'slsituation?
A) Currentlphysiologiclstatus
B) Effectloflhealthlonlfunctionallstatus
, 2
C) Pastlmedicallhistory
D) Motivationlforladherenceltoltreatment
B) Effectloflhealthlonlfunctionallstatus
7. Afterlteachinglalgrouploflstudentslaboutlthelphasesloflthelnursinglprocess,lthelinstructorl
determineslthatlthelteachinglwaslsuccessfullwhenlthelstudentslidentifylwhichlphaselaslbei
nglfoundationalltolalllotherlphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Thelnurselhaslcompletedlthelcomprehensivelhealthlassessmentloflalclientlwholhaslbee
nladmittedlforltheltreatmentloflcommunity-
acquiredlpneumonia.lFollowinglthelcompletionloflthislassessment,lthelnurselperiodicallyl
performslalpartiallassessmentlprimarilylforlwhichlreason?
A) Reassesslpreviouslyldetectedlproblems
B) Providelinformationlforlthelclient'slrecord
C) Addresslareaslpreviouslylomitted
D) Determinelthelneedlforlcrisislintervention
A) Reassesslpreviouslyldetectedlproblems
9. Thelnurselislworkinglinlanlambulatorylcarelcliniclthatlisllocatedlinlalbusy,linner-
citylneighborhood.lWhichlclientlwouldlthelnurseldetermineltolbelinlmostlneedloflanlemerg
encylassessment?
A) Al14-year-oldlgirllwholislcryinglbecauselshelthinkslshelislpregnant
B) Al45-year-oldlmanlwithlchestlpainlandldiaphoresislforl1lhour
C) Al3-year-oldlchildlwithlfever,lrash,landlsorelthroat
D) Al20-year-oldlmanlwithlal3-inchlshallowllacerationlonlhislleg
B) Al45-year-oldlmanlwithlchestlpainlandldiaphoresislforl1lhour
10. Alnurselhaslcompletedlgatheringlsomelbasicldatalaboutlalclientlwholhaslmultiplelhealt
hlproblemslthatlstemlfromlheavylalcoholluse.lThelnurselhaslthenlreflectedlonlherlpersonallf
eelingslaboutlthelclientlandlhislcircumstances.lThelnurseldoeslthislprimarilyltolaccomplishl
whichloflthelfollowing?
A) Determineliflpertinentldatalhaslbeenlomitted
B) Identifylthelneedlforlreferral
C) Avoidlbiaseslandljudgments
D) Constructlalplanloflcare
C) Avoidlbiaseslandljudgments
11. Thelnurselislcollectingldatalfromlalclientlwholhaslrecentlylbeenldiagnosedlwithltypel1ldia
beteslandlwholwilllbeginlanleducationallprogram.lThelnurselislcollectingl subjectivelandlobj
ectiveldata.lWhichloflthelfollowinglwouldlthelnurselcategorizelaslobjectiveldata?
A) Familylhistory
B) Occupation
C) Appearance
D) Historyloflpresentlhealthlconcern
C)lAppearance
12. Anlolderladultlclientlhaslbeenladmittedltolthelhospitallwithlfailureltolthrivelresultinglfroml
complicationslofldiabetes.lWhichloflthelfollowinglwouldlthelnurselimplementlinlresponselt
olalcollaborativelproblem?
A) Encouragelthelclientltolincreaselorallfluidlintake.
B) Providelthelclientlwithlalbedtimelproteinlsnack.
C) Assistlthelclientlwithlpersonallhygiene.
D) Measurelthelclient'slbloodlglucoselfourltimesldaily.
D)lMeasurelthelclient'slbloodlglucoselfourltimesldaily.
13. Thelnurselatlalbusylprimarylcarelcliniclislanalyzingltheldatalobtainedlfromlthelfollo
winglclients.lForlwhichlclientslwouldlthelnurselmostllikelylexpectltolfacilitatelalreferral?
, 3
A) Anl80-year-oldlclientlwholliveslwithlherldaughter
B) Al50-year-oldlclientlnewlyldiagnosedlwithldiabetes
C) Anladultlpresentinglforlanlinfluenzalvaccination
D) Alteenagerlseekinglinformationlaboutlcontraception
B) Al50-year-oldlclientlnewlyldiagnosedlwithldiabetes
14. Anlinstructorlislreviewinglthelevolutionloflthelnurse'slrolelinlhealthlassessment.lThelinstr
uctorldetermineslthatlthelteachinglwaslsuccessfullwhenlthelstudentslidentifylwhichloflthelfol
lowinglaslthelmajorlmethodlusedlbylnurseslearlylinlthelhistoryloflthelprofession?
A) Naturallsenses
B) Biomedicallknowledge
C) Simpleltechnology
D) Criticallpathways
A) Naturallsenses
15. Whenldescribinglthelexpansionlofltheldepthlandlscopeloflnursinglassessmentloverlthel
pastlseveralldecades,lwhichloflthelfollowinglwouldlthelnurselidentifylaslbeinglthelprimarylfo
rce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Publiclmistrustloflphysicians
16. Algrouploflnurseslarelreviewinglinformationlaboutlthelpotentiallopportunitieslforlnurse
slwholhaveladvancedlassessmentlskills.lWhenldiscussinglphenomenalthatlhavelcontribut
edltoltheselincreasedlopportunities,lwhatlshouldlthelnurseslidentify?
A) Expansionloflhealthlcarelnetworks
B) Decreaselinlclientlparticipationlinlcare
C) Thelshrinkinglcostloflmedicallcare
D) Publiclmistrustloflphysicians
A) Expansionloflhealthlcarelnetworks
17. Alnurselhasldocumentedlthelfindingsloflalcomprehensivelassessmentloflalnewlclie
nt.lWhatlislthelprimarylrationalelthatlthelnurselshouldlidentifylforlaccuratelandlthoroug
hldocumentation?
A) Guaranteeinglalcontinuallassessmentlprocess
B) Identifyinglabnormalldata
C) Assuringlvalidlconclusionslfromlanalyzedldata
D) Allowinglforldrawinglinferenceslandlidentifyinglproblems
C) Assuringlvalidlconclusionslfromlanalyzedldata
18. Alnurselhaslreceivedlalreportlonlalclientlwholwilllsoonlbeladmittedltolthelmedicallunitlfr
omlthelemergencyldepartment.lWhenlpreparinglforlthelassessmentlphaseloflthelnursinglp
rocess,lwhichloflthelfollowinglshouldlthelnurseldolfirst?
A) Collectlobjectiveldata.
B) Validatelimportantldata.
C) Collectlsubjectiveldata.
D) Documentltheldata.
C)lCollectlsubjectiveldata.
19. Alcommunitylhealthlnurselislassessinglanlolderladultlclientlinlthelclient'slhome.lWh
enlthelnurselislgatheringlsubjectiveldata,lwhichloflthelfollowinglwouldlthelnurselidentify
?
A) Thelclient'slfeelingsloflhappiness
B) Thelclient'slposture
C) Thelclient'slaffect
D) Thelclient'slbehavior
A) Thelclient'slfeelingsloflhappiness
20. Alnurselonlthelhospital'slsubacutelmedicallunitlislplanningltolperformlalclient'slfocu
sedlassessment.lWhichloflthelfollowinglstatementslshouldlinformlthelnurse'slpractice
