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