Test Bank for HealthAssessment in Nursing 7th Editionby
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JanetRWeberandJaneHKelley Fully Covered
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Page 1
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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 overallpurpose ofassessment forthis client?
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A) Collecting accurate data q2 q2
B) Assisting the primarycare provider q2 q2 q2 q2
C) Validatingpreviousdata q2 q2
D) Making clinical judgments q2 q2
2. Aclient has presentedto the emergencydepartment (ED) withcomplaints ofabdominal pain.
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Which member of the care team would most likely be responsible for collecting the
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
subjective data on the client during the initial comprehensive assessment?
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A) Gastroenterologist
B) ED nurse q2
C) Admissionsclerk q2
D) Diagnostictechnician q2
3. The nurse has completed an initial assessment of a newly admitted client and is applying the
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
nursing process to plan the client's care. What principle should the nurse apply when using
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
the nursing process?
q2 q2 q2
A) Each step is independent ofthe others. q2 q2 q2 q2 q2 q2
B) It is ongoing and continuous. q2 q2 q2 q2
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 and
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performa comprehensive healthassessment. Whichofthe following actions should the
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
nurse perform first?
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A) Review the client's medicalrecord. q2 q2 q2 q2
B) Obtainbasic biographic data. q2 q2 q2
C) Consult clinicalresources explaining the client's diagnosis. q2 q2 q2 q2 q2 q2
D) Validate information withthe client. q2 q2 q2 q2
5. Whichofthe following client situationswould the nurse interpret asrequiring an
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
emergency assessment?
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A) Apediatric client withseveresunburn q2 q2 q2 q2 q2
B) Aclient needing anemployment physical q2 q2 q2 q2 q2
C) Aclient who overdosed on acetaminophen q2 q2 q2 q2 q2
D) Adistraught client who wants apregnancytest q2 q2 q2 q2 q2 q2 q2
Page 1 q2
,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
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
nurse. The nurse should describe the fact that the nursing assessment focuseson which
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
aspect of the client's situation?
q2 q2 q2 q2 q2
A) Current physiologicstatus q2 q2
B) Effect ofhealth on functionalstatus q2 q2 q2 q2 q2
C) Past medical history q2 q2
D) Motivationfor adherence totreatment q2 q2 q2 q2
7. After teaching a group ofstudents about the phases ofthe nursing process, the instructor
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determines that the teaching was successful when the students identify which phase as being
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
foundational to all other phases?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse hascompleted the comprehensive health assessment ofa client who hasbeen
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admitted for the treatment of community-acquired pneumonia. Following the completion
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
of this assessment, the nurse periodically performs a partial assessment primarily for which
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reason?
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A) Reassess previously detected problems q2 q2 q2
B) Provide information forthe client's record q2 q2 q2 q2 q2
C) Addressareas previouslyomitted q2 q2 q2
D) Determinethe need forcrisis intervention q2 q2 q2 q2 q2
9. The nurse is working in an ambulatorycare clinic that is located ina busy, inner-city
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
neighborhood. Which client would the nurse determine to be in most need of an
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
emergency assessment?
q2 q2
A) A14-year-old girlwho is crying because she thinks she is pregnant
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B) A45-year-old manwith chest painand diaphoresis for 1 hour
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C) A3-year-old child with fever, rash, and sore throat
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D) A20-year-old man with a 3-inch shallow laceration onhis leg
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Page 1 q2
, 10. A nurse has completed gathering some basic data about a client who has multiple health
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
problems that stem from heavy alcoholuse. The nurse has then reflected on her personal
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
feelings about the client and his circumstances. The nurse does this primarily to accomplish
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
which of the following?
q2 q2 q2 q2
A) Determine if pertinent datahas been omitted q2 q2 q2 q2 q2 q2
B) Identifythe need for referral q2 q2 q2 q2
C) Avoid biases and judgments q2 q2 q2
D) Construct a plan ofcare q2 q2 q2 q2
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
diabetes and who will begin an educational program. The nurse is collecting subjective and
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
objective data. Whichofthe following would the nurse categorize as objective data?
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
A) Familyhistory q2
B) Occupation
C) Appearance
D) Historyof present health concern q2 q2 q2 q2
12. An older adult client has been admitted to the hospital with failure to thrive resulting from
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
complications ofdiabetes. Whichofthe following would the nurse implement in response
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
to a collaborative problem?
q2 q2 q2 q2
A) Encouragethe client to increase oralfluid intake. q2 q2 q2 q2 q2 q2 q2
B) Provide the client witha bedtime protein snack. q2 q2 q2 q2 q2 q2 q2
C) Assist the client withpersonalhygiene. q2 q2 q2 q2 q2
D) Measure the client's blood glucose four times daily. q2 q2 q2 q2 q2 q2 q2
13. The nurse at a busy primary care clinic is analyzing the data obtained from the following
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
clients. For which clients would the nurse most likelyexpect to facilitate a referral?
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
A) An 80-year-old client who lives withher daughter q2 q2 q2 q2 q2 q2 q2
B) A50-year-old client newlydiagnosed with diabetes
q2 q2 q2 q2 q2 q2
C) Anadult presenting for an influenza vaccination q2 q2 q2 q2 q2 q2
D) Ateenager seeking informationabout contraception
q2 q2 q2 q2 q2
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
instructor determines that the teaching was successfulwhen the students identifywhich of
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
the following as the major method used by nurses early in the history of the profession?
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
A) Naturalsenses q2
B) Biomedicalknowledge q2
C) Simpletechnology q2
D) Criticalpathways q2
Page 3 q 2
.
q2 q2 q2 2
q q2 q2 q2 q2 q2
JanetRWeberandJaneHKelley Fully Covered
q2 q2 2
q 2
q 2
q q2 q2 q2 q2
Page 1
q2
, 1 A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
(gall bladder removal). What is the overallpurpose ofassessment forthis client?
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
A) Collecting accurate data q2 q2
B) Assisting the primarycare provider q2 q2 q2 q2
C) Validatingpreviousdata q2 q2
D) Making clinical judgments q2 q2
2. Aclient has presentedto the emergencydepartment (ED) withcomplaints ofabdominal pain.
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
Which member of the care team would most likely be responsible for collecting the
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
subjective data on the client during the initial comprehensive assessment?
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
A) Gastroenterologist
B) ED nurse q2
C) Admissionsclerk q2
D) Diagnostictechnician q2
3. The nurse has completed an initial assessment of a newly admitted client and is applying the
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
nursing process to plan the client's care. What principle should the nurse apply when using
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
the nursing process?
q2 q2 q2
A) Each step is independent ofthe others. q2 q2 q2 q2 q2 q2
B) It is ongoing and continuous. q2 q2 q2 q2
C) It is used primarily in acute care settings.
q2 q2 q2 q2 q2 q2 q2
D) It involves independent nursing actions.
q2 q2 q2 q2
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
performa comprehensive healthassessment. Whichofthe following actions should the
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
nurse perform first?
q2 q2 q2
A) Review the client's medicalrecord. q2 q2 q2 q2
B) Obtainbasic biographic data. q2 q2 q2
C) Consult clinicalresources explaining the client's diagnosis. q2 q2 q2 q2 q2 q2
D) Validate information withthe client. q2 q2 q2 q2
5. Whichofthe following client situationswould the nurse interpret asrequiring an
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
emergency assessment?
q2 q2
A) Apediatric client withseveresunburn q2 q2 q2 q2 q2
B) Aclient needing anemployment physical q2 q2 q2 q2 q2
C) Aclient who overdosed on acetaminophen q2 q2 q2 q2 q2
D) Adistraught client who wants apregnancytest q2 q2 q2 q2 q2 q2 q2
Page 1 q2
,6. In response to a client's query, the nurse is explaining the differences between the
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
physician's medical exam and the comprehensive health assessment performed by the
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
nurse. The nurse should describe the fact that the nursing assessment focuseson which
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
aspect of the client's situation?
q2 q2 q2 q2 q2
A) Current physiologicstatus q2 q2
B) Effect ofhealth on functionalstatus q2 q2 q2 q2 q2
C) Past medical history q2 q2
D) Motivationfor adherence totreatment q2 q2 q2 q2
7. After teaching a group ofstudents about the phases ofthe nursing process, the instructor
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
determines that the teaching was successful when the students identify which phase as being
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
foundational to all other phases?
q2 q2 q2 q2 q2
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse hascompleted the comprehensive health assessment ofa client who hasbeen
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
admitted for the treatment of community-acquired pneumonia. Following the completion
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
of this assessment, the nurse periodically performs a partial assessment primarily for which
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
reason?
q2
A) Reassess previously detected problems q2 q2 q2
B) Provide information forthe client's record q2 q2 q2 q2 q2
C) Addressareas previouslyomitted q2 q2 q2
D) Determinethe need forcrisis intervention q2 q2 q2 q2 q2
9. The nurse is working in an ambulatorycare clinic that is located ina busy, inner-city
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
neighborhood. Which client would the nurse determine to be in most need of an
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
emergency assessment?
q2 q2
A) A14-year-old girlwho is crying because she thinks she is pregnant
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
B) A45-year-old manwith chest painand diaphoresis for 1 hour
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
C) A3-year-old child with fever, rash, and sore throat
q2 q2 q2 q2 q2 q2 q2 q2
D) A20-year-old man with a 3-inch shallow laceration onhis leg
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
Page 1 q2
, 10. A nurse has completed gathering some basic data about a client who has multiple health
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
problems that stem from heavy alcoholuse. The nurse has then reflected on her personal
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
feelings about the client and his circumstances. The nurse does this primarily to accomplish
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
which of the following?
q2 q2 q2 q2
A) Determine if pertinent datahas been omitted q2 q2 q2 q2 q2 q2
B) Identifythe need for referral q2 q2 q2 q2
C) Avoid biases and judgments q2 q2 q2
D) Construct a plan ofcare q2 q2 q2 q2
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
diabetes and who will begin an educational program. The nurse is collecting subjective and
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
objective data. Whichofthe following would the nurse categorize as objective data?
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
A) Familyhistory q2
B) Occupation
C) Appearance
D) Historyof present health concern q2 q2 q2 q2
12. An older adult client has been admitted to the hospital with failure to thrive resulting from
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
complications ofdiabetes. Whichofthe following would the nurse implement in response
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
to a collaborative problem?
q2 q2 q2 q2
A) Encouragethe client to increase oralfluid intake. q2 q2 q2 q2 q2 q2 q2
B) Provide the client witha bedtime protein snack. q2 q2 q2 q2 q2 q2 q2
C) Assist the client withpersonalhygiene. q2 q2 q2 q2 q2
D) Measure the client's blood glucose four times daily. q2 q2 q2 q2 q2 q2 q2
13. The nurse at a busy primary care clinic is analyzing the data obtained from the following
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
clients. For which clients would the nurse most likelyexpect to facilitate a referral?
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
A) An 80-year-old client who lives withher daughter q2 q2 q2 q2 q2 q2 q2
B) A50-year-old client newlydiagnosed with diabetes
q2 q2 q2 q2 q2 q2
C) Anadult presenting for an influenza vaccination q2 q2 q2 q2 q2 q2
D) Ateenager seeking informationabout contraception
q2 q2 q2 q2 q2
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
instructor determines that the teaching was successfulwhen the students identifywhich of
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
the following as the major method used by nurses early in the history of the profession?
q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2 q2
A) Naturalsenses q2
B) Biomedicalknowledge q2
C) Simpletechnology q2
D) Criticalpathways q2
Page 3 q 2
.
