TestBankforHealthAssessment inNursing
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v7thEditionbyJanetRWeberandJaneH
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KelleyFully Covered
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Page 1 v
, 1 A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
v v v v v v v v v v v v v v
(gall bladder removal). What istheoverallpurposeofassessment forthis client?
v v v v v v v v v v v v
A) Collecting accurate data v v
B) Assistingthe primarycare provider v v v v
C) Validatingpreviousdata v v
D) Makingclinicaljudgments v v
2. Aclient has presentedto the emergencydepartment (ED) withcomplaintsofabdominal
v v v v v v v v v v v v
pain. Which member of the care team would most likely be responsible for collecting the
v v v v v v v v v v v v v v v
subjective data on the client during the initial comprehensive assessment?
v v v v v v v v v v
A) Gastroenterologist
B) ED nurse v
C) Admissionsclerk v
D) Diagnostictechnician v
3. The nurse has completed an initialassessment ofa newlyadmitted client and is applying the
v v v v v v v v v v v v v v v
nursing process to plan the client's care. What principle should the nurse apply when using
v v v v v v v v v v v v v v v
the nursing process?
v v v
A) Eachstep is independent ofthe others. v v v v v v
B) It isongoing and continuous. v v v v
C) It is used primarilyin acute care settings.
v v v v v v v
D) Itinvolves independent nursing actions.
v v v v
4. The nurse who provides care at an ambulatoryclinic is preparing to meet a client and
v v v v v v v v v v v v v v v
performa comprehensivehealthassessment. Whichofthe following actionsshould the
v v v v v v v v v v v v
nurse perform first?
v v v
A) Reviewtheclient's medicalrecord. v v v v
B) Obtainbasic biographic data. v v v
C) Consult clinicalresourcesexplainingtheclient's diagnosis. v v v v v v
D) Validate informationwiththe client. v v v v
5. Whichofthe followingclient situationswouldthenurse interpret asrequiringan
v v v v v v v v v v v v
emergency assessment?
v v
A) Apediatric client withseveresunburn v v v v v
B) Aclient needing anemployment physicalv v v v v
C) Aclient who overdosedonacetaminophen v v v v v
D) Adistraught client who wantsapregnancytest
v v v v v v v
Page 1 v
,6. In response to a client's query, the nurse is explaining the differences between the
v v v v v v v v v v v v v
physician's medical exam and the comprehensive health assessment performed by the
v v v v v v v v v v v
nurse. Thenurseshould describethefactthatthenursingassessment focusesonwhich
v v v v v v v v v v v v v v
aspect of the client's situation?
v v v v v
A) Currentphysiologicstatus v v
B) Effect ofhealthon functionalstatus v v v v v
C) Past medicalhistory v v
D) Motivationfor adherence totreatment v v v v
7. After teaching a groupofstudentsabout the phases ofthe nursing process,the instructor
v v v v v v v v v v v v v v
determines that the teaching was successful when the students identify which phase as
v v v v v v v v v v v v v
being foundational to all other phases?
v v v v v v
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. Thenursehascompleted thecomprehensive healthassessmentofaclient who hasbeen
v v v v v v v v v v v v v
admitted for the treatment of community-acquired pneumonia. Following the
v v v v v v v v v
completion of this assessment, the nurse periodically performs a partial assessment
v v v v v v v v v v v
primarily for which reason?
v v v v
A) Reassess previouslydetected problems v v v
B) Provideinformation fortheclient's record v v v v v
C) Addressareas previouslyomitted v v v
D) Determinetheneed forcrisis intervention v v v v v
9. The nurse isworking in anambulatorycare clinic that is located ina busy, inner-city
v v v v v v v v v v v v v v v
neighborhood. Which client would the nurse determine to be in most need of an
v v v v v v v v v v v v v v
emergency assessment?
v v
A) A14-year-old girlwho iscrying because she thinks she is pregnant
v v v v v v v v v v v
B) A45-year-old manwithchest painand diaphoresis for 1 hour
v v v v v v v v v v
C) A3-year-old child with fever, rash, and sorethroat
v v v v v v v v
D) A20-year-old manwitha 3-inchshallow lacerationonhis leg
v v v v v v v v v v
Page 1 v
, 10. A nurse has completed gathering some basic data about a client who has multiple health
v v v v v v v v v v v v v v
problems that stemfromheavyalcoholuse. The nurse has thenreflected onher personal
v v v v v v v v v v v v v v v
feelings about the client and his circumstances. The nurse does this primarily to
v v v v v v v v v v v v v
accomplish which of the following?
v v v v v
A) Determine ifpertinent datahas beenomitted v v v v v v
B) Identifythe need for referral v v v v
C) Avoid biasesand judgments v v v
D) Construct a planofcare v v v v
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
v v v v v v v v v v v v v v v
diabetes and who will begin an educational program. The nurse is collecting subjective
v v v v v v v v v v v v v
and objective data. Whichofthefollowing wouldthenursecategorize asobjective data?
v v v v v v v v v v v v v v
A) Familyhistory v
B) Occupation
C) Appearance
D) Historyofpresent healthconcern v v v v
12. An older adult client has been admitted to the hospital with failure to thrive resulting
v v v v v v v v v v v v v v
fromcomplicationsofdiabetes. Whichofthe followingwouldthe nurse implement in
v v v v v v v v v v v v v
response to a collaborative problem?
v v v v v
A) Encouragethe client to increaseoralfluid intake. v v v v v v v
B) Providethe client witha bedtime proteinsnack. v v v v v v v
C) Assist theclient withpersonalhygiene. v v v v v
D) Measuretheclient'sblood glucose fourtimes daily. v v v v v v v
13. The nurse at a busy primary care clinic is analyzing the data obtained from the following
v v v v v v v v v v v v v v v
clients. Forwhichclients wouldthenurse mostlikelyexpect tofacilitatea referral?
v v v v v v v v v v v v v v
A) An80-year-old client who liveswithher daughter
v v v v v v v
B) A50-year-old client newlydiagnosed withdiabetes
v v v v v v
C) Anadult presenting for aninfluenzavaccination
v v v v v v
D) Ateenager seeking informationabout contraception
v v v v v
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
v v v v v v v v v v v v v
instructordeterminesthat the teaching wassuccessfulwhenthe students identifywhich
v v v v v v v v v v v v
of the following as the major method used by nurses early in the history of the profession?
v v v v v v v v v v v v v v v v v
A) Naturalsenses v
B) Biomedicalknowledge v
C) Simpletechnology v
D) Criticalpathways v
Page 3 v
.
v v v v v v
v7thEditionbyJanetRWeberandJaneH
v v v v v v v v
KelleyFully Covered
v v v
Page 1 v
, 1 A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
v v v v v v v v v v v v v v
(gall bladder removal). What istheoverallpurposeofassessment forthis client?
v v v v v v v v v v v v
A) Collecting accurate data v v
B) Assistingthe primarycare provider v v v v
C) Validatingpreviousdata v v
D) Makingclinicaljudgments v v
2. Aclient has presentedto the emergencydepartment (ED) withcomplaintsofabdominal
v v v v v v v v v v v v
pain. Which member of the care team would most likely be responsible for collecting the
v v v v v v v v v v v v v v v
subjective data on the client during the initial comprehensive assessment?
v v v v v v v v v v
A) Gastroenterologist
B) ED nurse v
C) Admissionsclerk v
D) Diagnostictechnician v
3. The nurse has completed an initialassessment ofa newlyadmitted client and is applying the
v v v v v v v v v v v v v v v
nursing process to plan the client's care. What principle should the nurse apply when using
v v v v v v v v v v v v v v v
the nursing process?
v v v
A) Eachstep is independent ofthe others. v v v v v v
B) It isongoing and continuous. v v v v
C) It is used primarilyin acute care settings.
v v v v v v v
D) Itinvolves independent nursing actions.
v v v v
4. The nurse who provides care at an ambulatoryclinic is preparing to meet a client and
v v v v v v v v v v v v v v v
performa comprehensivehealthassessment. Whichofthe following actionsshould the
v v v v v v v v v v v v
nurse perform first?
v v v
A) Reviewtheclient's medicalrecord. v v v v
B) Obtainbasic biographic data. v v v
C) Consult clinicalresourcesexplainingtheclient's diagnosis. v v v v v v
D) Validate informationwiththe client. v v v v
5. Whichofthe followingclient situationswouldthenurse interpret asrequiringan
v v v v v v v v v v v v
emergency assessment?
v v
A) Apediatric client withseveresunburn v v v v v
B) Aclient needing anemployment physicalv v v v v
C) Aclient who overdosedonacetaminophen v v v v v
D) Adistraught client who wantsapregnancytest
v v v v v v v
Page 1 v
,6. In response to a client's query, the nurse is explaining the differences between the
v v v v v v v v v v v v v
physician's medical exam and the comprehensive health assessment performed by the
v v v v v v v v v v v
nurse. Thenurseshould describethefactthatthenursingassessment focusesonwhich
v v v v v v v v v v v v v v
aspect of the client's situation?
v v v v v
A) Currentphysiologicstatus v v
B) Effect ofhealthon functionalstatus v v v v v
C) Past medicalhistory v v
D) Motivationfor adherence totreatment v v v v
7. After teaching a groupofstudentsabout the phases ofthe nursing process,the instructor
v v v v v v v v v v v v v v
determines that the teaching was successful when the students identify which phase as
v v v v v v v v v v v v v
being foundational to all other phases?
v v v v v v
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. Thenursehascompleted thecomprehensive healthassessmentofaclient who hasbeen
v v v v v v v v v v v v v
admitted for the treatment of community-acquired pneumonia. Following the
v v v v v v v v v
completion of this assessment, the nurse periodically performs a partial assessment
v v v v v v v v v v v
primarily for which reason?
v v v v
A) Reassess previouslydetected problems v v v
B) Provideinformation fortheclient's record v v v v v
C) Addressareas previouslyomitted v v v
D) Determinetheneed forcrisis intervention v v v v v
9. The nurse isworking in anambulatorycare clinic that is located ina busy, inner-city
v v v v v v v v v v v v v v v
neighborhood. Which client would the nurse determine to be in most need of an
v v v v v v v v v v v v v v
emergency assessment?
v v
A) A14-year-old girlwho iscrying because she thinks she is pregnant
v v v v v v v v v v v
B) A45-year-old manwithchest painand diaphoresis for 1 hour
v v v v v v v v v v
C) A3-year-old child with fever, rash, and sorethroat
v v v v v v v v
D) A20-year-old manwitha 3-inchshallow lacerationonhis leg
v v v v v v v v v v
Page 1 v
, 10. A nurse has completed gathering some basic data about a client who has multiple health
v v v v v v v v v v v v v v
problems that stemfromheavyalcoholuse. The nurse has thenreflected onher personal
v v v v v v v v v v v v v v v
feelings about the client and his circumstances. The nurse does this primarily to
v v v v v v v v v v v v v
accomplish which of the following?
v v v v v
A) Determine ifpertinent datahas beenomitted v v v v v v
B) Identifythe need for referral v v v v
C) Avoid biasesand judgments v v v
D) Construct a planofcare v v v v
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
v v v v v v v v v v v v v v v
diabetes and who will begin an educational program. The nurse is collecting subjective
v v v v v v v v v v v v v
and objective data. Whichofthefollowing wouldthenursecategorize asobjective data?
v v v v v v v v v v v v v v
A) Familyhistory v
B) Occupation
C) Appearance
D) Historyofpresent healthconcern v v v v
12. An older adult client has been admitted to the hospital with failure to thrive resulting
v v v v v v v v v v v v v v
fromcomplicationsofdiabetes. Whichofthe followingwouldthe nurse implement in
v v v v v v v v v v v v v
response to a collaborative problem?
v v v v v
A) Encouragethe client to increaseoralfluid intake. v v v v v v v
B) Providethe client witha bedtime proteinsnack. v v v v v v v
C) Assist theclient withpersonalhygiene. v v v v v
D) Measuretheclient'sblood glucose fourtimes daily. v v v v v v v
13. The nurse at a busy primary care clinic is analyzing the data obtained from the following
v v v v v v v v v v v v v v v
clients. Forwhichclients wouldthenurse mostlikelyexpect tofacilitatea referral?
v v v v v v v v v v v v v v
A) An80-year-old client who liveswithher daughter
v v v v v v v
B) A50-year-old client newlydiagnosed withdiabetes
v v v v v v
C) Anadult presenting for aninfluenzavaccination
v v v v v v
D) Ateenager seeking informationabout contraception
v v v v v
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
v v v v v v v v v v v v v
instructordeterminesthat the teaching wassuccessfulwhenthe students identifywhich
v v v v v v v v v v v v
of the following as the major method used by nurses early in the history of the profession?
v v v v v v v v v v v v v v v v v
A) Naturalsenses v
B) Biomedicalknowledge v
C) Simpletechnology v
D) Criticalpathways v
Page 3 v
.
