CompleteTESTBANKWithAnswerKeys
ForHealthAssessmentInNursing7TH
EDITIONBYJANETR.
TESTBANK Page11.Anurseonapostsurgicalunitisadmittingaclientfollowingtheclient's
cholecystectomy(gallbladderremoval).Whatistheoverallpurposeofassessmentfor
thisclient?
A)Collectingaccuratedata
B)Assistingtheprimarycareprovider
C)Validatingpreviousdata
D)Makingclinicaljudgments
2.Aclienthaspresentedtotheemergencydepartment(ED)withcomplaintsofabdominal
pain.Whichmemberofthecareteamwouldmostlikelyberesponsibleforcollecting
thesubjectivedataontheclientduringtheinitialcomprehensiveassessment?
A)Gastroenterologist
B)EDnurse
C)Admissionsclerk
D)Diagnostictechnician
3.Thenursehascompletedaninitialassessmentofanewlyadmittedclientandisapplying
thenursingprocesstoplantheclient'scare.Whatprincipleshouldthenurseapplywhen
usingthenursingprocess?
A)Eachstepisindependentoftheothers.
B)Itisongoingandcontinuous.
C)Itisusedprimarilyinacutecaresettings.
D)Itinvolvesindependentnursingactions.
4.Thenursewhoprovidescareatanambulatoryclinicispreparingtomeetaclientand
performacomprehensivehealthassessment.Whichofthefollowingactionsshouldthe
nurseperformfirst?
A)Reviewtheclient'smedicalrecord.
B)Obtainbasicbiographicdata.
C)Consultclinicalresourcesexplainingtheclient'sdiagnosis.
D)Validateinformationwiththeclient.
5.Whichofthefollowingclientsituationswouldthenurseinterpretasrequiringan
emergencyassessment?
A)Apediatricclientwithseveresunburn
B)Aclientneedinganemploymentphysical
C)Aclientwhooverdosedonacetaminophen
D)Adistraughtclientwhowantsapregnancytest Page16.Inresponsetoaclient'squery,thenurseisexplainingthedifferencesbetweenthe
physician'smedicalexamandthecomprehensivehealthassessmentperformedbythe
nurse.Thenurseshoulddescribethefactthatthenursingassessmentfocusesonwhich
aspectoftheclient'ssituation?
A)Currentphysiologicstatus
B)Effectofhealthonfunctionalstatus
C)Pastmedicalhistory
D)Motivationforadherencetotreatment
7.Afterteachingagroupofstudentsaboutthephasesofthenursingprocess,theinstructor
determinesthattheteachingwassuccessfulwhenthestudentsidentifywhichphaseas
beingfoundationaltoallotherphases?
A)Assessment
B)Planning
C)Implementation
D)Evaluation
8.Thenursehascompletedthecomprehensivehealthassessmentofaclientwhohasbeen
admittedforthetreatmentofcommunity-acquiredpneumonia.Followingthe
completionofthisassessment,thenurseperiodicallyperformsapartialassessment
primarilyforwhichreason?
A)Reassesspreviouslydetectedproblems
B)Provideinformationfortheclient'srecord
C)Addressareaspreviouslyomitted
D)Determinetheneedforcrisisintervention
9.Thenurseisworkinginanambulatorycareclinicthatislocatedinabusy,inner-city
neighborhood.Whichclientwouldthenursedeterminetobeinmostneedofan
emergencyassessment?
A)A14-year-oldgirlwhoiscryingbecauseshethinkssheispregnant
B)A45-year-oldmanwithchestpainanddiaphoresisfor1hour
C)A3-year-oldchildwithfever,rash,andsorethroat
D)A20-year-oldmanwitha3-inchshallowlacerationonhisleg Page3
.10.Anursehascompletedgatheringsomebasicdataaboutaclientwhohasmultiplehealth
problemsthatstemfromheavyalcoholuse.Thenursehasthenreflectedonherpersonal
feelingsabouttheclientandhiscircumstances.Thenursedoesthisprimarilyto
accomplishwhichofthefollowing?
A)Determineifpertinentdatahasbeenomitted
B)Identifytheneedforreferral
C)Avoidbiasesandjudgments
D)Constructaplanofcare
11.Thenurseiscollectingdatafromaclientwhohasrecentlybeendiagnosedwithtype1
diabetesandwhowillbeginaneducationalprogram.Thenurseiscollectingsubjective
andobjectivedata.Whichofthefollowingwouldthenursecategorizeasobjectivedata?
A)Familyhistory
B)Occupation
C)Appearance
D)Historyofpresenthealthconcern
12.Anolderadultclienthasbeenadmittedtothehospitalwithfailuretothriveresulting
fromcomplicationsofdiabetes.Whichofthefollowingwouldthenurseimplementin
responsetoacollaborativeproblem?
A)Encouragetheclienttoincreaseoralfluidintake.
B)Providetheclientwithabedtimeproteinsnack.
C)Assisttheclientwithpersonalhygiene.
D)Measuretheclient'sbloodglucosefourtimesdaily.
13.Thenurseatabusyprimarycareclinicisanalyzingthedataobtainedfromthe
followingclients.Forwhichclientswouldthenursemostlikelyexpecttofacilitatea
referral?
A)An80-year-oldclientwholiveswithherdaughter
B)A50-year-oldclientnewlydiagnosedwithdiabetes
C)Anadultpresentingforaninfluenzavaccination
D)Ateenagerseekinginformationaboutcontraception
14.Aninstructorisreviewingtheevolutionofthenurse'sroleinhealthassessment.The
instructordeterminesthattheteachingwassuccessfulwhenthestudentsidentifywhich
ofthefollowingasthemajormethodusedbynursesearlyinthehistoryofthe
profession?
A)Naturalsenses
B)Biomedicalknowledge
C)Simpletechnology
D)Criticalpathways
ForHealthAssessmentInNursing7TH
EDITIONBYJANETR.
TESTBANK Page11.Anurseonapostsurgicalunitisadmittingaclientfollowingtheclient's
cholecystectomy(gallbladderremoval).Whatistheoverallpurposeofassessmentfor
thisclient?
A)Collectingaccuratedata
B)Assistingtheprimarycareprovider
C)Validatingpreviousdata
D)Makingclinicaljudgments
2.Aclienthaspresentedtotheemergencydepartment(ED)withcomplaintsofabdominal
pain.Whichmemberofthecareteamwouldmostlikelyberesponsibleforcollecting
thesubjectivedataontheclientduringtheinitialcomprehensiveassessment?
A)Gastroenterologist
B)EDnurse
C)Admissionsclerk
D)Diagnostictechnician
3.Thenursehascompletedaninitialassessmentofanewlyadmittedclientandisapplying
thenursingprocesstoplantheclient'scare.Whatprincipleshouldthenurseapplywhen
usingthenursingprocess?
A)Eachstepisindependentoftheothers.
B)Itisongoingandcontinuous.
C)Itisusedprimarilyinacutecaresettings.
D)Itinvolvesindependentnursingactions.
4.Thenursewhoprovidescareatanambulatoryclinicispreparingtomeetaclientand
performacomprehensivehealthassessment.Whichofthefollowingactionsshouldthe
nurseperformfirst?
A)Reviewtheclient'smedicalrecord.
B)Obtainbasicbiographicdata.
C)Consultclinicalresourcesexplainingtheclient'sdiagnosis.
D)Validateinformationwiththeclient.
5.Whichofthefollowingclientsituationswouldthenurseinterpretasrequiringan
emergencyassessment?
A)Apediatricclientwithseveresunburn
B)Aclientneedinganemploymentphysical
C)Aclientwhooverdosedonacetaminophen
D)Adistraughtclientwhowantsapregnancytest Page16.Inresponsetoaclient'squery,thenurseisexplainingthedifferencesbetweenthe
physician'smedicalexamandthecomprehensivehealthassessmentperformedbythe
nurse.Thenurseshoulddescribethefactthatthenursingassessmentfocusesonwhich
aspectoftheclient'ssituation?
A)Currentphysiologicstatus
B)Effectofhealthonfunctionalstatus
C)Pastmedicalhistory
D)Motivationforadherencetotreatment
7.Afterteachingagroupofstudentsaboutthephasesofthenursingprocess,theinstructor
determinesthattheteachingwassuccessfulwhenthestudentsidentifywhichphaseas
beingfoundationaltoallotherphases?
A)Assessment
B)Planning
C)Implementation
D)Evaluation
8.Thenursehascompletedthecomprehensivehealthassessmentofaclientwhohasbeen
admittedforthetreatmentofcommunity-acquiredpneumonia.Followingthe
completionofthisassessment,thenurseperiodicallyperformsapartialassessment
primarilyforwhichreason?
A)Reassesspreviouslydetectedproblems
B)Provideinformationfortheclient'srecord
C)Addressareaspreviouslyomitted
D)Determinetheneedforcrisisintervention
9.Thenurseisworkinginanambulatorycareclinicthatislocatedinabusy,inner-city
neighborhood.Whichclientwouldthenursedeterminetobeinmostneedofan
emergencyassessment?
A)A14-year-oldgirlwhoiscryingbecauseshethinkssheispregnant
B)A45-year-oldmanwithchestpainanddiaphoresisfor1hour
C)A3-year-oldchildwithfever,rash,andsorethroat
D)A20-year-oldmanwitha3-inchshallowlacerationonhisleg Page3
.10.Anursehascompletedgatheringsomebasicdataaboutaclientwhohasmultiplehealth
problemsthatstemfromheavyalcoholuse.Thenursehasthenreflectedonherpersonal
feelingsabouttheclientandhiscircumstances.Thenursedoesthisprimarilyto
accomplishwhichofthefollowing?
A)Determineifpertinentdatahasbeenomitted
B)Identifytheneedforreferral
C)Avoidbiasesandjudgments
D)Constructaplanofcare
11.Thenurseiscollectingdatafromaclientwhohasrecentlybeendiagnosedwithtype1
diabetesandwhowillbeginaneducationalprogram.Thenurseiscollectingsubjective
andobjectivedata.Whichofthefollowingwouldthenursecategorizeasobjectivedata?
A)Familyhistory
B)Occupation
C)Appearance
D)Historyofpresenthealthconcern
12.Anolderadultclienthasbeenadmittedtothehospitalwithfailuretothriveresulting
fromcomplicationsofdiabetes.Whichofthefollowingwouldthenurseimplementin
responsetoacollaborativeproblem?
A)Encouragetheclienttoincreaseoralfluidintake.
B)Providetheclientwithabedtimeproteinsnack.
C)Assisttheclientwithpersonalhygiene.
D)Measuretheclient'sbloodglucosefourtimesdaily.
13.Thenurseatabusyprimarycareclinicisanalyzingthedataobtainedfromthe
followingclients.Forwhichclientswouldthenursemostlikelyexpecttofacilitatea
referral?
A)An80-year-oldclientwholiveswithherdaughter
B)A50-year-oldclientnewlydiagnosedwithdiabetes
C)Anadultpresentingforaninfluenzavaccination
D)Ateenagerseekinginformationaboutcontraception
14.Aninstructorisreviewingtheevolutionofthenurse'sroleinhealthassessment.The
instructordeterminesthattheteachingwassuccessfulwhenthestudentsidentifywhich
ofthefollowingasthemajormethodusedbynursesearlyinthehistoryofthe
profession?
A)Naturalsenses
B)Biomedicalknowledge
C)Simpletechnology
D)Criticalpathways
