TEST BANK FOR HEALTH ASSESSMENT
IN NURSING, 7TH EDITION BY WEBER,
VERIFIED CHAPTERS 1 - 34, COMPLETE
NEWEST VERSION QUESTIONS AND
VERIFIED COMPLETE WELL EXPLAINED
ANSWERS WITH RATIONALES 100%
CORRECT VERIFIED BY EXPERTS LATEST
UPDATE 2024 GRADED A+
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO PASS
YOUR EXAMS)
,
, A client has a sensorineural hearing loss. Where is the problem located?Inner ear problem
What is the thoracic cage landmark? Sternal angle
When assessing for possible oral cancer, what should you closely inspect? Area under the tongue
How does an oral candida infection present? Thick, white plaques on the tongue surface
What is the most likely diagnosis if the tympanic membrane is red, bulging, distorted and has diminished
light reflex. Acute otitis media
What does Weber's test for? The client has unilateral hearing loss
The nurse is preparing to examine a client's external auditory canal. What do you use? Otoscope
A nurse assesses a patient with chronic pain who have chewing problems. What does this indicate?
Temporomandibular joint (TMJ) dysfunction
Loss of bone density in postmenopausal women. What is this called? Osteoporosis
Women who begin menarche late or begin menopause early are at greater risk of development of
osteoporosis because of decreased estrogen levels, which tend to decrease density of bone mass.
When the nurse uses a goniometer, what does the device do? What is she measuring? Goniometry
allows the clinician to be able to measure the range of motion of specific joints of the body. Ex
flexion/extension
Nurse is observing elevated temp 102.5. There is pain, inability to flex head forward. What are these
findings of? Impaired ROM and neck pain associated with fever, chills, and headache could be
indicative of a serious infection such as meningitis.
When a nurse moves the client's arm away from the midline of the body, what is that? Abduction:
moving away from midline of body
The nurse is assessing a client's ability to shrug shoulders against resistance. What cranial nerve is that?
Inability to shrug shoulders against resistance is seen with a lesion of cranial nerve XI (11) (spinal
accessory). Decreased muscle strength is seen with muscle or joining disease.
The nurse is doing a physical exam. Patient has a painful red hot swollen toe. Specifi cally, the great toe.
What is this finding and what would the nurse expect. (Metatarsal phalangeal joint of great toe) Tender,
painful, reddened, hot, and swollen metatarsophalangeal joint of the great toe is seen in gouty arthritis.
A diet high in purine (e.g., meat, liver, sardines) and alcohol can trigger gouty arthritis.
The nurse is assessing a patient's gait. You need to know what finding would warrant a referral for
further evaluation. Shuffling of the feet as a side effect would warrant further eval uation
What ethnicity is an independent risk factor for osteoporosis Europeans and Americans accounted
for 51% of osteoporosis-related fractures in the year 2000, followed by the people from the Western
Pacific and Southeast Asia. Osteoporosis is lowest in black males and highest in White females.
, A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy. What is the
overall purpose of assessment for this client? Make clinical judgements
After teaching a group of students about the phases of the nursing process, the instructor determines
that the teaching was successful when the students identify which phase as being foundational to all
other phases? Assessment
A nurse is preparing to identify abnormal data and strengths of a client. Which of the following would be
most important for the nurse to have? Knowledge about anatomy and physiology
A nurse is assessing a client exhibiting decorticate posturing. Which of the following would the nurs e
observe? Internally rotated lower extremities
When is the SAD PERSONS assessment used? The client may have a high risk for suicide (not
depression)
Which of the following would be the most important for the nurse to do when assessing a client's BP?
Inflate the cuff 30 mmHg above where the radial pulse disappears
Which of the following would the nurse do to assess the depth of a client's respirations? Observe the
client's chest expansion bilaterally
A nurse documents a client's radial pulse as 2+, indicating which of the following? It occludes with
moderate pressure
A nurse assesses the radial pulse of a client. Which pulse rate would the nurse document as
bradycardia? 56 bpm (<60 bpm)
When assessing an older adult client with osteoporotic thinning and vertebral collapse, which of the
following findings would the nurse expect to identify? Kyphosis
An instructor is emphasizing the need for nurses to be culturally sensitive and competent for which
reason?Obtain accurate assessment data
You are completing a health assessment of a new client. You note that the client has dry, dull, brittle hair
and dry, flaky skin with poor turgor. What might this indicate? Poor nutritional status
A nurse has been asked to assess an older adult resident of a long-term care facility. Nurse notes break
in skin, erythema, and small amount of serosanguinous drainage over resident sacrum. What kind of
injury is this? Stage II Pressure Ulcer
What should you avoid when assessing a client's carotid pulse? Compressing the arteries bilaterally
What is the #1 prevention of TBI (traumatic brain injury)? Fall prevention
Identify the landmark needed to locate other vertebra? C7
What is an older adult client normal finding? Ectropion
When assessing the ear, which finding would be cause for conce rn? Tender tragus
IN NURSING, 7TH EDITION BY WEBER,
VERIFIED CHAPTERS 1 - 34, COMPLETE
NEWEST VERSION QUESTIONS AND
VERIFIED COMPLETE WELL EXPLAINED
ANSWERS WITH RATIONALES 100%
CORRECT VERIFIED BY EXPERTS LATEST
UPDATE 2024 GRADED A+
GUARANTEED SUCCESS AFTER
DOWNLOAD (ALL YOU NEED TO PASS
YOUR EXAMS)
,
, A client has a sensorineural hearing loss. Where is the problem located?Inner ear problem
What is the thoracic cage landmark? Sternal angle
When assessing for possible oral cancer, what should you closely inspect? Area under the tongue
How does an oral candida infection present? Thick, white plaques on the tongue surface
What is the most likely diagnosis if the tympanic membrane is red, bulging, distorted and has diminished
light reflex. Acute otitis media
What does Weber's test for? The client has unilateral hearing loss
The nurse is preparing to examine a client's external auditory canal. What do you use? Otoscope
A nurse assesses a patient with chronic pain who have chewing problems. What does this indicate?
Temporomandibular joint (TMJ) dysfunction
Loss of bone density in postmenopausal women. What is this called? Osteoporosis
Women who begin menarche late or begin menopause early are at greater risk of development of
osteoporosis because of decreased estrogen levels, which tend to decrease density of bone mass.
When the nurse uses a goniometer, what does the device do? What is she measuring? Goniometry
allows the clinician to be able to measure the range of motion of specific joints of the body. Ex
flexion/extension
Nurse is observing elevated temp 102.5. There is pain, inability to flex head forward. What are these
findings of? Impaired ROM and neck pain associated with fever, chills, and headache could be
indicative of a serious infection such as meningitis.
When a nurse moves the client's arm away from the midline of the body, what is that? Abduction:
moving away from midline of body
The nurse is assessing a client's ability to shrug shoulders against resistance. What cranial nerve is that?
Inability to shrug shoulders against resistance is seen with a lesion of cranial nerve XI (11) (spinal
accessory). Decreased muscle strength is seen with muscle or joining disease.
The nurse is doing a physical exam. Patient has a painful red hot swollen toe. Specifi cally, the great toe.
What is this finding and what would the nurse expect. (Metatarsal phalangeal joint of great toe) Tender,
painful, reddened, hot, and swollen metatarsophalangeal joint of the great toe is seen in gouty arthritis.
A diet high in purine (e.g., meat, liver, sardines) and alcohol can trigger gouty arthritis.
The nurse is assessing a patient's gait. You need to know what finding would warrant a referral for
further evaluation. Shuffling of the feet as a side effect would warrant further eval uation
What ethnicity is an independent risk factor for osteoporosis Europeans and Americans accounted
for 51% of osteoporosis-related fractures in the year 2000, followed by the people from the Western
Pacific and Southeast Asia. Osteoporosis is lowest in black males and highest in White females.
, A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy. What is the
overall purpose of assessment for this client? Make clinical judgements
After teaching a group of students about the phases of the nursing process, the instructor determines
that the teaching was successful when the students identify which phase as being foundational to all
other phases? Assessment
A nurse is preparing to identify abnormal data and strengths of a client. Which of the following would be
most important for the nurse to have? Knowledge about anatomy and physiology
A nurse is assessing a client exhibiting decorticate posturing. Which of the following would the nurs e
observe? Internally rotated lower extremities
When is the SAD PERSONS assessment used? The client may have a high risk for suicide (not
depression)
Which of the following would be the most important for the nurse to do when assessing a client's BP?
Inflate the cuff 30 mmHg above where the radial pulse disappears
Which of the following would the nurse do to assess the depth of a client's respirations? Observe the
client's chest expansion bilaterally
A nurse documents a client's radial pulse as 2+, indicating which of the following? It occludes with
moderate pressure
A nurse assesses the radial pulse of a client. Which pulse rate would the nurse document as
bradycardia? 56 bpm (<60 bpm)
When assessing an older adult client with osteoporotic thinning and vertebral collapse, which of the
following findings would the nurse expect to identify? Kyphosis
An instructor is emphasizing the need for nurses to be culturally sensitive and competent for which
reason?Obtain accurate assessment data
You are completing a health assessment of a new client. You note that the client has dry, dull, brittle hair
and dry, flaky skin with poor turgor. What might this indicate? Poor nutritional status
A nurse has been asked to assess an older adult resident of a long-term care facility. Nurse notes break
in skin, erythema, and small amount of serosanguinous drainage over resident sacrum. What kind of
injury is this? Stage II Pressure Ulcer
What should you avoid when assessing a client's carotid pulse? Compressing the arteries bilaterally
What is the #1 prevention of TBI (traumatic brain injury)? Fall prevention
Identify the landmark needed to locate other vertebra? C7
What is an older adult client normal finding? Ectropion
When assessing the ear, which finding would be cause for conce rn? Tender tragus
