Health Assessment 301 Exam 1 Questions
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An instructor is describing a comprehensive nursing health assessment to a group of students.
The instructor determines that the teaching was successful when the students identify which of
the following as the overall purpose?
A) Collect accurate data
B) Assist the physician
C) Validate previous data
D) Make a clinical judgment - Answer✔d
Which individual typically would be responsible for collecting the subjective data on a client
during the initial comprehensive assessment?
A) Physician
B) Nurse
C) Secretary
D) Technician - Answer✔b
When discussing the nursing process with a group of students, which of the following
statements best describes it?
A) Each step is independent of the others.
B) It is ongoing and continuous.
C) It is used primarily in acute care settings.
D) It involves independent nursing actions. - Answer✔b
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Before meeting the client and performing a comprehensive health assessment, which of the
following would be most important for the nurse to do?
A) Review the client's medical record.
B) Obtain basic biographic data.
C) Consult essential resources.
D) Validate information with the client. - Answer✔a
Which of the following client situations would the nurse interpret as requiring an emergency
assessment?
A) A client with severe sunburn
B) A client needing an employment physical
C) A client who took a drug overdose
D) A client who wants a pregnancy test - Answer✔c
In comparison with the physician's medical exam, the comprehensive health assessment
performed by the nurse focuses on which aspect?
A) Current physiologic status
B) Effect of health on lifestyle
C) Past medical history
D) Motivation for compliance - Answer✔b
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 most
important?
A) Assessment
B) Planning
C) Implementation
D) Evaluation - Answer✔a
Following completion of the comprehensive health assessment, the nurse periodically performs
a partial assessment primarily for which reason?
A) Reassess previously detected problems
B) Provide information for the client's record
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C) Address areas previously omitted
D) Determine the need for crisis intervention - Answer✔a
The nurse is working in an ambulatory care clinic. Which client would the nurse determine to be
in most need of an emergency assessment?
A) A 14-year-old girl who is crying because she thinks she is pregnant
B) A 35-year-old man with chest pain and diaphoresis for 1 hour
C) A 3-year-old child with fever, rash, and sore throat
D) A 20-year-old man with a 3-inch shallow laceration on his leg - Answer✔b
A nurse has completed gathering some basic data about a client and then reflects on personal
feelings about the client. The nurse does this primarily to accomplish which of the following?
A) Determine if pertinent data has been omitted
B) Identify the need for referral
C) Avoid biases and judgments
D) Construct a plan of care - Answer✔c
The nurse is collecting data from a client. Which of the following best reflects objective data?
A) Religion
B) Occupation
C) Appearance
D) Age - Answer✔c
Which of the following would the nurse implement in response to a collaborative problem?
A) Encouraging oral fluids
B) Providing bedtime protein snack
C) Assisting with personal hygiene
D) Taking blood glucose twice daily - Answer✔d
The nurse is analyzing the data obtained from the following clients. Which client would the
nurse expect to facilitate a referral?
A) An 80-year-old client who lives with her daughter
B) A 50-year-old client newly diagnosed with diabetes
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C) A 3-year-old child with an acute ear infection
D) A teenager seeking information about contraception - Answer✔b
An instructor is reviewing the evolution of the nurse's role in health assessment. The instructor
determines that the teaching was successful when the students identify which of the following
as the major method used by nurses early on to perform assessment?
A) Natural senses
B) Biomedical knowledge
C) Technology
D) Critical pathways - Answer✔a
When describing the expansion of the depth and scope of nursing assessment over the past
several decades, which of the following would be identified as being the primary force?
A) Documentation
B) Informatics
C) Diversification
D) Technology - Answer✔d
A group of students is reviewing information about the potential opportunities for nurses with
advanced assessment skills. The students demonstrate that they understand the information
when they identify which of the following as helping to promote this role?
A) Expansion of health care networks
B) Decrease in client participation in care
C) Restraints in the cost of medical care
D) Broadening of the base of biomedical data - Answer✔a
During an in-service presentation, the presenter stresses the importance of accurate and
thorough documentation for which reason?
A) Guarantee a continual assessment process.
B) Identify abnormal data.
C) Assure valid conclusions from analyzed data.
D) Allow for drawing inferences and identifying problems. - Answer✔c
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