Test Bank For Health Assessment in Nursing 5th Edition Janet R. Weber Jane H. Kelley. All Chapters |Complete Guide (NEWEST VERSION).

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TEST BANK FOR Health Assessment in Nursing 5thEdition
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Janet R. Weber, Jane H. Kelley-latest-2025
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1. A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
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(gallbladder removal). What is the overall purpose of assessment for this client?
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A) Collecting accurate data qa qa




B) Assisting theprimary care provider qa qa qa qa




C) Validating previous data qa qa




D) Makingclinical judgments qa qa




D) Making clinical judgments
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2. A client has presented to the emergency department (ED) with complaints of abdominal
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pain. Which member of the care team would most likely be responsible for collectingthe
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subjective data ontheclient during the initial comprehensive assessment?
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A) Gastroenterologist
B) EDnurse qa




C) Admissions clerk qa




D) Diagnostictechnician a
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B) ED nurse
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3. The nurse has completed an initial assessment of a newly admitted client and is
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applying thenursing process to plantheclient's care. What principleshould the nurse apply
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when using the nursing process?
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A) Each step is independent of the others. qa qa qa qa qa qa




B) It is ongoing and continuous.
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C) It is used primarily in acute care settings.
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D) Itinvolves independent nursing actions.
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B) It is ongoing and continuous.
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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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perform a comprehensive health assessment. Which of the following actions should the
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nurse perform first?
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A) Review the client's medical record. qa qa qa qa




B) Obtain basic biographic data. qa qa qa




C) Consult clinicalresources explainingthe client's diagnosis. qa qa qa qa qa qa




D) Validate information with theclient. qa qa qa qa




A) Review the client's medical record. qa qa qa qa




5. Which of the followingclient situations would thenurse interpret as requiring an
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emergency assessment?
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A) A pediatric client with severe sunburn
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B) A client needing an employment physical
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C) A client who overdosed on acetaminophen
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D) A distraught client who wants apregnancy test
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C) A client who overdosed on acetaminophen
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6. In response to a client's query, the nurse is explaining the differences between the
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physician'smedical exam andthe comprehensive healthassessment performed by the
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nurse. The nurse should describe the fact that the nursing assessment focuses on which
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aspect of the client's situation?
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A) Current physiologic status qa qa




B) Effectof healthon functional status qa qa qa qa qa

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C) Past medical history qa qa




D) Motivation for adherence totreatment qa qa qa qa




B) Effectof healthon functional status qa qa qa qa qa




7. After teaching a group of students about the phases of the nursing process, the instructor
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determines that theteaching was successful when the students identify which phase as being
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foundational to all other phases?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Thenurse has completed the comprehensive health assessment ofa client who has been
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admitted for the treatment of community-acquired pneumonia. Following the completion of
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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 qa qa qa




B) Provide information for the client's record qa qa qa qa qa




C) Address areas previously omitted qa qa qa




D) Determine the need for crisis intervention qa qa qa qa qa




A) Reassesspreviously detected problems a
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9. Thenurse is working in an ambulatory care clinic that is located in abusy, inner-city
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neighborhood. Which client would the nurse determine to be in most need of an
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emergency assessment?
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A) A14-year-oldgirlwhoiscryingbecauseshethinks sheispregnant
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B) A45-year-oldmanwith chestpainanddiaphoresisfor1hour
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C) A 3-year-oldchildwithfever, rash, and sorethroat
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D) A20-year-oldmanwith a3-inchshallowlacerationonhisleg
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B) A45-year-oldmanwith chestpainanddiaphoresisfor 1hour
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10. A nurse has completed gathering some basic data about a client who has multiple
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health problems that stem from heavy alcohol use. The nurse has then reflected onher
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personal feelings about the client and his circumstances. The nurse does this primarily to
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accomplish which of the following?
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A) Determine if pertinent data has been omitted qa qa qa qa qa qa




B) Identify the need for referral qa qa qa qa




C) Avoid biases and judgments qa qa qa




D) Construct a plan of care qa qa qa qa




C) Avoid biases and judgments qa qa qa




11. The nurse is collecting data from a client who has recently been diagnosed with type 1
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diabetes and who will begin an educational program. The nurse is collecting subjective and
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objective data. Which of the following would the nurse categorize as objective data?
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A) Family history qa




B) Occupation
C) Appearance
D) History of present health concern qa qa qa qa




C) Appearance
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12. An older adult client has been admitted to thehospital with failureto thrive resulting from
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complications of diabetes. Which of the following would the nurse implement in response
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to a collaborative problem?
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A) Encourage the client toincrease oralfluid intake. qa qa qa qa qa qa qa




B) Provide theclient with a bedtime protein snack. qa qa qa qa qa qa qa




C) Assist the client with personal hygiene. qa qa qa qa qa




D) Measure the client's blood glucose four times daily. qa qa qa qa qa qa qa




D) Measure the client's blood glucose four times daily.
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13. The nurse at a busy primary care clinic is analyzing the data obtained from the
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following clients. For which clients would the nurse most likely expect to facilitate a
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referral?
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A) An80-year-oldclientwholives withherdaughter
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B) A50-year-oldclientnewlydiagnosedwithdiabetes
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C) Anadult presenting for an influenza vaccination
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D) A teenager seeking information about contraception
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B) A50-year-oldclientnewlydiagnosedwithdiabetes
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14. An instructor is reviewing theevolution of thenurse's role inhealth assessment. The
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instructor determines that the teaching was successful when the students identify which of
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the following as the major method used by nurses early in the history of the profession?
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A) Naturalsenses a
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B) Biomedicalknowledge a
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C) Simple technology qa




D) Criticalpathways a
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A) Natural senses qa




15. When describing the expansion of the depth andscope of nursing assessment over the
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past several decades, which of the following would the nurse identify as being the primary
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force?
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A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Public mistrust of physicians qa qa qa




16. A group of nurses are reviewing information about the potential opportunities for
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nurses whohaveadvanced assessment skills. Whendiscussing phenomena thathave
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contributed to these increased opportunities, what should the nurses identify?
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A) Expansion of health care networks qa qa qa qa




B) Decrease inclient participation incare qa qa qa qa qa




C) The shrinking cost of medical care qa qa qa qa qa




D) Public mistrust of physicians qa qa qa




A) Expansion of health care networks qa qa qa qa




17. A nurse has documented the findings of a comprehensive assessment of a new
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client. What is the primary rationale that the nurse should identify for accurate and
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thorough documentation?
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A) Guaranteeing acontinual assessment process qa qa qa qa




B) Identifyingabnormal data a
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C) Assuringvalidconclusions from analyzeddata qa qa qa qa a
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D) Allowing fordrawing inferences andidentifying problems qa qa qa qa qa qa




C) Assuringvalid conclusions from analyzed data qa qa qa qa qa




18. A nurse has received a report on a client who will soon be admitted to the medical unit
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from the emergency department. When preparing for the assessment phase of the nursing
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process, which of the following should the nurse do first?
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A) Collect objective data. qa qa




B) Validate importantdata. qa qa




C) Collect subjective data. qa qa




D) Document the data. qa qa




C) Collect subjective data.
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19. A community health nurse is assessing an older adult client in the client's home.
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When the nurse is gathering subjective data, which of the following would the nurse
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identify?
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A) The client's feelings of happiness qa qa qa qa




B) The client's posture qa qa




C) The client's affect qa qa




D) Theclient's behavior qa qa




A) The client's feelings of happiness qa qa qa qa




20. A nurse onthehospital's subacute medical unit is planning toperform a client's
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focused assessment. Which of the following statements should inform the nurse's
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practice?
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A) Thefocused assessment should bedone before thephysical exam.
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B) Thefocusedassessment replacesthe comprehensive database.
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C) Thefocused assessment addresses a particular client problem.
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D) Thefocusedassessment is done after gathering subjective data.
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C) The focused assessment addresses a particular client problem.
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21. The nurse is reviewing a client's health history and the results of themost recent
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physical examination. Which of the following data would the nurse identify as being
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subjective? Select all that apply.
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A) I feel so tired sometimes.
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B) Weight: 145lbs qa qa




C) Lungs clear to auscultation qa qa qa




D) Client complains of a headache qa qa qa qa




E) My father died of a heart attack. qa qa qa qa qa qa




F) Pupilsequal,round, and reactivetolight A, a
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D, E
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22. The nurse has been applying the nursing process in the care of an adult client who is
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being treated for acute pancreatitis. Place the nurse's actions in their proper sequence
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from first to last.
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A) Identifyingoutcomes a
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B) Determiningclient'snursing problem a
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C) Collecting information about the client qa qa qa qa




D) Determining outcomeachievement qa a
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E) Carryingoutinterventions a
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C, B, A, E, D
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C) Collecting information about the client qa qa qa qa




B) Determining client'snursing problem qa a
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A) Identifying outcomes
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E) Carrying out interventions qa qa




D) Determining outcome achievement qa qa




23. A nurse is completing an assessment that will involve gathering subjective and
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objective data. Whichof the following assessment techniques will best allow thenurse to
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collect objective data?
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A) Inspection
B) Therapeutic communication qa




C) Interviewing
D) Active listening qa




A) Inspection
24. The nurse is performing ahealth assessment ona community-dwelling client who is
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recovering from hip replacement surgery. Which of the following actions should the nurse
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prioritize during assessment?
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A) Focus the assessment on the client as a member of her age group. qa qa qa qa qa qa qa qa qa qa qa qa




B) Interpret the information about the client incontext. qa qa qa qa qa qa qa




C) Corroborate theclient's statements with trusted sources. qa qa qa qa qa qa




D) Gather information from a variety of sources. qa qa qa qa qa qa




B) Interpret theinformation about theclient in context. qa qa qa qa qa qa qa




25. A client comes to the health care provider's office for a visit. The client has been seen in
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this office on occasion for the past 5 years and arrives today complaining of a fever and
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sore throat. Which type of assessment would the nursemost likely perform?
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A) Comprehensive assessment qa




B) Ongoing assessment qa




C) Focused assessment qa




D) Emergency assessment qa




C) Focused assessment qa




26. A nurse has assessed a client who was admitted to the medical unit to treat acute
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complications of type 1 diabetes. During the assessment, the client admitted that his blood
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sugar monitoring when he is at home is a bit sporadic. How should the nurse best respond to
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