Test Bank for HealthAssessment in Nursing 7th Edition
c. c. c. c. c. c. c. c.
by Janet RWeberandJane H Kelley Fully Covered
c. c. c. c. c. c. c. c. c. c.
Page 1 c.
, 1 A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
(gall bladder removal). What is the overall purpose ofassessment forthis client?
c. c. c. c. c. c. c. c. c. c. c. c.
A) Collecting accurate data c. c.
B) Assisting the primary care provider c. c. c. c.
C) Validatingprevious data c. c.
D) Making clinical judgments c. c.
2. A client has presented to the emergencydepartment (ED) with complaints ofabdominal
c. c. c. c. c. c. c. c. c. c. c. c.
pain. Which member of the care team would most likely be responsible for collecting the
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
subjective data on the client during the initial comprehensive assessment?
c. c. c. c. c. c. c. c. c. c.
A) Gastroenterologist
B) ED nurse c.
C) Admissionsclerk c.
D) Diagnostic technician c.
3. The nurse has completed an initial assessment of a newly admitted client and is applying the
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
nursing process to plan the client's care. What principle should the nurse apply when using
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
the nursing process?
c. c. c.
A) Each step is independent of the others. c. c. c. c. c. c.
B) It is ongoing and continuous. c. c. c. c.
C) It is used primarily in acute care settings.
c. c. c. c. c. c. c.
D) It involves independent nursing actions.
c. c. c. c.
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
performa comprehensive health assessment. Which ofthe following actions should the
c. c. c. c. c. c. c. c. c. c. c. c.
nurse perform first?
c. c. c.
A) Review the client's medicalrecord. c. c. c. c.
B) Obtain basic biographic data. c. c. c.
C) Consult clinical resources explaining the client's diagnosis. c. c. c. c. c. c.
D) Validate information withthe client. c. c. c. c.
5. Which ofthe following client situations would the nurse interpret asrequiring an
c. c. c. c. c. c. c. c. c. c. c. c.
emergency assessment?
c. c.
A) Apediatric client withsevere sunburn c. c. c. c. c.
B) A client needing an employment physical c. c. c. c. c.
C) A client who overdosed on acetaminophen c. c. c. c. c.
D) A distraught client who wants a pregnancytest
c. c. c. c. c. c. c.
Page 1 c.
,6. In response to a client's query, the nurse is explaining the differences between the
c. c. c. c. c. c. c. c. c. c. c. c. c.
physician's medical exam and the comprehensive health assessment performed by the
c. c. c. c. c. c. c. c. c. c. c.
nurse. The nurse should describe the fact that the nursing assessment focuses on which
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
aspect of the client's situation?
c. c. c. c. c.
A) Current physiologic status c. c.
B) Effect of health on functional status c. c. c. c. c.
C) Past medical history c. c.
D) Motivation for adherence to treatment c. c. c. c.
7. After teaching a group of students about the phases of the nursing process, the instructor
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
determines that the teaching was successful when the students identify which phase as
c. c. c. c. c. c. c. c. c. c. c. c. c.
being foundational to all other phases?
c. c. c. c. c. c.
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment ofa client who has been
c. c. c. c. c. c. c. c. c. c. c. c. c.
admitted for the treatment of community-acquired pneumonia. Following the completion
c. c. c. c. c. c. c. c. c. c.
of this assessment, the nurse periodically performs a partial assessment primarily for
c. c. c. c. c. c. c. c. c. c. c. c.
which reason?
c. c.
A) Reassess previously detected problems c. c. c.
B) Provide information forthe client's record c. c. c. c. c.
C) Address areas previously omitted c. c. c.
D) Determine the need for crisis intervention c. c. c. c. c.
9. The nurse is working in an ambulatorycare clinic that is located in a busy, inner-city
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
neighborhood. Which client would the nurse determine to be in most need of an
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
emergency assessment?
c. c.
A) A14-year-old girl who is crying because she thinks she is pregnant
c. c. c. c. c. c. c. c. c. c. c.
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
c. c. c. c. c. c. c. c. c. c.
C) A 3-year-old child with fever, rash, and sore throat
c. c. c. c. c. c. c. c.
D) A 20-year-old man with a 3-inch shallow laceration on his leg
c. c. c. c. c. c. c. c. c. c.
Page 1 c.
, 10. A nurse has completed gathering some basic data about a client who has multiple health
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
problems that stem from heavy alcohol use. The nurse has then reflected on her personal
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
feelings about the client and his circumstances. The nurse does this primarily to
c. c. c. c. c. c. c. c. c. c. c. c. c.
accomplish which of the following?
c. c. c. c. c.
A) Determine if pertinent data has been omitted c. c. c. c. c. c.
B) Identify the need for referral c. c. c. c.
C) Avoid biases and judgments c. c. c.
D) Construct a plan of care c. c. c. c.
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
diabetes and who will begin an educational program. The nurse is collecting subjective and
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
objective data. Which ofthe following would the nurse categorize as objective data?
c. c. c. c. c. c. c. c. c. c. c. c. c.
A) Family history c.
B) Occupation
C) Appearance
D) Historyof present health concern c. c. c. c.
12. An older adult client has been admitted to the hospital with failure to thrive resulting
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
fromcomplications ofdiabetes. Which ofthe following would the nurse implement in
c. c. c. c. c. c. c. c. c. c. c. c. c.
response to a collaborative problem?
c. c. c. c. c.
A) Encourage the client to increase oral fluid intake. c. c. c. c. c. c. c.
B) Provide the client witha bedtime protein snack. c. c. c. c. c. c. c.
C) Assist the client withpersonal hygiene. c. c. c. c. c.
D) Measure the client's blood glucose four times daily. c. c. c. c. c. c. c.
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
following clients. For which clients would the nurse most likely expect to facilitate a
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
referral?
c.
A) An 80-year-old client who lives with her daughter
c. c. c. c. c. c. c.
B) A 50-year-old client newly diagnosed with diabetes
c. c. c. c. c. c.
C) An adult presenting for an influenza vaccination
c. c. c. c. c. c.
D) A teenager seeking information about contraception
c. c. c. c. c.
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
c. c. c. c. c. c. c. c. c. c. c. c. c.
instructor determines that the teaching was successfulwhen the students identify which of
c. c. c. c. c. c. c. c. c. c. c. c. c.
the following as the major method used by nurses early in the history of the profession?
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
A) Natural senses c.
B) Biomedicalknowledge c.
C) Simple technology c.
D) Criticalpathways c.
Page 3 c.
.
c. c. c. c. c. c. c. c.
by Janet RWeberandJane H Kelley Fully Covered
c. c. c. c. c. c. c. c. c. c.
Page 1 c.
, 1 A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
(gall bladder removal). What is the overall purpose ofassessment forthis client?
c. c. c. c. c. c. c. c. c. c. c. c.
A) Collecting accurate data c. c.
B) Assisting the primary care provider c. c. c. c.
C) Validatingprevious data c. c.
D) Making clinical judgments c. c.
2. A client has presented to the emergencydepartment (ED) with complaints ofabdominal
c. c. c. c. c. c. c. c. c. c. c. c.
pain. Which member of the care team would most likely be responsible for collecting the
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
subjective data on the client during the initial comprehensive assessment?
c. c. c. c. c. c. c. c. c. c.
A) Gastroenterologist
B) ED nurse c.
C) Admissionsclerk c.
D) Diagnostic technician c.
3. The nurse has completed an initial assessment of a newly admitted client and is applying the
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
nursing process to plan the client's care. What principle should the nurse apply when using
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
the nursing process?
c. c. c.
A) Each step is independent of the others. c. c. c. c. c. c.
B) It is ongoing and continuous. c. c. c. c.
C) It is used primarily in acute care settings.
c. c. c. c. c. c. c.
D) It involves independent nursing actions.
c. c. c. c.
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
performa comprehensive health assessment. Which ofthe following actions should the
c. c. c. c. c. c. c. c. c. c. c. c.
nurse perform first?
c. c. c.
A) Review the client's medicalrecord. c. c. c. c.
B) Obtain basic biographic data. c. c. c.
C) Consult clinical resources explaining the client's diagnosis. c. c. c. c. c. c.
D) Validate information withthe client. c. c. c. c.
5. Which ofthe following client situations would the nurse interpret asrequiring an
c. c. c. c. c. c. c. c. c. c. c. c.
emergency assessment?
c. c.
A) Apediatric client withsevere sunburn c. c. c. c. c.
B) A client needing an employment physical c. c. c. c. c.
C) A client who overdosed on acetaminophen c. c. c. c. c.
D) A distraught client who wants a pregnancytest
c. c. c. c. c. c. c.
Page 1 c.
,6. In response to a client's query, the nurse is explaining the differences between the
c. c. c. c. c. c. c. c. c. c. c. c. c.
physician's medical exam and the comprehensive health assessment performed by the
c. c. c. c. c. c. c. c. c. c. c.
nurse. The nurse should describe the fact that the nursing assessment focuses on which
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
aspect of the client's situation?
c. c. c. c. c.
A) Current physiologic status c. c.
B) Effect of health on functional status c. c. c. c. c.
C) Past medical history c. c.
D) Motivation for adherence to treatment c. c. c. c.
7. After teaching a group of students about the phases of the nursing process, the instructor
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
determines that the teaching was successful when the students identify which phase as
c. c. c. c. c. c. c. c. c. c. c. c. c.
being foundational to all other phases?
c. c. c. c. c. c.
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment ofa client who has been
c. c. c. c. c. c. c. c. c. c. c. c. c.
admitted for the treatment of community-acquired pneumonia. Following the completion
c. c. c. c. c. c. c. c. c. c.
of this assessment, the nurse periodically performs a partial assessment primarily for
c. c. c. c. c. c. c. c. c. c. c. c.
which reason?
c. c.
A) Reassess previously detected problems c. c. c.
B) Provide information forthe client's record c. c. c. c. c.
C) Address areas previously omitted c. c. c.
D) Determine the need for crisis intervention c. c. c. c. c.
9. The nurse is working in an ambulatorycare clinic that is located in a busy, inner-city
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
neighborhood. Which client would the nurse determine to be in most need of an
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
emergency assessment?
c. c.
A) A14-year-old girl who is crying because she thinks she is pregnant
c. c. c. c. c. c. c. c. c. c. c.
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
c. c. c. c. c. c. c. c. c. c.
C) A 3-year-old child with fever, rash, and sore throat
c. c. c. c. c. c. c. c.
D) A 20-year-old man with a 3-inch shallow laceration on his leg
c. c. c. c. c. c. c. c. c. c.
Page 1 c.
, 10. A nurse has completed gathering some basic data about a client who has multiple health
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
problems that stem from heavy alcohol use. The nurse has then reflected on her personal
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
feelings about the client and his circumstances. The nurse does this primarily to
c. c. c. c. c. c. c. c. c. c. c. c. c.
accomplish which of the following?
c. c. c. c. c.
A) Determine if pertinent data has been omitted c. c. c. c. c. c.
B) Identify the need for referral c. c. c. c.
C) Avoid biases and judgments c. c. c.
D) Construct a plan of care c. c. c. c.
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
diabetes and who will begin an educational program. The nurse is collecting subjective and
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
objective data. Which ofthe following would the nurse categorize as objective data?
c. c. c. c. c. c. c. c. c. c. c. c. c.
A) Family history c.
B) Occupation
C) Appearance
D) Historyof present health concern c. c. c. c.
12. An older adult client has been admitted to the hospital with failure to thrive resulting
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
fromcomplications ofdiabetes. Which ofthe following would the nurse implement in
c. c. c. c. c. c. c. c. c. c. c. c. c.
response to a collaborative problem?
c. c. c. c. c.
A) Encourage the client to increase oral fluid intake. c. c. c. c. c. c. c.
B) Provide the client witha bedtime protein snack. c. c. c. c. c. c. c.
C) Assist the client withpersonal hygiene. c. c. c. c. c.
D) Measure the client's blood glucose four times daily. c. c. c. c. c. c. c.
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
following clients. For which clients would the nurse most likely expect to facilitate a
c. c. c. c. c. c. c. c. c. c. c. c. c. c.
referral?
c.
A) An 80-year-old client who lives with her daughter
c. c. c. c. c. c. c.
B) A 50-year-old client newly diagnosed with diabetes
c. c. c. c. c. c.
C) An adult presenting for an influenza vaccination
c. c. c. c. c. c.
D) A teenager seeking information about contraception
c. c. c. c. c.
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
c. c. c. c. c. c. c. c. c. c. c. c. c.
instructor determines that the teaching was successfulwhen the students identify which of
c. c. c. c. c. c. c. c. c. c. c. c. c.
the following as the major method used by nurses early in the history of the profession?
c. c. c. c. c. c. c. c. c. c. c. c. c. c. c. c.
A) Natural senses c.
B) Biomedicalknowledge c.
C) Simple technology c.
D) Criticalpathways c.
Page 3 c.
.
