Test Bank for Health Assessment in Nursing 7th Edition
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by Janet R Weber and Jane H Kelley Fully Covered
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Page z1
,1 A nurse on a postsurgical unit is admitting a client following the client's
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cholecystectomy (gall bladder removal). What is the overall purpose of assessment forthis
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client?
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A) Collecting accurate data z z
B) Assisting the primary care provider z z z z
C) Validating previous data z z
D) Making clinical judgments z z
2. A client has presented to the emergency department (ED) with complaints of abdominal
z z z z z z z z z z z z
zpain. Which member of the care team would most likely be responsible for collecting
z z z z z z z z z z z z z
zthe subjective data on the client during the initial comprehensive assessment?
z z z z z z z z z z
A) Gastroenterologist
B) ED nurse z
C) Admissions clerk z
D) Diagnostic technician z
3. The nurse has completed an initial assessment of a newly admitted client and is applying
z z z z z z z z z z z z z z
zthe nursing process to plan the client's care. What principle should the nurse apply when
z z z z z z z z z z z z z z
zusing the nursing process?
z z z
A) Each step is independent of the others. z z z z z z
B) It is ongoing and continuous.
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C) It is used primarily in acute care settings.
z z z z z z z
D) It involves independent nursing actions.
z z z z
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
z z z z z z z z z z z z z z z
perform a comprehensive health assessment. Which of the following actions should the
z z z z z z z z z z z z
nurse perform first?
z z z
A) Review the client's medical record. z z z z
B) Obtain basic biographic data. z z z
C) Consult clinical resources explaining the client's diagnosis.
z z z z z z
D) Validate information with the client. z z z z
5. Which of the following client situations would the nurse interpret as requiring an
z z z z z z z z z z z z
zemergency assessment? z
A) A pediatric client with severe sunburn
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B) A client needing an employment physical
z z z z z
C) A client who overdosed on acetaminophen
z z z z z
D) A distraught client who wants a pregnancy test
z z z z z z z
Page z1
,6. In response to a client's query, the nurse is explaining the differences between the
z z z z z z z z z z z z z
zphysician's medical exam and the comprehensive health assessment performed by the
z z z z z z z z z z
znurse. The nurse should describe the fact that the nursing assessment focuses on which
z z z z z z z z z z z z z
zaspect of the client's situation?
z z z z
A) Current physiologic status z z
B) Effect of health on functional status
z z z z z
C) Past medical history z z
D) Motivation for adherence to treatment z z z z
7. After teaching a group of students about the phases of the nursing process, the instructor
z z z z z z z z z z z z z z
determines that the teaching was successful when the students identify which phase as
z z z z z z z z z z z z z
being foundational to all other phases?
z z z z z z
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been
z z z z z z z z z z z z z
admitted for the treatment of community-acquired pneumonia. Following the
z z z z z z z z z
completion of this assessment, the nurse periodically performs a partial assessment
z z z z z z z z z z z
primarily for which reason?
z z z z
A) Reassess previously detected problems z z z
B) Provide information for the client's record
z z z z z
C) Address areas previously omitted z z z
D) Determine the need for crisis intervention z z z z z
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-city
z z z z z z z z z z z z z z z
zneighborhood. Which client would the nurse determine to be in most need of an
z z z z z z z z z z z z z
zemergency assessment? z
A) A 14-year-old girl who is crying because she thinks she is pregnant
z z z z z z z z z z z
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
z z z z z z z z z z
C) A 3-year-old child with fever, rash, and sore throat
z z z z z z z z
D) A 20-year-old man with a 3-inch shallow laceration on his leg
z z z z z z z z z z
Page z1
, 10. A nurse has completed gathering some basic data about a client who has multiple health
z z z z z z z z z z z z z z
zproblems that stem from heavy alcohol use. The nurse has then reflected on her personal
z z z z z z z z z z z z z z
zfeelings about the client and his circumstances. The nurse does this primarily to
z z z z z z z z z z z z
zaccomplish which of the following? z z z z
A) Determine if pertinent data has been omitted z z z z z z
B) Identify the need for referral z z z z
C) Avoid biases and judgments z z z
D) Construct a plan of care z z z z
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
z z z z z z z z z z z z z z z
zdiabetes and who will begin an educational program. The nurse is collecting subjective
z z z z z z z z z z z z
zand objective data. Which of the following would the nurse categorize as objective data?
z z z z z z z z z z z z z
A) Family history z
B) Occupation
C) Appearance
D) History of present health concern z z z z
12. An older adult client has been admitted to the hospital with failure to thrive resulting
z z z z z z z z z z z z z z
from complications of diabetes. Which of the following would the nurse implement in
z z z z z z z z z z z z z
response to a collaborative problem?
z z z z z
A) Encourage the client to increase oral fluid intake. z z z z z z z
B) Provide the client with a bedtime protein snack. z z z z z z z
C) Assist the client with personal hygiene. z z z z z
D) Measure the client's blood glucose four times daily. z z z z z z z
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
z z z z z z z z z z z z z z
zfollowing clients. For which clients would the nurse most likely expect to facilitate a
z z z z z z z z z z z z z
zreferral?
A) An 80-year-old client who lives with her daughter
z z z z z z z
B) A 50-year-old client newly diagnosed with diabetes
z z z z z z
C) An adult presenting for an influenza vaccination
z z z z z z
D) A teenager seeking information about contraception
z z z z z
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
z z z z z z z z z z z z z
instructor determines that the teaching was successful when the students identify which
z z z z z z z z z z z z
of the following as the major method used by nurses early in the history of the
z z z z z z z z z z z z z z z z
profession?
z
A) Natural senses z
B) Biomedical knowledge z
C) Simple technology z
D) Critical pathways z
Page z 3
z z z z z z z z
by Janet R Weber and Jane H Kelley Fully Covered
z z z z z z z z z z
Page z1
,1 A nurse on a postsurgical unit is admitting a client following the client's
z z z z z z z z z z z z z
cholecystectomy (gall bladder removal). What is the overall purpose of assessment forthis
z z z z z z z z z z z z
client?
z
A) Collecting accurate data z z
B) Assisting the primary care provider z z z z
C) Validating previous data z z
D) Making clinical judgments z z
2. A client has presented to the emergency department (ED) with complaints of abdominal
z z z z z z z z z z z z
zpain. Which member of the care team would most likely be responsible for collecting
z z z z z z z z z z z z z
zthe subjective data on the client during the initial comprehensive assessment?
z z z z z z z z z z
A) Gastroenterologist
B) ED nurse z
C) Admissions clerk z
D) Diagnostic technician z
3. The nurse has completed an initial assessment of a newly admitted client and is applying
z z z z z z z z z z z z z z
zthe nursing process to plan the client's care. What principle should the nurse apply when
z z z z z z z z z z z z z z
zusing the nursing process?
z z z
A) Each step is independent of the others. z z z z z z
B) It is ongoing and continuous.
z z z z
C) It is used primarily in acute care settings.
z z z z z z z
D) It involves independent nursing actions.
z z z z
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
z z z z z z z z z z z z z z z
perform a comprehensive health assessment. Which of the following actions should the
z z z z z z z z z z z z
nurse perform first?
z z z
A) Review the client's medical record. z z z z
B) Obtain basic biographic data. z z z
C) Consult clinical resources explaining the client's diagnosis.
z z z z z z
D) Validate information with the client. z z z z
5. Which of the following client situations would the nurse interpret as requiring an
z z z z z z z z z z z z
zemergency assessment? z
A) A pediatric client with severe sunburn
z z z z z
B) A client needing an employment physical
z z z z z
C) A client who overdosed on acetaminophen
z z z z z
D) A distraught client who wants a pregnancy test
z z z z z z z
Page z1
,6. In response to a client's query, the nurse is explaining the differences between the
z z z z z z z z z z z z z
zphysician's medical exam and the comprehensive health assessment performed by the
z z z z z z z z z z
znurse. The nurse should describe the fact that the nursing assessment focuses on which
z z z z z z z z z z z z z
zaspect of the client's situation?
z z z z
A) Current physiologic status z z
B) Effect of health on functional status
z z z z z
C) Past medical history z z
D) Motivation for adherence to treatment z z z z
7. After teaching a group of students about the phases of the nursing process, the instructor
z z z z z z z z z z z z z z
determines that the teaching was successful when the students identify which phase as
z z z z z z z z z z z z z
being foundational to all other phases?
z z z z z z
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has been
z z z z z z z z z z z z z
admitted for the treatment of community-acquired pneumonia. Following the
z z z z z z z z z
completion of this assessment, the nurse periodically performs a partial assessment
z z z z z z z z z z z
primarily for which reason?
z z z z
A) Reassess previously detected problems z z z
B) Provide information for the client's record
z z z z z
C) Address areas previously omitted z z z
D) Determine the need for crisis intervention z z z z z
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-city
z z z z z z z z z z z z z z z
zneighborhood. Which client would the nurse determine to be in most need of an
z z z z z z z z z z z z z
zemergency assessment? z
A) A 14-year-old girl who is crying because she thinks she is pregnant
z z z z z z z z z z z
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
z z z z z z z z z z
C) A 3-year-old child with fever, rash, and sore throat
z z z z z z z z
D) A 20-year-old man with a 3-inch shallow laceration on his leg
z z z z z z z z z z
Page z1
, 10. A nurse has completed gathering some basic data about a client who has multiple health
z z z z z z z z z z z z z z
zproblems that stem from heavy alcohol use. The nurse has then reflected on her personal
z z z z z z z z z z z z z z
zfeelings about the client and his circumstances. The nurse does this primarily to
z z z z z z z z z z z z
zaccomplish which of the following? z z z z
A) Determine if pertinent data has been omitted z z z z z z
B) Identify the need for referral z z z z
C) Avoid biases and judgments z z z
D) Construct a plan of care z z z z
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
z z z z z z z z z z z z z z z
zdiabetes and who will begin an educational program. The nurse is collecting subjective
z z z z z z z z z z z z
zand objective data. Which of the following would the nurse categorize as objective data?
z z z z z z z z z z z z z
A) Family history z
B) Occupation
C) Appearance
D) History of present health concern z z z z
12. An older adult client has been admitted to the hospital with failure to thrive resulting
z z z z z z z z z z z z z z
from complications of diabetes. Which of the following would the nurse implement in
z z z z z z z z z z z z z
response to a collaborative problem?
z z z z z
A) Encourage the client to increase oral fluid intake. z z z z z z z
B) Provide the client with a bedtime protein snack. z z z z z z z
C) Assist the client with personal hygiene. z z z z z
D) Measure the client's blood glucose four times daily. z z z z z z z
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
z z z z z z z z z z z z z z
zfollowing clients. For which clients would the nurse most likely expect to facilitate a
z z z z z z z z z z z z z
zreferral?
A) An 80-year-old client who lives with her daughter
z z z z z z z
B) A 50-year-old client newly diagnosed with diabetes
z z z z z z
C) An adult presenting for an influenza vaccination
z z z z z z
D) A teenager seeking information about contraception
z z z z z
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
z z z z z z z z z z z z z
instructor determines that the teaching was successful when the students identify which
z z z z z z z z z z z z
of the following as the major method used by nurses early in the history of the
z z z z z z z z z z z z z z z z
profession?
z
A) Natural senses z
B) Biomedical knowledge z
C) Simple technology z
D) Critical pathways z
Page z 3
