, 1
TEST BANK N
5th Edition Weber and Kelley Health Assessment in Nursing
N
N N N N N N N
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cards https://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-
N
34-flash- cards/ N
Quizlet Name: N N lei_achacoso
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystec
N N N N N N N N N N N N N N
tomy (gall bladder removal). What is the overall purpose of assessment for this clien
N N N N N N N N N N N N N
t?
A) Collecting accurate data N N
B) Assisting the primary care provider N N N N
C) Validating previous data N N
D) Making clinical judgments N N
D) Making clinical judgments
N N N
2. A client has presented to the emergency department (ED) with complaints of abdo
N N N N N N N N N N N N N
minal pain. Which member of the care team would most likely be responsible for coll
N N N N N N N N N N N N N N
ecting the subjective data on the client during the initial comprehensive assessment
N N N N N N N N N N N
?
A) Gastroenterologist
B) ED nurse N
C) Admissions clerk N
D) Diagnostic technician N
B) ED nurse
N N
3. The nurse has completed an initial assessment of a newly admitted client and i
N N N N N N N N N N N N N
s applying the nursing process to plan the client's care. What principle should the nur
N N N N N N N N N N N N N N
se apply when using the nursing process?
N N N N N N
A) Each step is independent of the others. N N N N N N
B) It is ongoing and continuous.
N N N N
C) It is used primarily in acute care settings.
N N N N N N N
D) It involves independent nursing actions.
N N N N
B) It is ongoing and continuous.
N N N N
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
N N N N N N N N N N N N N N N N
perform a comprehensive health assessment. Which of the following actions should the n
N N N N N N N N N N N N
urse perform first? N N
A) Review the client's medical record. N N N N
B) Obtain basic biographic data. N N N
C) Consult clinical resources explaining the client's diagnosis. N N N N N N
D) Validate information with the client. N N N N
A) Review the client's medical record. N N N N
5. Which of the following client situations would the nurse interpret as req
N N N N N N N N N N N
uiring an emergency assessment? N N N
A) A pediatric client with severe sunburn
N N N N N
B) A client needing an employment physical
N N N N N
C) A client who overdosed on acetaminophen
N N N N N
D) A distraught client who wants a pregnancy test
N N N N N N N
C) A client who overdosed on acetaminophen
N N N N N
6. In response to a client's query, the nurse is explaining the differences between t
N N N N N N N N N N N N N
he physician's medical exam and the comprehensive health assessment performe
N N N N N N N N N
d by the nurse. The nurse should describe the fact that the nursing assessment fo
N N N N N N N N N N N N N N
cuses on which aspect of the client's situation?
N N N N N N N
A) Current physiologic status N N
, 2
C) Past medical history N N
D) Motivation for adherence to treatment N N N N
B) Effect of health on functional status N N N N N
7. After teaching a group of students about the phases of the nursing process, the in
N N N N N N N N N N N N N N
structor determines that the teaching was successful when the students identify whi
N N N N N N N N N N N
ch phase as being foundational to all other phases?
N N N N N N N N
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. The nurse has completed the comprehensive health assessment of a client who h
N N N N N N N N N N N N
as been admitted for the treatment of community-
N N N N N N N
acquired pneumonia. Following the completion of this assessment, the nurse period
N N N N N N N N N N
ically performs a partial assessment primarily for which reason?
N N N N N N N N
A) Reassess previously detected problems N N N
B) Provide information for the client's record N N N N N
C) Address areas previously omitted N N N
D) Determine the need for crisis intervention N N N N N
A) Reassess previously detected problems N N N
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
N N N N N N N N N N N N N N N
city neighborhood. Which client would the nurse determine to be in most need of an
N N N N N N N N N N N N N N
N emergency assessment? N
A) A 14-year-old girl who is crying because she thinks she is pregnant
N N N N N N N N N N N
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
N N N N N N N N N N
C) A 3-year-old child with fever, rash, and sore throat
N N N N N N N N
D) A 20-year-old man with a 3-inch shallow laceration on his leg
N N N N N N N N N N
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
N N N N N N N N N N
10. A nurse has completed gathering some basic data about a client who has multiple
N N N N N N N N N N N N N
N health problems that stem from heavy alcohol use. The nurse has then reflected on
N N N N N N N N N N N N N N
her personal feelings about the client and his circumstances. The nurse does this pri
N N N N N N N N N N N N N
marily to accomplish which of the following?
N N N N N N
A) Determine if pertinent data has been omitted N N N N N N
B) Identify the need for referral N N N N
C) Avoid biases and judgments N N N
D) Construct a plan of care N N N N
C) Avoid biases and judgments N N N
11. The nurse is collecting data from a client who has recently been diagnosed with ty
N N N N N N N N N N N N N N
pe 1 diabetes and who will begin an educational program. The nurse is collecting
N N N N N N N N N N N N N
subjective and objective data. Which of the following would the nurse categorize a N N N N N N N N N N N N
s objective data?
N N
A) Family history N
B) Occupation
C) Appearance
D) History of present health concern N N N N
C) Appearance
N
12. An older adult client has been admitted to the hospital with failure to thrive resultin
N N N N N N N N N N N N N N
g from complications of diabetes. Which of the following would the nurse implement i
N N N N N N N N N N N N N
n response to a collaborative problem?
N N N N N
A) Encourage the client to increase oral fluid intake. N N N N N N N
B) Provide the client with a bedtime protein snack. N N N N N N N
C) Assist the client with personal hygiene. N N N N N
D) Measure the client's blood glucose four times daily. N N N N N N N
D) Measure the client's blood glucose four times daily.
N N N N N N N N
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
N N N N N N N N N N N N N N
N following clients. For which clients would the nurse most likely expect to facilitate
N N N N N N N N N N N N
, 3
A) An 80-year-old client who lives with her daughter
N N N N N N N
B) A 50-year-old client newly diagnosed with diabetes
N N N N N N
C) An adult presenting for an influenza vaccination
N N N N N N
D) A teenager seeking information about contraception
N N N N N
B) A 50-year-old client newly diagnosed with diabetes
N N N N N N
14. An instructor is reviewing the evolution of the nurse's role in health assessment. Th
N N N N N N N N N N N N N
e instructor determines that the teaching was successful when the students identify
N N N N N N N N N N N N
which of the following as the major method used by nurses early in the history of the p
N N N N N N N N N N N N N N N N N
rofession?
A) Natural senses N
B) Biomedical knowledge N
C) Simple technology N
D) Critical pathways N
A) Natural senses N
15. When describing the expansion of the depth and scope of nursing assessment
N N N N N N N N N N N
N over the past several decades, which of the following would the nurse identify as
N N N N N N N N N N N N N N
being the primary force? N N N
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Public mistrust of physicians N N N
16. A group of nurses are reviewing information about the potential opportunities for n
N N N N N N N N N N N N
urses who have advanced assessment skills. When discussing phenomena that hav
N N N N N N N N N N
e contributed to these increased opportunities, what should the nurses identify?
N N N N N N N N N N
A) Expansion of health care networks N N N N
B) Decrease in client participation in care N N N N N
C) The shrinking cost of medical care N N N N N
D) Public mistrust of physicians N N N
A) Expansion of health care networks N N N N
17. A nurse has documented the findings of a comprehensive assessment of a ne
N N N N N N N N N N N N
w client. What is the primary rationale that the nurse should identify for accurate a
N N N N N N N N N N N N N N
nd thorough documentation?
N N
A) Guaranteeing a continual assessment process N N N N
B) Identifying abnormal data N N
C) Assuring valid conclusions from analyzed data N N N N N
D) Allowing for drawing inferences and identifying problems N N N N N N
C) Assuring valid conclusions from analyzed data N N N N N
18. A nurse has received a report on a client who will soon be admitted to the medic
N N N N N N N N N N N N N N N N
al unit from the emergency department. When preparing for the assessment phase o
N N N N N N N N N N N N
f the nursing process, which of the following should the nurse do first?
N N N N N N N N N N N N
A) Collect objective data. N N
B) Validate important data. N N
C) Collect subjective data. N N
D) Document the data. N N
C) Collect subjective data.
N N N
19. A community health nurse is assessing an older adult client in the client's home. W
N N N N N N N N N N N N N N
hen the nurse is gathering subjective data, which of the following would the nurse i
N N N N N N N N N N N N N N
dentify?
A) The client's feelings of happiness N N N N
B) The client's posture N N
C) The client's affect N N
D) The client's behavior N N
A) The client's feelings of happiness N N N N
20. A nurse on the hospital's subacute medical unit is planning to perform a clien
N N N N N N N N N N N N N
t's focused assessment. Which of the following statements should inform the nu
N N N N N N N N N N N
TEST BANK N
5th Edition Weber and Kelley Health Assessment in Nursing
N
N N N N N N N
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cards https://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-
N
34-flash- cards/ N
Quizlet Name: N N lei_achacoso
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystec
N N N N N N N N N N N N N N
tomy (gall bladder removal). What is the overall purpose of assessment for this clien
N N N N N N N N N N N N N
t?
A) Collecting accurate data N N
B) Assisting the primary care provider N N N N
C) Validating previous data N N
D) Making clinical judgments N N
D) Making clinical judgments
N N N
2. A client has presented to the emergency department (ED) with complaints of abdo
N N N N N N N N N N N N N
minal pain. Which member of the care team would most likely be responsible for coll
N N N N N N N N N N N N N N
ecting the subjective data on the client during the initial comprehensive assessment
N N N N N N N N N N N
?
A) Gastroenterologist
B) ED nurse N
C) Admissions clerk N
D) Diagnostic technician N
B) ED nurse
N N
3. The nurse has completed an initial assessment of a newly admitted client and i
N N N N N N N N N N N N N
s applying the nursing process to plan the client's care. What principle should the nur
N N N N N N N N N N N N N N
se apply when using the nursing process?
N N N N N N
A) Each step is independent of the others. N N N N N N
B) It is ongoing and continuous.
N N N N
C) It is used primarily in acute care settings.
N N N N N N N
D) It involves independent nursing actions.
N N N N
B) It is ongoing and continuous.
N N N N
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
N N N N N N N N N N N N N N N N
perform a comprehensive health assessment. Which of the following actions should the n
N N N N N N N N N N N N
urse perform first? N N
A) Review the client's medical record. N N N N
B) Obtain basic biographic data. N N N
C) Consult clinical resources explaining the client's diagnosis. N N N N N N
D) Validate information with the client. N N N N
A) Review the client's medical record. N N N N
5. Which of the following client situations would the nurse interpret as req
N N N N N N N N N N N
uiring an emergency assessment? N N N
A) A pediatric client with severe sunburn
N N N N N
B) A client needing an employment physical
N N N N N
C) A client who overdosed on acetaminophen
N N N N N
D) A distraught client who wants a pregnancy test
N N N N N N N
C) A client who overdosed on acetaminophen
N N N N N
6. In response to a client's query, the nurse is explaining the differences between t
N N N N N N N N N N N N N
he physician's medical exam and the comprehensive health assessment performe
N N N N N N N N N
d by the nurse. The nurse should describe the fact that the nursing assessment fo
N N N N N N N N N N N N N N
cuses on which aspect of the client's situation?
N N N N N N N
A) Current physiologic status N N
, 2
C) Past medical history N N
D) Motivation for adherence to treatment N N N N
B) Effect of health on functional status N N N N N
7. After teaching a group of students about the phases of the nursing process, the in
N N N N N N N N N N N N N N
structor determines that the teaching was successful when the students identify whi
N N N N N N N N N N N
ch phase as being foundational to all other phases?
N N N N N N N N
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. The nurse has completed the comprehensive health assessment of a client who h
N N N N N N N N N N N N
as been admitted for the treatment of community-
N N N N N N N
acquired pneumonia. Following the completion of this assessment, the nurse period
N N N N N N N N N N
ically performs a partial assessment primarily for which reason?
N N N N N N N N
A) Reassess previously detected problems N N N
B) Provide information for the client's record N N N N N
C) Address areas previously omitted N N N
D) Determine the need for crisis intervention N N N N N
A) Reassess previously detected problems N N N
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
N N N N N N N N N N N N N N N
city neighborhood. Which client would the nurse determine to be in most need of an
N N N N N N N N N N N N N N
N emergency assessment? N
A) A 14-year-old girl who is crying because she thinks she is pregnant
N N N N N N N N N N N
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
N N N N N N N N N N
C) A 3-year-old child with fever, rash, and sore throat
N N N N N N N N
D) A 20-year-old man with a 3-inch shallow laceration on his leg
N N N N N N N N N N
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
N N N N N N N N N N
10. A nurse has completed gathering some basic data about a client who has multiple
N N N N N N N N N N N N N
N health problems that stem from heavy alcohol use. The nurse has then reflected on
N N N N N N N N N N N N N N
her personal feelings about the client and his circumstances. The nurse does this pri
N N N N N N N N N N N N N
marily to accomplish which of the following?
N N N N N N
A) Determine if pertinent data has been omitted N N N N N N
B) Identify the need for referral N N N N
C) Avoid biases and judgments N N N
D) Construct a plan of care N N N N
C) Avoid biases and judgments N N N
11. The nurse is collecting data from a client who has recently been diagnosed with ty
N N N N N N N N N N N N N N
pe 1 diabetes and who will begin an educational program. The nurse is collecting
N N N N N N N N N N N N N
subjective and objective data. Which of the following would the nurse categorize a N N N N N N N N N N N N
s objective data?
N N
A) Family history N
B) Occupation
C) Appearance
D) History of present health concern N N N N
C) Appearance
N
12. An older adult client has been admitted to the hospital with failure to thrive resultin
N N N N N N N N N N N N N N
g from complications of diabetes. Which of the following would the nurse implement i
N N N N N N N N N N N N N
n response to a collaborative problem?
N N N N N
A) Encourage the client to increase oral fluid intake. N N N N N N N
B) Provide the client with a bedtime protein snack. N N N N N N N
C) Assist the client with personal hygiene. N N N N N
D) Measure the client's blood glucose four times daily. N N N N N N N
D) Measure the client's blood glucose four times daily.
N N N N N N N N
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
N N N N N N N N N N N N N N
N following clients. For which clients would the nurse most likely expect to facilitate
N N N N N N N N N N N N
, 3
A) An 80-year-old client who lives with her daughter
N N N N N N N
B) A 50-year-old client newly diagnosed with diabetes
N N N N N N
C) An adult presenting for an influenza vaccination
N N N N N N
D) A teenager seeking information about contraception
N N N N N
B) A 50-year-old client newly diagnosed with diabetes
N N N N N N
14. An instructor is reviewing the evolution of the nurse's role in health assessment. Th
N N N N N N N N N N N N N
e instructor determines that the teaching was successful when the students identify
N N N N N N N N N N N N
which of the following as the major method used by nurses early in the history of the p
N N N N N N N N N N N N N N N N N
rofession?
A) Natural senses N
B) Biomedical knowledge N
C) Simple technology N
D) Critical pathways N
A) Natural senses N
15. When describing the expansion of the depth and scope of nursing assessment
N N N N N N N N N N N
N over the past several decades, which of the following would the nurse identify as
N N N N N N N N N N N N N N
being the primary force? N N N
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Public mistrust of physicians N N N
16. A group of nurses are reviewing information about the potential opportunities for n
N N N N N N N N N N N N
urses who have advanced assessment skills. When discussing phenomena that hav
N N N N N N N N N N
e contributed to these increased opportunities, what should the nurses identify?
N N N N N N N N N N
A) Expansion of health care networks N N N N
B) Decrease in client participation in care N N N N N
C) The shrinking cost of medical care N N N N N
D) Public mistrust of physicians N N N
A) Expansion of health care networks N N N N
17. A nurse has documented the findings of a comprehensive assessment of a ne
N N N N N N N N N N N N
w client. What is the primary rationale that the nurse should identify for accurate a
N N N N N N N N N N N N N N
nd thorough documentation?
N N
A) Guaranteeing a continual assessment process N N N N
B) Identifying abnormal data N N
C) Assuring valid conclusions from analyzed data N N N N N
D) Allowing for drawing inferences and identifying problems N N N N N N
C) Assuring valid conclusions from analyzed data N N N N N
18. A nurse has received a report on a client who will soon be admitted to the medic
N N N N N N N N N N N N N N N N
al unit from the emergency department. When preparing for the assessment phase o
N N N N N N N N N N N N
f the nursing process, which of the following should the nurse do first?
N N N N N N N N N N N N
A) Collect objective data. N N
B) Validate important data. N N
C) Collect subjective data. N N
D) Document the data. N N
C) Collect subjective data.
N N N
19. A community health nurse is assessing an older adult client in the client's home. W
N N N N N N N N N N N N N N
hen the nurse is gathering subjective data, which of the following would the nurse i
N N N N N N N N N N N N N N
dentify?
A) The client's feelings of happiness N N N N
B) The client's posture N N
C) The client's affect N N
D) The client's behavior N N
A) The client's feelings of happiness N N N N
20. A nurse on the hospital's subacute medical unit is planning to perform a clien
N N N N N N N N N N N N N
t's focused assessment. Which of the following statements should inform the nu
N N N N N N N N N N N
