Nursing Health Assessment
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
1. Reference: Ch. 1, Section: Roles of the Professional Nurse
Question Stem: A nurse is conducting a community health fair
and providing blood pressure screenings. Which nursing role is
the nurse primarily demonstrating?
• A) Manager of care
• B) Provider of care
• C) Member of a profession
• D) Advocate for populations
Options:
• A) Manager of care
• B) Provider of care
• C) Member of a profession
• D) Advocate for populations
Correct Answer: B
,Rationales:
• Correct: As a provider of care, the nurse directly delivers
health care services, including health promotion activities
such as community screening programs .
• Incorrect A: The manager of care coordinates and oversees
care delivery but is not primarily involved in direct
screening services.
• Incorrect C: Membership in a profession involves adhering
to ethical standards and continuing education, not directly
providing screenings.
• Incorrect D: Advocacy focuses on supporting patients'
rights and access to care rather than directly performing
assessments.
Teaching Point: Health promotion activities like screenings are
key components of the nurse's role as a direct care provider.
2. Reference: Ch. 1, Section: Registered Nurse Versus Specialty
or Advanced Practice Assessments
Question Stem: A newly admitted patient requires an
assessment to identify undiagnosed health problems. Which
type of assessment is most appropriate for the registered nurse
to perform?
• A) Comprehensive assessment
• B) Focused assessment
• C) Emergency assessment
, • D) Advanced practice assessment
Options:
• A) Comprehensive assessment
• B) Focused assessment
• C) Emergency assessment
• D) Advanced practice assessment
Correct Answer: A
Rationales:
• Correct: A comprehensive assessment includes a complete
health history and physical examination, which helps
identify undiagnosed problems during initial encounters .
• Incorrect B: Focused assessments address specific
problems or body systems, not undiagnosed issues.
• Incorrect C: Emergency assessments prioritize immediate
life-threatening conditions.
• Incorrect D: Advanced practice assessments involve
complex diagnostic reasoning beyond general RN scope.
Teaching Point: Comprehensive assessments establish baselines
and detect unknown issues.
3. Reference: Ch. 1, Section: Nursing Process
Question Stem: After collecting assessment data from a patient
with respiratory distress, the nurse identifies the nursing
, diagnosis "Impaired Gas Exchange." What is the nurse's next
step in the nursing process?
• A) Evaluating oxygen saturation outcomes
• B) Planning care to improve gas exchange
• C) Implementing oxygen therapy
• D) Assessing lung sounds again
Options:
• A) Evaluating oxygen saturation outcomes
• B) Planning care to improve gas exchange
• C) Implementing oxygen therapy
• D) Assessing lung sounds again
Correct Answer: B
Rationales:
• Correct: After diagnosing, the nurse plans care by setting
goals and selecting interventions .
• Incorrect A: Evaluation occurs after implementation.
• Incorrect C: Implementation follows planning.
• Incorrect D: Reassessment is part of the assessment
phase, not post-diagnosis.
Teaching Point: The nursing process flows sequentially: assess,
diagnose, plan, implement, evaluate.
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
1. Reference: Ch. 1, Section: Roles of the Professional Nurse
Question Stem: A nurse is conducting a community health fair
and providing blood pressure screenings. Which nursing role is
the nurse primarily demonstrating?
• A) Manager of care
• B) Provider of care
• C) Member of a profession
• D) Advocate for populations
Options:
• A) Manager of care
• B) Provider of care
• C) Member of a profession
• D) Advocate for populations
Correct Answer: B
,Rationales:
• Correct: As a provider of care, the nurse directly delivers
health care services, including health promotion activities
such as community screening programs .
• Incorrect A: The manager of care coordinates and oversees
care delivery but is not primarily involved in direct
screening services.
• Incorrect C: Membership in a profession involves adhering
to ethical standards and continuing education, not directly
providing screenings.
• Incorrect D: Advocacy focuses on supporting patients'
rights and access to care rather than directly performing
assessments.
Teaching Point: Health promotion activities like screenings are
key components of the nurse's role as a direct care provider.
2. Reference: Ch. 1, Section: Registered Nurse Versus Specialty
or Advanced Practice Assessments
Question Stem: A newly admitted patient requires an
assessment to identify undiagnosed health problems. Which
type of assessment is most appropriate for the registered nurse
to perform?
• A) Comprehensive assessment
• B) Focused assessment
• C) Emergency assessment
, • D) Advanced practice assessment
Options:
• A) Comprehensive assessment
• B) Focused assessment
• C) Emergency assessment
• D) Advanced practice assessment
Correct Answer: A
Rationales:
• Correct: A comprehensive assessment includes a complete
health history and physical examination, which helps
identify undiagnosed problems during initial encounters .
• Incorrect B: Focused assessments address specific
problems or body systems, not undiagnosed issues.
• Incorrect C: Emergency assessments prioritize immediate
life-threatening conditions.
• Incorrect D: Advanced practice assessments involve
complex diagnostic reasoning beyond general RN scope.
Teaching Point: Comprehensive assessments establish baselines
and detect unknown issues.
3. Reference: Ch. 1, Section: Nursing Process
Question Stem: After collecting assessment data from a patient
with respiratory distress, the nurse identifies the nursing
, diagnosis "Impaired Gas Exchange." What is the nurse's next
step in the nursing process?
• A) Evaluating oxygen saturation outcomes
• B) Planning care to improve gas exchange
• C) Implementing oxygen therapy
• D) Assessing lung sounds again
Options:
• A) Evaluating oxygen saturation outcomes
• B) Planning care to improve gas exchange
• C) Implementing oxygen therapy
• D) Assessing lung sounds again
Correct Answer: B
Rationales:
• Correct: After diagnosing, the nurse plans care by setting
goals and selecting interventions .
• Incorrect A: Evaluation occurs after implementation.
• Incorrect C: Implementation follows planning.
• Incorrect D: Reassessment is part of the assessment
phase, not post-diagnosis.
Teaching Point: The nursing process flows sequentially: assess,
diagnose, plan, implement, evaluate.
