GNRS 578 HEALTH ASSESSMENT
EXAM
GNRS 578 HEALTH Assessment Exam
1 Questions and Correct Answers
Already Graded A+ Brand New Version
2025
A lead nurse is removing her personal protective equipment after dressing the infected wounds of a
client. Which of the following is the highest priority nursing action?
a) Remove the garments that are most contaminated.
b) Handwashing before leaving the client's room.
c) Make contact between two clean surfaces.
d) Make contact between two contaminated surfaces.
Correct response: Handwashing before leaving the client's room.
Rationale:
The most important nursing action is to perform a thorough handwashing before leaving the client's
room and before touching any other client, personnel, environmental surface, or client care items.
Regardless of which garments they wear, nurses follow an orderly sequence for removing them. The
procedure involves making contact between two contaminated surfaces or two clean surfaces.
Nurses remove the garments that are most contaminated first, preserving the clean uniform
underneath.
A client admitted to the health care facility has a family history of diabetes mellitus. A nursing health
assessment for this client should focus on collection of data in which of these areas?
a) Focuses primarily on the client's physiologic development status
b) Physiologic, psychological, sociocultural, developmental, and spiritual data
c) Involves the client's musculoskeletal system and activities of daily living
d) Focuses only on the client's psychological, sociocultural, and spiritual well-being
Physiologic, psychological, sociocultural, developmental, and spiritual data
Rationale:
A nursing health assessment includes physiologic, psychological, sociocultural, developmental, and
spiritual data. Medical health assessment focuses primarily on the client's physiologic development
status. The assessment by a physical therapist focuses mainly on the client's musculoskeletal system
A+ TEST BANK 1
, GNRS 578 HEALTH ASSESSMENT
EXAM
and activities of daily living.
Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data, p. 4.
Choice Multiple question - Select all answer choices that apply.
A nurse is preparing to perform intubation on a client. Which pieces of equipment are needed to
prevent the transmission of infectious agents during this procedure? Select all that apply.
a) Stethoscope
b) Face shield
c) Gloves
d) Gown
e) Nasopharyngeal airway
Physiologic, psychological, sociocultural, developmental, and spiritual data
Rationale:
A nursing health assessment includes physiologic, psychological, sociocultural, developmental, and
spiritual data. Medical health assessment focuses primarily on the client's physiologic development
status. The assessment by a physical therapist focuses mainly on the client's musculoskeletal system
and activities of daily living.
Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data, p. 4
A nurse needs to examine a client's hip joint. Which client position would be best for this
assessment?
a) Knee-chest
b) Supine
c) Prone
d) Lithotomy
Prone
Rationale:
The prone position, in which the client lies down on the abdomen with the head to the side, is used
primarily to assess the hip joint. The supine position, in which the client lies down on the back, is used
to assess the head, neck, chest, breasts, axillae, abdomen, heart, lungs, and all extremities. The knee-
chest position, in which the client kneels on the examination table with the weight of the body
supported by the chest and knees, is used for examining the rectum. The lithotomy position, in which
the client lies on the back with the hips at the edge of the examination table and the feet supported
by stirrups, is used to examine the female genitalia, reproductive tracts, and the rectum.
Chapter 3: Collecting Objective Data, p. 45.
A+ TEST BANK 2
, GNRS 578 HEALTH ASSESSMENT
EXAM
A nurse assesses a client who reports the onset of a severe headache. During which phase of the
nursing interview should the nurse ask the client about the history of the present health concern and
the reasons for seeking care?
a) Summary
b) Working
c) Introductory
d) Closing
Rationale:
During the working phase, the nurse asks the client about the history of the present health concern
and the reasons for seeking care. In the introductory phase the nurse explains the purpose of the
interview and assures the client that confidential information will remain confidential. During the
summary phase or the closing phase, the nurse summarizes information obtained during the working
phase and validates problems and goals with the client.
Chapter 2: Collecting Subjective Data, p. 13.
A nurse cares for a client with lung cancer who presents with rust-colored sputum and a fever. The
nurse performs frequent auscultation of the lung sounds to determine any changes from the
baseline. What type of assessment is the nurse performing?
a) Partial
b) Comprehensive
c) Emergency
d) Focused
Partial
Rationale:
Ongoing or partial assessments consist of obtaining data to follow up a previously diagnosed
problem that may be changing from the baseline. An emergency assessment is a very rapid
assessment performed in life-threatening situations such as drowning, choking, or cardiac arrest. It is
used when an immediate diagnosis is needed to provide prompt treatment. These situations are
those in which a person's airway, breathing, or circulation is compromised. A focused assessment
gathers information specific to the problem and does not cover any other areas. A comprehensive
assessment is not necessary at this time because the client already has a documented problem.
Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data, p. 5
When interviewing, the nurse should logically move from specific to open-ended questions.
a) True
b) False
A+ TEST BANK 3
, GNRS 578 HEALTH ASSESSMENT
EXAM
False
Reference:
Weber, J., & Kelley, J. H. (2014). Health Assessment in Nursing, 5th ed. Philadelphia: Wolters Kluwer
Health/Lippincott Williams & Wilkins, Chapter 2: Collecting Subjective Data, p. 13.
The meaning of ethnicity is broader than the term culture.
a) True
b) False
False
Reference:
Weber, J., & Kelley, J. H. (2014). Health Assessment in Nursing, 5th ed. Philadelphia: Wolters Kluwer
Health/Lippincott Williams & Wilkins, Chapter 11: Assessing Culture, p. 178.
Choice Multiple question - Select all answer choices that apply.
A nursing instructor is trying to convince the class of the importance of assessment skills in nursing.
In discussing the future of the nursing profession, which factors should stressed that will promote
opportunities for nurses with advanced assessment skills? Select all that apply.
a) Declining health care needs of single parents
b) Declining numbers of medical students due to rising costs and focus on primary care
c) Growing aging population with complex comorbidities
d) Increasing complexity of acute care
e) Increasing impact of children and the homeless on communities
• Declining numbers of medical students due to rising costs and focus on primary care
• Increasing complexity of acute care
• Growing aging population with complex comorbidities
• Increasing impact of children and the homeless on communities
Rationale:
There is tremendous growth of the nursing role in the managed care environment. The most
marketable nurses will continue to be those with strong assessment and client teaching abilities, as
well as those who are technologically savvy. The following factors will continue to promote
opportunities for nurses with advanced assessment skills: 1) rising educational costs and focus on
primary care that affect the numbers and availability of medical students; 2) increasing complexity of
acute care; 3) growing aging population with complex comorbidities; 4) expanding health care needs
of single parents; 5) increasing impact of children and the homeless on communities; 6) intensifying
mental health issues; 7) expanding health service networks; and 8) increasing reimbursement for
health promotion and preventive care services.
Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data, p. 2.
A+ TEST BANK 4
EXAM
GNRS 578 HEALTH Assessment Exam
1 Questions and Correct Answers
Already Graded A+ Brand New Version
2025
A lead nurse is removing her personal protective equipment after dressing the infected wounds of a
client. Which of the following is the highest priority nursing action?
a) Remove the garments that are most contaminated.
b) Handwashing before leaving the client's room.
c) Make contact between two clean surfaces.
d) Make contact between two contaminated surfaces.
Correct response: Handwashing before leaving the client's room.
Rationale:
The most important nursing action is to perform a thorough handwashing before leaving the client's
room and before touching any other client, personnel, environmental surface, or client care items.
Regardless of which garments they wear, nurses follow an orderly sequence for removing them. The
procedure involves making contact between two contaminated surfaces or two clean surfaces.
Nurses remove the garments that are most contaminated first, preserving the clean uniform
underneath.
A client admitted to the health care facility has a family history of diabetes mellitus. A nursing health
assessment for this client should focus on collection of data in which of these areas?
a) Focuses primarily on the client's physiologic development status
b) Physiologic, psychological, sociocultural, developmental, and spiritual data
c) Involves the client's musculoskeletal system and activities of daily living
d) Focuses only on the client's psychological, sociocultural, and spiritual well-being
Physiologic, psychological, sociocultural, developmental, and spiritual data
Rationale:
A nursing health assessment includes physiologic, psychological, sociocultural, developmental, and
spiritual data. Medical health assessment focuses primarily on the client's physiologic development
status. The assessment by a physical therapist focuses mainly on the client's musculoskeletal system
A+ TEST BANK 1
, GNRS 578 HEALTH ASSESSMENT
EXAM
and activities of daily living.
Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data, p. 4.
Choice Multiple question - Select all answer choices that apply.
A nurse is preparing to perform intubation on a client. Which pieces of equipment are needed to
prevent the transmission of infectious agents during this procedure? Select all that apply.
a) Stethoscope
b) Face shield
c) Gloves
d) Gown
e) Nasopharyngeal airway
Physiologic, psychological, sociocultural, developmental, and spiritual data
Rationale:
A nursing health assessment includes physiologic, psychological, sociocultural, developmental, and
spiritual data. Medical health assessment focuses primarily on the client's physiologic development
status. The assessment by a physical therapist focuses mainly on the client's musculoskeletal system
and activities of daily living.
Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data, p. 4
A nurse needs to examine a client's hip joint. Which client position would be best for this
assessment?
a) Knee-chest
b) Supine
c) Prone
d) Lithotomy
Prone
Rationale:
The prone position, in which the client lies down on the abdomen with the head to the side, is used
primarily to assess the hip joint. The supine position, in which the client lies down on the back, is used
to assess the head, neck, chest, breasts, axillae, abdomen, heart, lungs, and all extremities. The knee-
chest position, in which the client kneels on the examination table with the weight of the body
supported by the chest and knees, is used for examining the rectum. The lithotomy position, in which
the client lies on the back with the hips at the edge of the examination table and the feet supported
by stirrups, is used to examine the female genitalia, reproductive tracts, and the rectum.
Chapter 3: Collecting Objective Data, p. 45.
A+ TEST BANK 2
, GNRS 578 HEALTH ASSESSMENT
EXAM
A nurse assesses a client who reports the onset of a severe headache. During which phase of the
nursing interview should the nurse ask the client about the history of the present health concern and
the reasons for seeking care?
a) Summary
b) Working
c) Introductory
d) Closing
Rationale:
During the working phase, the nurse asks the client about the history of the present health concern
and the reasons for seeking care. In the introductory phase the nurse explains the purpose of the
interview and assures the client that confidential information will remain confidential. During the
summary phase or the closing phase, the nurse summarizes information obtained during the working
phase and validates problems and goals with the client.
Chapter 2: Collecting Subjective Data, p. 13.
A nurse cares for a client with lung cancer who presents with rust-colored sputum and a fever. The
nurse performs frequent auscultation of the lung sounds to determine any changes from the
baseline. What type of assessment is the nurse performing?
a) Partial
b) Comprehensive
c) Emergency
d) Focused
Partial
Rationale:
Ongoing or partial assessments consist of obtaining data to follow up a previously diagnosed
problem that may be changing from the baseline. An emergency assessment is a very rapid
assessment performed in life-threatening situations such as drowning, choking, or cardiac arrest. It is
used when an immediate diagnosis is needed to provide prompt treatment. These situations are
those in which a person's airway, breathing, or circulation is compromised. A focused assessment
gathers information specific to the problem and does not cover any other areas. A comprehensive
assessment is not necessary at this time because the client already has a documented problem.
Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data, p. 5
When interviewing, the nurse should logically move from specific to open-ended questions.
a) True
b) False
A+ TEST BANK 3
, GNRS 578 HEALTH ASSESSMENT
EXAM
False
Reference:
Weber, J., & Kelley, J. H. (2014). Health Assessment in Nursing, 5th ed. Philadelphia: Wolters Kluwer
Health/Lippincott Williams & Wilkins, Chapter 2: Collecting Subjective Data, p. 13.
The meaning of ethnicity is broader than the term culture.
a) True
b) False
False
Reference:
Weber, J., & Kelley, J. H. (2014). Health Assessment in Nursing, 5th ed. Philadelphia: Wolters Kluwer
Health/Lippincott Williams & Wilkins, Chapter 11: Assessing Culture, p. 178.
Choice Multiple question - Select all answer choices that apply.
A nursing instructor is trying to convince the class of the importance of assessment skills in nursing.
In discussing the future of the nursing profession, which factors should stressed that will promote
opportunities for nurses with advanced assessment skills? Select all that apply.
a) Declining health care needs of single parents
b) Declining numbers of medical students due to rising costs and focus on primary care
c) Growing aging population with complex comorbidities
d) Increasing complexity of acute care
e) Increasing impact of children and the homeless on communities
• Declining numbers of medical students due to rising costs and focus on primary care
• Increasing complexity of acute care
• Growing aging population with complex comorbidities
• Increasing impact of children and the homeless on communities
Rationale:
There is tremendous growth of the nursing role in the managed care environment. The most
marketable nurses will continue to be those with strong assessment and client teaching abilities, as
well as those who are technologically savvy. The following factors will continue to promote
opportunities for nurses with advanced assessment skills: 1) rising educational costs and focus on
primary care that affect the numbers and availability of medical students; 2) increasing complexity of
acute care; 3) growing aging population with complex comorbidities; 4) expanding health care needs
of single parents; 5) increasing impact of children and the homeless on communities; 6) intensifying
mental health issues; 7) expanding health service networks; and 8) increasing reimbursement for
health promotion and preventive care services.
Chapter 1: Nurse's Role in Health Assessment: Collecting and Analyzing Data, p. 2.
A+ TEST BANK 4
