HEALTH ASSESSMENT 301 EXAM 1
An instructor is describing a comprehensive nursing health assessment to a group of
students. The instructor determines that the teaching was successful when the students
identify which of the following as the overall purpose?
A) Collect accurate data
B) Assist the physician
C) Validate previous data
D) Make a clinical judgment - Answer -d
Which individual typically would be responsible for collecting the subjective data on a
client during the initial comprehensive assessment?
A) Physician
B) Nurse
C) Secretary
D) Technician - Answer -b
When discussing the nursing process with a group of students, which of the following
statements best describes it?
A) Each step is independent of the others.
B) It is ongoing and continuous.
C) It is used primarily in acute care settings.
D) It involves independent nursing actions. - Answer -b
Before meeting the client and performing a comprehensive health assessment, which of
the following would be most important for the nurse to do?
A) Review the client's medical record.
B) Obtain basic biographic data.
C) Consult essential resources.
D) Validate information with the client. - Answer -a
Which of the following client situations would the nurse interpret as requiring an
emergency assessment?
A) A client with severe sunburn
B) A client needing an employment physical
C) A client who took a drug overdose
D) A client who wants a pregnancy test - Answer -c
In comparison with the physician's medical exam, the comprehensive health
assessment performed by the nurse focuses on which aspect?
A) Current physiologic status
B) Effect of health on lifestyle
C) Past medical history
D) Motivation for compliance - Answer -b
,After teaching a group of students about the phases of the nursing process, the
instructor determines that the teaching was successful when the students identify which
phase as most important?
A) Assessment
B) Planning
C) Implementation
D) Evaluation - Answer -a
Following completion of the comprehensive health assessment, the nurse periodically
performs a partial assessment primarily for which reason?
A) Reassess previously detected problems
B) Provide information for the client's record
C) Address areas previously omitted
D) Determine the need for crisis intervention - Answer -a
The nurse is working in an ambulatory care clinic. Which client would the nurse
determine to be in most need of an emergency assessment?
A) A 14-year-old girl who is crying because she thinks she is pregnant
B) A 35-year-old man with chest pain and diaphoresis for 1 hour
C) A 3-year-old child with fever, rash, and sore throat
D) A 20-year-old man with a 3-inch shallow laceration on his leg - Answer -b
A nurse has completed gathering some basic data about a client and then reflects on
personal feelings about the client. The nurse does this primarily to accomplish which of
the following?
A) Determine if pertinent data has been omitted
B) Identify the need for referral
C) Avoid biases and judgments
D) Construct a plan of care - Answer -c
The nurse is collecting data from a client. Which of the following best reflects objective
data?
A) Religion
B) Occupation
C) Appearance
D) Age - Answer -c
Which of the following would the nurse implement in response to a collaborative
problem?
A) Encouraging oral fluids
B) Providing bedtime protein snack
C) Assisting with personal hygiene
D) Taking blood glucose twice daily - Answer -d
,The nurse is analyzing the data obtained from the following clients. Which client would
the nurse expect to facilitate a referral?
A) An 80-year-old client who lives with her daughter
B) A 50-year-old client newly diagnosed with diabetes
C) A 3-year-old child with an acute ear infection
D) A teenager seeking information about contraception - Answer -b
An instructor is reviewing the evolution of the nurse's role in health assessment. The
instructor determines that the teaching was successful when the students identify which
of the following as the major method used by nurses early on to perform assessment?
A) Natural senses
B) Biomedical knowledge
C) Technology
D) Critical pathways - Answer -a
When describing the expansion of the depth and scope of nursing assessment over the
past several decades, which of the following would be identified as being the primary
force?
A) Documentation
B) Informatics
C) Diversification
D) Technology - Answer -d
A group of students is reviewing information about the potential opportunities for nurses
with advanced assessment skills. The students demonstrate that they understand the
information when they identify which of the following as helping to promote this role?
A) Expansion of health care networks
B) Decrease in client participation in care
C) Restraints in the cost of medical care
D) Broadening of the base of biomedical data - Answer -a
During an in-service presentation, the presenter stresses the importance of accurate
and thorough documentation for which reason?
A) Guarantee a continual assessment process.
B) Identify abnormal data.
C) Assure valid conclusions from analyzed data.
D) Allow for drawing inferences and identifying problems. - Answer -c
When performing the steps of the assessment phase of the nursing process, which of
the following would the nurse do first?
A) Collect objective data
B) Validate the data
C) Collect subjective data
D) Document the data - Answer -c
, A nurse is gathering subjective data. Which of the following would the nurse be most
likely to assess?
A) Feelings of happiness
B) Posture
C) Mood
D) Behavior - Answer -a
When describing a focused assessment to a group of students, which of the following
would the instructor include?
A) It is done before the physical exam.
B) It replaces the comprehensive data base.
C) It assesses a particular client problem.
D) It is done after gathering subjective data. - Answer -c
The nurse is reviewing a client's health history and physical examination. Which of the
following would the nurse identify as subjective data? Select all that apply.
A) "I feel so tired sometimes"
B) Weight—145 lb
C) Lungs clear to auscultation
D) Client complains of a headache
E) "My father died of a heart attack"
F) Pupils equal, round, and reactive to light - Answer -a d e
The activities below reflect the steps of the nursing process. Place the activities in their
proper sequence from first to last.
A) Identifying outcomes
B) Determining client's nursing problem
C) Collecting information about the client
D) Determining outcome achievement
E) Carrying out interventions - Answer -a b c d e
After explaining the skills used to gather subjective and objective data, the instructor
determines that additional teaching is needed when the students identify which of the
following as a skill necessary for collecting subjective data?
A) Inspection
B) Therapeutic communication
C) Interviewing
D) Active listening - Answer -a
The nurse is performing a health assessment on client. Which of the following would be
most important for the nurse to do?
A) Focus the assessment on the client as an individual
B) Interpret the information about the client in context
C) Rely primarily on the client's statements
D) Gather information from a variety of sources - Answer -b
An instructor is describing a comprehensive nursing health assessment to a group of
students. The instructor determines that the teaching was successful when the students
identify which of the following as the overall purpose?
A) Collect accurate data
B) Assist the physician
C) Validate previous data
D) Make a clinical judgment - Answer -d
Which individual typically would be responsible for collecting the subjective data on a
client during the initial comprehensive assessment?
A) Physician
B) Nurse
C) Secretary
D) Technician - Answer -b
When discussing the nursing process with a group of students, which of the following
statements best describes it?
A) Each step is independent of the others.
B) It is ongoing and continuous.
C) It is used primarily in acute care settings.
D) It involves independent nursing actions. - Answer -b
Before meeting the client and performing a comprehensive health assessment, which of
the following would be most important for the nurse to do?
A) Review the client's medical record.
B) Obtain basic biographic data.
C) Consult essential resources.
D) Validate information with the client. - Answer -a
Which of the following client situations would the nurse interpret as requiring an
emergency assessment?
A) A client with severe sunburn
B) A client needing an employment physical
C) A client who took a drug overdose
D) A client who wants a pregnancy test - Answer -c
In comparison with the physician's medical exam, the comprehensive health
assessment performed by the nurse focuses on which aspect?
A) Current physiologic status
B) Effect of health on lifestyle
C) Past medical history
D) Motivation for compliance - Answer -b
,After teaching a group of students about the phases of the nursing process, the
instructor determines that the teaching was successful when the students identify which
phase as most important?
A) Assessment
B) Planning
C) Implementation
D) Evaluation - Answer -a
Following completion of the comprehensive health assessment, the nurse periodically
performs a partial assessment primarily for which reason?
A) Reassess previously detected problems
B) Provide information for the client's record
C) Address areas previously omitted
D) Determine the need for crisis intervention - Answer -a
The nurse is working in an ambulatory care clinic. Which client would the nurse
determine to be in most need of an emergency assessment?
A) A 14-year-old girl who is crying because she thinks she is pregnant
B) A 35-year-old man with chest pain and diaphoresis for 1 hour
C) A 3-year-old child with fever, rash, and sore throat
D) A 20-year-old man with a 3-inch shallow laceration on his leg - Answer -b
A nurse has completed gathering some basic data about a client and then reflects on
personal feelings about the client. The nurse does this primarily to accomplish which of
the following?
A) Determine if pertinent data has been omitted
B) Identify the need for referral
C) Avoid biases and judgments
D) Construct a plan of care - Answer -c
The nurse is collecting data from a client. Which of the following best reflects objective
data?
A) Religion
B) Occupation
C) Appearance
D) Age - Answer -c
Which of the following would the nurse implement in response to a collaborative
problem?
A) Encouraging oral fluids
B) Providing bedtime protein snack
C) Assisting with personal hygiene
D) Taking blood glucose twice daily - Answer -d
,The nurse is analyzing the data obtained from the following clients. Which client would
the nurse expect to facilitate a referral?
A) An 80-year-old client who lives with her daughter
B) A 50-year-old client newly diagnosed with diabetes
C) A 3-year-old child with an acute ear infection
D) A teenager seeking information about contraception - Answer -b
An instructor is reviewing the evolution of the nurse's role in health assessment. The
instructor determines that the teaching was successful when the students identify which
of the following as the major method used by nurses early on to perform assessment?
A) Natural senses
B) Biomedical knowledge
C) Technology
D) Critical pathways - Answer -a
When describing the expansion of the depth and scope of nursing assessment over the
past several decades, which of the following would be identified as being the primary
force?
A) Documentation
B) Informatics
C) Diversification
D) Technology - Answer -d
A group of students is reviewing information about the potential opportunities for nurses
with advanced assessment skills. The students demonstrate that they understand the
information when they identify which of the following as helping to promote this role?
A) Expansion of health care networks
B) Decrease in client participation in care
C) Restraints in the cost of medical care
D) Broadening of the base of biomedical data - Answer -a
During an in-service presentation, the presenter stresses the importance of accurate
and thorough documentation for which reason?
A) Guarantee a continual assessment process.
B) Identify abnormal data.
C) Assure valid conclusions from analyzed data.
D) Allow for drawing inferences and identifying problems. - Answer -c
When performing the steps of the assessment phase of the nursing process, which of
the following would the nurse do first?
A) Collect objective data
B) Validate the data
C) Collect subjective data
D) Document the data - Answer -c
, A nurse is gathering subjective data. Which of the following would the nurse be most
likely to assess?
A) Feelings of happiness
B) Posture
C) Mood
D) Behavior - Answer -a
When describing a focused assessment to a group of students, which of the following
would the instructor include?
A) It is done before the physical exam.
B) It replaces the comprehensive data base.
C) It assesses a particular client problem.
D) It is done after gathering subjective data. - Answer -c
The nurse is reviewing a client's health history and physical examination. Which of the
following would the nurse identify as subjective data? Select all that apply.
A) "I feel so tired sometimes"
B) Weight—145 lb
C) Lungs clear to auscultation
D) Client complains of a headache
E) "My father died of a heart attack"
F) Pupils equal, round, and reactive to light - Answer -a d e
The activities below reflect the steps of the nursing process. Place the activities in their
proper sequence from first to last.
A) Identifying outcomes
B) Determining client's nursing problem
C) Collecting information about the client
D) Determining outcome achievement
E) Carrying out interventions - Answer -a b c d e
After explaining the skills used to gather subjective and objective data, the instructor
determines that additional teaching is needed when the students identify which of the
following as a skill necessary for collecting subjective data?
A) Inspection
B) Therapeutic communication
C) Interviewing
D) Active listening - Answer -a
The nurse is performing a health assessment on client. Which of the following would be
most important for the nurse to do?
A) Focus the assessment on the client as an individual
B) Interpret the information about the client in context
C) Rely primarily on the client's statements
D) Gather information from a variety of sources - Answer -b
