Health Assessment in Nursing Weber & Kelley 5th edition Ch
1-34 Exam Questions AND Correct Answers
1. A client at 22 weeks' gestation comes to the clinic
complaining of earache and decreased hearing. Otoscopic
examination of the ear is normal. The nurse explains to the
client that her symptoms are pregnancy-induced as a result of
what physiologic change?
A) Thickened, dry cerumen
B) Infection of the inner ear
C) Vascularity of the eardrum
D) Auditory nerve compression - ✔✔C) Vascularity of the
eardrum
1. A client has presented to the clinic for the treatment of an
ovarian cyst. Which of the following would be most important
for the nurse to do immediately before performing this
woman's physical exam?
A) Explain the purpose of the interview to the client.
B) Construct the client's family genogram.
C) Establish the client's reliability as historian.
D) Collect necessary equipment essential to the exam. - ✔✔D)
Collect necessary equipment essential to the exam.
,1. A client has suffered a suspected a rotator cuff tear. Which
of the following would the nurse expect to find?
A) Limitation of all shoulder motion
B) Chronic pain
C) Limited abduction
D) Sharp catches of pain with movement - ✔✔C) Limited
abduction
1. A client tells the clinic nurse that she has sought care
because she has been experiencing excessive tearing of her
eyes. Which assessment should the nurse next perform?
A) Inspect the palpebral conjunctiva.
B) Assess the nasolacrimal sac.
C) Perform the eye positions test.
D) Test pupillary reaction to light. - ✔✔B) Assess the
nasolacrimal sac.
1. A nurse has completed a comprehensive assessment of a
client and has begun the process of data analysis. Data
analysis should allow the nurse to produce which of the
following direct results?
A) Outcomes evaluation
,B) Nursing diagnoses
C) Holistic interventions
D) An interdisciplinary plan of care - ✔✔B) Nursing diagnoses
1. A nurse has completed the general survey of a client who
has been transferred to the unit. The information gathered
during the general survey primarily provides the nurse with
which of the following? Select all that apply.
A) An indication of the level of physical distress experienced
by the client
B) Clues about the overall health of the client
C) A direct link to the client's medical diagnosis
D) Indications about normal variations in the status of body
systems
E) Data relating to the patient's level of social support - ✔✔A,
B, D
A) An indication of the level of physical distress experienced
by the client
B) Clues about the overall health of the client
D) Indications about normal variations in the status of body
systems
, 1. A nurse is completing the intake assessment of an older
adult who has just relocated to a long-term care facility.
Which of the following nursing actions would be most
important to ensure accurate data when gathering the
resident's information?
A) Documenting the data
B) Validating the data
C) Identifying client support systems
D) Determining client needs - ✔✔B) Validating the data
1. A nurse is performing an assessment within the legal
parameters of assessment and diagnosis. These legal
guidelines would be specified in which of the following?
A) The state's Nurse Practice Act
B) The client's informed consent documents
C) The nurse's terms of license
D) The institution's policies and procedures guidelines - ✔✔A)
The state's Nurse Practice Act
1. A nurse is preparing a presentation for a local community
group on family violence and child abuse. Which of the
following would be most appropriate for the nurse to research
when defining child abuse in legal terms?
1-34 Exam Questions AND Correct Answers
1. A client at 22 weeks' gestation comes to the clinic
complaining of earache and decreased hearing. Otoscopic
examination of the ear is normal. The nurse explains to the
client that her symptoms are pregnancy-induced as a result of
what physiologic change?
A) Thickened, dry cerumen
B) Infection of the inner ear
C) Vascularity of the eardrum
D) Auditory nerve compression - ✔✔C) Vascularity of the
eardrum
1. A client has presented to the clinic for the treatment of an
ovarian cyst. Which of the following would be most important
for the nurse to do immediately before performing this
woman's physical exam?
A) Explain the purpose of the interview to the client.
B) Construct the client's family genogram.
C) Establish the client's reliability as historian.
D) Collect necessary equipment essential to the exam. - ✔✔D)
Collect necessary equipment essential to the exam.
,1. A client has suffered a suspected a rotator cuff tear. Which
of the following would the nurse expect to find?
A) Limitation of all shoulder motion
B) Chronic pain
C) Limited abduction
D) Sharp catches of pain with movement - ✔✔C) Limited
abduction
1. A client tells the clinic nurse that she has sought care
because she has been experiencing excessive tearing of her
eyes. Which assessment should the nurse next perform?
A) Inspect the palpebral conjunctiva.
B) Assess the nasolacrimal sac.
C) Perform the eye positions test.
D) Test pupillary reaction to light. - ✔✔B) Assess the
nasolacrimal sac.
1. A nurse has completed a comprehensive assessment of a
client and has begun the process of data analysis. Data
analysis should allow the nurse to produce which of the
following direct results?
A) Outcomes evaluation
,B) Nursing diagnoses
C) Holistic interventions
D) An interdisciplinary plan of care - ✔✔B) Nursing diagnoses
1. A nurse has completed the general survey of a client who
has been transferred to the unit. The information gathered
during the general survey primarily provides the nurse with
which of the following? Select all that apply.
A) An indication of the level of physical distress experienced
by the client
B) Clues about the overall health of the client
C) A direct link to the client's medical diagnosis
D) Indications about normal variations in the status of body
systems
E) Data relating to the patient's level of social support - ✔✔A,
B, D
A) An indication of the level of physical distress experienced
by the client
B) Clues about the overall health of the client
D) Indications about normal variations in the status of body
systems
, 1. A nurse is completing the intake assessment of an older
adult who has just relocated to a long-term care facility.
Which of the following nursing actions would be most
important to ensure accurate data when gathering the
resident's information?
A) Documenting the data
B) Validating the data
C) Identifying client support systems
D) Determining client needs - ✔✔B) Validating the data
1. A nurse is performing an assessment within the legal
parameters of assessment and diagnosis. These legal
guidelines would be specified in which of the following?
A) The state's Nurse Practice Act
B) The client's informed consent documents
C) The nurse's terms of license
D) The institution's policies and procedures guidelines - ✔✔A)
The state's Nurse Practice Act
1. A nurse is preparing a presentation for a local community
group on family violence and child abuse. Which of the
following would be most appropriate for the nurse to research
when defining child abuse in legal terms?
