V V
HEALTHVASSESSMENTVINVNURSINGV6THVEDITIONVBYV
WEBER
AnswersVareVatVtheVendVofVeachVchapter
CHAPTERV1:VNURSE’SVROLEVINVHEALTHVASSESSMENT:VCOLLECTINGVANDVANALYZINGVDATA
1. AVnurseVonVaVpostsurgicalVunitVisVadmittingVaVclientVfollowingVtheVclient'sVcholecystectom
yV(gallVbladderVremoval).VWhatVisVtheVoverallVpurposeVofVassessmentVforVthisVclient?
A) CollectingVaccurateVdata
B) AssistingVtheVprimaryVcareVprovider
C) ValidatingVpreviousVdata
D) MakingVclinicalVjudgments
2. AVclientVhasVpresentedVtoVtheVemergencyVdepartmentV(ED)VwithVcomplaintsVofVabdominal
Vpain.VWhichVmemberVofVtheVcareVteamVwouldVmostVlikelyVbeVresponsibleVforVcollectingVtheVsubj
ectiveVdataVonVtheVclientVduringVtheVinitialVcomprehensiveVassessment?
A) Gastroenterologist
B) EDVnurse
C) AdmissionsVclerk
D) DiagnosticVtechnician
,3. TheVnurseVhasVcompletedVanVinitialVassessmentVofVaVnewlyVadmittedVclientVandVisVapplyin
gVtheVnursingVprocessVtoVplanVtheVclient'sVcare.VWhatVprincipleVshouldVtheVnurseVapplyVwhenVusin
gVtheVnursingVprocess?
A) EachVstepVisVindependentVofVtheVothers.
B) ItVisVongoingVandVcontinuous.
C) ItVisVusedVprimarilyVinVacuteVcareVsettings.VN
D) ItVinvolvesVindependentVnursingVactions.
4. TheVnurseVwhoVprovidesVcareVatVanVambulatoryVclinicVisVpreparingVtoVmeetVaVclientVandVpe
rformVaVcomprehensiveVhealthVassessment.VWhichVofVtheVfollowingVactionsVshouldVtheVnurseVperfo
rmVfirst?
A) ReviewVtheVclient'sVmedicalVrecord.
B) ObtainVbasicVbiographicVdata.
C) ConsultVclinicalVresourcesVexplainingVtheVclient'sVdiagnosis.
D) ValidateVinformationVwithVtheVclient.
5. WhichVofVtheVfollowingVclientVsituationsVwouldVtheVnurseVinterpretVasVrequiringVanVemer
gencyVassessment?
A) AVpediatricVclientVwithVsevereVsunburn
B) AVclientVneedingVanVemploymentVphysical
C) AVclientVwhoVoverdosedVonVacetaminophen
D) AVdistraughtVclientVwhoVwantsVaVpregnancyVtest
10. AVnurseVhasVcompletedVgatheringVsomeVbasicVdataVaboutVaVclientVwhoVhasVmultipleVhealthVpr
oblemsVthatVstemVfromVheavyValcoholVuse.VTheVnurseVhasVthenVreflectedVonVherVpersonal
,6. InVresponseVtoVaVclient'sVquery,VtheVnurseVisVexplainingVtheVdifferencesVbetweenVtheVphys
ician'sVmedicalVexamVandVtheVcomprehensiveVhealthVassessmentVperformedVbyVtheVnurse.VTheVn
urseVshouldVdescribeVtheVfactVthatVtheVnursingVassessmentVfocusesVonVwhichVaspectVofVtheVclient
'sVsituation?
A) CurrentVphysiologicVstatus
B) EffectVofVhealthVonVfunctionalVstatus
C) PastVmedicalVhistory
D) MotivationVforVadherenceVtoVtreatment
7. AfterVteachingVaVgroupVofVstudentsVaboutVtheVphasesVofVtheVnursingVprocess,VtheVinst
ructorVdeterminesVthatVtheVteachingVwasVsuccessfulVwhenVtheVstudentsVidentifyVwhichVphase
VasVbeingVfoundationalVtoVallVotherVphaVses?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. TheVnurseVhasVcompletedVtheVcomprehensiveVhealthVassessmentVofVaVclientVwhoVhas
VbeenVadmittedVforVtheVtreatmentVofVcommunity-
acquiredVpneumonia.VFollowingVtheVcompletionVofVthisVassessment,VtheVnurseVperiodicallyVp
erformsVaVpartialVassessmentVprimarilyVforVwhichVreason?
A) ReassessVpreviouslyVdeteNctedVproblems
B) ProvideVinformationVforVtheVclient'sVrecord
C) AddressVareasVpreviouslyVomitted
D) DetermineVtheVneedVforVcrisisVintervention
, 9. TheVnurseVisVworkingVinVanVambulatoryVcareVclinicVthatVisVlocatedVinVaVbusy,Vinn
er-
cityVneighborhood.VWhichVclientVwouldVtheVnurseVdetermineVtoVbeVinVmostVneedVofVanV
emergencyVassessment?
A) AV14-year-oldVgirlVwhoVisVcryingVbecauseVsheVthinksVsheVisVpregnant
B) AV45-year-oldVmanVwithVchestVpainVandVdiaphoresisVforV1Vhour
C) AV3-year-oldVchildVwithVfever,Vrash,VandVsoreVthroat
D) AV20-year-oldVmanVwithVaV3-inchVshallowVlacerationVonVhisVleg
feelingsVaboutVtheVclientVandVhisVcircumstances.VTheVnurseVdoesVthisVprimarilyVtoVaccomplishVwhichVofVt
heVfollowing?
A) DetermineVifVpertinentVdataVhasVbeenVomitted
B) IdentifyVtheVneedVforVreferral
C) AvoidVbiasesVandVjudgments
D) ConstructVaVplanVofVcare
11. TheVnurseVisVcollectingVdataVfromVaVclientVwhoVhasVrecentlyVbeenVdiagnosedVwithVtypeV1Vdi
abetesVandVwhoVwillVbeginVanVeducationalVprogram.VTheVnurseVisVcollectingVsubjectiveVandVobjectiv
eVdata.VWhichVofVtheVfollowingVwouldVtheVnurseVcategorizeVasVobjectiveVdata?
A) FamilyVhistory
B) Occupation
C) Appearance
D) HistoryVofVpresentVhealthVconcern
12. AnVolderVadultVclientVhasVbeenVadmittedVtoVtheVhospitalVwithVfailureVtoVthriveVresultin
gVfromVcomplicationsVofVdiabetes.VWhichVofVtheVfollowingVwouldVtheVnurseVimplementVinVresp
onseVtoVaVcollaborativeVproblem?