wwwww TEST BANK FOR Health Assessment in Nursing 5th
Edition Janet R. Weber, Jane H. Kelley-latest
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1. A nurse on a postsurgical unit is admitting a client following the client's cholecystect
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omy (gall bladder removal). What is the overall purpose of assessment for this client?
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A) Collecting accurate data w w
B) Assisting the primary care provider w w w w
C) Validating previous data w w
D) Making clinical judgments w w
E) Making clinical judgments w w
2. A client has presented to the emergency department (ED) with complaints of abdomin
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al pain. Which member of the care team would most likely be responsible for collecting t
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he subjective data on the client during the initial comprehensive assessment?
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A) Gastroenterologist
B) ED nurse w
C) Admissions clerk w
D) Diagnostic technician w
B) ED nurse
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3. The nurse has completed an initial assessment of a newly admitted client and is app
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lying the nursing process to plan the client's care. What principle should the nurse app
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ly when using the nursing process?
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A) Each step is independent of the others.
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B) It is ongoing and continuous.
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C) It is used primarily in acute care settings.
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D) It involves independent nursing actions.
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B) It is ongoing and continuous.
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4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and
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perform a comprehensive health assessment. Which of the following actions should the
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nurse perform first?
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A) Review the client's medical record.
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B) Obtain basic biographic data. w w w
C) Consult clinical resources explaining the client's diagnosis.
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D) Validate information with the client. w w w w
A) Review the client's medical record.
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5. Which of the following client situations would the nurse interpret as requiring a
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n emergency assessment?
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A) A pediatric client with severe sunburn
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B) A client needing an employment physical
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C) A client who overdosed on acetaminophen
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D) A distraught client who wants a pregnancy test
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C) A client who overdosed on acetaminophen
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6. In response to a client's query, the nurse is explaining the differences between the ph
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ysician's medical exam and the comprehensive health assessment performed by the nur
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se. The nurse should describe the fact that the nursing assessment focuses on which asp
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ect of the client's situation?
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A) Current physiologic status w w
B) Effect of health on functional status
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C) Past medical history w w
D) Motivation for adherence to treatment w w w w
B) Effect of health on functional status
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7. After teaching a group of students about the phases of the nursing process, the instru
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ctor determines that the teaching was successful when the students identify which phase
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as being foundational to all other phases?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. The nurse has completed the comprehensive health assessment of a client who has be
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en admitted for the treatment of community-
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acquired pneumonia. Following the completion of this assessment, the nurse periodical
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ly performs a partial assessment primarily for which reason?
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A) Reassess previously detected problems w w w
B) Provide information for the client's record w w w w w
C) Address areas previously omitted w w w
D) Determine the need for crisis intervention w w w w w
A) Reassess previously detected problems w w w
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
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city neighborhood. Which client would the nurse determine to be in most need of an e
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mergency assessment? w
A) A 14-year-old girl who is crying because she thinks she is pregnant
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B) A 45-year-old man with chest pain and diaphoresis for 1 hour
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C) A 3-year-old child with fever, rash, and sore throat
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D) A 20-year-old man with a 3-inch shallow laceration on his leg
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B) A 45-year-old man with chest pain and diaphoresis for 1 hour
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10. A nurse has completed gathering some basic data about a client who has multiple h
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ealth problems that stem from heavy alcohol use. The nurse has then reflected on her per
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sonal feelings about the client and his circumstances. The nurse does this primarily to ac
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complish which of the following? w w w w
A) Determine if pertinent data has been omitted w w w w w w
B) Identify the need for referral w w w w
C) Avoid biases and judgments w w w
D) Construct a plan of care w w w w
C) Avoid biases and judgments w w w
11. The nurse is collecting data from a client who has recently been diagnosed with type 1
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diabetes and who will begin an educational program. The nurse is collecting subjective a
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nd objective data. Which of the following would the nurse categorize as objective data?
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A) Family history w
B) Occupation
C) Appearance
D) History of present health concern w w w w
D) Appearance
12. An older adult client has been admitted to the hospital with failure to thrive resultin
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g from complications of diabetes. Which of the following would the nurse implement in
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response to a collaborative problem?
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A) Encourage the client to increase oral fluid intake.
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B) Provide the client with a bedtime protein snack.
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C) Assist the client with personal hygiene.
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D) Measure the client's blood glucose four times daily.
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E) Measure the client's blood glucose four times daily.
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13. The nurse at a busy primary care clinic is analyzing the data obtained from the f
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ollowing clients. For which clients would the nurse most likely expect to facilitate a
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referral?