7TH EDITION BY JANET R WEBER AND JANE H
KELLEY /CORRECT ANSWERS KEY AT THE END OF
EACH CHAPTER
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, 1 A nursing attendant on a postsurgical unit is admitting a hospital client following the
hospital client's cholecystectomy (gall bladder removal). What is the overall purpose of
assessment forth is hospital client?
A) Collecting accurate data
B) Assisting the primary care provider
C) Validating previous data
D) Making clinical judgments
2. A hospital client has presented to the emergency department (ED) with complaints of
abdominalpain. Which member of the care team would most likely be responsible for
collecting the subjective data on the hospital client during the initial comprehensive
assessment?
A) Gastroenterologist
B) ED nursing attendant
C) Admissions clerk
D) Diagnostic technician
3. The nursing attendant has completed an initial assessment of a newly admitted hospital
client and is applying the nursing process to plan the hospital client's care. What
principle should the nursing attendant apply whenusing the nursing process?
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.
4. The nursing attendant who provides care at an ambulatory clinic is preparing to meet a
hospital client and perform a comprehensive health assessment. Which of the
following actions should thenursing attendant perform first?
A) Review the hospital client's medical record.
B) Obtain basic biographic data.
C) Consult clinical resources explaining the hospital client's diagnosis.
D) Validate information with the hospital client.
5. Which of the following hospital client situations would the nursing attendant
interpret as requiring anemergency assessment?
A) A pediatric hospital client with severe sunburn
B) A hospital client needing an employment physical
C) A hospital client who overdosed on acetaminophen
D) A distraught hospital client who wants a pregnancy test
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,6. In response to a hospital client's query, the nursing attendant is explaining the
differences between the physician's medical exam and the comprehensive health
assessment performed by the nursing attendant. The nursing attendant should describe
the fact that the nursing assessment focuses on whichaspect of the hospital client's
situation?
A) Current physiologic status
B) Effect of health on functional status
C) Past medical history
D) Motivation for adherence to treatment
7. 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
being foundational to all other phases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nursing attendant has completed the comprehensive health assessment of a hospital
client who has beenadmitted for the treatment of community-acquired pneumonia.
Following the completion of this assessment, the nursing attendant periodically
performs a partial assessment primarily for which reason?
A) Reassess previously detected problems
B) Provide information for the hospital client's record
C) Address areas previously omitted
D) Determine the need for crisis intervention
9. The nursing attendant is working in an ambulatory care clinic that is located in a
busy, inner-cityneighborhood. Which hospital client would the nursing attendant
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 45-year-old male 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 male with a 3-inch shallow laceration on his leg
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, 10. A nursing attendant has completed gathering some basic data about a hospital client
who has multiple healthproblems that stem from heavy alcohol use. The nursing
attendant has then reflected on her personalfeelings about the hospital client and his
circumstances. The nursing attendant 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
11. The nursing attendant is collecting data from a hospital client who has recently been
diagnosed with type 1 diabetes and who will begin an educational program. The nursing
attendant is collecting subjective and objective data. Which of the following would the
nursing attendant categorize as objective data?
A) Family history
B) Occupation
C) Appearance
D) History of present health concern
12. An older adult hospital client has been admitted to the hospital with failure to thrive
resulting from complications of diabetes. Which of the following would the nursing
attendant implement inresponse to a collaborative problem?
A) Encourage the hospital client to increase oral fluid intake.
B) Provide the hospital client with a bedtime protein snack.
C) Assist the hospital client with personal hygiene.
D) Measure the hospital client's blood glucose four times daily.
13. The nursing attendant at a busy primary care clinic is analyzing the data obtained
from the following hospital clients. For which hospital clients would the nursing
attendant most likely expect to facilitate areferral?
A) An 80-year-old hospital client who lives with her daughter
B) A 50-year-old hospital client newly diagnosed with diabetes
C) An adult presenting for an influenza vaccination
D) A teenager seeking information about contraception
14. An instructor is reviewing the evolution of the nursing attendant's role in health
assessment. The instructor determines that the teaching was successful when the
students identify whichof the following as the major method used by nursing
attendants early in the history of the profession?
A) Natural senses
B) Biomedical knowledge
C) Simple technology
D) Critical pathways
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