v v
Health Assessment in Nursing 7th Edition
v v v v v
by Weber Chapters 1 - 34
v v v v v
,Answers are at the end of each chapter v v v v v v v
CHAPTER 1: NURSE’S ROLE IN HEALTH ASSESSMENT: COLLECTING AND ANALYZING DATA
v v v v v v v v v v
1. A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
v v v v v v v v v v v v v
(gallbladder removal). What is the overall purpose of assessment for this client?
v v v v v v v v v v v v v
A) Collecting accurate data v v
B) Assisting the primary care provider
v v v v
C) Validating previous data v v
D) Making clinical judgmentsv v
2. A client has presented to the emergency department (ED) with complaints of abdominal
v v v v v v v v v v v v
pain. Which member of the care team would most likely be responsible for collecting the subjective data
v v v v v v v v v v v v v v v v v
onthe client during the initial comprehensive assessment?
v v v v v v v v
A) Gastroenterologist
B) ED nurse v
C) Admissions clerk v
D) Diagnostic technician v
,3. The nurse has completed an initial assessment of a newly admitted client and is applying the
v v v v v v v v v v v v v v v
nursing process to plan the client's care. What principle should the nurse apply when using the
v v v v v v v v v v v v v v v v
nursingprocess?
v v
A) Each step is independent of the others.
v v v v v v
B) It is ongoing and continuous.
v v v v
C) It is used primarily in acute care settings. N
v v v v v v v v
D) It involves independent nursing actions.
v v v v
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client and perform
v v v v v v v v v v v v v v v v
acomprehensive health assessment. Which of the following actions should the nurse perform first?
v v v v v v v v v v v v v v
A) Review the client's medical record.
v v v v
B) Obtain basic biographic data.v v v
C) Consult clinical resources explaining the client's diagnosis.
v v v v v v
D) Validate information with the client. v v v v
5. Which of the following client situations would the nurse interpret as requiring an
v v v v v v v v v v v v
emergencyassessment?
v v
A) A pediatric client with severe sunburn
v v v v v
B) A client needing an employment physical
v v v v v
C) A client who overdosed on acetaminophen
v v v v v
D) A distraught client who wants a pregnancy test
v v v v v v v
10. A nurse has completed gathering some basic data about a client who has multiple health problemsthat
v v v v v v v v v v v v v v v v v
stem from heavy alcohol use. The nurse has then reflected on her personal
v v v v v v v v v v v v v
, 6. In response to a client's query, the nurse is explaining the differences between the
v v v v v v v v v v v v v
physician'smedical exam and the comprehensive health assessment performed by the nurse. The nurse
v v v v v v v v v v v v v v
should describe the fact that the nursing assessment focuses on which aspect of the client's situation?
v v v v v v v v v v v v v v v v
A) Current physiologic status v v
B) Effect of health on functional status
v v v v v
C) Past medical history
v v
D) Motivation for adherence to treatment v v v v
7. After teaching a group of students about the phases of the nursing process, the
v v v v v v v v v v v v v
instructordetermines that the teaching was successful when the students identify which phase as
v v v v v v v v v v v v v v
being foundational to all other pha ses?
v v v v v v v
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has
v v v v v v v v v v v v
been admitted for the treatment of community-acquired pneumonia. Following the completion of
v v v v v v v v v v v v
thisassessment, the nurse periodically performs a partial assessment primarily for which reason?
v v v v v v v v v v v v v
A) Reassess previously deteNcted problemsv v v
B) Provide information for the client's record
v v v v v
C) Address areas previously omitted v v v
D) Determine the need for crisis intervention v v v v v