Nursing Health Assessment
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
Reference: Ch. 1, Section: The Nurse’s Role in Health
Assessment. LWW Official Store
Question Stem:
A newly graduated RN is preparing to perform a comprehensive
admission assessment on a 68-year-old patient. Which
statement best reflects the RN’s central responsibility during
this health assessment?
A. Perform only the physical exam and defer data interpretation
to the primary care provider.
B. Collect subjective and objective data, synthesize findings, and
use clinical judgment to plan care.
C. Limit documentation to abnormal findings to save charting
time.
D. Leave health teaching to the discharge planner and focus on
assessment only.
Correct Answer: B
,Rationales:
• Correct (B): The RN’s role includes collecting subjective
and objective data, synthesizing findings, and applying
clinical judgment to develop and implement nursing care.
This aligns with the nursing process emphasis in the text.
LWW Official Store
• A (incorrect): RNs interpret assessment data as part of
diagnosis and care planning; interpretation is not reserved
solely for providers.
• C (incorrect): Documentation should be complete — both
normal and abnormal findings — to support continuity and
legal/clinical needs.
• D (incorrect): Health teaching is an integral nursing
responsibility across the continuum, not only the discharge
planner’s role.
Teaching Point: Nurses gather and interpret data to plan holistic
care.
Citation: Ch. 1, The Nurse’s Role in Health Assessment. LWW
Official Store
2
Reference: Ch. 1, Section: Roles of the Professional Nurse —
Provider, Manager, Member of a Profession. LWW Official Store
,Question Stem:
During morning report an RN learns that a patient with diabetes
will need teaching about newly prescribed insulin. As manager
of care, which immediate action best demonstrates the RN’s
managerial role?
A. Delegate insulin teaching to nursing assistive personnel
(NAP).
B. Schedule the patient for group diabetes education next
week.
C. Prioritize assignment of the patient to a nurse with diabetes-
education competency.
D. Document that teaching will occur at discharge and move on.
Correct Answer: C
Rationales:
• Correct (C): The manager role includes assigning nursing
tasks based on competencies to ensure safe, effective care;
matching patient needs to staff skill promotes quality.
LWW Official Store
• A (incorrect): NAP cannot perform teaching that requires
clinical judgment and education specific to medication
administration.
• B (incorrect): Group education next week may delay
timely, individualized teaching needed now.
• D (incorrect): Postponing teaching until discharge risks
poor glycemic control and is not proactive management.
, Teaching Point: Assign patients based on staff competency for
safe, timely care.
Citation: Ch. 1, Roles of the Professional Nurse. LWW Official
Store
3
Reference: Ch. 1, Section: Registered Nurse Versus Advanced
Practice Registered Nurse. LWW Official Store
Question Stem:
A patient requests a medication that typically requires
prescriptive authority. Which action demonstrates appropriate
role recognition by an RN?
A. Prescribe the medication because the RN assessed the
patient.
B. Educate the patient about nonpharmacologic options and
notify the APRN/physician for prescriptions.
C. Refuse to discuss options because only prescribers manage
medications.
D. Administer a trial dose and observe for effect before
notifying the prescriber.
Correct Answer: B
Rationales:
• Correct (B): RNs provide education and coordinate care
but must collaborate with prescribers (APRN/physician) for
A Clinical Judgment Approach
4th Edition
• Author(s)Sharon Jensen; Ryan Smock
TEST BANK
Reference: Ch. 1, Section: The Nurse’s Role in Health
Assessment. LWW Official Store
Question Stem:
A newly graduated RN is preparing to perform a comprehensive
admission assessment on a 68-year-old patient. Which
statement best reflects the RN’s central responsibility during
this health assessment?
A. Perform only the physical exam and defer data interpretation
to the primary care provider.
B. Collect subjective and objective data, synthesize findings, and
use clinical judgment to plan care.
C. Limit documentation to abnormal findings to save charting
time.
D. Leave health teaching to the discharge planner and focus on
assessment only.
Correct Answer: B
,Rationales:
• Correct (B): The RN’s role includes collecting subjective
and objective data, synthesizing findings, and applying
clinical judgment to develop and implement nursing care.
This aligns with the nursing process emphasis in the text.
LWW Official Store
• A (incorrect): RNs interpret assessment data as part of
diagnosis and care planning; interpretation is not reserved
solely for providers.
• C (incorrect): Documentation should be complete — both
normal and abnormal findings — to support continuity and
legal/clinical needs.
• D (incorrect): Health teaching is an integral nursing
responsibility across the continuum, not only the discharge
planner’s role.
Teaching Point: Nurses gather and interpret data to plan holistic
care.
Citation: Ch. 1, The Nurse’s Role in Health Assessment. LWW
Official Store
2
Reference: Ch. 1, Section: Roles of the Professional Nurse —
Provider, Manager, Member of a Profession. LWW Official Store
,Question Stem:
During morning report an RN learns that a patient with diabetes
will need teaching about newly prescribed insulin. As manager
of care, which immediate action best demonstrates the RN’s
managerial role?
A. Delegate insulin teaching to nursing assistive personnel
(NAP).
B. Schedule the patient for group diabetes education next
week.
C. Prioritize assignment of the patient to a nurse with diabetes-
education competency.
D. Document that teaching will occur at discharge and move on.
Correct Answer: C
Rationales:
• Correct (C): The manager role includes assigning nursing
tasks based on competencies to ensure safe, effective care;
matching patient needs to staff skill promotes quality.
LWW Official Store
• A (incorrect): NAP cannot perform teaching that requires
clinical judgment and education specific to medication
administration.
• B (incorrect): Group education next week may delay
timely, individualized teaching needed now.
• D (incorrect): Postponing teaching until discharge risks
poor glycemic control and is not proactive management.
, Teaching Point: Assign patients based on staff competency for
safe, timely care.
Citation: Ch. 1, Roles of the Professional Nurse. LWW Official
Store
3
Reference: Ch. 1, Section: Registered Nurse Versus Advanced
Practice Registered Nurse. LWW Official Store
Question Stem:
A patient requests a medication that typically requires
prescriptive authority. Which action demonstrates appropriate
role recognition by an RN?
A. Prescribe the medication because the RN assessed the
patient.
B. Educate the patient about nonpharmacologic options and
notify the APRN/physician for prescriptions.
C. Refuse to discuss options because only prescribers manage
medications.
D. Administer a trial dose and observe for effect before
notifying the prescriber.
Correct Answer: B
Rationales:
• Correct (B): RNs provide education and coordinate care
but must collaborate with prescribers (APRN/physician) for
