TEST BANK Health Assessment in Nursing (7TH) by Janet R
Weber & Jane H Kelley Chapters 1-34 UPDATED| Latest Practice
Exam 100% Verified Answers
Page 1
,Chapter 1
1. A nurse on a postsurgical unit is admitting a patient following the patient's
cholecystectomy (gall bladder removal). What is the overall purpose of assessment for
this patient?
A) Collecting accurate data
B) Assisting the primary support care provider
C) Validating previous data
D) Making clinical judgments
2. A patient has presented to the emergency department (ED) with complaints of
abdominalpain. Which member of the support care team would most likely be
responsible for collecting the subjective data on the patient during the initial
comprehensive assessment?
A) Gastroenterologist
B) ED nurse
C) Admissions clerk
D) Diagnostic technician
3. The nurse has completed an initial assessment of a newly admitted patient and is
applying the nursing process to plan the patient's support care. What principle should the
nurse 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 support care settings.
D) It involves independent nursing actions.
4. The nurse who provides support care at an ambulatory clinic is preparing to meet a
patient and perform a comprehensive health assessment. Which of the following
actions should thenurse perform first?
A) Review the patient's medical record.
B) Obtain basic biographic data.
C) Consult clinical resources explaining the patient's diagnosis.
D) Validate information with the patient.
5. Which of the following patient situations would the nurse interpret as requiring
anemergency assessment?
A) A pediatric patient with severe sunburn
B) A patient needing an employment physical
C) A patient who overdosed on acetaminophen
D) A distraught patient who wants a pregnancy test
Page 1
,6. In response to a patient's query, the nurse is explaining the differences between the
physician's medical exam and the comprehensive health assessment performed by the
nurse. The nurse should describe the fact that the nursing assessment focuses on which
aspect of the patient'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 nurse has completed the comprehensive health assessment of a patient who has
beenadmitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason?
A) Reassess previously detected problems
B) Provide information for the patient's record
C) Address areas previously omitted
D) Determine the need for crisis intervention
9. The nurse is working in an ambulatory support care clinic that is located in a busy,
inner-cityneighborhood. Which patient would the nurse 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 man 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 man with a 3-inch shallow laceration on his leg
Page 1
, 10. A nurse has completed gathering some basic data about a patient who has multiple
healthproblems that stem from heavy alcohol use. The nurse has then reflected on her
personalfeelings about the patient and his circumstances. The nurse 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 support care
11. The nurse is collecting data from a patient who has recently been diagnosed with type 1
diabetes and who will begin an educational program. The nurse is collecting subjective
and objective data. Which of the following would the nurse categorize as objective data?
A) Family history
B) Occupation
C) Appearance
D) History of present health concern
12. An older adult patient has been admitted to the hospital with failure to thrive resulting
from complications of diabetes. Which of the following would the nurse implement in
response to a collaborative problem?
A) Encourage the patient to increase oral fluid intake.
B) Provide the patient with a bedtime protein snack.
C) Assist the patient with personal hygiene.
D) Measure the patient's blood glucose four times daily.
13. The nurse at a busy primary support care clinic is analyzing the data obtained from
the following patients. For which patients would the nurse most likely expect to
facilitate areferral?
A) An 80-year-old patient who lives with her daughter
B) A 50-year-old patient 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 nurse's role in health assessment. The
instructor determines that the teaching was successful when the students identify which
of the following as the major method used by nurses early in the history of the
profession?
A) Natural senses
B) Biomedical knowledge
C) Simple technology
D) Critical pathways
Page 3
.
Weber & Jane H Kelley Chapters 1-34 UPDATED| Latest Practice
Exam 100% Verified Answers
Page 1
,Chapter 1
1. A nurse on a postsurgical unit is admitting a patient following the patient's
cholecystectomy (gall bladder removal). What is the overall purpose of assessment for
this patient?
A) Collecting accurate data
B) Assisting the primary support care provider
C) Validating previous data
D) Making clinical judgments
2. A patient has presented to the emergency department (ED) with complaints of
abdominalpain. Which member of the support care team would most likely be
responsible for collecting the subjective data on the patient during the initial
comprehensive assessment?
A) Gastroenterologist
B) ED nurse
C) Admissions clerk
D) Diagnostic technician
3. The nurse has completed an initial assessment of a newly admitted patient and is
applying the nursing process to plan the patient's support care. What principle should the
nurse 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 support care settings.
D) It involves independent nursing actions.
4. The nurse who provides support care at an ambulatory clinic is preparing to meet a
patient and perform a comprehensive health assessment. Which of the following
actions should thenurse perform first?
A) Review the patient's medical record.
B) Obtain basic biographic data.
C) Consult clinical resources explaining the patient's diagnosis.
D) Validate information with the patient.
5. Which of the following patient situations would the nurse interpret as requiring
anemergency assessment?
A) A pediatric patient with severe sunburn
B) A patient needing an employment physical
C) A patient who overdosed on acetaminophen
D) A distraught patient who wants a pregnancy test
Page 1
,6. In response to a patient's query, the nurse is explaining the differences between the
physician's medical exam and the comprehensive health assessment performed by the
nurse. The nurse should describe the fact that the nursing assessment focuses on which
aspect of the patient'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 nurse has completed the comprehensive health assessment of a patient who has
beenadmitted for the treatment of community-acquired pneumonia. Following the
completion of this assessment, the nurse periodically performs a partial assessment
primarily for which reason?
A) Reassess previously detected problems
B) Provide information for the patient's record
C) Address areas previously omitted
D) Determine the need for crisis intervention
9. The nurse is working in an ambulatory support care clinic that is located in a busy,
inner-cityneighborhood. Which patient would the nurse 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 man 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 man with a 3-inch shallow laceration on his leg
Page 1
, 10. A nurse has completed gathering some basic data about a patient who has multiple
healthproblems that stem from heavy alcohol use. The nurse has then reflected on her
personalfeelings about the patient and his circumstances. The nurse 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 support care
11. The nurse is collecting data from a patient who has recently been diagnosed with type 1
diabetes and who will begin an educational program. The nurse is collecting subjective
and objective data. Which of the following would the nurse categorize as objective data?
A) Family history
B) Occupation
C) Appearance
D) History of present health concern
12. An older adult patient has been admitted to the hospital with failure to thrive resulting
from complications of diabetes. Which of the following would the nurse implement in
response to a collaborative problem?
A) Encourage the patient to increase oral fluid intake.
B) Provide the patient with a bedtime protein snack.
C) Assist the patient with personal hygiene.
D) Measure the patient's blood glucose four times daily.
13. The nurse at a busy primary support care clinic is analyzing the data obtained from
the following patients. For which patients would the nurse most likely expect to
facilitate areferral?
A) An 80-year-old patient who lives with her daughter
B) A 50-year-old patient 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 nurse's role in health assessment. The
instructor determines that the teaching was successful when the students identify which
of the following as the major method used by nurses early in the history of the
profession?
A) Natural senses
B) Biomedical knowledge
C) Simple technology
D) Critical pathways
Page 3
.
