Advanced Health Assessment & Clinical Diagnosis in Primary Care – 7th Edition (2025–2026) by Joyce E. Dains | Complete Test Bank

TEST BANK- Advanced Health Assessment & Clinical Diagnosis
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in Primary Care (7th Edition,2025|2026) Joyce E. Dains|
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1.
A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
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(gall bladder removal). What is the overall purpose of assessment forthis client?
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A) Collecting accurate data yy yy

, B) Assisting the primary care provider yy yy yy yy



C) Validating previous data yy yy



D) Making clinical judgments ju y y ju




2.
A client has presented to the emergency department (ED) with complaints of
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abdominalpain. Which member of the care team would most likely be responsible f
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or collecting the subjective data on the client during the initial comprehensive ass
y y yy yy yy yy yy yy yy yy yy yy y y



essment?
A) Gastroenterologist
B) ED nurse ju



C) Admissions clerk yy



D) Diagnostic technician y




3.
The nurse has completed an initial assessment of a newly admitted client and i
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s
applyingthe nursing process to plan the client's care. What principle should the nu
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rse apply whenu sing the nursing process?
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A) Each step is independent of the others.yy yy yy yy yy yy



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.
yy yy yy yy




4.
The nurse who provides care at an ambulatory clinic is preparing to meet a client
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and perform a comprehensive health assessment. Which of the following actio
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shothenurse
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perform
Review the first?
client's medical record.
y yy y yy
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yy
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A)
B) Obtain basic biographic data. yy yy yy



C) Consult clinical resources explaining the client's diagnosis.
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D) Validate information with the client. yy yy yy yy




5.
Which of the following client situations would the nurse interpret as requiring
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an 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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,6.
In response to a client's query, the nurse is explaining the differences between the
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physician's medical exam and the comprehensive health assessment performed by
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the nurse. The nurse should describe the fact that the nursing assessment focuses
y yy yy yy yy yy yy yy yy yy yy yy yy y



on which aspect of the client's situation?
y y y j yy yy yy yy



A) Current physiologic status yy yy



B) Effect of health on functional status yyju yyju yyju yyju yyju



C) Past medical history yy yy



D) Motivation for adherence to treatment yy yy yy yy




7.
After teaching a group of students about the phases of the nursing process, the
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instructordetermines that the teaching was successful when the students identify yy yy yy yy yy yy yy yy yy y



which phase as being foundational to all other phases?
y yy yy yy yy yy yy yy yy



A) Assessment
B) Planning
C) Implementation
D) Evaluation


8.
The nurse has completed the comprehensive health assessment of a client who has
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beenadmitted for the treatment of community- yy yy yy yy yy



acquired pneumonia. Following the completion of this assessment, the nurse periodi
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cally performs
marily a partial
for which yy assessment
reason? yy yy yy yy yy yy



pri Reassess previously detected problems yju yju yju


A)
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B) Provide information for the client's record yy yy yy yy yy



C) Address areas previously omitted yy yy yy



D) Determine the need for crisis intervention yy yy yy yy yy




9.
The nurse is working in an ambulatory care clinic that is located in a busy, inner-
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cityneighborhood. Which client would the nurse determine to be in most need o yy yy yy yy yy yy yy yy yy yy yy yy



f an emergency assessment?
y y yy yy



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
yy yy yy yy yy yy yy yy yy yy

, 10.
A nurse has completed gathering some basic data about a client who has multiple he
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alth problems that stem from heavy alcohol use. The nurse has then reflected on her
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personalfeelings about the client and his circumstances. The nurse does this primarily yy yy yy yy yy yy yy yy yy yy yy



y to accomplish which of the following?
y yy yy yy yy yy



A) Determine if pertinent data has been omitted yy yy yy yy yy yy



B) Identify the need for referral yy yy yy yy



C) Avoid biases and judgments yju yju yju



D) Construct a plan of care yy yy yy yy




11.
The nurse is collecting data from a client who has recently been diagnosed with typ
yy yy yy yy yy yy yy yy yy yy yy yy yy yy



e 1 diabetes and who will begin an educational program. The nurse is collecting
y y yy yy yy yy yy yy yy yy yy yy yy yy y y



subjective and objective data. Which of the following would the nurse categorize as
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yobjective data? yy



A) Family history yy



B) Occupation
C) Appearance
D) History of present health concern yy yy yy yy




12.
An older adult client has been admitted to the hospital with failure to thrive res
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ulting from complications of diabetes. Which of the following would the nurse
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implement inresponse to a collaborative problem? yy yy yy yy yy



A) Encourage the client to increase oral fluid intake. yy yy yy yy yy yy yy



B) Provide the client with a bedtime protein snack. yy yy yy yy yy yy yy



C) Assist the client with personal hygiene. yy yy yy yy yy



D) Measure the client's blood glucose four times daily. ju yju yju yju yju yju yju




13.
The nurse at a busy primary care clinic is analyzing the data obtained from the
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following clients. For which clients would the nurse most likely expect to facili
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tate ar eferral?
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A) An 80-year-old client who lives with her daughter
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B) A 50-year-old client newly diagnosed with diabetes
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C) An adult presenting for an influenza vaccination
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D) A teenager seeking information about contraception
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14.
An instructor is reviewing the evolution of the nurse's role in health assessment. The
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yinstructor determines that the teaching was successful when the students identify w
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hich of the following as the major method used by nurses early in the history of the
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prof ession?
Natural senses
y y
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A)
B) Biomedical knowledge yy



C) Simple technology yy

Page 3 y y



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