TEST BANK FOR
j j
HEALTH ASSESSMENT IN NURSING 6TH EDITION BY WE
j j j j j j j
BER
Answers are at the end of each chapter
j j j j j j j
CHAPTERj1:jNURSE’SjROLEjINjHEALTHjASSESSMENT:jCOLLECTINGjANDjANALYZINGjDATA
1. Ajnursejonjajpostsurgicaljunitjisjadmittingjajclientjfollowingjthejclient'sjcholecystectomyj(galljbl
adderjremoval).jWhatjisjthejoveralljpurposejofjassessmentjforjthisjclient?
A) Collectingjaccuratejdata
B) Assistingjthejprimaryjcarejprovider
C) Validatingjpreviousjdata
D) Makingjclinicaljjudgments
2. Ajclientjhasjpresentedjtojthejemergencyjdepartmentj(ED)jwithjcomplaintsjofjabdominaljpain.jW
hichjmemberjofjthejcarejteamjwouldjmostjlikelyjbejresponsiblejforjcollectingjthejsubjectivejdatajonjthejc
lientjduringjthejinitialjcomprehensivejassessment?
A) Gastroenterologist
B) EDjnurse
C) Admissionsjclerk
D) Diagnosticjtechnician
,3. Thejnursejhasjcompletedjanjinitialjassessmentjofjajnewlyjadmittedjclientjandjisjapplyingjthejnurs
ingjprocessjtojplanjthejclient'sjcare.jWhatjprinciplejshouldjthejnursejapplyjwhenjusingjthejnursingjproces
s?
A) Eachjstepjisjindependentjofjthejothers.
B) Itjisjongoingjandjcontinuous.
C) Itjisjusedjprimarilyjinjacutejcarejsettings.jN
D) Itjinvolvesjindependentjnursingjactions.
4. Thejnursejwhojprovidesjcarejatjanjambulatoryjclinicjisjpreparingjtojmeetjajclientjandjperformjajco
mprehensivejhealthjassessment.jWhichjofjthejfollowingjactionsjshouldjthejnursejperformjfirst?
A) Reviewjthejclient'sjmedicaljrecord.
B) Obtainjbasicjbiographicjdata.
C) Consultjclinicaljresourcesjexplainingjthejclient'sjdiagnosis.
D) Validatejinformationjwithjthejclient.
5. Whichjofjthejfollowingjclientjsituationsjwouldjthejnursejinterpretjasjrequiringjanjemergencyjas
sessment?
A) Ajpediatricjclientjwithjseverejsunburn
B) Ajclientjneedingjanjemploymentjphysical
C) Ajclientjwhojoverdosedjonjacetaminophen
D) Ajdistraughtjclientjwhojwantsjajpregnancyjtest
10. Ajnursejhasjcompletedjgatheringjsomejbasicjdatajaboutjajclientjwhojhasjmultiplejhealthjproblemsjth
atjstemjfromjheavyjalcoholjuse.jThejnursejhasjthenjreflectedjonjherjpersonal
,6. Injresponsejtojajclient'sjquery,jthejnursejisjexplainingjthejdifferencesjbetweenjthejphysician'sjm
edicaljexamjandjthejcomprehensivejhealthjassessmentjperformedjbyjthejnurse.jThejnursejshouldjdescri
bejthejfactjthatjthejnursingjassessmentjfocusesjonjwhichjaspectjofjthejclient'sjsituation?
A) Currentjphysiologicjstatus
B) Effectjofjhealthjonjfunctionaljstatus
C) Pastjmedicaljhistory
D) Motivationjforjadherencejtojtreatment
7. Afterjteachingjajgroupjofjstudentsjaboutjthejphasesjofjthejnursingjprocess,jthejinstructorjde
terminesjthatjthejteachingjwasjsuccessfuljwhenjthejstudentsjidentifyjwhichjphasejasjbeingjfoundati
onaljtojalljotherjphajses?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. Thejnursejhasjcompletedjthejcomprehensivejhealthjassessmentjofjajclientjwhojhasjbeenja
dmittedjforjthejtreatmentjofjcommunity-
acquiredjpneumonia.jFollowingjthejcompletionjofjthisjassessment,jthejnursejperiodicallyjperforms
jajpartialjassessmentjprimarilyjforjwhichjreason?
A) ReassessjpreviouslyjdeteNctedjproblems
B) Providejinformationjforjthejclient'sjrecord
C) Addressjareasjpreviouslyjomitted
D) Determinejthejneedjforjcrisisjintervention
, 9. Thejnursejisjworkingjinjanjambulatoryjcarejclinicjthatjisjlocatedjinjajbusy,jinner-
cityjneighborhood.jWhichjclientjwouldjthejnursejdeterminejtojbejinjmostjneedjofjanjemergenc
yjassessment?
A) Aj14-year-oldjgirljwhojisjcryingjbecausejshejthinksjshejisjpregnant
B) Aj45-year-oldjmanjwithjchestjpainjandjdiaphoresisjforj1jhour
C) Aj3-year-oldjchildjwithjfever,jrash,jandjsorejthroat
D) Aj20-year-oldjmanjwithjaj3-inchjshallowjlacerationjonjhisjleg
feelingsjaboutjthejclientjandjhisjcircumstances.jThejnursejdoesjthisjprimarilyjtojaccomplishjwhichjofjthejfollowi
ng?
A) Determinejifjpertinentjdatajhasjbeenjomitted
B) Identifyjthejneedjforjreferral
C) Avoidjbiasesjandjjudgments
D) Constructjajplanjofjcare
11. Thejnursejisjcollectingjdatajfromjajclientjwhojhasjrecentlyjbeenjdiagnosedjwithjtypej1jdiabetesjan
djwhojwilljbeginjanjeducationaljprogram.jThejnursejisjcollectingjsubjectivejandjobjectivejdata.jWhichjofjth
ejfollowingjwouldjthejnursejcategorizejasjobjectivejdata?
A) Familyjhistory
B) Occupation
C) Appearance
D) Historyjofjpresentjhealthjconcern
12. Anjolderjadultjclientjhasjbeenjadmittedjtojthejhospitaljwithjfailurejtojthrivejresultingjfromjco
mplicationsjofjdiabetes.jWhichjofjthejfollowingjwouldjthejnursejimplementjinjresponsejtojajcollabor
ativejproblem?
j j
HEALTH ASSESSMENT IN NURSING 6TH EDITION BY WE
j j j j j j j
BER
Answers are at the end of each chapter
j j j j j j j
CHAPTERj1:jNURSE’SjROLEjINjHEALTHjASSESSMENT:jCOLLECTINGjANDjANALYZINGjDATA
1. Ajnursejonjajpostsurgicaljunitjisjadmittingjajclientjfollowingjthejclient'sjcholecystectomyj(galljbl
adderjremoval).jWhatjisjthejoveralljpurposejofjassessmentjforjthisjclient?
A) Collectingjaccuratejdata
B) Assistingjthejprimaryjcarejprovider
C) Validatingjpreviousjdata
D) Makingjclinicaljjudgments
2. Ajclientjhasjpresentedjtojthejemergencyjdepartmentj(ED)jwithjcomplaintsjofjabdominaljpain.jW
hichjmemberjofjthejcarejteamjwouldjmostjlikelyjbejresponsiblejforjcollectingjthejsubjectivejdatajonjthejc
lientjduringjthejinitialjcomprehensivejassessment?
A) Gastroenterologist
B) EDjnurse
C) Admissionsjclerk
D) Diagnosticjtechnician
,3. Thejnursejhasjcompletedjanjinitialjassessmentjofjajnewlyjadmittedjclientjandjisjapplyingjthejnurs
ingjprocessjtojplanjthejclient'sjcare.jWhatjprinciplejshouldjthejnursejapplyjwhenjusingjthejnursingjproces
s?
A) Eachjstepjisjindependentjofjthejothers.
B) Itjisjongoingjandjcontinuous.
C) Itjisjusedjprimarilyjinjacutejcarejsettings.jN
D) Itjinvolvesjindependentjnursingjactions.
4. Thejnursejwhojprovidesjcarejatjanjambulatoryjclinicjisjpreparingjtojmeetjajclientjandjperformjajco
mprehensivejhealthjassessment.jWhichjofjthejfollowingjactionsjshouldjthejnursejperformjfirst?
A) Reviewjthejclient'sjmedicaljrecord.
B) Obtainjbasicjbiographicjdata.
C) Consultjclinicaljresourcesjexplainingjthejclient'sjdiagnosis.
D) Validatejinformationjwithjthejclient.
5. Whichjofjthejfollowingjclientjsituationsjwouldjthejnursejinterpretjasjrequiringjanjemergencyjas
sessment?
A) Ajpediatricjclientjwithjseverejsunburn
B) Ajclientjneedingjanjemploymentjphysical
C) Ajclientjwhojoverdosedjonjacetaminophen
D) Ajdistraughtjclientjwhojwantsjajpregnancyjtest
10. Ajnursejhasjcompletedjgatheringjsomejbasicjdatajaboutjajclientjwhojhasjmultiplejhealthjproblemsjth
atjstemjfromjheavyjalcoholjuse.jThejnursejhasjthenjreflectedjonjherjpersonal
,6. Injresponsejtojajclient'sjquery,jthejnursejisjexplainingjthejdifferencesjbetweenjthejphysician'sjm
edicaljexamjandjthejcomprehensivejhealthjassessmentjperformedjbyjthejnurse.jThejnursejshouldjdescri
bejthejfactjthatjthejnursingjassessmentjfocusesjonjwhichjaspectjofjthejclient'sjsituation?
A) Currentjphysiologicjstatus
B) Effectjofjhealthjonjfunctionaljstatus
C) Pastjmedicaljhistory
D) Motivationjforjadherencejtojtreatment
7. Afterjteachingjajgroupjofjstudentsjaboutjthejphasesjofjthejnursingjprocess,jthejinstructorjde
terminesjthatjthejteachingjwasjsuccessfuljwhenjthejstudentsjidentifyjwhichjphasejasjbeingjfoundati
onaljtojalljotherjphajses?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. Thejnursejhasjcompletedjthejcomprehensivejhealthjassessmentjofjajclientjwhojhasjbeenja
dmittedjforjthejtreatmentjofjcommunity-
acquiredjpneumonia.jFollowingjthejcompletionjofjthisjassessment,jthejnursejperiodicallyjperforms
jajpartialjassessmentjprimarilyjforjwhichjreason?
A) ReassessjpreviouslyjdeteNctedjproblems
B) Providejinformationjforjthejclient'sjrecord
C) Addressjareasjpreviouslyjomitted
D) Determinejthejneedjforjcrisisjintervention
, 9. Thejnursejisjworkingjinjanjambulatoryjcarejclinicjthatjisjlocatedjinjajbusy,jinner-
cityjneighborhood.jWhichjclientjwouldjthejnursejdeterminejtojbejinjmostjneedjofjanjemergenc
yjassessment?
A) Aj14-year-oldjgirljwhojisjcryingjbecausejshejthinksjshejisjpregnant
B) Aj45-year-oldjmanjwithjchestjpainjandjdiaphoresisjforj1jhour
C) Aj3-year-oldjchildjwithjfever,jrash,jandjsorejthroat
D) Aj20-year-oldjmanjwithjaj3-inchjshallowjlacerationjonjhisjleg
feelingsjaboutjthejclientjandjhisjcircumstances.jThejnursejdoesjthisjprimarilyjtojaccomplishjwhichjofjthejfollowi
ng?
A) Determinejifjpertinentjdatajhasjbeenjomitted
B) Identifyjthejneedjforjreferral
C) Avoidjbiasesjandjjudgments
D) Constructjajplanjofjcare
11. Thejnursejisjcollectingjdatajfromjajclientjwhojhasjrecentlyjbeenjdiagnosedjwithjtypej1jdiabetesjan
djwhojwilljbeginjanjeducationaljprogram.jThejnursejisjcollectingjsubjectivejandjobjectivejdata.jWhichjofjth
ejfollowingjwouldjthejnursejcategorizejasjobjectivejdata?
A) Familyjhistory
B) Occupation
C) Appearance
D) Historyjofjpresentjhealthjconcern
12. Anjolderjadultjclientjhasjbeenjadmittedjtojthejhospitaljwithjfailurejtojthrivejresultingjfromjco
mplicationsjofjdiabetes.jWhichjofjthejfollowingjwouldjthejnursejimplementjinjresponsejtojajcollabor
ativejproblem?
