Test Bank for Health Assessment in Nursing 7th
ss ss ss ss ss ss ss
Edition by Janet R Weber and Jane H Kelley
ss ss ss ss ss s ss ss ss
FullyCovered
ss
Page
,1 s s A s s nurse s s on s s a s s postsurgical s s unit s s is s s admitting s s a s s client s s following s s the
s s client's sscholecystectomy s s (gall s s bladder s s removal). s s What s s is s s the s s overall s s purpose
s s of s s assessment ssforthisclient?
A) Collecting s s accurate s s data
B) Assisting s s the s s primary s s care s s provider
C) Validating ssprevious
ssdata ssMaking
D) ggclinical judgments
gg
2. A ssclient s s has s s presented ssto s s the s s emergency ssdepartment s s (ED) s s with sscomplaints
s s of ssabdominal pain. s s Which s s member s s of s s the s s care s s team s s would s s most s s likely
gg
s s be s s responsible ssfor s s collecting s s the s s subjective s s data sson ssthe s s client s s during
s s the s s initial sscomprehensive ssassessment?
A) Gastroenterologist
ssB) ED nurse
gg
C) Admissions ss clerk
D) Diagnostic s s technician
3. The ssnurse sshas sscompleted ssan ssinitial ssassessment ssof ssa ssnewly ssadmitted ssclient ssand ssis
ssapplyingthe s s nursing s s process s s to s s plan s s the s s client's s s care. s s What s s principle
s s should s s the ssnurse s s apply s s when using s s the s s nursing s s process?
gg
A) Each ssstep ssis ssindependent ssof ssthe
ssothers.
Its ssisB)ongoing ands continuous.
gg gg gg gg
C) It s s is s s used s s primarily s s in s s acute s s care s s settings.
D) It s s involves s s independent s s nursing s s actions.
4. The s s nurse s s who s s provides s s care s s at s s an s s ambulatory s s clinic s s is s s preparing s s to
s s meet s s a s s client ssand s s perform ssa s s comprehensive s s health ssassessment. s s Which ssof
ssthe s s following s s actions ssshould s s thenurse s s perform ssfirst?
A) Review the client's ss medical record.
gg gg gg gg
B) Obtain s s basic s s biographic s s data.
C) Consult s s clinical s s resources s s explaining s s the s s client's s s diagnosis.
D) Validate s s information s s with ssthe s s client.
5. Which ssof ssthe s s following s s client s s situations sswould s s the ssnurse
s s interpret s s as ssrequiring s s anemergency ssassessment?
A) A sspediatric s s client s s with s s severe s s sunburn
B) A ssclient s s needing ssan ssemployment
s s physical ssC) ss who overdosed on acetaminophen
A client
gg gg gg gg gg
D) A s s distraught s s client s s who s s wants s s a s s pregnancy s s test
Page
,6. In s s response s s to s s a s s client's s s query, s s the s s nurse s s is s s explaining s s the
s s differences s s between ssthe s s physician's s s medical s s exam s s and s s the
s s comprehensive s s health s s assessment ssperformed s s by s s the s s nurse. s s The
s s nurse s s should s s describe s s the s s fact s s that s s the s s nursing ssassessment s s focuses
s s on sswhichaspect s s of ssthe s s client's s s situation?
A) Current s s physiologic
s s status ssB)
Effect
gg of health on ss functional status
gg gg gg gg
C) Past s s medical s s history
D) Motivation s s for s s adherence s s to s s treatment
7. After s s teaching s s a s s group s s of ssstudents s s about s s the s s phases s s of ssthe s s nursing
s s process, s s the ssinstructordetermines s s that s s the s s teaching s s was s s successful
s s when s s the s s students s s identify sswhich s s phase s s as s s being s s foundational s s to
s s all ssother s s phases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The s s nurse s s has s s completed s s the s s comprehensive s s health s s assessment s s of ssa s s client
s s who s s has ssbeenadmitted s s for s s the s s treatment s s of s s community-acquired
s s pneumonia. s s Following s s the sscompletion s s of s s this s s assessment, s s the s s nurse
s s periodically s s performs s s a s s partial ssassessment s s primarily ssfor s s which s s reason?
A) Reassess previously detected problems
gg gg gg
B) Provide s s information s s for s s the s s client's s s record
C) Address s s areas s s previously s s omitted
D) Determine s s the s s need s s for s s crisis s s intervention
9. The s s nurse s s is s s working s s in s s an s s ambulatory s s care s s clinic s s that s s is s s located
s s in s s a s s busy, ssinner-cityneighborhood. s s Which s s client s s would s s the s s nurse
s s determine s s to s s be s s in s s most ssneed s s of s s an s s emergency ssassessment?
A) A ss14-year-old s s girl sswho s s is sscrying s s because ssshe s s thinks s s she s s is
sspregnant
gg ssB)
A 45-year-old gg ss man with chestss pain and diaphoresisss for 1 hour
gg gg gg gg gg gg gg gg
C) A s s 3-year-old s s child s s with s s fever, s s rash, s s and s s sore s s throat
D) A s s 20-year-old s s man s s with s s a s s 3-inch s s shallow s s laceration s s on s s his s s leg
Page
, 10. A s s nurse s s has s s completed s s gathering s s some s s basic s s data s s about s s a s s client s s who
s s has s s multiple sshealthproblems s s that s s stem s s from s s heavy s s alcohol s s use. s s The
s s nurse s s has s s then s s reflected s s on ssher s s personalfeelings s s about s s the s s client s s and
s s his s s circumstances. s s The s s nurse s s does s s this ssprimarily s s to s s accomplish sswhich
s s of ssthe s s following?
A) Determine s s if s s pertinent s s data s s has s s been s s omitted
B) Identify ssthe ssneed s s for
s s referralAvoidssC) biases and judgments
gg gg gg
D) Construct s s a s s plan s s of s s care
11. The s s nurse s s is s s collecting s s data s s from s s a s s client s s who s s has s s recently s s been
s s diagnosed s s with sstype s s 1 s s diabetes s s and s s who s s will s s begin s s an s s educational
s s program. s s The s s nurse s s is sscollecting s s subjective s s and s s objective s s data.
s s Which ssof ssthe s s following s s would s s the s s nurse sscategorize s s as ssobjective s s data?
A) Family s s history
B) Occupation
C) Appearance
D) History ssof s s present s s health s s concern
12. An s s older s s adult s s client s s has s s been s s admitted s s to s s the s s hospital s s with s s failure
s s to s s thrive ssresulting s s from sscomplications ssof ssdiabetes. s s Which ssof ssthe
s s following s s would s s the s s nurse ssimplement s s in response s s to s s a sscollaborative
gg
s s problem?
A) Encourage s s the s s client s s to s s increase s s oral s s fluid s s intake.
B) Provide s s the s s client s s with ss a s s bedtime s s protein s s snack.
C) Assist ssthe ssclient s s with sspersonal
sshygiene. ssD)
Measure the client's blood glucose four times daily.
gg gg gg gg gg gg gg
13. The s s nurse s s at s s a s s busy s s primary s s care s s clinic s s is s s analyzing s s the s s data
s s obtained s s from s s the ssfollowing s s clients. s s For s s which ssclients sswould s s the
s s nurse s s most s s likely ssexpect s s to ssfacilitate ssa referral? gg
A) An ss80-year-old s s client s s who sslives sswith ssher
s s daughter ssB)
A 50-year-old
gg clients newly diagnosed with diabetes
gg gg gg gg gg
C) An s s adult s s presenting s s for s s an s s influenza s s vaccination
D) A ss teenager s s seeking s s information s s about s s contraception
14. An s s instructor s s is s s reviewing s s the s s evolution s s of s s the s s nurse's s s role s s in
s s health s s assessment. ssThe s s instructor ssdetermines s s that s s the s s teaching s s was
s s successful sswhen ssthe s s students ssidentify s s whichof s s the s s following s s as s s the
s s major s s method s s used s s by s s nurses s s early s s in s s the sshistory s s of s s the
s s profession?
Natural sensesgg
A)
B) Biomedical ssknowledge
C) Simple s s technology
D) Critical sspathways
Page s s 3
ss ss ss ss ss ss ss
Edition by Janet R Weber and Jane H Kelley
ss ss ss ss ss s ss ss ss
FullyCovered
ss
Page
,1 s s A s s nurse s s on s s a s s postsurgical s s unit s s is s s admitting s s a s s client s s following s s the
s s client's sscholecystectomy s s (gall s s bladder s s removal). s s What s s is s s the s s overall s s purpose
s s of s s assessment ssforthisclient?
A) Collecting s s accurate s s data
B) Assisting s s the s s primary s s care s s provider
C) Validating ssprevious
ssdata ssMaking
D) ggclinical judgments
gg
2. A ssclient s s has s s presented ssto s s the s s emergency ssdepartment s s (ED) s s with sscomplaints
s s of ssabdominal pain. s s Which s s member s s of s s the s s care s s team s s would s s most s s likely
gg
s s be s s responsible ssfor s s collecting s s the s s subjective s s data sson ssthe s s client s s during
s s the s s initial sscomprehensive ssassessment?
A) Gastroenterologist
ssB) ED nurse
gg
C) Admissions ss clerk
D) Diagnostic s s technician
3. The ssnurse sshas sscompleted ssan ssinitial ssassessment ssof ssa ssnewly ssadmitted ssclient ssand ssis
ssapplyingthe s s nursing s s process s s to s s plan s s the s s client's s s care. s s What s s principle
s s should s s the ssnurse s s apply s s when using s s the s s nursing s s process?
gg
A) Each ssstep ssis ssindependent ssof ssthe
ssothers.
Its ssisB)ongoing ands continuous.
gg gg gg gg
C) It s s is s s used s s primarily s s in s s acute s s care s s settings.
D) It s s involves s s independent s s nursing s s actions.
4. The s s nurse s s who s s provides s s care s s at s s an s s ambulatory s s clinic s s is s s preparing s s to
s s meet s s a s s client ssand s s perform ssa s s comprehensive s s health ssassessment. s s Which ssof
ssthe s s following s s actions ssshould s s thenurse s s perform ssfirst?
A) Review the client's ss medical record.
gg gg gg gg
B) Obtain s s basic s s biographic s s data.
C) Consult s s clinical s s resources s s explaining s s the s s client's s s diagnosis.
D) Validate s s information s s with ssthe s s client.
5. Which ssof ssthe s s following s s client s s situations sswould s s the ssnurse
s s interpret s s as ssrequiring s s anemergency ssassessment?
A) A sspediatric s s client s s with s s severe s s sunburn
B) A ssclient s s needing ssan ssemployment
s s physical ssC) ss who overdosed on acetaminophen
A client
gg gg gg gg gg
D) A s s distraught s s client s s who s s wants s s a s s pregnancy s s test
Page
,6. In s s response s s to s s a s s client's s s query, s s the s s nurse s s is s s explaining s s the
s s differences s s between ssthe s s physician's s s medical s s exam s s and s s the
s s comprehensive s s health s s assessment ssperformed s s by s s the s s nurse. s s The
s s nurse s s should s s describe s s the s s fact s s that s s the s s nursing ssassessment s s focuses
s s on sswhichaspect s s of ssthe s s client's s s situation?
A) Current s s physiologic
s s status ssB)
Effect
gg of health on ss functional status
gg gg gg gg
C) Past s s medical s s history
D) Motivation s s for s s adherence s s to s s treatment
7. After s s teaching s s a s s group s s of ssstudents s s about s s the s s phases s s of ssthe s s nursing
s s process, s s the ssinstructordetermines s s that s s the s s teaching s s was s s successful
s s when s s the s s students s s identify sswhich s s phase s s as s s being s s foundational s s to
s s all ssother s s phases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The s s nurse s s has s s completed s s the s s comprehensive s s health s s assessment s s of ssa s s client
s s who s s has ssbeenadmitted s s for s s the s s treatment s s of s s community-acquired
s s pneumonia. s s Following s s the sscompletion s s of s s this s s assessment, s s the s s nurse
s s periodically s s performs s s a s s partial ssassessment s s primarily ssfor s s which s s reason?
A) Reassess previously detected problems
gg gg gg
B) Provide s s information s s for s s the s s client's s s record
C) Address s s areas s s previously s s omitted
D) Determine s s the s s need s s for s s crisis s s intervention
9. The s s nurse s s is s s working s s in s s an s s ambulatory s s care s s clinic s s that s s is s s located
s s in s s a s s busy, ssinner-cityneighborhood. s s Which s s client s s would s s the s s nurse
s s determine s s to s s be s s in s s most ssneed s s of s s an s s emergency ssassessment?
A) A ss14-year-old s s girl sswho s s is sscrying s s because ssshe s s thinks s s she s s is
sspregnant
gg ssB)
A 45-year-old gg ss man with chestss pain and diaphoresisss for 1 hour
gg gg gg gg gg gg gg gg
C) A s s 3-year-old s s child s s with s s fever, s s rash, s s and s s sore s s throat
D) A s s 20-year-old s s man s s with s s a s s 3-inch s s shallow s s laceration s s on s s his s s leg
Page
, 10. A s s nurse s s has s s completed s s gathering s s some s s basic s s data s s about s s a s s client s s who
s s has s s multiple sshealthproblems s s that s s stem s s from s s heavy s s alcohol s s use. s s The
s s nurse s s has s s then s s reflected s s on ssher s s personalfeelings s s about s s the s s client s s and
s s his s s circumstances. s s The s s nurse s s does s s this ssprimarily s s to s s accomplish sswhich
s s of ssthe s s following?
A) Determine s s if s s pertinent s s data s s has s s been s s omitted
B) Identify ssthe ssneed s s for
s s referralAvoidssC) biases and judgments
gg gg gg
D) Construct s s a s s plan s s of s s care
11. The s s nurse s s is s s collecting s s data s s from s s a s s client s s who s s has s s recently s s been
s s diagnosed s s with sstype s s 1 s s diabetes s s and s s who s s will s s begin s s an s s educational
s s program. s s The s s nurse s s is sscollecting s s subjective s s and s s objective s s data.
s s Which ssof ssthe s s following s s would s s the s s nurse sscategorize s s as ssobjective s s data?
A) Family s s history
B) Occupation
C) Appearance
D) History ssof s s present s s health s s concern
12. An s s older s s adult s s client s s has s s been s s admitted s s to s s the s s hospital s s with s s failure
s s to s s thrive ssresulting s s from sscomplications ssof ssdiabetes. s s Which ssof ssthe
s s following s s would s s the s s nurse ssimplement s s in response s s to s s a sscollaborative
gg
s s problem?
A) Encourage s s the s s client s s to s s increase s s oral s s fluid s s intake.
B) Provide s s the s s client s s with ss a s s bedtime s s protein s s snack.
C) Assist ssthe ssclient s s with sspersonal
sshygiene. ssD)
Measure the client's blood glucose four times daily.
gg gg gg gg gg gg gg
13. The s s nurse s s at s s a s s busy s s primary s s care s s clinic s s is s s analyzing s s the s s data
s s obtained s s from s s the ssfollowing s s clients. s s For s s which ssclients sswould s s the
s s nurse s s most s s likely ssexpect s s to ssfacilitate ssa referral? gg
A) An ss80-year-old s s client s s who sslives sswith ssher
s s daughter ssB)
A 50-year-old
gg clients newly diagnosed with diabetes
gg gg gg gg gg
C) An s s adult s s presenting s s for s s an s s influenza s s vaccination
D) A ss teenager s s seeking s s information s s about s s contraception
14. An s s instructor s s is s s reviewing s s the s s evolution s s of s s the s s nurse's s s role s s in
s s health s s assessment. ssThe s s instructor ssdetermines s s that s s the s s teaching s s was
s s successful sswhen ssthe s s students ssidentify s s whichof s s the s s following s s as s s the
s s major s s method s s used s s by s s nurses s s early s s in s s the sshistory s s of s s the
s s profession?
Natural sensesgg
A)
B) Biomedical ssknowledge
C) Simple s s technology
D) Critical sspathways
Page s s 3
