Health Assessment: PrepU Q&As
Chapter 1: Nurse's Role in Health
Assessment: Collecting and Analyzing
Data
What will be the nurse's initial role when conducting a health assessment with a client reporting
abdominal pain?
You Selected:
•
Collecting data regarding the nature of the pain
Correct response:
•
Collecting data regarding the nature of the pain
Explanation:
The nurse's initial role in health assessment is to collect data. Teaching would occur later in the
process. Planning care and identifying interventions are parts of the nursing process and not the
health assessment.
Question 4 See full question 19s
To enhance personal health practices, the most fundamental and effective approach to
individual client assessment would be:
You Selected:
•
Using reputable health-education strategies to reduce risk behaviours
Correct response:
•
Using reputable health-education strategies to reduce risk behaviours
Explanation:
A central component of health promotion involves helping clients to develop personal health
practices and to enhance coping skills, which are results of health education that emphasizes
client knowledge for directing choices and actions. While the other given factors may hold
significance for many individuals, they are not as salient as health education.
Question 5 See full question 4m 11s
A nurse conducts an initial comprehensive assessment for a client admitted with a fever of
unknown origin. Which area of assessment is primarily the nurse's responsibility?
You Selected:
•
Collect subjective and objective data related to overall function.
, Health Assessment: PrepU Q&As
Correct response:
•
Collect subjective and objective data related to overall function.
Explanation:
The nurse is responsible for collecting subjective and objective data related to the client's overall
function. The physical therapist performs a musculoskeletal examination. A dietitian may take
anthropometric measurements in addition to a subjective nutritional assessment, such as a 24-
hour diet recall.
Question 6 See full question 17s
A nurse provides care for a client with impaired respiratory function. The nurse frequently
assesses the client's skin color and temperature of the extremities. What is the purpose of this
ongoing or partial assessment?
You Selected:
•
To determine any changes from the baseline data
Correct response:
•
To determine any changes from the baseline data
Explanation:
Ongoing or partial assessments help to determine any major changes from the baseline data. The
nurse collects subjective data related to the client's overall health and conducts a comprehensive
health assessment during the initial comprehensive assessment to determine baseline data. The
nurse makes a rapid assessment for prompt treatment in life-threatening situations when an
immediate diagnosis is needed to provide prompt treatment (emergency assessment). Evaluation
is done after an intervention to determine whether the outcomes have been achieved.
Question 7 See full question 22s
A nurse is preparing to obtain subjective data during the initial comprehensive assessment from
an older client who recently underwent amputation of her lower leg. Which skill will the nurse
most need to perform this assessment?
You Selected:
•
Empathy
Correct response:
•
Empathy
Explanation:
, Health Assessment: PrepU Q&As
Empathy is an intuitive awareness of what the client is going through; it helps the nurse to be
effective in providing for the client's needs while remaining compassionately detached.
Inspection and palpation are skills that help the nurse in collecting objective data of the client's
physical characteristics. Sympathy is a feeling that would make the nurse as emotionally
distraught as the client; this hampers the ability of the nurse to provide client care.
Question 8 See full question 3m 25s
A nurse is distracted during her assessment of a client and does not take as thorough or as
accurate notes as usual. Her supervisor, who is familiar with the client, reads the patient's chart
and questions the nurse. The supervisor should point out to the nurse that which of the following
errors is most likely to occur due to the nurse's lapse?
You Selected:
•
Making incorrect nursing judgments or diagnoses
Correct response:
•
Making incorrect nursing judgments or diagnoses
Explanation:
Assessment is the first and most critical phase of the nursing process. If data collection is
inadequate or inaccurate, incorrect nursing judgments may be made that adversely affect the
remaining phases of the nursing process. Interjection of the nurse's thoughts or feelings may lead
to bias or the withholding of information but would not necessarily result from a lack of a
thorough and accurate assessment of a client. Nursing judgments should rely on both objective
and subjective information; thus this is not an error. Validating information that is correct makes
more work for the nurse but will not be prevented by a thorough and accurate assessment of a
client.
Question 9 See full question 13s
Which of the following is the best example of assessment in everyday life?
You Selected:
•
Measuring the remaining tread on a car tire to determine whether it is time to replace it
Correct response:
•
Measuring the remaining tread on a car tire to determine whether it is time to replace it
Explanation:
As a professional nurse, you will constantly observe situations and collect information to make
nursing judgments. This occurs no matter what the setting: hospital, clinic, home, community,
or long-term care. You conduct many informal assessments every day. For example, when you
get
, Health Assessment: PrepU Q&As
up in the morning, you check the weather and determine what would be the most appropriate
clothing to wear. Measuring the remaining tread on a car tire to determine whether it is time to
replace it is an example of assessment, as it involves gathering information (the height of the tire
tread) to make a decision (whether to buy new tires). The other answers do not involve gathering
information to make a decision.
Question 10 See full question 18s
A nurse is assessing the cognitive function of a 13-year-old boy who is in the hospital following
a head injury sustained while playing football. The boy acts annoyed with the assessment
questions and asks how often he will have to answer them. The nurse should respond with
which of the following?
You Selected:
•
“I'm sorry, but assessment is ongoing and continuous.”
Correct response:
•
“I'm sorry, but assessment is ongoing and continuous.”
Explanation:
Although the assessment phase of the nursing process precedes the other phases in the formal
nursing process, be aware that assessment is ongoing and continuous throughout all the phases of
the nursing process.
Question 11 See full question 16s
Which of the following is the best example of holistic data collection by a nurse?
You Selected:
•
Measuring blood pressure, inquiring about a client's nutritional intake, assessing for
depression, and asking the client how his condition affects family gatherings
Correct response:
•
Measuring blood pressure, inquiring about a client's nutritional intake, assessing for
depression, and asking the client how his condition affects family gatherings
Explanation:
The purpose of a nursing health assessment is to collect holistic subjective and objective data to
determine a client's overall level of functioning in order to make a professional clinical
judgment. The nurse collects physiologic, psychological, sociocultural, developmental, and
spiritual data about the client. Thus the nurse performs holistic data collection. The mind, body,
and spirit are considered to be interdependent factors that affect a person's level of health. The
nurse, in particular, focuses on how the client's health status affects his activities of daily living
Chapter 1: Nurse's Role in Health
Assessment: Collecting and Analyzing
Data
What will be the nurse's initial role when conducting a health assessment with a client reporting
abdominal pain?
You Selected:
•
Collecting data regarding the nature of the pain
Correct response:
•
Collecting data regarding the nature of the pain
Explanation:
The nurse's initial role in health assessment is to collect data. Teaching would occur later in the
process. Planning care and identifying interventions are parts of the nursing process and not the
health assessment.
Question 4 See full question 19s
To enhance personal health practices, the most fundamental and effective approach to
individual client assessment would be:
You Selected:
•
Using reputable health-education strategies to reduce risk behaviours
Correct response:
•
Using reputable health-education strategies to reduce risk behaviours
Explanation:
A central component of health promotion involves helping clients to develop personal health
practices and to enhance coping skills, which are results of health education that emphasizes
client knowledge for directing choices and actions. While the other given factors may hold
significance for many individuals, they are not as salient as health education.
Question 5 See full question 4m 11s
A nurse conducts an initial comprehensive assessment for a client admitted with a fever of
unknown origin. Which area of assessment is primarily the nurse's responsibility?
You Selected:
•
Collect subjective and objective data related to overall function.
, Health Assessment: PrepU Q&As
Correct response:
•
Collect subjective and objective data related to overall function.
Explanation:
The nurse is responsible for collecting subjective and objective data related to the client's overall
function. The physical therapist performs a musculoskeletal examination. A dietitian may take
anthropometric measurements in addition to a subjective nutritional assessment, such as a 24-
hour diet recall.
Question 6 See full question 17s
A nurse provides care for a client with impaired respiratory function. The nurse frequently
assesses the client's skin color and temperature of the extremities. What is the purpose of this
ongoing or partial assessment?
You Selected:
•
To determine any changes from the baseline data
Correct response:
•
To determine any changes from the baseline data
Explanation:
Ongoing or partial assessments help to determine any major changes from the baseline data. The
nurse collects subjective data related to the client's overall health and conducts a comprehensive
health assessment during the initial comprehensive assessment to determine baseline data. The
nurse makes a rapid assessment for prompt treatment in life-threatening situations when an
immediate diagnosis is needed to provide prompt treatment (emergency assessment). Evaluation
is done after an intervention to determine whether the outcomes have been achieved.
Question 7 See full question 22s
A nurse is preparing to obtain subjective data during the initial comprehensive assessment from
an older client who recently underwent amputation of her lower leg. Which skill will the nurse
most need to perform this assessment?
You Selected:
•
Empathy
Correct response:
•
Empathy
Explanation:
, Health Assessment: PrepU Q&As
Empathy is an intuitive awareness of what the client is going through; it helps the nurse to be
effective in providing for the client's needs while remaining compassionately detached.
Inspection and palpation are skills that help the nurse in collecting objective data of the client's
physical characteristics. Sympathy is a feeling that would make the nurse as emotionally
distraught as the client; this hampers the ability of the nurse to provide client care.
Question 8 See full question 3m 25s
A nurse is distracted during her assessment of a client and does not take as thorough or as
accurate notes as usual. Her supervisor, who is familiar with the client, reads the patient's chart
and questions the nurse. The supervisor should point out to the nurse that which of the following
errors is most likely to occur due to the nurse's lapse?
You Selected:
•
Making incorrect nursing judgments or diagnoses
Correct response:
•
Making incorrect nursing judgments or diagnoses
Explanation:
Assessment is the first and most critical phase of the nursing process. If data collection is
inadequate or inaccurate, incorrect nursing judgments may be made that adversely affect the
remaining phases of the nursing process. Interjection of the nurse's thoughts or feelings may lead
to bias or the withholding of information but would not necessarily result from a lack of a
thorough and accurate assessment of a client. Nursing judgments should rely on both objective
and subjective information; thus this is not an error. Validating information that is correct makes
more work for the nurse but will not be prevented by a thorough and accurate assessment of a
client.
Question 9 See full question 13s
Which of the following is the best example of assessment in everyday life?
You Selected:
•
Measuring the remaining tread on a car tire to determine whether it is time to replace it
Correct response:
•
Measuring the remaining tread on a car tire to determine whether it is time to replace it
Explanation:
As a professional nurse, you will constantly observe situations and collect information to make
nursing judgments. This occurs no matter what the setting: hospital, clinic, home, community,
or long-term care. You conduct many informal assessments every day. For example, when you
get
, Health Assessment: PrepU Q&As
up in the morning, you check the weather and determine what would be the most appropriate
clothing to wear. Measuring the remaining tread on a car tire to determine whether it is time to
replace it is an example of assessment, as it involves gathering information (the height of the tire
tread) to make a decision (whether to buy new tires). The other answers do not involve gathering
information to make a decision.
Question 10 See full question 18s
A nurse is assessing the cognitive function of a 13-year-old boy who is in the hospital following
a head injury sustained while playing football. The boy acts annoyed with the assessment
questions and asks how often he will have to answer them. The nurse should respond with
which of the following?
You Selected:
•
“I'm sorry, but assessment is ongoing and continuous.”
Correct response:
•
“I'm sorry, but assessment is ongoing and continuous.”
Explanation:
Although the assessment phase of the nursing process precedes the other phases in the formal
nursing process, be aware that assessment is ongoing and continuous throughout all the phases of
the nursing process.
Question 11 See full question 16s
Which of the following is the best example of holistic data collection by a nurse?
You Selected:
•
Measuring blood pressure, inquiring about a client's nutritional intake, assessing for
depression, and asking the client how his condition affects family gatherings
Correct response:
•
Measuring blood pressure, inquiring about a client's nutritional intake, assessing for
depression, and asking the client how his condition affects family gatherings
Explanation:
The purpose of a nursing health assessment is to collect holistic subjective and objective data to
determine a client's overall level of functioning in order to make a professional clinical
judgment. The nurse collects physiologic, psychological, sociocultural, developmental, and
spiritual data about the client. Thus the nurse performs holistic data collection. The mind, body,
and spirit are considered to be interdependent factors that affect a person's level of health. The
nurse, in particular, focuses on how the client's health status affects his activities of daily living
