TEST BANK FOR HEALTH ASSESSMENT IN
NURSING 7TH EDITION BY JANET R WEBER
AND JANE H KELLY FULLY COVERED.
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 forthis patient?
• Collecting accurate data
• Assisting the primary care provider
,• Validating previous data
• Making clinical judgments
• A patient has presented to the emergency department (ED) with complaints of abdominal
pain. Which member of the care team would most likely be responsible for collecting the
subjective data on the patient during the initial comprehensive assessment?
• Gastroenterologist
• ED nurse
• Admissions clerk
• Diagnostic technician
• The nurse has completed an initial assessment of a newly admitted patient and is applying
the nursing process to plan the patient's care. What principle should the nurse apply when using
the nursing process?
• Each step is independent of the others.
• It is ongoing and continuous.
• It is used primarily in acute care settings.
• It involves independent nursing actions.
• The nurse who provides care at an ambulatory clinic is preparing to meet a patient and
perform a comprehensive health assessment. Which of the following actions should the nurse
perform first?
• Review the patient's medical record.
• Obtain basic biographic data.
• Consult clinical resources explaining the patient's diagnosis.
• Validate information with the patient.
• Which of the following patient situations would the nurse interpret as requiring an
emergency assessment?
• A pediatric patient with severe sunburn
• A patient needing an employment physical
• A patient who overdosed on acetaminophen
• A distraught patient who wants a pregnancy test
• 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?
• Current physiologic status
,• Effect of health on functional status
• Past medical history
• Motivation for adherence to treatment
• 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?
• Assessment
• Planning
• Implementation
• Evaluation
• The nurse has completed the comprehensive health assessment of a patient who has been
admitted for the treatment of community-acquired pneumonia. Following the completion of this
assessment, the nurse periodically performs a partial assessment primarily for which reason?
• Reassess previously detected problems
• Provide information for the patient's record
• Address areas previously omitted
• Determine the need for crisis intervention
• The nurse is working in an ambulatory care clinic that is located in a busy, inner-city
neighborhood. Which patient would the nurse determine to be in most need of an emergency
assessment?
• A 14-year-old girl who is crying because she thinks she is pregnant
• A 45-year-old man with chest pain and diaphoresis for 1 hour
• A 3-year-old child with fever, rash, and sore throat
• A 20-year-old man with a 3-inch shallow laceration on his leg
• A nurse has completed gathering some basic data about a patient who has multiple health
problems that stem from heavy alcohol use. The nurse has then reflected on her personal feelings
about the patient and his circumstances. The nurse does this primarily to accomplish which of
the following?
• Determine if pertinent data has been omitted
• Identify the need for referral
• Avoid biases and judgments
• Construct a plan of care
• 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?
, • Family history
• Occupation
• Appearance
• History of present health concern
• 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?
• Encourage the patient to increase oral fluid intake.
• Provide the patient with a bedtime protein snack.
• Assist the patient with personal hygiene.
• Measure the patient's blood glucose four times daily.
• The nurse at a busy primary care clinic is analyzing the data obtained from the following
patients. For which patients would the nurse most likely expect to facilitate a referral?
• An 80-year-old patient who lives with her daughter
• A 50-year-old patient newly diagnosed with diabetes
• An adult presenting for an influenza vaccination
• A teenager seeking information about contraception
• 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?
• Natural senses
• Biomedical knowledge
• Simple technology
• Critical pathways
• When describing the expansion of the depth and scope of nursing assessment over the
past several decades, which of the following would the nurse identify as being the primary
force?
• Documentation
• Informatics
• Diversification
• Technology
• A group of nurses are reviewing information about the potential opportunities for nurses
who have advanced assessment skills. When discussing phenomena that have contributed to
these increased opportunities, what should the nurses identify?
NURSING 7TH EDITION BY JANET R WEBER
AND JANE H KELLY FULLY COVERED.
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 forthis patient?
• Collecting accurate data
• Assisting the primary care provider
,• Validating previous data
• Making clinical judgments
• A patient has presented to the emergency department (ED) with complaints of abdominal
pain. Which member of the care team would most likely be responsible for collecting the
subjective data on the patient during the initial comprehensive assessment?
• Gastroenterologist
• ED nurse
• Admissions clerk
• Diagnostic technician
• The nurse has completed an initial assessment of a newly admitted patient and is applying
the nursing process to plan the patient's care. What principle should the nurse apply when using
the nursing process?
• Each step is independent of the others.
• It is ongoing and continuous.
• It is used primarily in acute care settings.
• It involves independent nursing actions.
• The nurse who provides care at an ambulatory clinic is preparing to meet a patient and
perform a comprehensive health assessment. Which of the following actions should the nurse
perform first?
• Review the patient's medical record.
• Obtain basic biographic data.
• Consult clinical resources explaining the patient's diagnosis.
• Validate information with the patient.
• Which of the following patient situations would the nurse interpret as requiring an
emergency assessment?
• A pediatric patient with severe sunburn
• A patient needing an employment physical
• A patient who overdosed on acetaminophen
• A distraught patient who wants a pregnancy test
• 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?
• Current physiologic status
,• Effect of health on functional status
• Past medical history
• Motivation for adherence to treatment
• 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?
• Assessment
• Planning
• Implementation
• Evaluation
• The nurse has completed the comprehensive health assessment of a patient who has been
admitted for the treatment of community-acquired pneumonia. Following the completion of this
assessment, the nurse periodically performs a partial assessment primarily for which reason?
• Reassess previously detected problems
• Provide information for the patient's record
• Address areas previously omitted
• Determine the need for crisis intervention
• The nurse is working in an ambulatory care clinic that is located in a busy, inner-city
neighborhood. Which patient would the nurse determine to be in most need of an emergency
assessment?
• A 14-year-old girl who is crying because she thinks she is pregnant
• A 45-year-old man with chest pain and diaphoresis for 1 hour
• A 3-year-old child with fever, rash, and sore throat
• A 20-year-old man with a 3-inch shallow laceration on his leg
• A nurse has completed gathering some basic data about a patient who has multiple health
problems that stem from heavy alcohol use. The nurse has then reflected on her personal feelings
about the patient and his circumstances. The nurse does this primarily to accomplish which of
the following?
• Determine if pertinent data has been omitted
• Identify the need for referral
• Avoid biases and judgments
• Construct a plan of care
• 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?
, • Family history
• Occupation
• Appearance
• History of present health concern
• 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?
• Encourage the patient to increase oral fluid intake.
• Provide the patient with a bedtime protein snack.
• Assist the patient with personal hygiene.
• Measure the patient's blood glucose four times daily.
• The nurse at a busy primary care clinic is analyzing the data obtained from the following
patients. For which patients would the nurse most likely expect to facilitate a referral?
• An 80-year-old patient who lives with her daughter
• A 50-year-old patient newly diagnosed with diabetes
• An adult presenting for an influenza vaccination
• A teenager seeking information about contraception
• 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?
• Natural senses
• Biomedical knowledge
• Simple technology
• Critical pathways
• When describing the expansion of the depth and scope of nursing assessment over the
past several decades, which of the following would the nurse identify as being the primary
force?
• Documentation
• Informatics
• Diversification
• Technology
• A group of nurses are reviewing information about the potential opportunities for nurses
who have advanced assessment skills. When discussing phenomena that have contributed to
these increased opportunities, what should the nurses identify?
