TEST BANK- Advanced Health Assessment & Clinical Diagnosis in
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Primary Care (7th Edition,2024|2025) 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 ju ju
, B) Assisting the primary care provider ju ju ju ju
C) Validating previous data ju ju
D) Making clinical judgments ju 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 for
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collecting the subjective data on the client during the initial comprehensive
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assessment?
ju
A) Gastroenterologist
B) ED nurse ju
C) Admissions clerk ju
D) Diagnostic technician ju
3. The nurse has completed an initial assessment of a newly admitted client and is
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applyingthe nursing process to plan the client's care. What principle should the nurse
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apply whenusing the nursing process?
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A) Each step is independent of the others. ju ju ju ju ju ju
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.
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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 actions
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should thenurse perform first?
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A) Review the client's medical record. ju ju ju ju
B) Obtain basic biographic data. ju ju ju
C) Consult clinical resources explaining the client's diagnosis. ju ju ju ju ju ju
D) Validate information with the client. ju ju ju ju
5. Which of the following client situations would the nurse interpret as requiring
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anemergency 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
ju ju ju ju ju ju ju ju ju ju
the nurse. The nurse should describe the fact that the nursing assessment focuses on
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whichaspect of the client's situation?
ju ju ju ju ju ju
A) Current physiologic status ju ju
B) Effect of health on functional status ju ju ju ju ju
C) Past medical history ju ju
D) Motivation for adherence to treatment ju ju ju ju
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
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which phase as being foundational to all other phases?
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A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has
ju ju ju ju ju ju ju ju ju ju ju ju
beenadmitted for the treatment of community-acquired pneumonia. Following the
ju ju ju ju ju ju ju ju ju ju
completion of this assessment, the nurse periodically performs a partial assessment
ju ju ju ju ju ju ju ju ju ju ju
primarily for which reason?
ju ju ju ju
A) Reassess previously detected problems ju ju ju
B) Provide information for the client's record ju ju ju ju ju
C) Address areas previously omitted ju ju ju
D) Determine the need for crisis intervention ju ju ju ju ju
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
cityneighborhood. Which client would the nurse determine to be in most need of
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an emergency assessment?
ju ju ju
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
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, 10. A nurse has completed gathering some basic data about a client who has multiple
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healthproblems that stem from heavy alcohol use. The nurse has then reflected on her
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
personalfeelings about the client and his circumstances. The nurse does this primarily
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to accomplish which of the following?
ju ju ju ju ju ju
A) Determine if pertinent data has been omitted ju ju ju ju ju ju
B) Identify the need for referral ju ju ju ju
C) Avoid biases and judgments ju ju ju
D) Construct a plan of care ju ju ju ju
11. The nurse is collecting data from a client who has recently been diagnosed with type
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
1 diabetes and who will begin an educational program. The nurse is collecting
ju ju ju ju ju ju ju ju ju ju ju ju ju
subjective and objective data. Which of the following would the nurse categorize as
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objective data?
ju ju
A) Family history ju
B) Occupation
C) Appearance
D) History of present health concern ju ju ju ju
12. An older adult client has been admitted to the hospital with failure to thrive
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resulting from complications of diabetes. Which of the following would the nurse
ju ju ju ju ju ju ju ju ju ju ju ju
implement inresponse to a collaborative problem?
ju ju ju ju ju ju ju
A) Encourage the client to increase oral fluid intake. ju ju ju ju ju ju ju
B) Provide the client with a bedtime protein snack. ju ju ju ju ju ju ju
C) Assist the client with personal hygiene. ju ju ju ju ju
D) Measure the client's blood glucose four times daily. ju ju ju ju ju ju ju
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
following clients. For which clients would the nurse most likely expect to
ju ju ju ju ju ju ju ju ju ju ju ju
facilitate areferral?
ju ju ju
A) An 80-year-old client who lives with her daughter
ju ju ju ju ju ju ju
B) A 50-year-old client newly diagnosed with diabetes
ju ju ju ju ju ju
C) An adult presenting for an influenza vaccination
ju ju ju ju ju ju
D) A teenager seeking information about contraception
ju ju ju ju ju
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
ju ju ju ju ju ju ju ju ju ju ju ju ju
instructor determines that the teaching was successful when the students identify
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whichof the following as the major method used by nurses early in the history of the
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
profession?
ju
A) Natural senses ju
B) Biomedical knowledge ju
C) Simple technology ju
D) Critical pathways ju
Page 3 ju
.
ju ju ju ju ju ju ju ju
Primary Care (7th Edition,2024|2025) Joyce E. Dains|
ju ju ju ju ju ju ju
1.
A nurse on a postsurgical unit is admitting a client following the client's cholecystectomy
ju ju ju ju ju ju ju ju ju ju ju ju ju
(gall bladder removal). What is the overall purpose of assessment forthis client?
ju ju ju ju ju ju ju ju ju ju ju ju ju
A) Collecting accurate data ju ju
, B) Assisting the primary care provider ju ju ju ju
C) Validating previous data ju ju
D) Making clinical judgments ju ju
2. A client has presented to the emergency department (ED) with complaints of
ju ju ju ju ju ju ju ju ju ju ju
abdominalpain. Which member of the care team would most likely be responsible for
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
collecting the subjective data on the client during the initial comprehensive
ju ju ju ju ju ju ju ju ju ju ju
assessment?
ju
A) Gastroenterologist
B) ED nurse ju
C) Admissions clerk ju
D) Diagnostic technician ju
3. The nurse has completed an initial assessment of a newly admitted client and is
ju ju ju ju ju ju ju ju ju ju ju ju ju
applyingthe nursing process to plan the client's care. What principle should the nurse
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
apply whenusing the nursing process?
ju ju ju ju ju ju
A) Each step is independent of the others. ju ju ju ju ju ju
B) It is ongoing and continuous.
ju ju ju ju
C) It is used primarily in acute care settings.
ju ju ju ju ju ju ju
D) It involves independent nursing actions.
ju ju ju ju
4. The nurse who provides care at an ambulatory clinic is preparing to meet a client
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
and perform a comprehensive health assessment. Which of the following actions
ju ju ju ju ju ju ju ju ju ju ju
should thenurse perform first?
ju ju ju ju ju
A) Review the client's medical record. ju ju ju ju
B) Obtain basic biographic data. ju ju ju
C) Consult clinical resources explaining the client's diagnosis. ju ju ju ju ju ju
D) Validate information with the client. ju ju ju ju
5. Which of the following client situations would the nurse interpret as requiring
ju ju ju ju ju ju ju ju ju ju ju
anemergency assessment?
ju ju ju
A) A pediatric client with severe sunburn
ju ju ju ju ju
B) A client needing an employment physical
ju ju ju ju ju
C) A client who overdosed on acetaminophen
ju ju ju ju ju
D) A distraught client who wants a pregnancy test
ju ju ju ju ju ju ju
,6. In response to a client's query, the nurse is explaining the differences between the
ju ju ju ju ju ju ju ju ju ju ju ju ju
physician's medical exam and the comprehensive health assessment performed by
ju ju ju ju ju ju ju ju ju ju
the nurse. The nurse should describe the fact that the nursing assessment focuses on
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
whichaspect of the client's situation?
ju ju ju ju ju ju
A) Current physiologic status ju ju
B) Effect of health on functional status ju ju ju ju ju
C) Past medical history ju ju
D) Motivation for adherence to treatment ju ju ju ju
7. After teaching a group of students about the phases of the nursing process, the
ju ju ju ju ju ju ju ju ju ju ju ju ju
instructordetermines that the teaching was successful when the students identify
ju ju ju ju ju ju ju ju ju ju ju
which phase as being foundational to all other phases?
ju ju ju ju ju ju ju ju ju
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The nurse has completed the comprehensive health assessment of a client who has
ju ju ju ju ju ju ju ju ju ju ju ju
beenadmitted for the treatment of community-acquired pneumonia. Following the
ju ju ju ju ju ju ju ju ju ju
completion of this assessment, the nurse periodically performs a partial assessment
ju ju ju ju ju ju ju ju ju ju ju
primarily for which reason?
ju ju ju ju
A) Reassess previously detected problems ju ju ju
B) Provide information for the client's record ju ju ju ju ju
C) Address areas previously omitted ju ju ju
D) Determine the need for crisis intervention ju ju ju ju ju
9. The nurse is working in an ambulatory care clinic that is located in a busy, inner-
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
cityneighborhood. Which client would the nurse determine to be in most need of
ju ju ju ju ju ju ju ju ju ju ju ju ju
an emergency assessment?
ju ju ju
A) A 14-year-old girl who is crying because she thinks she is pregnant
ju ju ju ju ju ju ju ju ju ju ju
B) A 45-year-old man with chest pain and diaphoresis for 1 hour
ju ju ju ju ju ju ju ju ju ju
C) A 3-year-old child with fever, rash, and sore throat
ju ju ju ju ju ju ju ju
D) A 20-year-old man with a 3-inch shallow laceration on his leg
ju ju ju ju ju ju ju ju ju ju
, 10. A nurse has completed gathering some basic data about a client who has multiple
ju ju ju ju ju ju ju ju ju ju ju ju ju
healthproblems that stem from heavy alcohol use. The nurse has then reflected on her
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
personalfeelings about the client and his circumstances. The nurse does this primarily
ju ju ju ju ju ju ju ju ju ju ju ju ju
to accomplish which of the following?
ju ju ju ju ju ju
A) Determine if pertinent data has been omitted ju ju ju ju ju ju
B) Identify the need for referral ju ju ju ju
C) Avoid biases and judgments ju ju ju
D) Construct a plan of care ju ju ju ju
11. The nurse is collecting data from a client who has recently been diagnosed with type
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
1 diabetes and who will begin an educational program. The nurse is collecting
ju ju ju ju ju ju ju ju ju ju ju ju ju
subjective and objective data. Which of the following would the nurse categorize as
ju ju ju ju ju ju ju ju ju ju ju ju ju
objective data?
ju ju
A) Family history ju
B) Occupation
C) Appearance
D) History of present health concern ju ju ju ju
12. An older adult client has been admitted to the hospital with failure to thrive
ju ju ju ju ju ju ju ju ju ju ju ju ju
resulting from complications of diabetes. Which of the following would the nurse
ju ju ju ju ju ju ju ju ju ju ju ju
implement inresponse to a collaborative problem?
ju ju ju ju ju ju ju
A) Encourage the client to increase oral fluid intake. ju ju ju ju ju ju ju
B) Provide the client with a bedtime protein snack. ju ju ju ju ju ju ju
C) Assist the client with personal hygiene. ju ju ju ju ju
D) Measure the client's blood glucose four times daily. ju ju ju ju ju ju ju
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
ju ju ju ju ju ju ju ju ju ju ju ju ju ju
following clients. For which clients would the nurse most likely expect to
ju ju ju ju ju ju ju ju ju ju ju ju
facilitate areferral?
ju ju ju
A) An 80-year-old client who lives with her daughter
ju ju ju ju ju ju ju
B) A 50-year-old client newly diagnosed with diabetes
ju ju ju ju ju ju
C) An adult presenting for an influenza vaccination
ju ju ju ju ju ju
D) A teenager seeking information about contraception
ju ju ju ju ju
14. An instructor is reviewing the evolution of the nurse's role in health assessment. The
ju ju ju ju ju ju ju ju ju ju ju ju ju
instructor determines that the teaching was successful when the students identify
ju ju ju ju ju ju ju ju ju ju ju
whichof the following as the major method used by nurses early in the history of the
ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju ju
profession?
ju
A) Natural senses ju
B) Biomedical knowledge ju
C) Simple technology ju
D) Critical pathways ju
Page 3 ju
.
