COMPLETE TEST BANK
Health Assessment in Nursing 5th Edition
by RN Weber, Janet Latest Update.
, 1
1. A Nurse On A Postsurgical Unit Is Admitting A Client Following The Client's
Cholecystectomy (Gall Bladder Removal). What Is The Overall Purpose Of
Assessment ForThis Client?
A) Collecting Accurate Data
B) Assisting The Primary Care Provider
C) Validating Previous Data
D) Making Clinical Judgments
D) Making Clinical Judgments
2. A Client 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 Client During The Initial Comprehensive
Assessment?
A) Gastroenterologist
B) Ed Nurse
C) Admissions Clerk
D) Diagnostic Technician
B) Ed Nurse
3. The Nurse Has Completed An Initial Assessment Of A Newly Admitted Client And
Is Applying The Nursing Process To Plan The Client's Care. What Principle Should
The NurseApply When Using The Nursing Process?
A) Each Step Is Independent Of The Others.
B) It Is Ongoing And Continuous.
C) It Is Used Primarily In Acute Care Settings.
D) It Involves Independent Nursing Actions.
B) It Is Ongoing And Continuous.
4. The Nurse Who Provides Care At An Ambulatory Clinic Is Preparing To Meet A
Client And Perform A Comprehensive Health Assessment. Which Of The Following
Actions Should TheNurse Perform First?
A) Review The Client's Medical Record.
B) Obtain Basic Biographic Data.
C) Consult Clinical Resources Explaining The Client's Diagnosis.
D) Validate Information With The Client.
A) Review The Client's Medical Record.
5. Which Of The Following Client Situations Would The Nurse Interpret As
Requiring AnEmergency Assessment?
A) A Pediatric Client With Severe Sunburn
B) A Client Needing An Employment Physical
C) A Client Who Overdosed On Acetaminophen
D) A Distraught Client Who Wants A Pregnancy Test
C) A Client Who Overdosed On Acetaminophen
6. In Response To A Client's Query, The Nurse Is Explaining The Differences Between
The Physician's Medical Exam And The Comprehensive Health Assessment
Performed By TheNurse. The Nurse Should Describe The Fact That The Nursing
Assessment Focuses On Which Aspect Of The Client's Situation?
A) Current Physiologic Status
B) Effect Of Health On Functional Status
, 2
C) Past Medical History
D) Motivation For Adherence To Treatment
B) Effect Of Health On Functional Status
7. 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 WhichPhase As Being Foundational To All Other Phases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. The Nurse Has Completed The Comprehensive Health Assessment Of A Client
Who HasBeen 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?
A) Reassess Previously Detected Problems
B) Provide Information For The Client's Record
C) Address Areas Previously Omitted
D) Determine The Need For Crisis Intervention
A) Reassess Previously Detected Problems
9. The Nurse Is Working In An Ambulatory Care Clinic That Is Located In A Busy,
Inner-CityNeighborhood. Which Client Would The Nurse Determine To Be In Most
Need Of An Emergency Assessment?
A) A 14-Year-Old Girl Who Is Crying Because She Thinks She Is Pregnant
B) A 45-Year-Old Man With Chest Pain And Diaphoresis For 1 Hour
C) A 3-Year-Old Child With Fever, Rash, And Sore Throat
D) A 20-Year-Old Man With A 3-Inch Shallow Laceration On His Leg
B) A 45-Year-Old Man With Chest Pain And Diaphoresis For 1 Hour
10. A Nurse Has Completed Gathering Some Basic Data About A Client Who Has
Multiple Health Problems That Stem From Heavy Alcohol Use. The Nurse Has Then
Reflected On HerPersonal Feelings About The Client And His Circumstances. The
Nurse Does This PrimarilyTo Accomplish Which Of The Following?
A) Determine If Pertinent Data Has Been Omitted
B) Identify The Need For Referral
C) Avoid Biases And Judgments
D) Construct A Plan Of Care
C) Avoid Biases And Judgments
11. The Nurse Is Collecting Data From A Client Who Has Recently Been Diagnosed
With Type1 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?
A) Family History
B) Occupation
C) Appearance
D) History Of Present Health Concern
C) Appearance
12. An Older Adult Client Has Been Admitted To The Hospital With Failure To Thrive
ResultingFrom Complications Of Diabetes. Which Of The Following Would The Nurse
, 3
D) Measure The Client's Blood Glucose Four Times Daily.
13. The Nurse At A Busy Primary Care Clinic Is Analyzing The Data Obtained
From The Following Clients. For Which Clients Would The Nurse Most Likely
Expect To Facilitate AReferral?
Health Assessment in Nursing 5th Edition
by RN Weber, Janet Latest Update.
, 1
1. A Nurse On A Postsurgical Unit Is Admitting A Client Following The Client's
Cholecystectomy (Gall Bladder Removal). What Is The Overall Purpose Of
Assessment ForThis Client?
A) Collecting Accurate Data
B) Assisting The Primary Care Provider
C) Validating Previous Data
D) Making Clinical Judgments
D) Making Clinical Judgments
2. A Client 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 Client During The Initial Comprehensive
Assessment?
A) Gastroenterologist
B) Ed Nurse
C) Admissions Clerk
D) Diagnostic Technician
B) Ed Nurse
3. The Nurse Has Completed An Initial Assessment Of A Newly Admitted Client And
Is Applying The Nursing Process To Plan The Client's Care. What Principle Should
The NurseApply When Using The Nursing Process?
A) Each Step Is Independent Of The Others.
B) It Is Ongoing And Continuous.
C) It Is Used Primarily In Acute Care Settings.
D) It Involves Independent Nursing Actions.
B) It Is Ongoing And Continuous.
4. The Nurse Who Provides Care At An Ambulatory Clinic Is Preparing To Meet A
Client And Perform A Comprehensive Health Assessment. Which Of The Following
Actions Should TheNurse Perform First?
A) Review The Client's Medical Record.
B) Obtain Basic Biographic Data.
C) Consult Clinical Resources Explaining The Client's Diagnosis.
D) Validate Information With The Client.
A) Review The Client's Medical Record.
5. Which Of The Following Client Situations Would The Nurse Interpret As
Requiring AnEmergency Assessment?
A) A Pediatric Client With Severe Sunburn
B) A Client Needing An Employment Physical
C) A Client Who Overdosed On Acetaminophen
D) A Distraught Client Who Wants A Pregnancy Test
C) A Client Who Overdosed On Acetaminophen
6. In Response To A Client's Query, The Nurse Is Explaining The Differences Between
The Physician's Medical Exam And The Comprehensive Health Assessment
Performed By TheNurse. The Nurse Should Describe The Fact That The Nursing
Assessment Focuses On Which Aspect Of The Client's Situation?
A) Current Physiologic Status
B) Effect Of Health On Functional Status
, 2
C) Past Medical History
D) Motivation For Adherence To Treatment
B) Effect Of Health On Functional Status
7. 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 WhichPhase As Being Foundational To All Other Phases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. The Nurse Has Completed The Comprehensive Health Assessment Of A Client
Who HasBeen 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?
A) Reassess Previously Detected Problems
B) Provide Information For The Client's Record
C) Address Areas Previously Omitted
D) Determine The Need For Crisis Intervention
A) Reassess Previously Detected Problems
9. The Nurse Is Working In An Ambulatory Care Clinic That Is Located In A Busy,
Inner-CityNeighborhood. Which Client Would The Nurse Determine To Be In Most
Need Of An Emergency Assessment?
A) A 14-Year-Old Girl Who Is Crying Because She Thinks She Is Pregnant
B) A 45-Year-Old Man With Chest Pain And Diaphoresis For 1 Hour
C) A 3-Year-Old Child With Fever, Rash, And Sore Throat
D) A 20-Year-Old Man With A 3-Inch Shallow Laceration On His Leg
B) A 45-Year-Old Man With Chest Pain And Diaphoresis For 1 Hour
10. A Nurse Has Completed Gathering Some Basic Data About A Client Who Has
Multiple Health Problems That Stem From Heavy Alcohol Use. The Nurse Has Then
Reflected On HerPersonal Feelings About The Client And His Circumstances. The
Nurse Does This PrimarilyTo Accomplish Which Of The Following?
A) Determine If Pertinent Data Has Been Omitted
B) Identify The Need For Referral
C) Avoid Biases And Judgments
D) Construct A Plan Of Care
C) Avoid Biases And Judgments
11. The Nurse Is Collecting Data From A Client Who Has Recently Been Diagnosed
With Type1 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?
A) Family History
B) Occupation
C) Appearance
D) History Of Present Health Concern
C) Appearance
12. An Older Adult Client Has Been Admitted To The Hospital With Failure To Thrive
ResultingFrom Complications Of Diabetes. Which Of The Following Would The Nurse
, 3
D) Measure The Client's Blood Glucose Four Times Daily.
13. The Nurse At A Busy Primary Care Clinic Is Analyzing The Data Obtained
From The Following Clients. For Which Clients Would The Nurse Most Likely
Expect To Facilitate AReferral?
