, 1
TESTzBANK
5thzEditionzWeberzandzKelleyzHealthzAssessmentzinzNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardszhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-
34-flash-zcards/
QuizletzName:zlei_achacoso
1. Aznursezonzazpostsurgicalzunitziszadmittingzazclientzfollowingzthezclient'szcholecystecto
myz(gallzbladderzremoval).zWhatziszthezoverallzpurposezofzassessmentzforzthiszclient?
A) Collectingzaccuratezdata
B) Assistingzthezprimaryzcarezprovider
C) Validatingzpreviouszdata
D) Makingzclinicalzjudgments
D)zMakingzclinicalzjudgments
2. Azclientzhaszpresentedztozthezemergencyzdepartmentz(ED)zwithzcomplaintszofzabdomina
lzpain.zWhichzmemberzofzthezcarezteamzwouldzmostzlikelyzbezresponsiblezforzcollectingzthez
subjectivezdatazonzthezclientzduringzthezinitialzcomprehensivezassessment?
A) Gastroenterologist
B) EDznurse
C) Admissionszclerk
D) Diagnosticztechnician
B)zEDznurse
3. Theznursezhaszcompletedzanzinitialzassessmentzofzaznewlyzadmittedzclientzandziszappl
yingztheznursingzprocessztozplanzthezclient'szcare.zWhatzprinciplezshouldztheznursezapplyz
whenzusingztheznursingzprocess?
A) Eachzstepziszindependentzofzthezothers.
B) Itziszongoingzandzcontinuous.
C) Itziszusedzprimarilyzinzacutezcarezsettings.
D) Itzinvolveszindependentznursingzactions.
B)zItziszongoingzandzcontinuous.
4. Theznursezwhozprovideszcarezatzanzambulatoryzclinicziszpreparingztozmeetzazclientzandzpe
rformzazcomprehensivezhealthzassessment.zWhichzofzthezfollowingzactionszshouldztheznurs
ezperformzfirst?
A) Reviewzthezclient'szmedicalzrecord.
B) Obtainzbasiczbiographiczdata.
C) Consultzclinicalzresourceszexplainingzthezclient'szdiagnosis.
D) Validatezinformationzwithzthezclient.
A)zReviewzthezclient'szmedicalzrecord.
5. Whichzofzthezfollowingzclientzsituationszwouldztheznursezinterpretzaszrequiringzanze
mergencyzassessment?
A) Azpediatriczclientzwithzseverezsunburn
B) Azclientzneedingzanzemploymentzphysical
C) Azclientzwhozoverdosedzonzacetaminophen
D) Azdistraughtzclientzwhozwantszazpregnancyztest
C)zAzclientzwhozoverdosedzonzacetaminophen
6. Inzresponseztozazclient'szquery,ztheznurseziszexplainingzthezdifferenceszbetweenzthezphy
sician'szmedicalzexamzandzthezcomprehensivezhealthzassessmentzperformedzbyztheznurs
e.zTheznursezshouldzdescribezthezfactzthatztheznursingzassessmentzfocuseszonzwhichzasp
ectzofzthezclient'szsituation?
A) Currentzphysiologiczstatus
B) Effectzofzhealthzonzfunctionalzstatus
, 2
C) Pastzmedicalzhistory
D) Motivationzforzadherenceztoztreatment
B)zEffectzofzhealthzonzfunctionalzstatus
7. Afterzteachingzazgroupzofzstudentszaboutzthezphaseszofztheznursingzprocess,zthezinstruc
torzdetermineszthatzthezteachingzwaszsuccessfulzwhenzthezstudentszidentifyzwhichzphaseza
szbeingzfoundationalztozallzotherzphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A)zAssessment
8. Theznursezhaszcompletedzthezcomprehensivezhealthzassessmentzofzazclientzwhozhaszb
eenzadmittedzforztheztreatmentzofzcommunity-
acquiredzpneumonia.zFollowingzthezcompletionzofzthiszassessment,ztheznursezperiodicall
yzperformszazpartialzassessmentzprimarilyzforzwhichzreason?
A) Reassesszpreviouslyzdetectedzproblems
B) Providezinformationzforzthezclient'szrecord
C) Addresszareaszpreviouslyzomitted
D) Determinezthezneedzforzcrisiszintervention
A)zReassesszpreviouslyzdetectedzproblems
9. Theznurseziszworkingzinzanzambulatoryzcarezcliniczthatziszlocatedzinzazbusy,zinner-
cityzneighborhood.zWhichzclientzwouldztheznursezdetermineztozbezinzmostzneedzofzanzeme
rgencyzassessment?
A) Az14-year-oldzgirlzwhoziszcryingzbecausezshezthinkszsheziszpregnant
B) Az45-year-oldzmanzwithzchestzpainzandzdiaphoresiszforz1zhour
C) Az3-year-oldzchildzwithzfever,zrash,zandzsorezthroat
D) Az20-year-oldzmanzwithzaz3-inchzshallowzlacerationzonzhiszleg
B)zAz45-year-oldzmanzwithzchestzpainzandzdiaphoresiszforz1zhour
10. Aznursezhaszcompletedzgatheringzsomezbasiczdatazaboutzazclientzwhozhaszmultiplezhe
althzproblemszthatzstemzfromzheavyzalcoholzuse.zTheznursezhaszthenzreflectedzonzherzpers
onalzfeelingszaboutzthezclientzandzhiszcircumstances.zTheznursezdoeszthiszprimarilyztozacc
omplishzwhichzofzthezfollowing?
A) Determinezifzpertinentzdatazhaszbeenzomitted
B) Identifyzthezneedzforzreferral
C) Avoidzbiaseszandzjudgments
D) Constructzazplanzofzcare
C)zAvoidzbiaseszandzjudgments
11. Theznurseziszcollectingzdatazfromzazclientzwhozhaszrecentlyzbeenzdiagnosedzwithztypez1z
diabeteszandzwhozwillzbeginzanzeducationalzprogram.zTheznurseziszcollectingzsubjectivezan
dzobjectivezdata.zWhichzofzthezfollowingzwouldztheznursezcategorizezaszobjectivezdata?
A) Familyzhistory
B) Occupation
C) Appearance
D) Historyzofzpresentzhealthzconcern
C)zAppearance
12. Anzolderzadultzclientzhaszbeenzadmittedztozthezhospitalzwithzfailureztozthrivezresultingzfr
omzcomplicationszofzdiabetes.zWhichzofzthezfollowingzwouldztheznursezimplementzinzrespo
nseztozazcollaborativezproblem?
A) Encouragezthezclientztozincreasezoralzfluidzintake.
B) Providezthezclientzwithzazbedtimezproteinzsnack.
C) Assistzthezclientzwithzpersonalzhygiene.
D) Measurezthezclient'szbloodzglucosezfourztimeszdaily.
D)zMeasurezthezclient'szbloodzglucosezfourztimeszdaily.
13. Theznursezatzazbusyzprimaryzcarezclinicziszanalyzingzthezdatazobtainedzfromzthezfol
lowingzclients.zForzwhichzclientszwouldztheznursezmostzlikelyzexpectztozfacilitatezazrefer
, 3
A) Anz80-year-oldzclientzwhozliveszwithzherzdaughter
B) Az50-year-oldzclientznewlyzdiagnosedzwithzdiabetes
C) Anzadultzpresentingzforzanzinfluenzazvaccination
D) Azteenagerzseekingzinformationzaboutzcontraception
B)zAz50-year-oldzclientznewlyzdiagnosedzwithzdiabetes
14. Anzinstructorziszreviewingzthezevolutionzofztheznurse'szrolezinzhealthzassessment.zThezin
structorzdetermineszthatzthezteachingzwaszsuccessfulzwhenzthezstudentszidentifyzwhichzofzt
hezfollowingzaszthezmajorzmethodzusedzbyznurseszearlyzinzthezhistoryzofzthezprofession?
A) Naturalzsenses
B) Biomedicalzknowledge
C) Simpleztechnology
D) Criticalzpathways
A)zNaturalzsenses
15. Whenzdescribingzthezexpansionzofzthezdepthzandzscopezofznursingzassessmentzoverzth
ezpastzseveralzdecades,zwhichzofzthezfollowingzwouldztheznursezidentifyzaszbeingzthezprim
aryzforce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D)zPubliczmistrustzofzphysicians
16. Azgroupzofznurseszarezreviewingzinformationzaboutzthezpotentialzopportunitieszforznur
seszwhozhavezadvancedzassessmentzskills.zWhenzdiscussingzphenomenazthatzhavezcontr
ibutedztozthesezincreasedzopportunities,zwhatzshouldztheznurseszidentify?
A) Expansionzofzhealthzcareznetworks
B) Decreasezinzclientzparticipationzinzcare
C) Thezshrinkingzcostzofzmedicalzcare
D) Publiczmistrustzofzphysicians
A)zExpansionzofzhealthzcareznetworks
17. Aznursezhaszdocumentedzthezfindingszofzazcomprehensivezassessmentzofzaznewzcl
ient.zWhatziszthezprimaryzrationalezthatztheznursezshouldzidentifyzforzaccuratezandzthor
oughzdocumentation?
A) Guaranteeingzazcontinualzassessmentzprocess
B) Identifyingzabnormalzdata
C) Assuringzvalidzconclusionszfromzanalyzedzdata
D) Allowingzforzdrawingzinferenceszandzidentifyingzproblems
C)zAssuringzvalidzconclusionszfromzanalyzedzdata
18. Aznursezhaszreceivedzazreportzonzazclientzwhozwillzsoonzbezadmittedztozthezmedicalzun
itzfromzthezemergencyzdepartment.zWhenzpreparingzforzthezassessmentzphasezofztheznurs
ingzprocess,zwhichzofzthezfollowingzshouldztheznursezdozfirst?
A) Collectzobjectivezdata.
B) Validatezimportantzdata.
C) Collectzsubjectivezdata.
D) Documentzthezdata.
C)zCollectzsubjectivezdata.
19. Azcommunityzhealthznurseziszassessingzanzolderzadultzclientzinzthezclient'szhome.zW
henztheznurseziszgatheringzsubjectivezdata,zwhichzofzthezfollowingzwouldztheznurseziden
tify?
A) Thezclient'szfeelingszofzhappiness
B) Thezclient'szposture
C) Thezclient'szaffect
D) Thezclient'szbehavior
A)zThezclient'szfeelingszofzhappiness
20. Aznursezonzthezhospital'szsubacutezmedicalzunitziszplanningztozperformzazclient'szfo
cusedzassessment.zWhichzofzthezfollowingzstatementszshouldzinformztheznurse'szpra
TESTzBANK
5thzEditionzWeberzandzKelleyzHealthzAssessmentzinzNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardszhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-
34-flash-zcards/
QuizletzName:zlei_achacoso
1. Aznursezonzazpostsurgicalzunitziszadmittingzazclientzfollowingzthezclient'szcholecystecto
myz(gallzbladderzremoval).zWhatziszthezoverallzpurposezofzassessmentzforzthiszclient?
A) Collectingzaccuratezdata
B) Assistingzthezprimaryzcarezprovider
C) Validatingzpreviouszdata
D) Makingzclinicalzjudgments
D)zMakingzclinicalzjudgments
2. Azclientzhaszpresentedztozthezemergencyzdepartmentz(ED)zwithzcomplaintszofzabdomina
lzpain.zWhichzmemberzofzthezcarezteamzwouldzmostzlikelyzbezresponsiblezforzcollectingzthez
subjectivezdatazonzthezclientzduringzthezinitialzcomprehensivezassessment?
A) Gastroenterologist
B) EDznurse
C) Admissionszclerk
D) Diagnosticztechnician
B)zEDznurse
3. Theznursezhaszcompletedzanzinitialzassessmentzofzaznewlyzadmittedzclientzandziszappl
yingztheznursingzprocessztozplanzthezclient'szcare.zWhatzprinciplezshouldztheznursezapplyz
whenzusingztheznursingzprocess?
A) Eachzstepziszindependentzofzthezothers.
B) Itziszongoingzandzcontinuous.
C) Itziszusedzprimarilyzinzacutezcarezsettings.
D) Itzinvolveszindependentznursingzactions.
B)zItziszongoingzandzcontinuous.
4. Theznursezwhozprovideszcarezatzanzambulatoryzclinicziszpreparingztozmeetzazclientzandzpe
rformzazcomprehensivezhealthzassessment.zWhichzofzthezfollowingzactionszshouldztheznurs
ezperformzfirst?
A) Reviewzthezclient'szmedicalzrecord.
B) Obtainzbasiczbiographiczdata.
C) Consultzclinicalzresourceszexplainingzthezclient'szdiagnosis.
D) Validatezinformationzwithzthezclient.
A)zReviewzthezclient'szmedicalzrecord.
5. Whichzofzthezfollowingzclientzsituationszwouldztheznursezinterpretzaszrequiringzanze
mergencyzassessment?
A) Azpediatriczclientzwithzseverezsunburn
B) Azclientzneedingzanzemploymentzphysical
C) Azclientzwhozoverdosedzonzacetaminophen
D) Azdistraughtzclientzwhozwantszazpregnancyztest
C)zAzclientzwhozoverdosedzonzacetaminophen
6. Inzresponseztozazclient'szquery,ztheznurseziszexplainingzthezdifferenceszbetweenzthezphy
sician'szmedicalzexamzandzthezcomprehensivezhealthzassessmentzperformedzbyztheznurs
e.zTheznursezshouldzdescribezthezfactzthatztheznursingzassessmentzfocuseszonzwhichzasp
ectzofzthezclient'szsituation?
A) Currentzphysiologiczstatus
B) Effectzofzhealthzonzfunctionalzstatus
, 2
C) Pastzmedicalzhistory
D) Motivationzforzadherenceztoztreatment
B)zEffectzofzhealthzonzfunctionalzstatus
7. Afterzteachingzazgroupzofzstudentszaboutzthezphaseszofztheznursingzprocess,zthezinstruc
torzdetermineszthatzthezteachingzwaszsuccessfulzwhenzthezstudentszidentifyzwhichzphaseza
szbeingzfoundationalztozallzotherzphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A)zAssessment
8. Theznursezhaszcompletedzthezcomprehensivezhealthzassessmentzofzazclientzwhozhaszb
eenzadmittedzforztheztreatmentzofzcommunity-
acquiredzpneumonia.zFollowingzthezcompletionzofzthiszassessment,ztheznursezperiodicall
yzperformszazpartialzassessmentzprimarilyzforzwhichzreason?
A) Reassesszpreviouslyzdetectedzproblems
B) Providezinformationzforzthezclient'szrecord
C) Addresszareaszpreviouslyzomitted
D) Determinezthezneedzforzcrisiszintervention
A)zReassesszpreviouslyzdetectedzproblems
9. Theznurseziszworkingzinzanzambulatoryzcarezcliniczthatziszlocatedzinzazbusy,zinner-
cityzneighborhood.zWhichzclientzwouldztheznursezdetermineztozbezinzmostzneedzofzanzeme
rgencyzassessment?
A) Az14-year-oldzgirlzwhoziszcryingzbecausezshezthinkszsheziszpregnant
B) Az45-year-oldzmanzwithzchestzpainzandzdiaphoresiszforz1zhour
C) Az3-year-oldzchildzwithzfever,zrash,zandzsorezthroat
D) Az20-year-oldzmanzwithzaz3-inchzshallowzlacerationzonzhiszleg
B)zAz45-year-oldzmanzwithzchestzpainzandzdiaphoresiszforz1zhour
10. Aznursezhaszcompletedzgatheringzsomezbasiczdatazaboutzazclientzwhozhaszmultiplezhe
althzproblemszthatzstemzfromzheavyzalcoholzuse.zTheznursezhaszthenzreflectedzonzherzpers
onalzfeelingszaboutzthezclientzandzhiszcircumstances.zTheznursezdoeszthiszprimarilyztozacc
omplishzwhichzofzthezfollowing?
A) Determinezifzpertinentzdatazhaszbeenzomitted
B) Identifyzthezneedzforzreferral
C) Avoidzbiaseszandzjudgments
D) Constructzazplanzofzcare
C)zAvoidzbiaseszandzjudgments
11. Theznurseziszcollectingzdatazfromzazclientzwhozhaszrecentlyzbeenzdiagnosedzwithztypez1z
diabeteszandzwhozwillzbeginzanzeducationalzprogram.zTheznurseziszcollectingzsubjectivezan
dzobjectivezdata.zWhichzofzthezfollowingzwouldztheznursezcategorizezaszobjectivezdata?
A) Familyzhistory
B) Occupation
C) Appearance
D) Historyzofzpresentzhealthzconcern
C)zAppearance
12. Anzolderzadultzclientzhaszbeenzadmittedztozthezhospitalzwithzfailureztozthrivezresultingzfr
omzcomplicationszofzdiabetes.zWhichzofzthezfollowingzwouldztheznursezimplementzinzrespo
nseztozazcollaborativezproblem?
A) Encouragezthezclientztozincreasezoralzfluidzintake.
B) Providezthezclientzwithzazbedtimezproteinzsnack.
C) Assistzthezclientzwithzpersonalzhygiene.
D) Measurezthezclient'szbloodzglucosezfourztimeszdaily.
D)zMeasurezthezclient'szbloodzglucosezfourztimeszdaily.
13. Theznursezatzazbusyzprimaryzcarezclinicziszanalyzingzthezdatazobtainedzfromzthezfol
lowingzclients.zForzwhichzclientszwouldztheznursezmostzlikelyzexpectztozfacilitatezazrefer
, 3
A) Anz80-year-oldzclientzwhozliveszwithzherzdaughter
B) Az50-year-oldzclientznewlyzdiagnosedzwithzdiabetes
C) Anzadultzpresentingzforzanzinfluenzazvaccination
D) Azteenagerzseekingzinformationzaboutzcontraception
B)zAz50-year-oldzclientznewlyzdiagnosedzwithzdiabetes
14. Anzinstructorziszreviewingzthezevolutionzofztheznurse'szrolezinzhealthzassessment.zThezin
structorzdetermineszthatzthezteachingzwaszsuccessfulzwhenzthezstudentszidentifyzwhichzofzt
hezfollowingzaszthezmajorzmethodzusedzbyznurseszearlyzinzthezhistoryzofzthezprofession?
A) Naturalzsenses
B) Biomedicalzknowledge
C) Simpleztechnology
D) Criticalzpathways
A)zNaturalzsenses
15. Whenzdescribingzthezexpansionzofzthezdepthzandzscopezofznursingzassessmentzoverzth
ezpastzseveralzdecades,zwhichzofzthezfollowingzwouldztheznursezidentifyzaszbeingzthezprim
aryzforce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D)zPubliczmistrustzofzphysicians
16. Azgroupzofznurseszarezreviewingzinformationzaboutzthezpotentialzopportunitieszforznur
seszwhozhavezadvancedzassessmentzskills.zWhenzdiscussingzphenomenazthatzhavezcontr
ibutedztozthesezincreasedzopportunities,zwhatzshouldztheznurseszidentify?
A) Expansionzofzhealthzcareznetworks
B) Decreasezinzclientzparticipationzinzcare
C) Thezshrinkingzcostzofzmedicalzcare
D) Publiczmistrustzofzphysicians
A)zExpansionzofzhealthzcareznetworks
17. Aznursezhaszdocumentedzthezfindingszofzazcomprehensivezassessmentzofzaznewzcl
ient.zWhatziszthezprimaryzrationalezthatztheznursezshouldzidentifyzforzaccuratezandzthor
oughzdocumentation?
A) Guaranteeingzazcontinualzassessmentzprocess
B) Identifyingzabnormalzdata
C) Assuringzvalidzconclusionszfromzanalyzedzdata
D) Allowingzforzdrawingzinferenceszandzidentifyingzproblems
C)zAssuringzvalidzconclusionszfromzanalyzedzdata
18. Aznursezhaszreceivedzazreportzonzazclientzwhozwillzsoonzbezadmittedztozthezmedicalzun
itzfromzthezemergencyzdepartment.zWhenzpreparingzforzthezassessmentzphasezofztheznurs
ingzprocess,zwhichzofzthezfollowingzshouldztheznursezdozfirst?
A) Collectzobjectivezdata.
B) Validatezimportantzdata.
C) Collectzsubjectivezdata.
D) Documentzthezdata.
C)zCollectzsubjectivezdata.
19. Azcommunityzhealthznurseziszassessingzanzolderzadultzclientzinzthezclient'szhome.zW
henztheznurseziszgatheringzsubjectivezdata,zwhichzofzthezfollowingzwouldztheznurseziden
tify?
A) Thezclient'szfeelingszofzhappiness
B) Thezclient'szposture
C) Thezclient'szaffect
D) Thezclient'szbehavior
A)zThezclient'szfeelingszofzhappiness
20. Aznursezonzthezhospital'szsubacutezmedicalzunitziszplanningztozperformzazclient'szfo
cusedzassessment.zWhichzofzthezfollowingzstatementszshouldzinformztheznurse'szpra
