TESTLBANK
5thLEditionLWeberLandLKelleyLHealthLAssessmentLinLNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardsLhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-
34-flash-Lcards/
QuizletLName:Llei_achacoso
1. ALnurseLonLaLpostsurgicalLunitLisLadmittingLaLclientLfollowingLtheLclient'sLcholecystecto
myL(gallLbladderLremoval).LWhatLisLtheLoverallLpurposeLofLassessmentLforLthisLclient?
A) CollectingLaccurateLdata
B) AssistingLtheLprimaryLcareLprovider
C) ValidatingLpreviousLdata
D) MakingLclinicalLjudgments
D)LMakingLclinicalLjudgments
2. ALclientLhasLpresentedLtoLtheLemergencyLdepartmentL(ED)LwithLcomplaintsLofLabdomin
alLpain.LWhichLmemberLofLtheLcareLteamLwouldLmostLlikelyLbeLresponsibleLforLcollectingLth
eLsubjectiveLdataLonLtheLclientLduringLtheLinitialLcomprehensiveLassessment?
A) Gastroenterologist
B) EDLnurse
C) AdmissionsLclerk
D) DiagnosticLtechnician
B)LEDLnurse
3. TheLnurseLhasLcompletedLanLinitialLassessmentLofLaLnewlyLadmittedLclientLandLisLapp
lyingLtheLnursingLprocessLtoLplanLtheLclient'sLcare.LWhatLprincipleLshouldLtheLnurseLappl
yLwhenLusingLtheLnursingLprocess?
A) EachLstepLisLindependentLofLtheLothers.
B) ItLisLongoingLandLcontinuous.
C) ItLisLusedLprimarilyLinLacuteLcareLsettings.
D) ItLinvolvesLindependentLnursingLactions.
B)LItLisLongoingLandLcontinuous.
4. TheLnurseLwhoLprovidesLcareLatLanLambulatoryLclinicLisLpreparingLtoLmeetLaLclientLandLp
erformLaLcomprehensiveLhealthLassessment.LWhichLofLtheLfollowingLactionsLshouldLtheLnu
rseLperformLfirst?
A) ReviewLtheLclient'sLmedicalLrecord.
B) ObtainLbasicLbiographicLdata.
C) ConsultLclinicalLresourcesLexplainingLtheLclient'sLdiagnosis.
D) ValidateLinformationLwithLtheLclient.
A)LReviewLtheLclient'sLmedicalLrecord.
5. WhichLofLtheLfollowingLclientLsituationsLwouldLtheLnurseLinterpretLasLrequiringLanLe
mergencyLassessment?
A) ALpediatricLclientLwithLsevereLsunburn
B) ALclientLneedingLanLemploymentLphysical
C) ALclientLwhoLoverdosedLonLacetaminophen
D) ALdistraughtLclientLwhoLwantsLaLpregnancyLtest
C)LALclientLwhoLoverdosedLonLacetaminophen
6. InLresponseLtoLaLclient'sLquery,LtheLnurseLisLexplainingLtheLdifferencesLbetweenLtheLph
ysician'sLmedicalLexamLandLtheLcomprehensiveLhealthLassessmentLperformedLbyLtheLnur
se.LTheLnurseLshouldLdescribeLtheLfactLthatLtheLnursingLassessmentLfocusesLonLwhichLas
pectLofLtheLclient'sLsituation?
A) CurrentLphysiologicLstatus
B) EffectLofLhealthLonLfunctionalLstatus
, 2
C) PastLmedicalLhistory
D) MotivationLforLadherenceLtoLtreatment
B)LEffectLofLhealthLonLfunctionalLstatus
7. AfterLteachingLaLgroupLofLstudentsLaboutLtheLphasesLofLtheLnursingLprocess,LtheLinstru
ctorLdeterminesLthatLtheLteachingLwasLsuccessfulLwhenLtheLstudentsLidentifyLwhichLphaseL
asLbeingLfoundationalLtoLallLotherLphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A)LAssessment
8. TheLnurseLhasLcompletedLtheLcomprehensiveLhealthLassessmentLofLaLclientLwhoLhasLb
eenLadmittedLforLtheLtreatmentLofLcommunity-
acquiredLpneumonia.LFollowingLtheLcompletionLofLthisLassessment,LtheLnurseLperiodicall
yLperformsLaLpartialLassessmentLprimarilyLforLwhichLreason?
A) ReassessLpreviouslyLdetectedLproblems
B) ProvideLinformationLforLtheLclient'sLrecord
C) AddressLareasLpreviouslyLomitted
D) DetermineLtheLneedLforLcrisisLintervention
A)LReassessLpreviouslyLdetectedLproblems
9. TheLnurseLisLworkingLinLanLambulatoryLcareLclinicLthatLisLlocatedLinLaLbusy,Linner-
cityLneighborhood.LWhichLclientLwouldLtheLnurseLdetermineLtoLbeLinLmostLneedLofLanLem
ergencyLassessment?
A) AL14-year-oldLgirlLwhoLisLcryingLbecauseLsheLthinksLsheLisLpregnant
B) AL45-year-oldLmanLwithLchestLpainLandLdiaphoresisLforL1Lhour
C) AL3-year-oldLchildLwithLfever,Lrash,LandLsoreLthroat
D) AL20-year-oldLmanLwithLaL3-inchLshallowLlacerationLonLhisLleg
B)LAL45-year-oldLmanLwithLchestLpainLandLdiaphoresisLforL1Lhour
10. ALnurseLhasLcompletedLgatheringLsomeLbasicLdataLaboutLaLclientLwhoLhasLmultipleLh
ealthLproblemsLthatLstemLfromLheavyLalcoholLuse.LTheLnurseLhasLthenLreflectedLonLherLpe
rsonalLfeelingsLaboutLtheLclientLandLhisLcircumstances.LTheLnurseLdoesLthisLprimarilyLtoLa
ccomplishLwhichLofLtheLfollowing?
A) DetermineLifLpertinentLdataLhasLbeenLomitted
B) IdentifyLtheLneedLforLreferral
C) AvoidLbiasesLandLjudgments
D) ConstructLaLplanLofLcare
C)LAvoidLbiasesLandLjudgments
11. TheLnurseLisLcollectingLdataLfromLaLclientLwhoLhasLrecentlyLbeenLdiagnosedLwithLtypeL1
LdiabetesLandLwhoL willL beginL anLeducationalL program.LTheLnurseLisLcollectingLsubjectiveLa
ndLobjectiveLdata.LWhichLofLtheLfollowingLwouldLtheLnurseLcategorizeLasLobjectiveLdata?
A) FamilyLhistory
B) Occupation
C) Appearance
D) HistoryLofLpresentLhealthLconcern
C)LAppearance
12. AnLolderLadultLclientLhasLbeenLadmittedLtoLtheLhospitalLwithLfailureLtoLthriveLresultingLfr
omLcomplicationsLofLdiabetes.LWhichLofLtheLfollowingLwouldLtheLnurseLimplementLinLresp
onseLtoLaLcollaborativeLproblem?
A) EncourageLtheLclientLtoLincreaseLoralLfluidLintake.
B) ProvideLtheLclientLwithLaLbedtimeLproteinLsnack.
C) AssistLtheLclientLwithLpersonalLhygiene.
D) MeasureLtheLclient'sLbloodLglucoseLfourLtimesLdaily.
D)LMeasureLtheLclient'sLbloodLglucoseLfourLtimesLdaily.
13. TheLnurseLatLaLbusyLprimaryLcareLclinicLisLanalyzingLtheLdataLobtainedLfromLtheLf
ollowingLclients.LForLwhichLclientsLwouldLtheLnurseLmostLlikelyLexpectLtoLfacilitateLaLre
, 3
A) AnL80-year-oldLclientLwhoLlivesLwithLherLdaughter
B) AL50-year-oldLclientLnewlyLdiagnosedLwithLdiabetes
C) AnLadultLpresentingLforLanLinfluenzaLvaccination
D) ALteenagerLseekingLinformationLaboutLcontraception
B)LAL50-year-oldLclientLnewlyLdiagnosedLwithLdiabetes
14. AnLinstructorLisLreviewingLtheLevolutionLofLtheLnurse'sLroleLinLhealthLassessment.LTheLi
nstructorLdeterminesLthatLtheLteachingLwasLsuccessfulLwhenLtheLstudentsLidentifyLwhichLof
LtheLfollowingLasLtheLmajorLmethodLusedLbyLnursesLearlyLinLtheLhistoryLofLtheLprofession?
A) NaturalLsenses
B) BiomedicalLknowledge
C) SimpleLtechnology
D) CriticalLpathways
A)LNaturalLsenses
15. WhenLdescribingLtheLexpansionLofLtheLdepthLandLscopeLofLnursingLassessmentLoverLt
heLpastLseveralLdecades,LwhichLofLtheLfollowingLwouldLtheLnurseLidentifyLasLbeingLtheLpri
maryLforce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D)LPublicLmistrustLofLphysicians
16. ALgroupLofLnursesLareLreviewingLinformationLaboutLtheLpotentialLopportunitiesLforLnur
sesLwhoLhaveLadvancedLassessmentLskills.LWhenLdiscussingLphenomenaLthatLhaveLcont
ributedLtoLtheseLincreasedLopportunities,LwhatLshouldLtheLnursesLidentify?
A) ExpansionLofLhealthLcareLnetworks
B) DecreaseLinLclientLparticipationLinLcare
C) TheLshrinkingLcostLofLmedicalLcare
D) PublicLmistrustLofLphysicians
A)LExpansionLofLhealthLcareLnetworks
17. ALnurseLhasLdocumentedLtheLfindingsLofLaLcomprehensiveLassessmentLofLaLnewLc
lient.LWhatLisLtheLprimaryLrationaleLthatLtheLnurseLshouldLidentifyLforLaccurateLandLtho
roughLdocumentation?
A) GuaranteeingLaLcontinualLassessmentLprocess
B) IdentifyingLabnormalLdata
C) AssuringLvalidLconclusionsLfromLanalyzedLdata
D) AllowingLforLdrawingLinferencesLandLidentifyingLproblems
C)LAssuringLvalidLconclusionsLfromLanalyzedLdata
18. ALnurseLhasLreceivedLaLreportLonLaLclientLwhoLwillLsoonLbeLadmittedLtoLtheLmedicalLu
nitLfromLtheLemergencyLdepartment.LWhenLpreparingLforLtheLassessmentLphaseLofLtheLnu
rsingLprocess,LwhichLofLtheLfollowingLshouldLtheLnurseLdoLfirst?
A) CollectLobjectiveLdata.
B) ValidateLimportantLdata.
C) CollectLsubjectiveLdata.
D) DocumentLtheLdata.
C)LCollectLsubjectiveLdata.
19. ALcommunityLhealthLnurseLisLassessingLanLolderLadultLclientLinLtheLclient'sLhome.L
WhenLtheLnurseLisLgatheringLsubjectiveLdata,LwhichLofLtheLfollowingLwouldLtheLnurseLi
dentify?
A) TheLclient'sLfeelingsLofLhappiness
B) TheLclient'sLposture
C) TheLclient'sLaffect
D) TheLclient'sLbehavior
A)LTheLclient'sLfeelingsLofLhappiness
20. ALnurseLonLtheLhospital'sLsubacuteLmedicalLunitLisLplanningLtoLperformLaLclient'sLf
ocusedLassessment.LWhichLofLtheLfollowingLstatementsLshouldLinformLtheLnurse'sLpr