, 1
TESTyBANK
5thyEditionyWeberyandyKelleyyHealthyAssessmentyinyNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardsyhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-
flash-ycards/
QuizletyName:ylei_achacoso
1. Aynurseyonyaypostsurgicalyunityisyadmittingyayclientyfollowingytheyclient'sycholecystecto
myy(gallybladderyremoval).yWhatyisytheyoverallypurposeyofyassessmentyforythisyclient?
A) Collectingyaccurateydata
B) Assistingytheyprimaryycareyprovider
C) Validatingypreviousydata
D) Makingyclinicalyjudgments
D)yMakingyclinicalyjudgments
2. Ayclientyhasypresentedytoytheyemergencyydepartmenty(ED)ywithycomplaintsyofyabdomina
lypain.yWhichymemberyofytheycareyteamywouldymostylikelyybeyresponsibleyforycollectingythey
subjectiveydatayonytheyclientyduringytheyinitialycomprehensiveyassessment?
A) Gastroenterologist
B) EDynurse
C) Admissionsyclerk
D) Diagnosticytechnician
B)yEDynurse
3. Theynurseyhasycompletedyanyinitialyassessmentyofyaynewlyyadmittedyclientyandyisyappl
yingytheynursingyprocessytoyplanytheyclient'sycare.yWhatyprincipleyshouldytheynurseyapplyy
whenyusingytheynursingyprocess?
A) Eachystepyisyindependentyofytheyothers.
B) Ityisyongoingyandycontinuous.
C) Ityisyusedyprimarilyyinyacuteycareysettings.
D) Ityinvolvesyindependentynursingyactions.
B) Ityisyongoingyandycontinuous.
4. Theynurseywhoyprovidesycareyatyanyambulatoryyclinicyisypreparingytoymeetyayclientyandyp
erformyaycomprehensiveyhealthyassessment.yWhichyofytheyfollowingyactionsyshouldytheynu
rseyperformyfirst?
A) Reviewytheyclient'symedicalyrecord.
B) Obtainybasicybiographicydata.
C) Consultyclinicalyresourcesyexplainingytheyclient'sydiagnosis.
D) Validateyinformationywithytheyclient.
A) Reviewytheyclient'symedicalyrecord.
5. Whichyofytheyfollowingyclientysituationsywouldytheynurseyinterpretyasyrequiringyanye
mergencyyassessment?
A) Aypediatricyclientywithysevereysunburn
B) Ayclientyneedingyanyemploymentyphysical
C) Ayclientywhoyoverdosedyonyacetaminophen
D) Aydistraughtyclientywhoywantsyaypregnancyytest
C) Ayclientywhoyoverdosedyonyacetaminophen
6. Inyresponseytoyayclient'syquery,ytheynurseyisyexplainingytheydifferencesybetweenytheyphy
sician'symedicalyexamyandytheycomprehensiveyhealthyassessmentyperformedybyytheynurs
e.yTheynurseyshouldydescribeytheyfactythatytheynursingyassessmentyfocusesyonywhichyasp
ectyofytheyclient'sysituation?
A) Currentyphysiologicystatus
B) Effectyofyhealthyonyfunctionalystatus
, 2
C) Pastymedicalyhistory
D) Motivationyforyadherenceytoytreatment
B) Effectyofyhealthyonyfunctionalystatus
7. Afteryteachingyaygroupyofystudentsyaboutytheyphasesyofytheynursingyprocess,ytheyinstruc
torydeterminesythatytheyteachingywasysuccessfulywhenytheystudentsyidentifyywhichyphaseya
sybeingyfoundationalytoyallyotheryphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Theynurseyhasycompletedytheycomprehensiveyhealthyassessmentyofyayclientywhoyhasyb
eenyadmittedyforytheytreatmentyofycommunity-
acquiredypneumonia.yFollowingytheycompletionyofythisyassessment,ytheynurseyperiodicall
yyperformsyaypartialyassessmentyprimarilyyforywhichyreason?
A) Reassessypreviouslyydetectedyproblems
B) Provideyinformationyforytheyclient'syrecord
C) Addressyareasypreviouslyyomitted
D) Determineytheyneedyforycrisisyintervention
A) Reassessypreviouslyydetectedyproblems
9. Theynurseyisyworkingyinyanyambulatoryycareyclinicythatyisylocatedyinyaybusy,yinner-
cityyneighborhood.yWhichyclientywouldytheynurseydetermineytoybeyinymostyneedyofyanyem
ergencyyassessment?
A) Ay14-year-oldygirlywhoyisycryingybecauseysheythinksysheyisypregnant
B) Ay45-year-oldymanywithychestypainyandydiaphoresisyfory1yhour
C) Ay3-year-oldychildywithyfever,yrash,yandysoreythroat
D) Ay20-year-oldymanywithyay3-inchyshallowylacerationyonyhisyleg
B) Ay45-year-oldymanywithychestypainyandydiaphoresisyfory1yhour
10. Aynurseyhasycompletedygatheringysomeybasicydatayaboutyayclientywhoyhasymultipleyhe
althyproblemsythatystemyfromyheavyyalcoholyuse.yTheynurseyhasythenyreflectedyonyherypers
onalyfeelingsyaboutytheyclientyandyhisycircumstances.yTheynurseydoesythisyprimarilyytoyacc
omplishywhichyofytheyfollowing?
A) Determineyifypertinentydatayhasybeenyomitted
B) Identifyytheyneedyforyreferral
C) Avoidybiasesyandyjudgments
D) Constructyayplanyofycare
C) Avoidybiasesyandyjudgments
11. Theynurseyisycollectingydatayfromyayclientywhoyhasyrecentlyybeenydiagnosedywithytypey1y
diabetesyandywhoywillybeginyanyeducationalyprogram.yTheynurseyisycollectingy subjectiveyan
dyobjectiveydata.yWhichyofytheyfollowingywouldytheynurseycategorizeyasyobjectiveydata?
A) Familyyhistory
B) Occupation
C) Appearance
D) Historyyofypresentyhealthyconcern
C)yAppearance
12. Anyolderyadultyclientyhasybeenyadmittedytoytheyhospitalywithyfailureytoythriveyresultingyfr
omycomplicationsyofydiabetes.yWhichyofytheyfollowingywouldytheynurseyimplementyinyrespo
nseytoyaycollaborativeyproblem?
A) Encourageytheyclientytoyincreaseyoralyfluidyintake.
B) Provideytheyclientywithyaybedtimeyproteinysnack.
C) Assistytheyclientywithypersonalyhygiene.
D) Measureytheyclient'sybloodyglucoseyfourytimesydaily.
D)yMeasureytheyclient'sybloodyglucoseyfourytimesydaily.
13. Theynurseyatyaybusyyprimaryycareyclinicyisyanalyzingytheydatayobtainedyfromytheyfo
llowingyclients.yForywhichyclientsywouldytheynurseymostylikelyyexpectytoyfacilitateyayrefe
, 3
A) Any80-year-oldyclientywhoylivesywithyherydaughter
B) Ay50-year-oldyclientynewlyydiagnosedywithydiabetes
C) Anyadultypresentingyforyanyinfluenzayvaccination
D) Ayteenageryseekingyinformationyaboutycontraception
B) Ay50-year-oldyclientynewlyydiagnosedywithydiabetes
14. Anyinstructoryisyreviewingytheyevolutionyofytheynurse'syroleyinyhealthyassessment.yTheyin
structorydeterminesythatytheyteachingywasysuccessfulywhenytheystudentsyidentifyywhichyofyt
heyfollowingyasytheymajorymethodyusedybyynursesyearlyyinytheyhistoryyofytheyprofession?
A) Naturalysenses
B) Biomedicalyknowledge
C) Simpleytechnology
D) Criticalypathways
A) Naturalysenses
15. Whenydescribingytheyexpansionyofytheydepthyandyscopeyofynursingyassessmentyoveryt
heypastyseveralydecades,ywhichyofytheyfollowingywouldytheynurseyidentifyyasybeingytheypri
maryyforce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Publicymistrustyofyphysicians
16. Aygroupyofynursesyareyreviewingyinformationyaboutytheypotentialyopportunitiesyforynur
sesywhoyhaveyadvancedyassessmentyskills.yWhenydiscussingyphenomenaythatyhaveycont
ributedytoytheseyincreasedyopportunities,ywhatyshouldytheynursesyidentify?
A) Expansionyofyhealthycareynetworks
B) Decreaseyinyclientyparticipationyinycare
C) Theyshrinkingycostyofymedicalycare
D) Publicymistrustyofyphysicians
A) Expansionyofyhealthycareynetworks
17. Aynurseyhasydocumentedytheyfindingsyofyaycomprehensiveyassessmentyofyaynewycl
ient.yWhatyisytheyprimaryyrationaleythatytheynurseyshouldyidentifyyforyaccurateyandythor
oughydocumentation?
A) Guaranteeingyaycontinualyassessmentyprocess
B) Identifyingyabnormalydata
C) Assuringyvalidyconclusionsyfromyanalyzedydata
D) Allowingyforydrawingyinferencesyandyidentifyingyproblems
C) Assuringyvalidyconclusionsyfromyanalyzedydata
18. Aynurseyhasyreceivedyayreportyonyayclientywhoywillysoonybeyadmittedytoytheymedicalyun
ityfromytheyemergencyydepartment.yWhenypreparingyforytheyassessmentyphaseyofytheynur
singyprocess,ywhichyofytheyfollowingyshouldytheynurseydoyfirst?
A) Collectyobjectiveydata.
B) Validateyimportantydata.
C) Collectysubjectiveydata.
D) Documentytheydata.
C)yCollectysubjectiveydata.
19. Aycommunityyhealthynurseyisyassessingyanyolderyadultyclientyinytheyclient'syhome.y
Whenytheynurseyisygatheringysubjectiveydata,ywhichyofytheyfollowingywouldytheynurseyid
entify?
A) Theyclient'syfeelingsyofyhappiness
B) Theyclient'syposture
C) Theyclient'syaffect
D) Theyclient'sybehavior
A) Theyclient'syfeelingsyofyhappiness
20. Aynurseyonytheyhospital'sysubacuteymedicalyunityisyplanningytoyperformyayclient'syfo
cusedyassessment.yWhichyofytheyfollowingystatementsyshouldyinformytheynurse'sypra
TESTyBANK
5thyEditionyWeberyandyKelleyyHealthyAssessmentyinyNursing
health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-flash-
cardsyhttps://quizlet.com/412845973/health-assessment-in-nursing-weber-kelley-5th-edition-ch-1-34-
flash-ycards/
QuizletyName:ylei_achacoso
1. Aynurseyonyaypostsurgicalyunityisyadmittingyayclientyfollowingytheyclient'sycholecystecto
myy(gallybladderyremoval).yWhatyisytheyoverallypurposeyofyassessmentyforythisyclient?
A) Collectingyaccurateydata
B) Assistingytheyprimaryycareyprovider
C) Validatingypreviousydata
D) Makingyclinicalyjudgments
D)yMakingyclinicalyjudgments
2. Ayclientyhasypresentedytoytheyemergencyydepartmenty(ED)ywithycomplaintsyofyabdomina
lypain.yWhichymemberyofytheycareyteamywouldymostylikelyybeyresponsibleyforycollectingythey
subjectiveydatayonytheyclientyduringytheyinitialycomprehensiveyassessment?
A) Gastroenterologist
B) EDynurse
C) Admissionsyclerk
D) Diagnosticytechnician
B)yEDynurse
3. Theynurseyhasycompletedyanyinitialyassessmentyofyaynewlyyadmittedyclientyandyisyappl
yingytheynursingyprocessytoyplanytheyclient'sycare.yWhatyprincipleyshouldytheynurseyapplyy
whenyusingytheynursingyprocess?
A) Eachystepyisyindependentyofytheyothers.
B) Ityisyongoingyandycontinuous.
C) Ityisyusedyprimarilyyinyacuteycareysettings.
D) Ityinvolvesyindependentynursingyactions.
B) Ityisyongoingyandycontinuous.
4. Theynurseywhoyprovidesycareyatyanyambulatoryyclinicyisypreparingytoymeetyayclientyandyp
erformyaycomprehensiveyhealthyassessment.yWhichyofytheyfollowingyactionsyshouldytheynu
rseyperformyfirst?
A) Reviewytheyclient'symedicalyrecord.
B) Obtainybasicybiographicydata.
C) Consultyclinicalyresourcesyexplainingytheyclient'sydiagnosis.
D) Validateyinformationywithytheyclient.
A) Reviewytheyclient'symedicalyrecord.
5. Whichyofytheyfollowingyclientysituationsywouldytheynurseyinterpretyasyrequiringyanye
mergencyyassessment?
A) Aypediatricyclientywithysevereysunburn
B) Ayclientyneedingyanyemploymentyphysical
C) Ayclientywhoyoverdosedyonyacetaminophen
D) Aydistraughtyclientywhoywantsyaypregnancyytest
C) Ayclientywhoyoverdosedyonyacetaminophen
6. Inyresponseytoyayclient'syquery,ytheynurseyisyexplainingytheydifferencesybetweenytheyphy
sician'symedicalyexamyandytheycomprehensiveyhealthyassessmentyperformedybyytheynurs
e.yTheynurseyshouldydescribeytheyfactythatytheynursingyassessmentyfocusesyonywhichyasp
ectyofytheyclient'sysituation?
A) Currentyphysiologicystatus
B) Effectyofyhealthyonyfunctionalystatus
, 2
C) Pastymedicalyhistory
D) Motivationyforyadherenceytoytreatment
B) Effectyofyhealthyonyfunctionalystatus
7. Afteryteachingyaygroupyofystudentsyaboutytheyphasesyofytheynursingyprocess,ytheyinstruc
torydeterminesythatytheyteachingywasysuccessfulywhenytheystudentsyidentifyywhichyphaseya
sybeingyfoundationalytoyallyotheryphases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
A) Assessment
8. Theynurseyhasycompletedytheycomprehensiveyhealthyassessmentyofyayclientywhoyhasyb
eenyadmittedyforytheytreatmentyofycommunity-
acquiredypneumonia.yFollowingytheycompletionyofythisyassessment,ytheynurseyperiodicall
yyperformsyaypartialyassessmentyprimarilyyforywhichyreason?
A) Reassessypreviouslyydetectedyproblems
B) Provideyinformationyforytheyclient'syrecord
C) Addressyareasypreviouslyyomitted
D) Determineytheyneedyforycrisisyintervention
A) Reassessypreviouslyydetectedyproblems
9. Theynurseyisyworkingyinyanyambulatoryycareyclinicythatyisylocatedyinyaybusy,yinner-
cityyneighborhood.yWhichyclientywouldytheynurseydetermineytoybeyinymostyneedyofyanyem
ergencyyassessment?
A) Ay14-year-oldygirlywhoyisycryingybecauseysheythinksysheyisypregnant
B) Ay45-year-oldymanywithychestypainyandydiaphoresisyfory1yhour
C) Ay3-year-oldychildywithyfever,yrash,yandysoreythroat
D) Ay20-year-oldymanywithyay3-inchyshallowylacerationyonyhisyleg
B) Ay45-year-oldymanywithychestypainyandydiaphoresisyfory1yhour
10. Aynurseyhasycompletedygatheringysomeybasicydatayaboutyayclientywhoyhasymultipleyhe
althyproblemsythatystemyfromyheavyyalcoholyuse.yTheynurseyhasythenyreflectedyonyherypers
onalyfeelingsyaboutytheyclientyandyhisycircumstances.yTheynurseydoesythisyprimarilyytoyacc
omplishywhichyofytheyfollowing?
A) Determineyifypertinentydatayhasybeenyomitted
B) Identifyytheyneedyforyreferral
C) Avoidybiasesyandyjudgments
D) Constructyayplanyofycare
C) Avoidybiasesyandyjudgments
11. Theynurseyisycollectingydatayfromyayclientywhoyhasyrecentlyybeenydiagnosedywithytypey1y
diabetesyandywhoywillybeginyanyeducationalyprogram.yTheynurseyisycollectingy subjectiveyan
dyobjectiveydata.yWhichyofytheyfollowingywouldytheynurseycategorizeyasyobjectiveydata?
A) Familyyhistory
B) Occupation
C) Appearance
D) Historyyofypresentyhealthyconcern
C)yAppearance
12. Anyolderyadultyclientyhasybeenyadmittedytoytheyhospitalywithyfailureytoythriveyresultingyfr
omycomplicationsyofydiabetes.yWhichyofytheyfollowingywouldytheynurseyimplementyinyrespo
nseytoyaycollaborativeyproblem?
A) Encourageytheyclientytoyincreaseyoralyfluidyintake.
B) Provideytheyclientywithyaybedtimeyproteinysnack.
C) Assistytheyclientywithypersonalyhygiene.
D) Measureytheyclient'sybloodyglucoseyfourytimesydaily.
D)yMeasureytheyclient'sybloodyglucoseyfourytimesydaily.
13. Theynurseyatyaybusyyprimaryycareyclinicyisyanalyzingytheydatayobtainedyfromytheyfo
llowingyclients.yForywhichyclientsywouldytheynurseymostylikelyyexpectytoyfacilitateyayrefe
, 3
A) Any80-year-oldyclientywhoylivesywithyherydaughter
B) Ay50-year-oldyclientynewlyydiagnosedywithydiabetes
C) Anyadultypresentingyforyanyinfluenzayvaccination
D) Ayteenageryseekingyinformationyaboutycontraception
B) Ay50-year-oldyclientynewlyydiagnosedywithydiabetes
14. Anyinstructoryisyreviewingytheyevolutionyofytheynurse'syroleyinyhealthyassessment.yTheyin
structorydeterminesythatytheyteachingywasysuccessfulywhenytheystudentsyidentifyywhichyofyt
heyfollowingyasytheymajorymethodyusedybyynursesyearlyyinytheyhistoryyofytheyprofession?
A) Naturalysenses
B) Biomedicalyknowledge
C) Simpleytechnology
D) Criticalypathways
A) Naturalysenses
15. Whenydescribingytheyexpansionyofytheydepthyandyscopeyofynursingyassessmentyoveryt
heypastyseveralydecades,ywhichyofytheyfollowingywouldytheynurseyidentifyyasybeingytheypri
maryyforce?
A) Documentation
B) Informatics
C) Diversification
D) Technology
D) Publicymistrustyofyphysicians
16. Aygroupyofynursesyareyreviewingyinformationyaboutytheypotentialyopportunitiesyforynur
sesywhoyhaveyadvancedyassessmentyskills.yWhenydiscussingyphenomenaythatyhaveycont
ributedytoytheseyincreasedyopportunities,ywhatyshouldytheynursesyidentify?
A) Expansionyofyhealthycareynetworks
B) Decreaseyinyclientyparticipationyinycare
C) Theyshrinkingycostyofymedicalycare
D) Publicymistrustyofyphysicians
A) Expansionyofyhealthycareynetworks
17. Aynurseyhasydocumentedytheyfindingsyofyaycomprehensiveyassessmentyofyaynewycl
ient.yWhatyisytheyprimaryyrationaleythatytheynurseyshouldyidentifyyforyaccurateyandythor
oughydocumentation?
A) Guaranteeingyaycontinualyassessmentyprocess
B) Identifyingyabnormalydata
C) Assuringyvalidyconclusionsyfromyanalyzedydata
D) Allowingyforydrawingyinferencesyandyidentifyingyproblems
C) Assuringyvalidyconclusionsyfromyanalyzedydata
18. Aynurseyhasyreceivedyayreportyonyayclientywhoywillysoonybeyadmittedytoytheymedicalyun
ityfromytheyemergencyydepartment.yWhenypreparingyforytheyassessmentyphaseyofytheynur
singyprocess,ywhichyofytheyfollowingyshouldytheynurseydoyfirst?
A) Collectyobjectiveydata.
B) Validateyimportantydata.
C) Collectysubjectiveydata.
D) Documentytheydata.
C)yCollectysubjectiveydata.
19. Aycommunityyhealthynurseyisyassessingyanyolderyadultyclientyinytheyclient'syhome.y
Whenytheynurseyisygatheringysubjectiveydata,ywhichyofytheyfollowingywouldytheynurseyid
entify?
A) Theyclient'syfeelingsyofyhappiness
B) Theyclient'syposture
C) Theyclient'syaffect
D) Theyclient'sybehavior
A) Theyclient'syfeelingsyofyhappiness
20. Aynurseyonytheyhospital'sysubacuteymedicalyunityisyplanningytoyperformyayclient'syfo
cusedyassessment.yWhichyofytheyfollowingystatementsyshouldyinformytheynurse'sypra
