COMPLETE TEST BANK:
Health Assessment in Nursing Seventh, North
American Edition
by Janet R Weber latest Update.
Page 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
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
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
Nurse Apply 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.
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 The Nurse 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.
5. Which Of The Following Client Situations Would The Nurse Interpret As
Requiring An Emergency 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
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,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 The Nurse. 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
C) Past Medical History
D) Motivation For Adherence To Treatment
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
Which Phase As Being Foundational To All Other Phases?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The Nurse Has Completed The Comprehensive Health Assessment Of A Client Who
Has Been 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
9. The Nurse Is Working In An Ambulatory Care Clinic That Is Located In A Busy,
Inner-City Neighborhood. 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
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, 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 Her Personal Feelings About The Client And His Circumstances. The Nurse Does
This Primarily To 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
11. The Nurse Is Collecting Data From A Client Who Has Recently Been Diagnosed With
Type 1 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
12. An Older Adult Client Has Been Admitted To The Hospital With Failure To Thrive
Resulting From Complications Of Diabetes. Which Of The Following Would The
Nurse Implement In Response To A Collaborative Problem?
A) Encourage The Client To Increase Oral Fluid Intake.
B) Provide The Client With A Bedtime Protein Snack.
C) Assist The Client With Personal Hygiene.
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 A Referral?
A) An 80-Year-Old Client Who Lives With Her Daughter
B) A 50-Year-Old Client Newly Diagnosed With Diabetes
C) An Adult Presenting For An Influenza Vaccination
D) A Teenager Seeking Information About Contraception
14. An Instructor Is Reviewing The Evolution Of The Nurse's Role In Health Assessment.
The Instructor Determines That The Teaching Was Successful When The Students
Identify Which Of The Following As The Major Method Used By Nurses Early In The
History Of The Profession?
A) Natural Senses
B) Biomedical Knowledge
C) Simple Technology
D) Critical Pathways
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