Health Assessment in Nursing 5th Edition by Janet R. Weber Jane H. Kelley - Test Bank

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 for

this 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) B) C) D) A pediatric client with severe sunburn

A client needing an employment physical

A client who overdosed on acetaminophen

A distraught client who wants a pregnancy test

Page 16. 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

Page 210. 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.