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 ju...
Health Assessment in Nursing Weber & Kelley 5th
edition complete (Ch 1-34)
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 - ANSWER- 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 - ANSWER- B) ED nurse
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. - ANSWER- B) It is ongoing and continuous.
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. - ANSWER- A) Review the client's medical record.
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 - ANSWER- C) A client who overdosed on
acetaminophen
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 - ANSWER- B) Effect of health on functional status
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 - ANSWER- A) Assessment
,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 - ANSWER- A) Reassess previously detected problems
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 - ANSWER- B) A 45-year-old man with
chest pain and diaphoresis for 1 hour
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 - ANSWER- C) Avoid biases and judgments
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 - ANSWER- C) Appearance
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. - ANSWER- 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 - ANSWER- B) A 50-year-old client newly
diagnosed with diabetes
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 - ANSWER- A) Natural senses
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