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Test Bank for Health Assessment in Nursing 7th Edition by Weber and Kelley (FREE PDF)
Test Bank for Health Assessment in Nursing 7th Edition by Weber and Kelley
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Test Bank for Health Assessment in Nursing 7th Editionby Weber and Kelley
, CHAPTER 1: NURSE’S ROLE IN HEALTH ASSESSMENT: COLLECTING AND ANALYZING DATA
1. A registered 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 registered 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
registered 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 registered 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 registered 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 registered 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
,6. In response to a client's query, the registered nurse is explaining the differences
between the physician's medical exam and the comprehensive health assessment
performed by the nurse. The registered 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 learners about the phases of the nursing process, the instructor
determines that the teaching was successful when the learners identify which phase as
being foundational to all other pha ses?
A) Assessment
B) Planning
C) Implementation
D) Evaluation
8. The registered 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 registered nurse periodically performs a partial
assessment primarily for which reason?
A) Reassess previously deteNcted problems
B) Provide information for the client's record
C) Address areas previously omitted
D) Determine the need for crisis intervention
9. The registered nurse is working in an ambulatory care clinic that is located in a busy,
inner-city neighborhood. Which client would the registered 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
10. A registered nurse has completed gathering some basic data about a client who has
multiple health problems that stem from heavy alcohol use. The registered nurse has
then reflected on her personal
feelings about the client and his circumstances. The registered 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 registered nurse is collecting data from a client who has recently been diagnosed
with type 1 diabetes and who will begin an educational program. The registered nurse is
collecting subjective and objective data. Which of the following would the registered
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 registered 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. N
C) Assist the client with personal hygiene.
D) Measure the client's blood glucose four times daily.
13. The registered nurse at a busy primary care clinic is analyzing the data obtained from the
following clients. For which clients would the registered 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 learners identify which
of the following as the major method used by registered nurses early in the history of
the profession? A) Natural senses
B) Biomedical knowledge
C) Simple technology
D) Critical pathways
15. When describing the expansion of the depth and scope of nursing assessment over the
past several decades, which of the following would the registered nurse identify as
being the primary force? A) Documentation
B) Informatics
C) Diversification
D) Technology
16. A group of registered nurses are reviewing information about the potential opportunities
for registered nurses who have advanced assessment skills. When discussing
phenomena that have contributed to these increased opportunities, what should the
registered nurses identify?
A) Expansion of health care networks
B) Decrease in client participation in care
C) The shrinking cost of medical care
D) Public mistrust of physicians
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