TEST BANK For Health Assessment in Nursing, 7th Edition by
Weber, Verified Chapters 1 - 34, Complete Newest Version
Page 1
,Chapter 1
1. A nurse on a postsurgical unit is admitting a patient following the patient's
cholecystectomy (gall bladder removal). What is the overall purpose of assessment for
this patient?
A) Collecting accurate data
B) Assisting the primary care provider
C) Validating previous data
D) Making clinical judgments
2. A patient has presented to the emergency department (ED) with complaints of
abdominalpain. Which member of the care team would most likely be responsible for
collecting the subjective data on the patient 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 patient and is
applying the nursing process to plan the patient's care. What principle should the nurse
apply whenusing 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 patient and
perform a comprehensive health assessment. Which of the following actions should the
nurse perform first?
A) Review the patient's medical record.
B) Obtain basic biographic data.
C) Consult clinical resources explaining the patient's diagnosis.
D) Validate information with the patient.
5. Which of the following patient situations would the nurse interpret as requiring
anemergency assessment?
A) A pediatric patient with severe sunburn
B) A patient needing an employment physical
C) A patient who overdosed on acetaminophen
D) A distraught patient who wants a pregnancy test
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,6. In response to a patient'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 patient'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 patient who has
beenadmitted 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 patient'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 patient 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 patient who has multiple
healthproblems that stem from heavy alcohol use. The nurse has then reflected on her
personalfeelings about the patient 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 patient 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 patient 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 patient to increase oral fluid intake.
B) Provide the patient with a bedtime protein snack.
C) Assist the patient with personal hygiene.
D) Measure the patient's blood glucose four times daily.
13. The nurse at a busy primary care clinic is analyzing the data obtained from the
following patients. For which patients would the nurse most likely expect to
facilitate areferral?
A) An 80-year-old patient who lives with her daughter
B) A 50-year-old patient 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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.
,15. When describing the expansion of the depth and scope of nursing assessment over the
past several decades, which of the following would the nurse identify as being the
primary force?
A) Documentation
B) Informatics
C) Diversification
D) Technology
16. A group of nurses are reviewing information about the potential opportunities for nurses
who have advanced assessment skills. When discussing phenomena that have
contributed to these increased opportunities, what should the nurses identify?
A) Expansion of health care networks
B) Decrease in patient participation in care
C) The shrinking cost of medical care
D) Public mistrust of physicians
17. A nurse has documented the findings of a comprehensive assessment of a new
patient. What is the primary rationale that the nurse should identify for accurate and
thoroughdocumentation?
A) Guaranteeing a continual assessment process
B) Identifying abnormal data
C) Assuring valid conclusions from analyzed data
D) Allowing for drawing inferences and identifying problems
18. A nurse has received a report on a patient who will soon be admitted to the medical
unitfrom the emergency department. When preparing for the assessment phase of the
nursing process, which of the following should the nurse do first?
A) Collect objective data.
B) Validate important data.
C) Collect subjective data.
D) Document the data.
19. A community health nurse is assessing an older adult patient in the patient's home.
Whenthe nurse is gathering subjective data, which of the following would the nurse
identify?
A) The patient's feelings of happiness
B) The patient's posture
C) The patient's affect
D) The patient's behavior
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, 20. A nurse on the hospital's subacute medical unit is planning to perform a patient's
focusedassessment. Which of the following statements should inform the nurse's
practice?
A) The focused assessment should be done before the physical exam.
B) The focused assessment replaces the comprehensive database.
C) The focused assessment addresses a particular patient problem.
D) The focused assessment is done after gathering subjective data.
21. The nurse is reviewing a patient's health history and the results of the most recent
physical examination. Which of the following data would the nurse identify as being
subjective? Select all that apply.
A) ìI feel so tired sometimes.î
B) Weight: 145 lbs
C) Lungs clear to auscultation
D) Patient complains of a headache
E) ìMy father died of a heart attack.î
F) Pupils equal, round, and reactive to light
22. The nurse has been applying the nursing process in the care of an adult patient who
is being treated for acute pancreatitis. Place the nurse's actions in their proper
sequencefrom first to last.
A) Identifying outcomes
B) Determining patient's nursing problem
C) Collecting information about the
patient
D) Determining outcome achievement
E) Carrying out interventions
23. A nurse is completing an assessment that will involve gathering subjective and objective
data. Which of the following assessment techniques will best allow the nurse to collect
objective data?
A) Inspection
B) Therapeutic communication
C) Interviewing
D) Active listening
24. The nurse is performing a health assessment on a community-dwelling patient who
is recovering from hip replacement surgery. Which of the following actions should
thenurse prioritize during assessment?
A) Focus the assessment on the patient as a member of her age group.
B) Interpret the information about the patient in context.
C) Corroborate the patient's statements with trusted sources.
D) Gather information from a variety of sources.
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