Test Bank For Health Assessment in

Nursing, 3 Har/Cdr edition: Janet R.

Weber
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4. Before meeting the client and performing a comprehensive health assessment, what
would be most important for the nurse to do?
A) Review the client's medical record. C) Consult essential resources.
B) Obtain basic biographic data. D) Validate information with the client.
Ans: A
Difficulty: Difficult
Feedback:
To help identify areas needing validation, the nurse should review the client's previous
data in the medical record.

5. Which situation would require an emergency assessment by the nurse?

A) A client with severe sunburn
B) A client who needs a work physical exam
C) A client who took a drug overdose
D) A client who wants a pregnancy test
Ans: C
Difficulty: Moderate
Feedback:
An emergency assessment is a rapid assessment performed in life-threatening situations
to make an immediate diagnosis to provide prompt treatment.

6. In comparison with the physician's medical exam, the comprehensive health assessment
performed by the nurse should focus on which aspect?
A) Current physiologic status C) Past medical history
B) Effect of health on lifestyle D) Motivation for compliance
Ans: B
Difficulty: Difficult
Feedback:
The comprehensive health assessment focuses on how the client's health status affects
the activities of daily living and how the client's activities and choices affect the health
status.

7. The nurse recognizes which phase of the nursing process as most critical?
A) Assessment B) Planning C) Implementation D) Evaluation
Ans: A
Difficulty: Moderate
Feedback:
The collection of subjective and objective data provides the basis for making clinical
judgments and planning individualized care that affects the client's health status.

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 8. Following completion of the comprehensive health assessment, a partial assessment
should be performed periodically for which purpose?
A) To reassess previously detected problems
B) To provide information for the client's record
C) To address areas previously omitted
D) To determine the need for crisis intervention
Ans: A
Difficulty: Moderate
Feedback:
A periodic mini-overview of the client's body systems and holistic health patterns detect
any deterioration or improvement of problems in the baseline data.

9. Which client in an ambulatory care clinic would 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 35-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
Ans: B
Difficulty: Moderate
Feedback:
Chest pain in a young man is considered an emergency situation requiring immediate
assessment and care because it is a life-threatening situation.

10. What is the primary purpose of reflecting on personal feelings about the client after
gathering initial data but before initial client contact?
A) To determine whether pertinent data has been omitted
B) To determine the need for referral
C) To avoid biases and judgments
D) To construct a plan of care
Ans: C
Difficulty: Easy
Feedback:
During the comprehensive health assessment, the nurse needs to be as objective as
possible avoiding biases and judgments about the client. Examining one's feelings
about a client's situation facilitates a more objective encounter.

11. Which data is considered objective?

A) Religion B) Occupation C) Appearance D) Age
Ans: C
Difficulty: Moderate
Feedback:
Appearance is directly observed by the nurse and is considered objective.

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12. What nursing action would be implemented in response to a collaborative process?
A) Encouraging oral fluids C) Providing bedtime protein snack
B) Assisting with bath and feeding D) Taking blood glucose twice daily
Ans: D
Difficulty: Difficult
Feedback:
Collaborative problems are certain physiologic complications that nurses monitor to
detect onset or changes in status. Nurses manage collaborative problems using
prescribed interventions to minimize complications.

13. The nurse should facilitate a referral for which client?

A) An 80-year-old client who lives with her daughter
B) A 50-year-old client newly diagnosed with diabetes
C) A 3-year-old child with an acute ear infection
D) A teenager seeking information about contraception
Ans: B
Difficulty: Easy
Feedback:
During the comprehensive assessment, the nurse identifies problems that require the
assistance of other health care professionals. A newly diagnosed diabetic patient would
benefit from a referral to a diabetes education program.

14. In early nursing, what was used by nurses when performing physical assessments?
A) Natural senses C) Biomedical knowledge
B) Technology D) Critical pathways
Ans: A
Difficulty: Moderate
Feedback:
Early nursing assessment was based on observation of the client's face and body for
changes indicating improvement or deterioration of the client's condition.

15. What advancement has been primarily responsible for expanding the nursing assessment
over the past decade?
A) Documentation B) Informatics C) Diversification D) Technology
Ans: D
Difficulty: Moderate
Feedback:
Technology has provided the nurse with retrieval of assessment data and medical-
nursing resources to facilitate independent diagnostic judgments for clients across the
lifespan.

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16. In the future, nurses with advanced assessment skills will serve primarily in what
capacity?
A) To expand health care networks
B) To decrease client participation in care
C) To restrain the cost of medical care
D) To broaden the base of biomedical data
Ans: A
Difficulty: Difficult
Feedback:
Nurses with advanced assessment skills and knowledge of informatics will be able to
provide primary care to underserved clients in diverse settings, which will broaden the
health care network.

17. Why is accurate and thorough documentation vital?

A) It guarantees a continual assessment process.
B) It identifies abnormal data.
C) It ensures valid conclusions from analyzed data.
D) It draws inferences and identifies problems.
Ans: C
Difficulty: Difficult
Feedback:
Documentation forms the basis for the entire nursing process and provides data that
ensures valid conclusions from the analyzed data.

18. What is the correct order of the assessment phase of the nursing process?
A) Subjective, objective, validation, documentation
B) Objective, subjective, validation, documentation
C) Subjective, objective, documentation, validation
D) Objective, subjective, documentation, validation
Ans: A
Difficulty: Moderate
Feedback:
Subjective then objective assessment data should be followed by validation and then
documentation of data.

19. Which is an example of subjective data?

A) Happiness B) Posture C) Mood D) Behavior
Ans: A
Difficulty: Moderate
Feedback:
Subjective data are sensations or symptoms. Happiness is a sensation and therefore
subjective.

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20. Which statement is accurate regarding a focused assessment?
A) It is done before the physical exam.
B) It takes the place of the comprehensive database.
C) It assesses a particular client problem.
D) It is done after gathering subjective data.
Ans: C
Difficulty: Moderate
Feedback:
A focused assessment gathers specific data for a particular client problem usually
discovered during the physical exam. This assessment "focuses" on the particular
problem only.

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