Chapter 13 Health Assessment in Nursing 5th Edition by Janet R. Weber, Jane H. Kelley

Chapter 13 Health Assessment in Nursing 5th Edition by Janet R. Weber, Jane H. Kelley

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

1. Assessment of a client reveals a history of insulin-dependent diabetes mellitus, weight
loss, polyuria, poor skin turgor, nausea, loss of appetite, and a blood glucose level
measured by finger stick of 348 mg/dL. Which of the following nursing diagnoses
would be the nurse’s priority?
A) Risk for imbalanced fluid volume related to inadequate oral intake and frequent
urination
B) Imbalanced nutrition: more than body requirements related to diabetes
C) Potential complication: hypertension
D) Powerlessness related to diabetes self-care and management
2. The nurse’s assessment reveals that a client is in a low percentile for midarm muscle
circumference (MAMC) and a high percentile for triceps skin fold (TSF) thickness.
Which of the following would be appropriate?
A) Teaching the client muscle-building exercises
B) Discussing ways to increase body fat stores
C) Assisting client in reducing the amount of fluid build-up
D) Encouraging the use of a multivitamin supplement
3. An adult client weighs 175 pounds and is 5 feet 6 inches tall. The nurse determines that
the client’s body mass index is which of the following?
A) 12
B) 18
C) 25
D) 28
4. A client weighs 106 pounds and is 5 feet 5 inches tall. As a result, her ideal body weight
is 120 pounds. After determining the client’s percentage of ideal body weight, which of
the following should the nurse conclude?
A) Client is mildly malnourished.
B) Client is experiencing moderate malnutrition.
C) Severe malnutrition is present.
D) The client’s body weight is within 10% of ideal body weight.
5. A nurse is reviewing the laboratory test results of an adult client who has numerous
chronic health challenges. Which assessment result would alert the nurse to potential
malnutrition?
A) Hemoglobin of 13.1 g/dL
B) Hematocrit of 40%
C) Serum albumin of 2.6 g/dL
D) Total protein of 7 g/dL

Answer Key
1. A
2. A
3. D
4. A
5. C