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Test Bank for Health Assessment for Nursing Practice 7th Edition by Wilson & Giddens || NCLEX-Style Questions & Answers

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Perfect for nursing students and instructors, this test bank helps with exam preparation, concept review, and understanding key health assessment topics such as physical examination techniques, pain assessment, mental health, nutritional assessment, and more. Each question is designed to mirror the NCLEX format

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Instelling
Health Assessment For Nursing
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Health assessment for nursing

Voorbeeld van de inhoud

Test Bank For Health Assessment for Nursing
Practice 7th Edition by Susan Fickertt Wilson,
Jean Foret Giddens | All Chapters (1-24)

,Chapter 01: Introduction to Health Assessment b-g b-g b-g b-g b-g




MULTIPLE CHOICE b-g




1.Apatient comes to the emergencydepartment and tells the triage nurse that he
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




is ―having a heart attack.‖ What is the nurse‘s top priority at this time?
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




a. Determine the patient‘s personaldata and b-g b-g b-g b-g b-g b-




insurance coverage.
g b-g




b. Ask the patient to take a seat in the waiting
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




room until his name is called.
g b-g b-g b-g b-g b-g




c. Request that a nurse collect data for a b-g b-g b-g b-g b-g b-g b-g b-




comprehensive history.
g b-g




d. Ask a nurse to start a focused assessment
b-g b-g b-g b-g b-g b-g b-g b-




of this patient now.
g b-g b-g b-g




ANSWER: D b-g




The nurse needs to begin an assessment as soon as possible that is focused on this
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




patient‘s cardiovascular system. The type of health assessment performed by the nurse is
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




also driven by patient need. Personal data and insurance information will be obtained, but
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




in this situation, these data can wait until after the patient is assessed. Based also on
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




Maslow‘s hierarchy of needs, physiologic needs take precedence. Rather than asking the
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




patient to wait, the nurse needs to begin data collection, such as vital signs, immediately to
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




determine the patient‘s health status. Complications can be prevented if an immediate
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




assessment is made to analyze the patient‘s symptoms. A comprehensive history is not
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




indicated in this situation at this time. Some subjective data will be collected, such as
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




allergies and medical history related to cardiovascular disease. Eyes, ears, or a complete
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




musculoskeletal or mental health assessment is not a priority at this time.
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




DIF: Cognitive Level: Apply
b - g REF: Box 1-3 | p. 3 b-g b-g b-g b-g b-g b-g b-g b-




TOP: Nursing Process: Assessment
g b-g b-g b-g




MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




Establishing Priorities
g b-g




2. Which situation illustrates a screening assessment?
b-g b-g b-g b-g b-g




a. A patient visits an obstetric clinic for the b-g b-g b-g b-g b-g b-g b-g b-




first time and the nurse conducts a detailed g b-g b-g b-g b-g b-g b-g b-g b-




history and physical examination. g b-g b-g b-g




b. A hospital sponsors a health fair at a local b-g b-g b-g b-g b-g b-g b-g b-g b-




mall and provides cholesterol and blood g b-g b-g b-g b-g b-g b-




pressure checks to mall patrons. g b-g b-g b-g b-g




c. The nurse in an urgent care center checks b-g b-g b-g b-g b-g b-g b-g b-




the vital signs of a patient who is g b-g b-g b-g b-g b-g b-g b-g b-




complaining of leg pain. g b-g b-g b-g

, d. A patient newly diagnosed with diabetes
b-g b-g b-g b-g b-g b-




mellitus comes to test his fasting blood
g b-g b-g b-g b-g b-g b-g b-




glucose level.
g b-g




ANSWER: B b-g




A health fair at a local mall that provides cholesterol and blood pressure checks is an
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




example of a screening assessment focused on disease detection. A detailed history and
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




physical examination conducted during a first-time visit to an obstetric clinic is an example
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




of a comprehensive assessment. Assessing a patient complaining of leg pain in the triage
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




area of an urgent care center is an example of a problem-based/focused assessment. A
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




patient‘s return appointment 1 month after today‘s office visit to report fasting blood
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




glucose levels is an example of an episodic or follow-up assessment.
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




DIF: Cognitive Level: Understand
b - g REF: Box 1-3 | p. 3 b-g b-g b-g b-g b-g b-g b-g b-




TOP: Nursing Process: Assessment
g b-g b-g b-g




MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
b-g b-g b-g b-g b-g b-g b-g b-g b-g




3. For whichperson is a screening assessment indicated?
b-g b-g b-g b-g b-g b-g b-g




a. The person who had abdominal surgery b-g b-g b-g b-g b-g b-




yesterday g




b. The person who is unaware of his high b-g b-g b-g b-g b-g b-g b-g b-




serum glucose levels g b-g b-g




c. The person who is being admitted to a b-g b-g b-g b-g b-g b-g b-g b-




long-term care facility g b-g b-g




d. The person who is beginning rehabilitation b-g b-g b-g b-g b-g b-




after a knee replacement g b-g b-g b-g




ANSWER: B b-g




A screening assessment is performed for the purpose of disease detection. In this case this
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




person may have diabetes mellitus. A shift assessment is most appropriate for the person
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




who is recovering in the hospital from surgery. A comprehensive assessment is performed
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




during admission to a facility to obtain a detailed history and complete physical
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




examination. An episodic or follow-up assessment is performed after knee replacement to
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




evaluate the outcome of the procedure.
g b-g b-g b-g b-g b-g




DIF: Cognitive Level: Understand
b - g REF: Box 1-3 | p. 3 b-g b-g b-g b-g b-g b-g b-g b-




TOP: Nursing Process: Assessment
g b-g b-g b-g




MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




Establishing Priorities
g b-g




4. For whichperson is a shift assessment indicated?
b-g b-g b-g b-g b-g b-g b-g




a. The person who had abdominal surgery b-g b-g b-g b-g b-g b-




yesterday g




b. The person who is unaware of his high b-g b-g b-g b-g b-g b-g b-g b-




serum glucose levels g b-g b-g




c. The person who is being admitted to a b-g b-g b-g b-g b-g b-g b-g b-




long-term care facility g b-g b-g




d. The person who is beginning rehabilitation b-g b-g b-g b-g b-g




after a knee replacement b-g b-g b-g




ANSWER: A b-g




A shift assessment is most appropriate for the person who is recovering in the hospital
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




from surgery. A screening assessment is performed for the purpose of disease detection,
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




in this case diabetes mellitus. A comprehensive assessment is performed during
g b-g b-g b-g b-g b - g b-g b-g b-g b-g b-g b-




admission to a
g b-g b-g

, facility to obtain a detailed history and complete physical examination. An episodic or
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




follow-up assessment is performed after knee replacement to evaluate the outcome of the
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




procedure.
g




DIF: Cognitive Level: Understand
b - g REF: Box 1-3 | p. 4 b-g b-g b-g b-g b-g b-g b-g b-




TOP: Nursing Process: Assessment
g b-g b-g b-g




MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




Establishing Priorities
g b-g




5. For which person is a comprehensive assessment indicated?
b-g b-g b-g b-g b-g b-g b-g




a. The person who had abdominal surgery b-g b-g b-g b-g b-g b-




yesterday g




b. The person who is unaware of his high b-g b-g b-g b-g b-g b-g b-g b-




serum glucose levels g b-g b-g




c. The person who is being admitted to a b-g b-g b-g b-g b-g b-g b-g b-




long-term care facility g b-g b-g




d. The person who is beginning rehabilitation b-g b-g b-g b-g b-g b-




after a knee replacement g b-g b-g b-g




ANSWER: C b-g




Acomprehensive assessment is performed during admission to a facilityto obtain a
-g
b b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




detailed history and complete physical examination. A shift assessment is most appropriate
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




for the person who is recovering in the hospital from surgery. A screening assessment is
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




performed for the purpose of disease detection, in this case diabetes mellitus. An
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




episodic or follow-up assessment is performed after knee replacement to evaluate the
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




outcome of the procedure.
g b-g b-g b-g




DIF: Cognitive Level: Understand
b - g REF: Box 1-3 | p. 3 b-g b-g b-g b-g b-g b-g b-g b-




TOP: Nursing Process: Assessment
g b-g b-g b-g




MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




Establishing Priorities
g b-g




6. For whichperson is an episodic or follow-up assessment indicated?
b-g b-g b-g b-g b-g b-g b-g b-g b-g




a. The person who had abdominal surgery b-g b-g b-g b-g b-g b-




yesterday g




b. The person who is unaware of his high b-g b-g b-g b-g b-g b-g b-g b-




serum glucose levels g b-g b-g




c. The person who is being admitted to a b-g b-g b-g b-g b-g b-g b-g b-




long-term care facility g b-g b-g




d. The person who is beginning rehabilitation b-g b-g b-g b-g b-g b-




after a knee replacement g b-g b-g b-g




ANSWER: D b-g




An episodic or follow-up assessment is performed after the knee replacement to evaluate
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




the outcome of the procedure. A shift assessment is most appropriate for the person who is
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




recovering in the hospital from surgery. A screening assessment is performed for the
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




purpose of disease detection, in this case diabetes mellitus. A comprehensive assessment is
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




performed during admission to a facility to obtain a detailed history and complete physical
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




examination.
g




DIF: Cognitive Level: Understand
b - g b-g b-g REF: Box 1-3 | p. 3b-g b-g b-g b-g b-g b-




TOP: Nursing Process: Assessment
g b-g b-g b-g

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