Test Bank for Health Assessment for
bt bt bt bt bt
Nursing Practice 7th Edition by Wilson
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Chapter 1 - 24
bt bt bt bt
,Chapter 01: Introduction to Health Assessment bt bt bt bt bt
MULTIPLE CHOICE bt
1. A patient comes to the emergency department and tells the triage nurse that
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bt heis ―having a heart attack.‖ What is the nurse‘s top priority at this time?
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
a. Determine the patient‘s personal data bt bt bt bt
andinsurance coverage. bt bt bt
b. Ask the patient to take a seat in the
bt bt bt bt bt bt bt bt
waitingroom until his name is called.
bt bt bt bt bt bt bt
c. Request that a nurse collect data for bt bt bt bt bt bt
acomprehensive history.
bt bt bt
d. Ask a nurse to start a focused
bt bt bt bt bt bt
assessmentof this patient now.
bt bt bt bt bt
ANSWER: D bt
The nurse needs to begin an assessment as soon as possible that is focused on this
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
patient‘scardiovascular system. The type of health assessment performed by the nurse is
bt bt bt bt bt bt bt bt bt bt bt bt bt
also drivenby patient need. Personal data and insurance information will be obtained, but
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
in this situation, these data can wait until after the patient is assessed. Based also on
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
Maslow‘s hierarchy of needs, physiologic needs take precedence. Rather than asking the
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patient to wait, the nurse needs to begin data collection, such as vital signs, immediately
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
to determinethe patient‘s health status. Complications can be prevented if an immediate
bt bt bt bt bt bt bt bt bt bt bt bt bt
assessment is made to analyze the patient‘s symptoms. A comprehensive history is not
bt bt bt bt bt bt bt bt bt bt bt bt bt
indicated in this situation at this time. Some subjective data will be collected, such as
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
allergies and medical history related to cardiovascular disease. Eyes, ears, or a complete
bt bt bt bt bt bt bt bt bt bt bt bt bt
musculoskeletal or mental health assessment is not a priority at this time.
bt bt bt bt bt bt bt bt bt bt bt bt
DIF: Cognitive Level: Apply
bt bt b t REF: Box 1-3 | p. bt bt bt bt bt bt
3TOP: Nursing Process: Assessment
bt bt bt bt bt
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
bt bt bt bt bt bt bt bt bt bt
Care:Establishing Priorities
bt bt bt
2. Which situation illustrates a screening assessment?
bt bt bt bt bt
a. A patient visits an obstetric clinic for the bt bt bt bt bt bt bt
first time and the nurse conducts a bt bt bt bt bt bt bt
detailedhistoryand physical examination. bt bt bt bt bt
b. A hospital sponsors a health fair at a bt bt bt bt bt bt bt
localmall and provides cholesterol and bt bt bt bt bt bt
blood pressure checks to mall patrons. bt bt bt bt bt bt
c. The nurse in an urgent care center bt bt bt bt bt bt
checksthe vital signs of a patient who is bt bt bt bt bt bt bt bt bt
complaining of leg pain. bt bt bt bt
, d. A patient newly diagnosed with
bt bt bt bt
diabetesmellitus comes to test his
bt bt bt bt bt bt
fasting blood glucose level.
bt bt bt bt
ANSWER: B bt
A health fair at a local mall that provides cholesterol and blood pressure checks is an
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
example of a screening assessment focused on disease detection. A detailed history and
bt bt bt bt bt bt bt bt bt bt bt bt bt
physical examination conducted during a first-time visit to an obstetric clinic is an
bt bt bt bt bt bt bt bt bt bt bt bt bt
exampleof a comprehensive assessment. Assessing a patient complaining of leg pain in
bt bt bt bt bt bt bt bt bt bt bt bt bt
the triage area of an urgent care center is an example of a problem-based/focused
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
assessment. A patient‘s return appointment 1 month after today‘s office visit to report
bt bt bt bt bt bt bt bt bt bt bt bt bt
fasting blood glucose levels is an example of an episodic or follow-up assessment.
bt bt bt bt bt bt bt bt bt bt bt bt bt
DIF: Cognitive Level: Understand
bt bt b t REF: Box 1-3 | p. bt bt bt bt bt bt
3TOP: Nursing Process: Assessment
bt bt bt bt bt
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
bt bt bt bt bt bt bt bt bt
3. For which person is a screening assessment indicated?
bt bt bt bt bt bt bt
a. The person who had abdominal bt bt bt bt
surgeryyesterday bt bt
b. The person who is unaware of his
bt bt bt bt bt bt
highserum glucose levels
bt bt bt bt
c. The person who is being admitted to
bt bt bt bt bt bt
along-term care facility
bt bt bt bt
d. The person who is beginning
bt bt bt bt
rehabilitationafter a knee replacement
bt bt bt bt bt
ANSWER: B bt
A screening assessment is performed for the purpose of disease detection. In this case
bt bt bt bt bt bt bt bt bt bt bt bt bt
thisperson may have diabetes mellitus. A shift assessment is most appropriate for the
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
person who is recovering in the hospital from surgery. A comprehensive assessment is
bt bt bt bt bt bt bt bt bt bt bt bt bt
performedduring admission to a facility to obtain a detailed history and complete
bt bt bt bt bt bt bt bt bt bt bt bt bt
physical examination. An episodic or follow-up assessment is performed after knee
bt bt bt bt bt bt bt bt bt bt bt
replacement toevaluate the outcome of the procedure.
bt bt bt bt bt bt bt bt
DIF: Cognitive Level: Understand
bt bt b t REF: Box 1-3 | p. bt bt bt bt bt bt
3TOP: Nursing Process: Assessment
bt bt bt bt bt
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
bt bt bt bt bt bt bt bt bt bt
Care:Establishing Priorities
bt bt bt
4. For which person is a shift assessment indicated?
bt bt bt bt bt bt bt
a. The person who had abdominal bt bt bt bt
surgeryyesterday bt bt
b. The person who is unaware of his bt bt bt bt bt bt
highserum glucose levels bt bt bt bt
c. The person who is being admitted to a bt bt bt bt bt bt bt
long-term care facility bt bt
d. The person who is beginning bt bt bt bt
rehabilitationafter a knee replacement bt bt bt bt bt
ANSWER: A bt
A shift assessment is most appropriate for the person who is recovering in the hospital
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
fromsurgery. A screening assessment is performed for the purpose of disease detection, in
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
this case diabetes mellitus. A comprehensive assessment is performed during admission to a
bt bt bt bt bt bt bt bt bt bt bt bt bt
, facility to obtain a detailed history and complete physical examination. An episodic or
bt bt bt bt bt bt bt bt bt bt bt bt
follow-up assessment is performed after knee replacement to evaluate the outcome of
bt bt bt bt bt bt bt bt bt bt bt bt
theprocedure.
bt bt
DIF: Cognitive Level: Understand
bt bt b t REF: Box 1-3 | p. bt bt bt bt bt bt
4TOP: Nursing Process: Assessment
bt bt bt bt bt
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
bt bt bt bt bt bt bt bt bt bt
Care:Establishing Priorities
bt bt bt
5. For which person is a comprehensive assessment indicated?
bt bt bt bt bt bt bt
a. The person who had abdominal bt bt bt bt
surgeryyesterday bt bt
b. The person who is unaware of his bt bt bt bt bt bt
highserum glucose levels bt bt bt bt
c. The person who is being admitted to bt bt bt bt bt bt
along-term care facility bt bt bt bt
d. The person who is beginning bt bt bt bt
rehabilitationafter a knee replacement bt bt bt bt bt
ANSWER: C bt
A comprehensive assessment is performed during admission to a facilityto obtain a
bt bt bt bt bt bt bt bt bt bt bt bt
detailed history and complete physical examination. A shift assessment is most
bt bt bt bt bt bt bt bt bt bt
appropriatefor the person who is recovering in the hospital from surgery. A screening
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
assessment is performed for the purpose of disease detection, in this case diabetes
bt bt bt bt bt bt bt bt bt bt bt bt bt
mellitus. An episodic or follow-up assessment is performed after knee replacement to
bt bt bt bt bt bt bt bt bt bt bt bt
evaluate the outcome of the procedure.
bt bt bt bt bt bt
DIF: Cognitive Level: Understand
bt bt b t REF: Box 1-3 | p. bt bt bt bt bt bt
3TOP: Nursing Process: Assessment
bt bt bt bt bt
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
bt bt bt bt bt bt bt bt bt bt
Care:Establishing Priorities
bt bt bt
6. For which person is an episodic or follow-up assessment indicated?
bt bt bt bt bt bt bt bt bt
a. The person who had abdominal bt bt bt bt
surgeryyesterday bt bt
b. The person who is unaware of his bt bt bt bt bt bt
highserum glucose levels bt bt bt bt
c. The person who is being admitted to a bt bt bt bt bt bt bt
long-term care facility bt bt
d. The person who is beginning bt bt bt bt
rehabilitationafter a knee replacement bt bt bt bt bt
ANSWER: D bt
An episodic or follow-up assessment is performed after the knee replacement to evaluate
bt bt bt bt bt bt bt bt bt bt bt bt
the outcome of the procedure. A shift assessment is most appropriate for the person who
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
isrecovering in the hospital from surgery. A screening assessment is performed for the
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
purpose of disease detection, in this case diabetes mellitus. A comprehensive assessment is
bt bt bt bt bt bt bt bt bt bt bt bt bt
performed during admission to a facility to obtain a detailed history and complete
bt bt bt bt bt bt bt bt bt bt bt bt bt
physicalexamination.
bt bt
DIF: Cognitive Level: Understand
bt bt b t bt bt REF: Box 1-3 | p. bt bt bt bt
3TOP: Nursing Process: Assessment
bt bt bt bt bt
bt bt bt bt bt
Nursing Practice 7th Edition by Wilson
bt bt bt bt bt bt
Chapter 1 - 24
bt bt bt bt
,Chapter 01: Introduction to Health Assessment bt bt bt bt bt
MULTIPLE CHOICE bt
1. A patient comes to the emergency department and tells the triage nurse that
bt bt bt bt bt bt bt bt bt bt bt bt
bt heis ―having a heart attack.‖ What is the nurse‘s top priority at this time?
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
a. Determine the patient‘s personal data bt bt bt bt
andinsurance coverage. bt bt bt
b. Ask the patient to take a seat in the
bt bt bt bt bt bt bt bt
waitingroom until his name is called.
bt bt bt bt bt bt bt
c. Request that a nurse collect data for bt bt bt bt bt bt
acomprehensive history.
bt bt bt
d. Ask a nurse to start a focused
bt bt bt bt bt bt
assessmentof this patient now.
bt bt bt bt bt
ANSWER: D bt
The nurse needs to begin an assessment as soon as possible that is focused on this
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
patient‘scardiovascular system. The type of health assessment performed by the nurse is
bt bt bt bt bt bt bt bt bt bt bt bt bt
also drivenby patient need. Personal data and insurance information will be obtained, but
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
in this situation, these data can wait until after the patient is assessed. Based also on
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
Maslow‘s hierarchy of needs, physiologic needs take precedence. Rather than asking the
bt bt bt bt bt bt bt bt bt bt bt bt
patient to wait, the nurse needs to begin data collection, such as vital signs, immediately
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
to determinethe patient‘s health status. Complications can be prevented if an immediate
bt bt bt bt bt bt bt bt bt bt bt bt bt
assessment is made to analyze the patient‘s symptoms. A comprehensive history is not
bt bt bt bt bt bt bt bt bt bt bt bt bt
indicated in this situation at this time. Some subjective data will be collected, such as
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
allergies and medical history related to cardiovascular disease. Eyes, ears, or a complete
bt bt bt bt bt bt bt bt bt bt bt bt bt
musculoskeletal or mental health assessment is not a priority at this time.
bt bt bt bt bt bt bt bt bt bt bt bt
DIF: Cognitive Level: Apply
bt bt b t REF: Box 1-3 | p. bt bt bt bt bt bt
3TOP: Nursing Process: Assessment
bt bt bt bt bt
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
bt bt bt bt bt bt bt bt bt bt
Care:Establishing Priorities
bt bt bt
2. Which situation illustrates a screening assessment?
bt bt bt bt bt
a. A patient visits an obstetric clinic for the bt bt bt bt bt bt bt
first time and the nurse conducts a bt bt bt bt bt bt bt
detailedhistoryand physical examination. bt bt bt bt bt
b. A hospital sponsors a health fair at a bt bt bt bt bt bt bt
localmall and provides cholesterol and bt bt bt bt bt bt
blood pressure checks to mall patrons. bt bt bt bt bt bt
c. The nurse in an urgent care center bt bt bt bt bt bt
checksthe vital signs of a patient who is bt bt bt bt bt bt bt bt bt
complaining of leg pain. bt bt bt bt
, d. A patient newly diagnosed with
bt bt bt bt
diabetesmellitus comes to test his
bt bt bt bt bt bt
fasting blood glucose level.
bt bt bt bt
ANSWER: B bt
A health fair at a local mall that provides cholesterol and blood pressure checks is an
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
example of a screening assessment focused on disease detection. A detailed history and
bt bt bt bt bt bt bt bt bt bt bt bt bt
physical examination conducted during a first-time visit to an obstetric clinic is an
bt bt bt bt bt bt bt bt bt bt bt bt bt
exampleof a comprehensive assessment. Assessing a patient complaining of leg pain in
bt bt bt bt bt bt bt bt bt bt bt bt bt
the triage area of an urgent care center is an example of a problem-based/focused
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
assessment. A patient‘s return appointment 1 month after today‘s office visit to report
bt bt bt bt bt bt bt bt bt bt bt bt bt
fasting blood glucose levels is an example of an episodic or follow-up assessment.
bt bt bt bt bt bt bt bt bt bt bt bt bt
DIF: Cognitive Level: Understand
bt bt b t REF: Box 1-3 | p. bt bt bt bt bt bt
3TOP: Nursing Process: Assessment
bt bt bt bt bt
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
bt bt bt bt bt bt bt bt bt
3. For which person is a screening assessment indicated?
bt bt bt bt bt bt bt
a. The person who had abdominal bt bt bt bt
surgeryyesterday bt bt
b. The person who is unaware of his
bt bt bt bt bt bt
highserum glucose levels
bt bt bt bt
c. The person who is being admitted to
bt bt bt bt bt bt
along-term care facility
bt bt bt bt
d. The person who is beginning
bt bt bt bt
rehabilitationafter a knee replacement
bt bt bt bt bt
ANSWER: B bt
A screening assessment is performed for the purpose of disease detection. In this case
bt bt bt bt bt bt bt bt bt bt bt bt bt
thisperson may have diabetes mellitus. A shift assessment is most appropriate for the
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
person who is recovering in the hospital from surgery. A comprehensive assessment is
bt bt bt bt bt bt bt bt bt bt bt bt bt
performedduring admission to a facility to obtain a detailed history and complete
bt bt bt bt bt bt bt bt bt bt bt bt bt
physical examination. An episodic or follow-up assessment is performed after knee
bt bt bt bt bt bt bt bt bt bt bt
replacement toevaluate the outcome of the procedure.
bt bt bt bt bt bt bt bt
DIF: Cognitive Level: Understand
bt bt b t REF: Box 1-3 | p. bt bt bt bt bt bt
3TOP: Nursing Process: Assessment
bt bt bt bt bt
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
bt bt bt bt bt bt bt bt bt bt
Care:Establishing Priorities
bt bt bt
4. For which person is a shift assessment indicated?
bt bt bt bt bt bt bt
a. The person who had abdominal bt bt bt bt
surgeryyesterday bt bt
b. The person who is unaware of his bt bt bt bt bt bt
highserum glucose levels bt bt bt bt
c. The person who is being admitted to a bt bt bt bt bt bt bt
long-term care facility bt bt
d. The person who is beginning bt bt bt bt
rehabilitationafter a knee replacement bt bt bt bt bt
ANSWER: A bt
A shift assessment is most appropriate for the person who is recovering in the hospital
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
fromsurgery. A screening assessment is performed for the purpose of disease detection, in
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
this case diabetes mellitus. A comprehensive assessment is performed during admission to a
bt bt bt bt bt bt bt bt bt bt bt bt bt
, facility to obtain a detailed history and complete physical examination. An episodic or
bt bt bt bt bt bt bt bt bt bt bt bt
follow-up assessment is performed after knee replacement to evaluate the outcome of
bt bt bt bt bt bt bt bt bt bt bt bt
theprocedure.
bt bt
DIF: Cognitive Level: Understand
bt bt b t REF: Box 1-3 | p. bt bt bt bt bt bt
4TOP: Nursing Process: Assessment
bt bt bt bt bt
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
bt bt bt bt bt bt bt bt bt bt
Care:Establishing Priorities
bt bt bt
5. For which person is a comprehensive assessment indicated?
bt bt bt bt bt bt bt
a. The person who had abdominal bt bt bt bt
surgeryyesterday bt bt
b. The person who is unaware of his bt bt bt bt bt bt
highserum glucose levels bt bt bt bt
c. The person who is being admitted to bt bt bt bt bt bt
along-term care facility bt bt bt bt
d. The person who is beginning bt bt bt bt
rehabilitationafter a knee replacement bt bt bt bt bt
ANSWER: C bt
A comprehensive assessment is performed during admission to a facilityto obtain a
bt bt bt bt bt bt bt bt bt bt bt bt
detailed history and complete physical examination. A shift assessment is most
bt bt bt bt bt bt bt bt bt bt
appropriatefor the person who is recovering in the hospital from surgery. A screening
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
assessment is performed for the purpose of disease detection, in this case diabetes
bt bt bt bt bt bt bt bt bt bt bt bt bt
mellitus. An episodic or follow-up assessment is performed after knee replacement to
bt bt bt bt bt bt bt bt bt bt bt bt
evaluate the outcome of the procedure.
bt bt bt bt bt bt
DIF: Cognitive Level: Understand
bt bt b t REF: Box 1-3 | p. bt bt bt bt bt bt
3TOP: Nursing Process: Assessment
bt bt bt bt bt
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
bt bt bt bt bt bt bt bt bt bt
Care:Establishing Priorities
bt bt bt
6. For which person is an episodic or follow-up assessment indicated?
bt bt bt bt bt bt bt bt bt
a. The person who had abdominal bt bt bt bt
surgeryyesterday bt bt
b. The person who is unaware of his bt bt bt bt bt bt
highserum glucose levels bt bt bt bt
c. The person who is being admitted to a bt bt bt bt bt bt bt
long-term care facility bt bt
d. The person who is beginning bt bt bt bt
rehabilitationafter a knee replacement bt bt bt bt bt
ANSWER: D bt
An episodic or follow-up assessment is performed after the knee replacement to evaluate
bt bt bt bt bt bt bt bt bt bt bt bt
the outcome of the procedure. A shift assessment is most appropriate for the person who
bt bt bt bt bt bt bt bt bt bt bt bt bt bt bt
isrecovering in the hospital from surgery. A screening assessment is performed for the
bt bt bt bt bt bt bt bt bt bt bt bt bt bt
purpose of disease detection, in this case diabetes mellitus. A comprehensive assessment is
bt bt bt bt bt bt bt bt bt bt bt bt bt
performed during admission to a facility to obtain a detailed history and complete
bt bt bt bt bt bt bt bt bt bt bt bt bt
physicalexamination.
bt bt
DIF: Cognitive Level: Understand
bt bt b t bt bt REF: Box 1-3 | p. bt bt bt bt
3TOP: Nursing Process: Assessment
bt bt bt bt bt
