TEST BANK FOR HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION BY SUSAN
FICKERTT WILSON JEAN FORET GIDDENS | 9780323661195 | CHAPTER 1- 24 | ALL CHAPTERS
WITH ANSWERS AND RATIONALS
01: Introduction to Health Assessment
M M M M
MULTIPLE CHOICE M
1. A patient comes to the emergency department and tells the triage nurse that he
M M M M M M M M M M M M M
is “having a heart attack.” What is the nurse’s top priority at this time?
M M M M M M M M M M M M M M
a. Determine the patient’s personal data and M M M M M
insurance coverage. M M
b. Ask the patient to take a seat in the waiting
M M M M M M M M M
room until his name is called.
M M M M M M
c. Request that a nurse collect data for a M M M M M M M
comprehensive history.
M M
d. Ask a nurse to start a focused assessment
M M M M M M M
of this patient now.
M M M M
ANSWER: D M
The nurse needs to begin an assessment as soon as possible that is focused on this
M M M M M M M M M M M M M M M
patient’s cardiovascular system. The type of health assessment performed by the nurse is
M M M M M M M M M M M M M
also driven by patient need. Personal data and insurance information will be obtained, but
M M M M M M M M M M M M M M
in this situation, these data can wait until after the patient is assessed. Based also on
M M M M M M M M M M M M M M M M
Maslow’s hierarchy of needs, physiologic needs take precedence. Rather than asking the
M M M M M M M M M M M M
patient to wait, the nurse needs to begin data collection, such as vital signs, immediately
M M M M M M M M M M M M M M M
to determine the patient’s health status. Complications can be prevented if an immediate
M M M M M M M M M M M M M
assessment is made to analyze the patient’s symptoms. A comprehensive history is not
M M M M M M M M M M M M M
indicated in this situation at this time. Some subjective data will be collected, such as
M M M M M M M M M M M M M M M
allergies and medical history related to cardiovascular disease. Eyes, ears, or a complete
M M M M M M M M M M M M M
musculoskeletal or mental health assessment is not a priority at this time.
M M M M M M M M M M M M
DIF: Cognitive Level: Apply
M REF: Box 1-3 | p. 3 M M M M M M M
TOP: Nursing Process: Assessment
M M M M
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
M M M M M M M M M M M
Establishing Priorities
M M
2. Which situation illustrates a screening assessment?
M M M M M
a. A patient visits an obstetric clinic for the M M M M M M M
first time and the nurse conducts a detailed M M M M M M M M
history and physical examination. M M M M
b. A hospital sponsors a health fair at a local M M M M M M M M
mall and provides cholesterol and blood M M M M M M
pressure checks to mall patrons. M M M M M
,c. The nurse in an urgent care center checks
M M M M M M M
the vital signs of a patient who is
M M M M M M M M
complaining of leg pain.
M M M M
, d. A patient newly diagnosed with diabetes
M M M M M
mellitus comes to test his fasting blood
M M M M M M M
glucose level.
M M
ANSWER: B M
A health fair at a local mall that provides cholesterol and blood pressure checks is an
M M M M M M M M M M M M M M M
example of a screening assessment focused on disease detection. A detailed history and
M M M M M M M M M M M M M
physical examination conducted during a first-time visit to an obstetric clinic is an example
M M M M M M M M M M M M M M
of a comprehensive assessment. Assessing a patient complaining of leg pain in the triage
M M M M M M M M M M M M M M
area of an urgent care center is an example of a problem-based/focused assessment. A
M M M M M M M M M M M M M M
patient’s return appointment 1 month after today’s office visit to report fasting blood
M M M M M M M M M M M M M
glucose levels is an example of an episodic or follow-up assessment.
M M M M M M M M M M M
DIF: Cognitive Level: Understand
M REF: Box 1-3 | p. 3 M M M M M M M
TOP: Nursing Process: Assessment
M M M M
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
M M M M M M M M M
3. For which person is a screening assessment indicated?
M M M M M M M
a. The person who had abdominal surgery M M M M M
yesterday M
b. The person who is unaware of his high M M M M M M M
serum glucose levels M M M
c. The person who is being admitted to a M M M M M M M
long-term care facility M M M
d. The person who is beginning rehabilitation M M M M M
after a knee replacement M M M M
ANSWER: B M
A screening assessment is performed for the purpose of disease detection. In this case this
M M M M M M M M M M M M M M
person may have diabetes mellitus. A shift assessment is most appropriate for the person
M M M M M M M M M M M M M M
who is recovering in the hospital from surgery. A comprehensive assessment is performed
M M M M M M M M M M M M M
during admission to a facility to obtain a detailed history and complete physical
M M M M M M M M M M M M M
examination. An episodic or follow-up assessment is performed after knee replacement to
M M M M M M M M M M M M
evaluate the outcome of the procedure.
M M M M M M
DIF: Cognitive Level: Understand
M REF: Box 1-3 | p. 3 M M M M M M M
TOP: Nursing Process: Assessment
M M M M
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
M M M M M M M M M M M
Establishing Priorities
M M
4. For which person is a shift assessment indicated?
M M M M M M M
a. The person who had abdominal surgery M M M M M
yesterday M
b. The person who is unaware of his high M M M M M M M
serum glucose levels M M M
c. The person who is being admitted to a M M M M M M M
long-term care facility M M M
d. The person who is beginning rehabilitation M M M M M
after a knee replacement M M M M
ANSWER: A M
A shift assessment is most appropriate for the person who is recovering in the hospital
M M M M M M M M M M M M M M
from surgery. A screening assessment is performed for the purpose of disease detection,
M M M M M M M M M M M M M
in this case diabetes mellitus. A comprehensive assessment is performed during
M M M M M M M M M M M
admission to a
M M M
, facility to obtain a detailed history and complete physical examination. An episodic or
M M M M M M M M M M M M
Mfollow-up assessment is performed after knee replacement to evaluate the outcome of
M M M M M M M M M M M
Mthe procedure.
M
DIF: Cognitive Level: Understand
M REF: Box 1-3 | p. 4 M M M M M M M
TOP: Nursing Process: Assessment
M M M M
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
M M M M M M M M M M M
Establishing Priorities
M M
5. For which person is a comprehensive assessment indicated?
M M M M M M M
a. The person who had abdominal surgery M M M M M
yesterday M
b. The person who is unaware of his high M M M M M M M
serum glucose levels M M M
c. The person who is being admitted to a M M M M M M M
long-term care facility M M M
d. The person who is beginning rehabilitation M M M M M
after a knee replacement M M M M
ANSWER: C M
A comprehensive assessment is performed during admission to a facility to obtain a
M M M M M M M M M M M M
detailed history and complete physical examination. A shift assessment is most appropriate
M M M M M M M M M M M
Mfor the person who is recovering in the hospital from surgery. A screening assessment is
M M M M M M M M M M M M M M
Mperformed for the purpose of disease detection, in this case diabetes mellitus. An
M M M M M M M M M M M M
Mepisodic or follow-up assessment is performed after knee replacement to evaluate the
M M M M M M M M M M M
Moutcome of the procedure. M M M
DIF: Cognitive Level: Understand
M REF: Box 1-3 | p. 3 M M M M M M M
TOP: Nursing Process: Assessment
M M M M
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
M M M M M M M M M M M
Establishing Priorities
M M
6. For which person is an episodic or follow-up assessment indicated?
M M M M M M M M M
a. The person who had abdominal surgery M M M M M
yesterday M
b. The person who is unaware of his high M M M M M M M
serum glucose levels M M M
c. The person who is being admitted to a M M M M M M M
long-term care facility M M M
d. The person who is beginning rehabilitation M M M M M
after a knee replacement M M M M
ANSWER: D M
An episodic or follow-up assessment is performed after the knee replacement to evaluate
M M M M M M M M M M M M
the outcome of the procedure. A shift assessment is most appropriate for the person who
M M M M M M M M M M M M M M M
is recovering in the hospital from surgery. A screening assessment is performed for the
M M M M M M M M M M M M M M
purpose of disease detection, in this case diabetes mellitus. A comprehensive assessment
M M M M M M M M M M M M
is performed during admission to a facility to obtain a detailed history and complete
M M M M M M M M M M M M M M
physical examination.
M M
DIF: Cognitive Level: Understand
M M M REF: Box 1-3 | p. 3
M M M M M
TOP: Nursing Process: Assessment
M M M M
FICKERTT WILSON JEAN FORET GIDDENS | 9780323661195 | CHAPTER 1- 24 | ALL CHAPTERS
WITH ANSWERS AND RATIONALS
01: Introduction to Health Assessment
M M M M
MULTIPLE CHOICE M
1. A patient comes to the emergency department and tells the triage nurse that he
M M M M M M M M M M M M M
is “having a heart attack.” What is the nurse’s top priority at this time?
M M M M M M M M M M M M M M
a. Determine the patient’s personal data and M M M M M
insurance coverage. M M
b. Ask the patient to take a seat in the waiting
M M M M M M M M M
room until his name is called.
M M M M M M
c. Request that a nurse collect data for a M M M M M M M
comprehensive history.
M M
d. Ask a nurse to start a focused assessment
M M M M M M M
of this patient now.
M M M M
ANSWER: D M
The nurse needs to begin an assessment as soon as possible that is focused on this
M M M M M M M M M M M M M M M
patient’s cardiovascular system. The type of health assessment performed by the nurse is
M M M M M M M M M M M M M
also driven by patient need. Personal data and insurance information will be obtained, but
M M M M M M M M M M M M M M
in this situation, these data can wait until after the patient is assessed. Based also on
M M M M M M M M M M M M M M M M
Maslow’s hierarchy of needs, physiologic needs take precedence. Rather than asking the
M M M M M M M M M M M M
patient to wait, the nurse needs to begin data collection, such as vital signs, immediately
M M M M M M M M M M M M M M M
to determine the patient’s health status. Complications can be prevented if an immediate
M M M M M M M M M M M M M
assessment is made to analyze the patient’s symptoms. A comprehensive history is not
M M M M M M M M M M M M M
indicated in this situation at this time. Some subjective data will be collected, such as
M M M M M M M M M M M M M M M
allergies and medical history related to cardiovascular disease. Eyes, ears, or a complete
M M M M M M M M M M M M M
musculoskeletal or mental health assessment is not a priority at this time.
M M M M M M M M M M M M
DIF: Cognitive Level: Apply
M REF: Box 1-3 | p. 3 M M M M M M M
TOP: Nursing Process: Assessment
M M M M
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
M M M M M M M M M M M
Establishing Priorities
M M
2. Which situation illustrates a screening assessment?
M M M M M
a. A patient visits an obstetric clinic for the M M M M M M M
first time and the nurse conducts a detailed M M M M M M M M
history and physical examination. M M M M
b. A hospital sponsors a health fair at a local M M M M M M M M
mall and provides cholesterol and blood M M M M M M
pressure checks to mall patrons. M M M M M
,c. The nurse in an urgent care center checks
M M M M M M M
the vital signs of a patient who is
M M M M M M M M
complaining of leg pain.
M M M M
, d. A patient newly diagnosed with diabetes
M M M M M
mellitus comes to test his fasting blood
M M M M M M M
glucose level.
M M
ANSWER: B M
A health fair at a local mall that provides cholesterol and blood pressure checks is an
M M M M M M M M M M M M M M M
example of a screening assessment focused on disease detection. A detailed history and
M M M M M M M M M M M M M
physical examination conducted during a first-time visit to an obstetric clinic is an example
M M M M M M M M M M M M M M
of a comprehensive assessment. Assessing a patient complaining of leg pain in the triage
M M M M M M M M M M M M M M
area of an urgent care center is an example of a problem-based/focused assessment. A
M M M M M M M M M M M M M M
patient’s return appointment 1 month after today’s office visit to report fasting blood
M M M M M M M M M M M M M
glucose levels is an example of an episodic or follow-up assessment.
M M M M M M M M M M M
DIF: Cognitive Level: Understand
M REF: Box 1-3 | p. 3 M M M M M M M
TOP: Nursing Process: Assessment
M M M M
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
M M M M M M M M M
3. For which person is a screening assessment indicated?
M M M M M M M
a. The person who had abdominal surgery M M M M M
yesterday M
b. The person who is unaware of his high M M M M M M M
serum glucose levels M M M
c. The person who is being admitted to a M M M M M M M
long-term care facility M M M
d. The person who is beginning rehabilitation M M M M M
after a knee replacement M M M M
ANSWER: B M
A screening assessment is performed for the purpose of disease detection. In this case this
M M M M M M M M M M M M M M
person may have diabetes mellitus. A shift assessment is most appropriate for the person
M M M M M M M M M M M M M M
who is recovering in the hospital from surgery. A comprehensive assessment is performed
M M M M M M M M M M M M M
during admission to a facility to obtain a detailed history and complete physical
M M M M M M M M M M M M M
examination. An episodic or follow-up assessment is performed after knee replacement to
M M M M M M M M M M M M
evaluate the outcome of the procedure.
M M M M M M
DIF: Cognitive Level: Understand
M REF: Box 1-3 | p. 3 M M M M M M M
TOP: Nursing Process: Assessment
M M M M
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
M M M M M M M M M M M
Establishing Priorities
M M
4. For which person is a shift assessment indicated?
M M M M M M M
a. The person who had abdominal surgery M M M M M
yesterday M
b. The person who is unaware of his high M M M M M M M
serum glucose levels M M M
c. The person who is being admitted to a M M M M M M M
long-term care facility M M M
d. The person who is beginning rehabilitation M M M M M
after a knee replacement M M M M
ANSWER: A M
A shift assessment is most appropriate for the person who is recovering in the hospital
M M M M M M M M M M M M M M
from surgery. A screening assessment is performed for the purpose of disease detection,
M M M M M M M M M M M M M
in this case diabetes mellitus. A comprehensive assessment is performed during
M M M M M M M M M M M
admission to a
M M M
, facility to obtain a detailed history and complete physical examination. An episodic or
M M M M M M M M M M M M
Mfollow-up assessment is performed after knee replacement to evaluate the outcome of
M M M M M M M M M M M
Mthe procedure.
M
DIF: Cognitive Level: Understand
M REF: Box 1-3 | p. 4 M M M M M M M
TOP: Nursing Process: Assessment
M M M M
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
M M M M M M M M M M M
Establishing Priorities
M M
5. For which person is a comprehensive assessment indicated?
M M M M M M M
a. The person who had abdominal surgery M M M M M
yesterday M
b. The person who is unaware of his high M M M M M M M
serum glucose levels M M M
c. The person who is being admitted to a M M M M M M M
long-term care facility M M M
d. The person who is beginning rehabilitation M M M M M
after a knee replacement M M M M
ANSWER: C M
A comprehensive assessment is performed during admission to a facility to obtain a
M M M M M M M M M M M M
detailed history and complete physical examination. A shift assessment is most appropriate
M M M M M M M M M M M
Mfor the person who is recovering in the hospital from surgery. A screening assessment is
M M M M M M M M M M M M M M
Mperformed for the purpose of disease detection, in this case diabetes mellitus. An
M M M M M M M M M M M M
Mepisodic or follow-up assessment is performed after knee replacement to evaluate the
M M M M M M M M M M M
Moutcome of the procedure. M M M
DIF: Cognitive Level: Understand
M REF: Box 1-3 | p. 3 M M M M M M M
TOP: Nursing Process: Assessment
M M M M
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
M M M M M M M M M M M
Establishing Priorities
M M
6. For which person is an episodic or follow-up assessment indicated?
M M M M M M M M M
a. The person who had abdominal surgery M M M M M
yesterday M
b. The person who is unaware of his high M M M M M M M
serum glucose levels M M M
c. The person who is being admitted to a M M M M M M M
long-term care facility M M M
d. The person who is beginning rehabilitation M M M M M
after a knee replacement M M M M
ANSWER: D M
An episodic or follow-up assessment is performed after the knee replacement to evaluate
M M M M M M M M M M M M
the outcome of the procedure. A shift assessment is most appropriate for the person who
M M M M M M M M M M M M M M M
is recovering in the hospital from surgery. A screening assessment is performed for the
M M M M M M M M M M M M M M
purpose of disease detection, in this case diabetes mellitus. A comprehensive assessment
M M M M M M M M M M M M
is performed during admission to a facility to obtain a detailed history and complete
M M M M M M M M M M M M M M
physical examination.
M M
DIF: Cognitive Level: Understand
M M M REF: Box 1-3 | p. 3
M M M M M
TOP: Nursing Process: Assessment
M M M M
