Test Bank for Health Assessment for
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Nursing Practice 7th Edition by Wilson
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Chapter 1 - 24 nn nn nn nn
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Material
Test Bank for Health Assessment for
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nn Nursing Practice 7th Edition by Wilson
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Chapter 1 - 24 nn nn nn
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Material
Chapter 01: Introduction to Health Assessment nn nn nn nn nn
MULTIPLE CHOICE nn
1. A patient comes to the emergency department and tells the triage nurse that he
nn nn nn nn nn nn nn nn nn nn nn nn nn
nn is ―having a heart attack.‖ What is the nurse‘s top priority at this time?
nn nn nn nn nn nn nn nn nn nn nn nn nn
a. Determine the patient‘s personal data and nn nn nn nn nn
insurance coverage. nn nn
b. Ask the patient to take a seat in the waiting
nn nn nn nn nn nn nn nn nn
room until his name is called.
nn nn nn nn nn nn
c. Request that a nurse collect data for a nn nn nn nn nn nn nn
comprehensive history.
nn nn
d. Ask a nurse to start a focused assessment
nn nn nn nn nn nn nn
of this patient now.
nn nn nn nn
ANSWER: D nn
The nurse needs to begin an assessment as soon as possible that is focused on this
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
patient‘s cardiovascular system. The type of health assessment performed by the nurse is
nn nn nn nn nn nn nn nn nn nn nn nn nn
also driven by patient need. Personal data and insurance information will be obtained,
nn nn nn nn nn nn nn nn nn nn nn nn nn
but in this situation, these data can wait until after the patient is assessed. Based also on
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
Maslow‘s hierarchy of needs, physiologic needs take precedence. Rather than asking
nn nn nn nn nn nn nn nn nn nn nn
the patient to wait, the nurse needs to begin data collection, such as vital signs,
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
immediately to determine the patient‘s health status. Complications can be prevented if
nn nn nn nn nn nn nn nn nn nn nn nn
an immediate assessment is made to analyze the patient‘s symptoms. A comprehensive
nn nn nn nn nn nn nn nn nn nn nn nn
history is not indicated in this situation at this time. Some subjective data will be
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
collected, such as allergies and medical history related to cardiovascular disease. Eyes,
nn nn nn nn nn nn nn nn nn nn nn nn
ears, or a complete musculoskeletal or mental health assessment is not a priority at this
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
time.
nn
DIF: Cognitive Level: Apply
n n REF: Box 1-3 | p. 3 nn nn nn nn nn nn nn
TOP: Nursing Process: Assessment
nn nn nn nn
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
nn nn nn nn nn nn nn nn nn nn nn
Establishing Priorities
nn nn
2. Which situation illustrates a screening assessment?
nn nn nn nn nn
a. A patient visits an obstetric clinic for the nn nn nn nn nn nn nn
first time and the nurse conducts a detailed nn nn nn nn nn nn nn nn
history and physical examination. nn nn nn nn
b. A hospital sponsors a health fair at a local nn nn nn nn nn nn nn nn
mall and provides cholesterol and blood nn nn nn nn nn nn
pressure checks to mall patrons. nn nn nn nn nn
c. The nurse in an urgent care center checks nn nn nn nn nn nn nn
the vital signs of a patient who is nn nn nn nn nn nn nn nn
complaining of leg pain. nn nn nn nn
Distribution of this document is nn nn nn nn extra per nn
illegal year?
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nn nn nn nn nn nn nn nn nn
Material
Downloaded by: Bookista |
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Distribution of this document is
nn nn nn nn extra per nn
illegal year?
nn nn nn nn nn
Nursing Practice 7th Edition by Wilson
nn nn nn nn nn nn
Chapter 1 - 24 nn nn nn nn
written by nn
LectBookista
The Marketplace to Buy and Sell your Study Material
nn nn nn nn nn nn nn nn
Distribution of this document is
nn nn nn nn extra per
nn
illegal year?
, Stuvia.com - The Marketplace to Buy and Sell your Study
nn nn nn nn nn nn nn nn nn
Material
Test Bank for Health Assessment for
nn nn nn nn nn
nn Nursing Practice 7th Edition by Wilson
nn nn nn nn nn
Chapter 1 - 24 nn nn nn
Downloaded by: Bookista |
nn nn nn nn Want to earn $1.236
nn nn nn
Distribution of this document is
nn nn nn nn extra per nn
illegal year?
, Stuvia.com - The Marketplace to Buy and Sell your Study
nn nn nn nn nn nn nn nn nn
Material
Chapter 01: Introduction to Health Assessment nn nn nn nn nn
MULTIPLE CHOICE nn
1. A patient comes to the emergency department and tells the triage nurse that he
nn nn nn nn nn nn nn nn nn nn nn nn nn
nn is ―having a heart attack.‖ What is the nurse‘s top priority at this time?
nn nn nn nn nn nn nn nn nn nn nn nn nn
a. Determine the patient‘s personal data and nn nn nn nn nn
insurance coverage. nn nn
b. Ask the patient to take a seat in the waiting
nn nn nn nn nn nn nn nn nn
room until his name is called.
nn nn nn nn nn nn
c. Request that a nurse collect data for a nn nn nn nn nn nn nn
comprehensive history.
nn nn
d. Ask a nurse to start a focused assessment
nn nn nn nn nn nn nn
of this patient now.
nn nn nn nn
ANSWER: D nn
The nurse needs to begin an assessment as soon as possible that is focused on this
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
patient‘s cardiovascular system. The type of health assessment performed by the nurse is
nn nn nn nn nn nn nn nn nn nn nn nn nn
also driven by patient need. Personal data and insurance information will be obtained,
nn nn nn nn nn nn nn nn nn nn nn nn nn
but in this situation, these data can wait until after the patient is assessed. Based also on
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
Maslow‘s hierarchy of needs, physiologic needs take precedence. Rather than asking
nn nn nn nn nn nn nn nn nn nn nn
the patient to wait, the nurse needs to begin data collection, such as vital signs,
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
immediately to determine the patient‘s health status. Complications can be prevented if
nn nn nn nn nn nn nn nn nn nn nn nn
an immediate assessment is made to analyze the patient‘s symptoms. A comprehensive
nn nn nn nn nn nn nn nn nn nn nn nn
history is not indicated in this situation at this time. Some subjective data will be
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
collected, such as allergies and medical history related to cardiovascular disease. Eyes,
nn nn nn nn nn nn nn nn nn nn nn nn
ears, or a complete musculoskeletal or mental health assessment is not a priority at this
nn nn nn nn nn nn nn nn nn nn nn nn nn nn nn
time.
nn
DIF: Cognitive Level: Apply
n n REF: Box 1-3 | p. 3 nn nn nn nn nn nn nn
TOP: Nursing Process: Assessment
nn nn nn nn
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
nn nn nn nn nn nn nn nn nn nn nn
Establishing Priorities
nn nn
2. Which situation illustrates a screening assessment?
nn nn nn nn nn
a. A patient visits an obstetric clinic for the nn nn nn nn nn nn nn
first time and the nurse conducts a detailed nn nn nn nn nn nn nn nn
history and physical examination. nn nn nn nn
b. A hospital sponsors a health fair at a local nn nn nn nn nn nn nn nn
mall and provides cholesterol and blood nn nn nn nn nn nn
pressure checks to mall patrons. nn nn nn nn nn
c. The nurse in an urgent care center checks nn nn nn nn nn nn nn
the vital signs of a patient who is nn nn nn nn nn nn nn nn
complaining of leg pain. nn nn nn nn
Distribution of this document is nn nn nn nn extra per nn
illegal year?
, Stuvia.com - The Marketplace to Buy and Sell your Study
nn nn nn nn nn nn nn nn nn
Material
Downloaded by: Bookista |
nn nn nn nn Want to earn $1.236
nn nn nn
Distribution of this document is
nn nn nn nn extra per nn
illegal year?
