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