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