TEST BANK for Health Assessment for
b b b b b
Nursing Practice 8th Edition by Susan
b b b b b b
Fickertt Wilson & Jean Foret Giddens
b b b b b b
Complete Chapters 1-24 With Expert Approved Q&As & Explanations
b b b b b b b b
for Exam Preparation| A+ PASS GUARANTEED
b b b b b b
1|P a g e
b b b b b
, Chapter 1: Importance of Health Assessment b b b b b
MULTIPLE CHOICE
b b
1. A patient comes to the emergency department and tells the triage nurse that he is ―having a heart
b b b b b b b b b b b b b b b b b
attack.‖ What is the nurse‘s top priority at this time?
b b b b b b b b b b
a. Determine the patient‘s personal data and insurance coverage.
b b b b b b b
b. Ask the patient to take a seat in the waiting room until his name is called.
b b b b b b b b b b b b b b b
c. Request that a nurse collect data for a comprehensive history.
b b b b b b b b b
d. Ask a nurse to start a focused assessment of this patient now.
b b b b b b b b b b b
CORRECT ANSWER: D b b
Feedback
A Personal data and insurance information will be obtained, but in this situation, these data can wait
b b b b b b b b b b b b b b b
until after the patient is assessed.
b b b b b b
B Rather than asking the patient to wait, the nurse needs to begin data collection, such as vital signs,
b b b b b b b b b b b b b b b b b
immediately to determine the patient‘s health status.
b b b b b b
C A comprehensive history is not indicated in this situation at this time. Some subjective data will
b b b b b b b b b b b b b b b
be collected, such as allergies and medical history related to cardiovascular disease.
b b b b b b b b b b b b
D The nurse needs to begin an assessment as soon as possible that is focused on
b b b b b b b b b b b b b b
this patient‘s cardiovascular system. The type of health assessment performed by the nurse is also driven
b b b b b b b b b b b b b b b
by patient need.
b b
DIF: Cognitive Level: Apply REF: 3 TOP: Nursing Process: Assessment
b b b b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
b b b b b b b b b b b b
Priorities
b
2. Which situation illustrates a screening assessment?
b b b b b
a. A patient visits an obstetric clinic for the first time and the nurse conducts a detailed history and
b b b b b b b b b b b b b b b b b
physical examination.
b b
b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure
b b b b b b b b b b b b b b b
checks to mall patrons.
b b b b
2|P a g e
b b b b b
,c. The nurse in an urgent care center checks the vital signs of a patient who is complaining of leg
b b b b b b b b b b b b b b b b b b
pain.
b
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood glucose level.
b b b b b b b b b b b b b b
CORRECT ANSWER: B b b
Feedback
A A detailed history and physical examination conducted during a first-time visit to an obstetric
b b b b b b b b b b b b b
clinic is an example of a comprehensive assessment.
b b b b b b b b
B A health fair at a local mall that provides cholesterol and blood pressure checks is an example of
b b b b b b b b b b b b b b b b b
a screening assessment focused on disease detection.
b b b b b b b
C Assessing a patient complaining of leg pain in the triage area of an urgent care center is an
b b b b b b b b b b b b b b b b b
example of a problem-based/focused assessment.
b b b b b
D A patient‘s return appointment 1 month after today‘s office visit to report fasting blood glucose
b b b b b b b b b b b b b b
levels is an example of an episodic or follow-up assessment.
b b b b b b b b b
DIF: Cognitive Level: Understand b b REF: 3 TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health
b b b b b b b b b
Screening
b
3. For which person is a screening assessment indicated?
b b b b b b b
a. The person who had abdominal surgery yesterday
b b b b b b
b. The person who is unaware of his high serum glucose levels
b b b b b b b b b b
c. The person who is being admitted to a long-term care facility
b b b b b b b b b b
d. The person who is beginning rehabilitation after a knee replacement
b b b b b b b b b
CORRECT ANSWER: B
b b b
Feedback
A A shift assessment is most appropriate for the person who is recovering in the hospital from
b b b b b b b b b b b b b b b
surgery.
b
3|P a g e
b b b b b
, B A screening assessment is performed for the purpose of disease detection. In this case this person
b b b b b b b b b b b b b b b
may have diabetes mellitus.
b b b b
C A comprehensive assessment is performed during admission to a facility to obtain a detailed
b b b b b b b b b b b b b
history and complete physical examination.
b b b b b
D An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome
b b b b b b b b b b b b b
of the procedure.
b b b
DIF: Cognitive Level: Understand
b b REF: 3 TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
b b b b b b b b b b b b
Priorities
b
4. For which person is a shift assessment indicated?
b b b b b b b
a. The person who had abdominal surgery yesterday
b b b b b b
b. The person who is unaware of his high serum glucose levels.
b b b b b b b b b b
c. The person who is being admitted to a long-term care facility.
b b b b b b b b b b
d. The person who is beginning rehabilitation after a knee replacement.
b b b b b b b b b
CORRECT ANSWER: A b b
Feedback
A A shift assessment is most appropriate for the person who is recovering in the hospital from
b b b b b b b b b b b b b b b
surgery.
b
B A screening assessment is performed for the purpose of disease detection, in this case diabetes
b b b b b b b b b b b b b b
mellitus.
b
C A comprehensive assessment is performed during admission to a facility to obtain a detailed
b b b b b b b b b b b b b
history and complete physical examination.
b b b b b
D An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome
b b b b b b b b b b b b b
of the procedure.
b b b
DIF: Cognitive Level: Understand
b b REF: 3 TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
b b b b b b b b b b b b
Priorities
b
4|P a g e
b b b b b
b b b b b
Nursing Practice 8th Edition by Susan
b b b b b b
Fickertt Wilson & Jean Foret Giddens
b b b b b b
Complete Chapters 1-24 With Expert Approved Q&As & Explanations
b b b b b b b b
for Exam Preparation| A+ PASS GUARANTEED
b b b b b b
1|P a g e
b b b b b
, Chapter 1: Importance of Health Assessment b b b b b
MULTIPLE CHOICE
b b
1. A patient comes to the emergency department and tells the triage nurse that he is ―having a heart
b b b b b b b b b b b b b b b b b
attack.‖ What is the nurse‘s top priority at this time?
b b b b b b b b b b
a. Determine the patient‘s personal data and insurance coverage.
b b b b b b b
b. Ask the patient to take a seat in the waiting room until his name is called.
b b b b b b b b b b b b b b b
c. Request that a nurse collect data for a comprehensive history.
b b b b b b b b b
d. Ask a nurse to start a focused assessment of this patient now.
b b b b b b b b b b b
CORRECT ANSWER: D b b
Feedback
A Personal data and insurance information will be obtained, but in this situation, these data can wait
b b b b b b b b b b b b b b b
until after the patient is assessed.
b b b b b b
B Rather than asking the patient to wait, the nurse needs to begin data collection, such as vital signs,
b b b b b b b b b b b b b b b b b
immediately to determine the patient‘s health status.
b b b b b b
C A comprehensive history is not indicated in this situation at this time. Some subjective data will
b b b b b b b b b b b b b b b
be collected, such as allergies and medical history related to cardiovascular disease.
b b b b b b b b b b b b
D The nurse needs to begin an assessment as soon as possible that is focused on
b b b b b b b b b b b b b b
this patient‘s cardiovascular system. The type of health assessment performed by the nurse is also driven
b b b b b b b b b b b b b b b
by patient need.
b b
DIF: Cognitive Level: Apply REF: 3 TOP: Nursing Process: Assessment
b b b b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
b b b b b b b b b b b b
Priorities
b
2. Which situation illustrates a screening assessment?
b b b b b
a. A patient visits an obstetric clinic for the first time and the nurse conducts a detailed history and
b b b b b b b b b b b b b b b b b
physical examination.
b b
b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure
b b b b b b b b b b b b b b b
checks to mall patrons.
b b b b
2|P a g e
b b b b b
,c. The nurse in an urgent care center checks the vital signs of a patient who is complaining of leg
b b b b b b b b b b b b b b b b b b
pain.
b
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood glucose level.
b b b b b b b b b b b b b b
CORRECT ANSWER: B b b
Feedback
A A detailed history and physical examination conducted during a first-time visit to an obstetric
b b b b b b b b b b b b b
clinic is an example of a comprehensive assessment.
b b b b b b b b
B A health fair at a local mall that provides cholesterol and blood pressure checks is an example of
b b b b b b b b b b b b b b b b b
a screening assessment focused on disease detection.
b b b b b b b
C Assessing a patient complaining of leg pain in the triage area of an urgent care center is an
b b b b b b b b b b b b b b b b b
example of a problem-based/focused assessment.
b b b b b
D A patient‘s return appointment 1 month after today‘s office visit to report fasting blood glucose
b b b b b b b b b b b b b b
levels is an example of an episodic or follow-up assessment.
b b b b b b b b b
DIF: Cognitive Level: Understand b b REF: 3 TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health
b b b b b b b b b
Screening
b
3. For which person is a screening assessment indicated?
b b b b b b b
a. The person who had abdominal surgery yesterday
b b b b b b
b. The person who is unaware of his high serum glucose levels
b b b b b b b b b b
c. The person who is being admitted to a long-term care facility
b b b b b b b b b b
d. The person who is beginning rehabilitation after a knee replacement
b b b b b b b b b
CORRECT ANSWER: B
b b b
Feedback
A A shift assessment is most appropriate for the person who is recovering in the hospital from
b b b b b b b b b b b b b b b
surgery.
b
3|P a g e
b b b b b
, B A screening assessment is performed for the purpose of disease detection. In this case this person
b b b b b b b b b b b b b b b
may have diabetes mellitus.
b b b b
C A comprehensive assessment is performed during admission to a facility to obtain a detailed
b b b b b b b b b b b b b
history and complete physical examination.
b b b b b
D An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome
b b b b b b b b b b b b b
of the procedure.
b b b
DIF: Cognitive Level: Understand
b b REF: 3 TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
b b b b b b b b b b b b
Priorities
b
4. For which person is a shift assessment indicated?
b b b b b b b
a. The person who had abdominal surgery yesterday
b b b b b b
b. The person who is unaware of his high serum glucose levels.
b b b b b b b b b b
c. The person who is being admitted to a long-term care facility.
b b b b b b b b b b
d. The person who is beginning rehabilitation after a knee replacement.
b b b b b b b b b
CORRECT ANSWER: A b b
Feedback
A A shift assessment is most appropriate for the person who is recovering in the hospital from
b b b b b b b b b b b b b b b
surgery.
b
B A screening assessment is performed for the purpose of disease detection, in this case diabetes
b b b b b b b b b b b b b b
mellitus.
b
C A comprehensive assessment is performed during admission to a facility to obtain a detailed
b b b b b b b b b b b b b
history and complete physical examination.
b b b b b
D An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome
b b b b b b b b b b b b b
of the procedure.
b b b
DIF: Cognitive Level: Understand
b b REF: 3 TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
b b b b b b b b b b b b
Priorities
b
4|P a g e
b b b b b
