UYTRFEDSW
TEST BANK FOR
Health Assessment for Nursing Practice 8th Edition by Susan Fickertt
Wilson, Jean Foret Giddens
FULL TEST BANK!!!
YTREW
, UYTRFEDSW
Chapter 01: Introduction to Health Assessment
Wilson: Health Assessment for Nursing Practice, 8th 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
YTREW
, TREWGFD
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
ההכנה לבחינות, עם הורדות מיידיות ומחירים נוחים.אקדמית
appointment 1 month after today’s office visit to report fasting blood glucose levels is an
example of an episodic or follow-up assessment.
) מילים941( .מעולם לא הייתה קלה יותר
Իմ Stuvia խանութի նկարագրություն (Հայերեն)
DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
Բարի գալուստ իմ Stuvia խանութը, որտեղ
գերազանցությունը
3. For which person isհանդիպում է հարմարավետության
a screening assessment indicated?
a. The person who had abdominal surgery yesterday
ակադեմիական
b. The person who ճանապարհորդության
is unaware of his high serumժամանակ:
glucose levels Ես
մասնագիտացած
c. The person whoեմ բարձրորակ
is being admitted toթեստային
a long-term careբանկերի
facility
տրամադրումում, որոնք մանրակրկիտ ստեղծված են ձեզ
d. The person who is beginning rehabilitation after a knee replacement
ANS: B
օգնելու
A screeningհաջողության հասնել
assessment is performed Ձեր
for the քննություններում:
purpose of disease detection. In this case this person
Յուրաքանչյուր թեստային բանկը համապարփակ է,
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
ընդգրկում
admission to a է բոլոր
facility հիմնական
to obtain a detailed թեմաները՝ մանրամասն
history and complete physical examination. An
բացատրություններով, բազմակի ընտրության հարցերով
episodic or follow-up assessment is performed after knee replacement to evaluate the outcome of
the procedure.
և պրակտիկ սցենարներով, որոնք արտացոլում են
իրական քննության պայմանները:
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:
Ինչու ընտրել
Establishing իմ թեստային բանկերը: Դրանք վերցված
Priorities
են վստահելի նյութերից, կանոնավոր թարմացվում են՝
4. For which person is a shift assessment indicated?
արտացոլելով
a. The person վերջին հանրագրչական
who had abdominal surgery yesterday
փոփոխությունները,
b. և նախագծված
The person who is unaware են glucose
of his high serum ոլորտի levels
փորձագետների կողմից: Թեև սովորում after եք
c. The person who is being admitted to a long-term care facility
d. The person who is beginning rehabilitation a knee replacement
հաշմանդամի,
ANS: A բիզնեսի, ինժեներության կամ այլ
մասնագիտության, կգտնեք անհատականացված
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
ռեսուրսներ,
diabetes mellitus. որոնք բարձրացնում
A comprehensive assessmentեն ձեր վստահությունը
is performed during admission to a facility to
ևobtain
արդյունքները:
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.
Մի բավարարվեք սովորական ուսումնական
օգնականներով: Ներդրեք որակի մեջ, որը բերում է
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:
արդյունքներ: Այսօր զննեք իմ հավաքածուն և քայլեք
Establishing Priorities
առաջին քայլը դեպի
5. For which person is a comprehensive assessment indicated?
, TREWGFD
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.
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
6. For which person is an episodic or follow-up 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: D
An episodic or follow-up assessment is performed after the knee replacement to evaluate the
outcome of the procedure. 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.
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
7. Which is an example of data a nurse collects during a physical examination?
a. The patient’s lack of hair and shiny skin over both shins
b. The patient’s stated concern about lack of money for prescriptions
c. The patient’s complaints of tingling sensations in the feet
d. The patient’s mother’s statements that the patient is very nervous lately
ANS: A
The lack of hair and shiny skin over both shins are objective data or signs that are part of the
physical examination. A patient’s concerns about lack of money are subjective data and are part
of the health history. A patient’s complaints of tingling sensations in the feet are subjective data
and are part of the health history. A patient’s family statements are considered secondary data,
are subjective data, and are part of the health history.
TEST BANK FOR
Health Assessment for Nursing Practice 8th Edition by Susan Fickertt
Wilson, Jean Foret Giddens
FULL TEST BANK!!!
YTREW
, UYTRFEDSW
Chapter 01: Introduction to Health Assessment
Wilson: Health Assessment for Nursing Practice, 8th 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
YTREW
, TREWGFD
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
ההכנה לבחינות, עם הורדות מיידיות ומחירים נוחים.אקדמית
appointment 1 month after today’s office visit to report fasting blood glucose levels is an
example of an episodic or follow-up assessment.
) מילים941( .מעולם לא הייתה קלה יותר
Իմ Stuvia խանութի նկարագրություն (Հայերեն)
DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
Բարի գալուստ իմ Stuvia խանութը, որտեղ
գերազանցությունը
3. For which person isհանդիպում է հարմարավետության
a screening assessment indicated?
a. The person who had abdominal surgery yesterday
ակադեմիական
b. The person who ճանապարհորդության
is unaware of his high serumժամանակ:
glucose levels Ես
մասնագիտացած
c. The person whoեմ բարձրորակ
is being admitted toթեստային
a long-term careբանկերի
facility
տրամադրումում, որոնք մանրակրկիտ ստեղծված են ձեզ
d. The person who is beginning rehabilitation after a knee replacement
ANS: B
օգնելու
A screeningհաջողության հասնել
assessment is performed Ձեր
for the քննություններում:
purpose of disease detection. In this case this person
Յուրաքանչյուր թեստային բանկը համապարփակ է,
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
ընդգրկում
admission to a է բոլոր
facility հիմնական
to obtain a detailed թեմաները՝ մանրամասն
history and complete physical examination. An
բացատրություններով, բազմակի ընտրության հարցերով
episodic or follow-up assessment is performed after knee replacement to evaluate the outcome of
the procedure.
և պրակտիկ սցենարներով, որոնք արտացոլում են
իրական քննության պայմանները:
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:
Ինչու ընտրել
Establishing իմ թեստային բանկերը: Դրանք վերցված
Priorities
են վստահելի նյութերից, կանոնավոր թարմացվում են՝
4. For which person is a shift assessment indicated?
արտացոլելով
a. The person վերջին հանրագրչական
who had abdominal surgery yesterday
փոփոխությունները,
b. և նախագծված
The person who is unaware են glucose
of his high serum ոլորտի levels
փորձագետների կողմից: Թեև սովորում after եք
c. The person who is being admitted to a long-term care facility
d. The person who is beginning rehabilitation a knee replacement
հաշմանդամի,
ANS: A բիզնեսի, ինժեներության կամ այլ
մասնագիտության, կգտնեք անհատականացված
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
ռեսուրսներ,
diabetes mellitus. որոնք բարձրացնում
A comprehensive assessmentեն ձեր վստահությունը
is performed during admission to a facility to
ևobtain
արդյունքները:
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.
Մի բավարարվեք սովորական ուսումնական
օգնականներով: Ներդրեք որակի մեջ, որը բերում է
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:
արդյունքներ: Այսօր զննեք իմ հավաքածուն և քայլեք
Establishing Priorities
առաջին քայլը դեպի
5. For which person is a comprehensive assessment indicated?
, TREWGFD
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.
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
6. For which person is an episodic or follow-up 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: D
An episodic or follow-up assessment is performed after the knee replacement to evaluate the
outcome of the procedure. 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.
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
7. Which is an example of data a nurse collects during a physical examination?
a. The patient’s lack of hair and shiny skin over both shins
b. The patient’s stated concern about lack of money for prescriptions
c. The patient’s complaints of tingling sensations in the feet
d. The patient’s mother’s statements that the patient is very nervous lately
ANS: A
The lack of hair and shiny skin over both shins are objective data or signs that are part of the
physical examination. A patient’s concerns about lack of money are subjective data and are part
of the health history. A patient’s complaints of tingling sensations in the feet are subjective data
and are part of the health history. A patient’s family statements are considered secondary data,
are subjective data, and are part of the health history.
