Test Bank for Health Assessment for Nu
o o o o o o
rsing Practice 7th Edition by Wilson Chap
o o o o o o
ter 1 - 24
o o o
,Chaptero01:oIntroductionotooHealthoAssessment
MULTIPLEoCHOICE
1. Aopatientocomesotootheoemergencyodepartmentoandotellsotheotriageonurseothatoheoi
so“havingoaoheartoattack.”oWhatoisotheonurse’sotopopriorityoatothisotime?
a. Determineotheopatient’sopersonalodataoandoins
uranceocoverage.
b. Askotheopatientotootakeoaoseatoinotheowaitingoro
omountilo hisonameoisocalled.
c. Requestothatoaonurseocollectodataoforoao
comprehensiveohistory.
d. Askoaonurseotoostartoaofocusedoassessmento
ofothisopatientonow.
ANSWER:o D
Theonurseoneedsotoobeginoanoassessmentoasosoonoasopossibleothatoisofocusedoonothisopatient’soc
ardiovascularosystem.oTheotypeoofohealthoassessmentoperformedobyotheonurseoisoalsoodrivenob
yopatientoneed.oPersonalodataoandoinsuranceoinformationowillobeoobtained,obutoinothisosituatio
n,otheseodataocanowaitountiloafterotheopatientoisoassessed.oBasedoalsooonoMaslow’sohierarchyoof
oneeds,ophysiologiconeedsotakeoprecedence.oRatherothanoaskingotheopatientotoowait,otheonurseo
needsotoobeginodataocollection,osuchoasovitalosigns,oimmediatelyotoodetermineotheopatient’sohea
lthostatus.oComplicationsocanobeopreventedoifoanoimmediateoassessmentoisomadeotooanalyzeoth
eopatient’sosymptoms.oAocomprehensiveohistoryoisonotoindicatedoinothisosituationoatothisotime.o
Someosubjectiveodataowillobeocollected,osuchoasoallergiesoandomedicalohistoryorelatedotoocardi
ovascularodisease.oEyes,oears,ooroaocompleteomusculoskeletalooromentalohealthoassessmentoiso
notoaopriorityoatothisotime.
DIF:ooo CognitiveoLevel:oApply REF:oBoxo1-
3o|op.o3oTOP:oNursingoProcess:oAssessment
MSC:oNCLEXoPatientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare:oEstablishi
ngoPriorities
2. Whichosituationoillustratesoaoscreeningoassessment?
a. Aopatientovisitsoanoobstetricoclinicoforotheofirs
totimeoandotheonurseoconductsoaodetailedohistor
yoandophysicaloexamination.
b. Aohospitalosponsorsoaohealthofairoatoaolocalo
malloandoprovidesocholesteroloandobloodop
ressureochecksotoomallopatrons.
c. Theonurseoinoanourgentocareocenterochecksot
heovitalosignsoofoaopatientowhooisocomplai
ningoofolegopain.
, d. Aopatientonewlyodiagnosedowithodiabeteso
mellitusocomesotootestohisofastingobloodog
lucoseolevel.
ANSWER:oB
Aohealthofairoatoaolocalomallothatoprovidesocholesteroloandobloodopressureochecksoisoanoexampl
eoofoaoscreeningoassessmentofocusedoonodiseaseodetection.oAodetailedohistoryoandophysicaloex
aminationoconductedoduringoaofirst-
timeovisitotooanoobstetricoclinicoisoanoexampleoofoaocomprehensiveoassessment.oAssessingoaopat
ientocomplainingoofolegopainoinotheotriageoareaoofoanourgentocareocenteroisoanoexampleoofoaopro
blem-
based/focusedoassessment.oAopatient’soreturnoappointmento1omonthoafterotoday’soofficeovisito
tooreportofastingobloodoglucoseolevelsoisoanoexampleoofoanoepisodicoorofollow-upoassessment.
DIF:oooCognitiveoLevel:oUnderstand REF:oBoxo1-
3o|op.o3oTOP:oNursingoProcess:oAssessment
MSC:oNCLEXoPatientoNeeds:oHealthoPromotionoandoMaintenance:oHealthoScreening
3. Forowhichopersonoisoaoscreeningoassessmentoindicated?
a. Theopersonowhoohadoabdominalosurgeryo
yesterday
b. Theopersonowhooisounawareoofohisohigho
serumoglucoseolevels
c. Theopersonowhooisobeingoadmittedotooaol
ong-termocareofacility
d. Theopersonowhooisobeginningorehabilitationoaf
teroaokneeoreplacement
ANSWER:oB
Aoscreeningoassessmentoisoperformedoforotheopurposeoofodiseaseodetection.oInothisocaseothisop
ersonomayohaveodiabetesomellitus.oAoshiftoassessmentoisomostoappropriateoforotheopersonowh
ooisorecoveringoinotheohospitalofromosurgery.oAocomprehensiveoassessmentoisoperformedoduri
ngoadmissionotooaofacilityotooobtainoaodetailedohistoryoandocompleteophysicaloexamination.o
Anoepisodicoorofollow-
upoassessmentoisoperformedoafterokneeoreplacementotooevaluateotheooutcomeoofotheoprocedur
e.
DIF:oooCognitiveoLevel:oUnderstand REF:oBoxo1-
3o|op.o3oTOP:oNursingoProcess:oAssessment
MSC:oNCLEXoPatientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare:oEstablishi
ngoPriorities
4. Forowhichopersonoisoaoshiftoassessmentoindicated?
a. Theopersonowhoohadoabdominalosurgeryo
yesterday
b. Theopersonowhooisounawareoofohisohigho
serumoglucoseolevels
c. Theopersonowhooisobeingoadmittedotooa
long-termocareofacility
d. Theopersonowhooisobeginningorehabilitationo
afteroaokneeoreplacement
ANSWER:o A
Aoshiftoassessmentoisomostoappropriateoforotheopersonowhooisorecoveringoinotheohospitalofromos
urgery.oAoscreeningoassessmentoisoperformedoforotheopurposeoofodiseaseodetection,oinothisocas
eodiabetesomellitus.oAocomprehensiveoassessmentoisoperformedoduringoadmissionotooa
, facilityotooobtainoaodetailedohistoryoandocompleteophysicaloexamination.oAnoepisodicoorofol
low-
upoassessmentoisoperformedoafterokneeoreplacementotooevaluateotheooutcomeoofotheoprocedu
re.
DIF:oooCognitiveoLevel:oUnderstand REF:oBoxo1-
3o|op.o4oTOP:oNursingoProcess:oAssessment
MSC:oNCLEXoPatientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare:oEstablishi
ngoPriorities
5. Forowhichopersonoisoaocomprehensiveoassessmentoindicated?
a. Theopersonowhoohadoabdominalosurgeryo
yesterday
b. Theopersonowhooisounawareoofohisohigho
serumoglucoseolevels
c. Theopersonowhooisobeingoadmittedotooaol
ong-termocareofacility
d. Theopersonowhooisobeginningorehabilitationoaf
teroaokneeoreplacement
ANSWER:oC
Aocomprehensiveoassessmentoisoperformedoduringoadmissionotooaofacilityotooobtainoa
detailedohistoryoandocompleteophysicaloexamination.oAoshiftoassessmentoisomostoappropriateof
orotheopersonowhooisorecoveringoinotheohospitalofromosurgery.oAoscreeningoassessmentoisoper
formedoforotheopurposeoofodiseaseodetection,oinothisocaseodiabetesomellitus.oAnoepisodicoorofo
llow-
upoassessmentoisoperformedoafterokneeoreplacementotooevaluateotheooutcomeoofotheoprocedur
e.
DIF:oooCognitiveoLevel:oUnderstand REF:oBoxo1-
3o|op.o3oTOP:oNursingoProcess:oAssessment
MSC:oNCLEXoPatientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare:oEstablishi
ngoPriorities
6. Forowhichopersonoisoanoepisodicoorofollow-upoassessmentoindicated?
a. Theopersonowhoohadoabdominalosurgeryo
yesterday
b. Theopersonowhooisounawareoofohisohigho
serumoglucoseolevels
c. Theopersonowhooisobeingoadmittedotooa
long-termocareofacility
d. Theopersonowhooisobeginningorehabilitationoaf
teroaokneeoreplacement
ANSWER:o D
Anoepisodicoorofollow-
upoassessmentoisoperformedoafterotheokneeoreplacementotooevaluateotheooutcomeoofotheoproce
dure.oAoshiftoassessmentoisomostoappropriateoforotheopersonowhooisorecoveringoinotheohospitalo
fromosurgery.oAoscreeningoassessmentoisoperformedoforotheopurposeoofodiseaseodetection,oinot
hisocaseodiabetesomellitus.oAocomprehensiveoassessmentoisoperformedoduringoadmissionotooao
facilityotooobtainoaodetailedohistoryoandocompleteophysicaloexamination.
DIF:oooCognitiveoLevel:oUnderstand REF:oBoxo1-
3o|op.o3oTOP:oNursingoProcess:oAssessment
o o o o o o
rsing Practice 7th Edition by Wilson Chap
o o o o o o
ter 1 - 24
o o o
,Chaptero01:oIntroductionotooHealthoAssessment
MULTIPLEoCHOICE
1. Aopatientocomesotootheoemergencyodepartmentoandotellsotheotriageonurseothatoheoi
so“havingoaoheartoattack.”oWhatoisotheonurse’sotopopriorityoatothisotime?
a. Determineotheopatient’sopersonalodataoandoins
uranceocoverage.
b. Askotheopatientotootakeoaoseatoinotheowaitingoro
omountilo hisonameoisocalled.
c. Requestothatoaonurseocollectodataoforoao
comprehensiveohistory.
d. Askoaonurseotoostartoaofocusedoassessmento
ofothisopatientonow.
ANSWER:o D
Theonurseoneedsotoobeginoanoassessmentoasosoonoasopossibleothatoisofocusedoonothisopatient’soc
ardiovascularosystem.oTheotypeoofohealthoassessmentoperformedobyotheonurseoisoalsoodrivenob
yopatientoneed.oPersonalodataoandoinsuranceoinformationowillobeoobtained,obutoinothisosituatio
n,otheseodataocanowaitountiloafterotheopatientoisoassessed.oBasedoalsooonoMaslow’sohierarchyoof
oneeds,ophysiologiconeedsotakeoprecedence.oRatherothanoaskingotheopatientotoowait,otheonurseo
needsotoobeginodataocollection,osuchoasovitalosigns,oimmediatelyotoodetermineotheopatient’sohea
lthostatus.oComplicationsocanobeopreventedoifoanoimmediateoassessmentoisomadeotooanalyzeoth
eopatient’sosymptoms.oAocomprehensiveohistoryoisonotoindicatedoinothisosituationoatothisotime.o
Someosubjectiveodataowillobeocollected,osuchoasoallergiesoandomedicalohistoryorelatedotoocardi
ovascularodisease.oEyes,oears,ooroaocompleteomusculoskeletalooromentalohealthoassessmentoiso
notoaopriorityoatothisotime.
DIF:ooo CognitiveoLevel:oApply REF:oBoxo1-
3o|op.o3oTOP:oNursingoProcess:oAssessment
MSC:oNCLEXoPatientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare:oEstablishi
ngoPriorities
2. Whichosituationoillustratesoaoscreeningoassessment?
a. Aopatientovisitsoanoobstetricoclinicoforotheofirs
totimeoandotheonurseoconductsoaodetailedohistor
yoandophysicaloexamination.
b. Aohospitalosponsorsoaohealthofairoatoaolocalo
malloandoprovidesocholesteroloandobloodop
ressureochecksotoomallopatrons.
c. Theonurseoinoanourgentocareocenterochecksot
heovitalosignsoofoaopatientowhooisocomplai
ningoofolegopain.
, d. Aopatientonewlyodiagnosedowithodiabeteso
mellitusocomesotootestohisofastingobloodog
lucoseolevel.
ANSWER:oB
Aohealthofairoatoaolocalomallothatoprovidesocholesteroloandobloodopressureochecksoisoanoexampl
eoofoaoscreeningoassessmentofocusedoonodiseaseodetection.oAodetailedohistoryoandophysicaloex
aminationoconductedoduringoaofirst-
timeovisitotooanoobstetricoclinicoisoanoexampleoofoaocomprehensiveoassessment.oAssessingoaopat
ientocomplainingoofolegopainoinotheotriageoareaoofoanourgentocareocenteroisoanoexampleoofoaopro
blem-
based/focusedoassessment.oAopatient’soreturnoappointmento1omonthoafterotoday’soofficeovisito
tooreportofastingobloodoglucoseolevelsoisoanoexampleoofoanoepisodicoorofollow-upoassessment.
DIF:oooCognitiveoLevel:oUnderstand REF:oBoxo1-
3o|op.o3oTOP:oNursingoProcess:oAssessment
MSC:oNCLEXoPatientoNeeds:oHealthoPromotionoandoMaintenance:oHealthoScreening
3. Forowhichopersonoisoaoscreeningoassessmentoindicated?
a. Theopersonowhoohadoabdominalosurgeryo
yesterday
b. Theopersonowhooisounawareoofohisohigho
serumoglucoseolevels
c. Theopersonowhooisobeingoadmittedotooaol
ong-termocareofacility
d. Theopersonowhooisobeginningorehabilitationoaf
teroaokneeoreplacement
ANSWER:oB
Aoscreeningoassessmentoisoperformedoforotheopurposeoofodiseaseodetection.oInothisocaseothisop
ersonomayohaveodiabetesomellitus.oAoshiftoassessmentoisomostoappropriateoforotheopersonowh
ooisorecoveringoinotheohospitalofromosurgery.oAocomprehensiveoassessmentoisoperformedoduri
ngoadmissionotooaofacilityotooobtainoaodetailedohistoryoandocompleteophysicaloexamination.o
Anoepisodicoorofollow-
upoassessmentoisoperformedoafterokneeoreplacementotooevaluateotheooutcomeoofotheoprocedur
e.
DIF:oooCognitiveoLevel:oUnderstand REF:oBoxo1-
3o|op.o3oTOP:oNursingoProcess:oAssessment
MSC:oNCLEXoPatientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare:oEstablishi
ngoPriorities
4. Forowhichopersonoisoaoshiftoassessmentoindicated?
a. Theopersonowhoohadoabdominalosurgeryo
yesterday
b. Theopersonowhooisounawareoofohisohigho
serumoglucoseolevels
c. Theopersonowhooisobeingoadmittedotooa
long-termocareofacility
d. Theopersonowhooisobeginningorehabilitationo
afteroaokneeoreplacement
ANSWER:o A
Aoshiftoassessmentoisomostoappropriateoforotheopersonowhooisorecoveringoinotheohospitalofromos
urgery.oAoscreeningoassessmentoisoperformedoforotheopurposeoofodiseaseodetection,oinothisocas
eodiabetesomellitus.oAocomprehensiveoassessmentoisoperformedoduringoadmissionotooa
, facilityotooobtainoaodetailedohistoryoandocompleteophysicaloexamination.oAnoepisodicoorofol
low-
upoassessmentoisoperformedoafterokneeoreplacementotooevaluateotheooutcomeoofotheoprocedu
re.
DIF:oooCognitiveoLevel:oUnderstand REF:oBoxo1-
3o|op.o4oTOP:oNursingoProcess:oAssessment
MSC:oNCLEXoPatientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare:oEstablishi
ngoPriorities
5. Forowhichopersonoisoaocomprehensiveoassessmentoindicated?
a. Theopersonowhoohadoabdominalosurgeryo
yesterday
b. Theopersonowhooisounawareoofohisohigho
serumoglucoseolevels
c. Theopersonowhooisobeingoadmittedotooaol
ong-termocareofacility
d. Theopersonowhooisobeginningorehabilitationoaf
teroaokneeoreplacement
ANSWER:oC
Aocomprehensiveoassessmentoisoperformedoduringoadmissionotooaofacilityotooobtainoa
detailedohistoryoandocompleteophysicaloexamination.oAoshiftoassessmentoisomostoappropriateof
orotheopersonowhooisorecoveringoinotheohospitalofromosurgery.oAoscreeningoassessmentoisoper
formedoforotheopurposeoofodiseaseodetection,oinothisocaseodiabetesomellitus.oAnoepisodicoorofo
llow-
upoassessmentoisoperformedoafterokneeoreplacementotooevaluateotheooutcomeoofotheoprocedur
e.
DIF:oooCognitiveoLevel:oUnderstand REF:oBoxo1-
3o|op.o3oTOP:oNursingoProcess:oAssessment
MSC:oNCLEXoPatientoNeeds:oSafeoandoEffectiveoCareoEnvironment:oManagementoofoCare:oEstablishi
ngoPriorities
6. Forowhichopersonoisoanoepisodicoorofollow-upoassessmentoindicated?
a. Theopersonowhoohadoabdominalosurgeryo
yesterday
b. Theopersonowhooisounawareoofohisohigho
serumoglucoseolevels
c. Theopersonowhooisobeingoadmittedotooa
long-termocareofacility
d. Theopersonowhooisobeginningorehabilitationoaf
teroaokneeoreplacement
ANSWER:o D
Anoepisodicoorofollow-
upoassessmentoisoperformedoafterotheokneeoreplacementotooevaluateotheooutcomeoofotheoproce
dure.oAoshiftoassessmentoisomostoappropriateoforotheopersonowhooisorecoveringoinotheohospitalo
fromosurgery.oAoscreeningoassessmentoisoperformedoforotheopurposeoofodiseaseodetection,oinot
hisocaseodiabetesomellitus.oAocomprehensiveoassessmentoisoperformedoduringoadmissionotooao
facilityotooobtainoaodetailedohistoryoandocompleteophysicaloexamination.
DIF:oooCognitiveoLevel:oUnderstand REF:oBoxo1-
3o|op.o3oTOP:oNursingoProcess:oAssessment
