Test Bank for Health Assessment for
m m m m m
m Nursing Practice 7th Edition by Wilson
m m m m m
m Chapter 1 - 24
m m m
,Chapter m01: mIntroduction mto mHealth mAssessment
MULTIPLE mCHOICE
1. A mpatient mcomesmto mthe memergency mdepartment mand mtells mthe mtriage m nurse
mthat m hemis m“having ma mheart mattack.” mWhat mismthe mnurse’s mtop mprioritymat mthis mtime?
a. Determine mthe mpatient’s mpersonal mdata mand
insurance mcoverage.
m
b. Ask mthe mpatient mto mtake ma mseat min mthe
mwaitingmroom muntil m his mname mis mcalled.
c. Request mthat ma mnurse mcollect mdata
mfor mam
comprehensive mhistory.
d. Ask ma mnurse mto mstart ma mfocused
massessmentm of mthis mpatient mnow.
ANSWER: m D
The mnurse mneeds mto mbegin man massessment mas msoon mas mpossible mthat mis mfocused mon mthis
mpatient’smcardiovascular msystem. mThe mtype mof mhealth massessment mperformed mby mthe
mnurse mis malso mdrivenm by mpatient mneed. mPersonal mdata mand minsurance minformation mwill mbe
mobtained, mbut min mthis msituation, mthese mdata mcan mwait muntil mafter mthe mpatient mis massessed.
mBased malso mon mMaslow’s mhierarchy mof mneeds, mphysiologic mneeds mtake mprecedence.
mRather mthan masking mthe mpatient mto mwait, mthe mnurse mneeds mto mbegin mdata mcollection,
msuch mas mvital msigns, mimmediately mto mdeterminem the mpatient’s mhealth mstatus.
mComplications mcan mbe mprevented mif man mimmediate massessment mis mmade mto manalyze mthe
mpatient’s msymptoms. mA mcomprehensive mhistory mis mnot mindicated min mthis msituation mat mthis
mtime. mSome msubjective mdata mwill mbe mcollected, msuch mas mallergies mand mmedical mhistory
mrelated mto mcardiovascular mdisease. mEyes, mears, mor ma mcomplete mmusculoskeletal mor
mmental m health massessment mis mnot ma mpriority mat mthis mtime.
DIF: m m m Cognitive mLevel: mApply REF: mBox m1-3 m|
m p. m3mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof mCare:
Establishing mPriorities
m
2. Which msituation millustrates ma m screening massessment?
a. A mpatient mvisits man mobstetric mclinic mfor mthe
mfirst mtime mand mthe m nurse mconducts ma
mdetailedm historymand mphysical mexamination.
b. A mhospital msponsors ma mhealth mfair mat ma
mlocalm mall mand mprovides mcholesterol mand
mblood mpressure mchecks mto mmall mpatrons.
c. The mnurse min man murgent mcare mcenter
mchecksm the mvital msigns mof ma mpatient
mwho mis mcomplaining mof mleg mpain.
, d. A mpatient mnewly mdiagnosed mwith
mdiabetesmmellitus mcomes mto mtest mhis
mfasting mblood mglucose mlevel.
ANSWER: mB
A mhealth mfair mat ma mlocal mmall mthat mprovides mcholesterol mand mblood mpressure mchecks mis
man mexample mof ma mscreening massessment mfocused mon mdisease mdetection. mA mdetailed
mhistory mand mphysical mexamination mconducted mduring ma m first-time m visit mto man mobstetric
mclinic mis man mexamplem of ma mcomprehensive massessment. mAssessing ma mpatient mcomplaining
mof mleg mpain min mthe mtriage marea mof man murgent mcare mcenter mis man mexample mof ma mproblem-
based/focused massessment. mA mpatient’s mreturn mappointment m1 mmonth mafter mtoday’s moffice
mvisit mto mreport mfasting mblood mglucose mlevels mis man mexample mof man mepisodic mor m follow-up
massessment.
DIF: m m m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3m
TOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mHealth mPromotion mand mMaintenance: mHealth mScreening
3. For mwhich mperson mis ma mscreening massessment mindicated?
a. The mperson mwho mhad mabdominal
m surgerym
yesterday
b. The mperson mwho mis munaware mof mhis
mhighmserum mglucose mlevels
c. The mperson mwho mis mbeing madmitted
mto mam
long-term mcare mfacility
d. The mperson mwho mis mbeginning
mrehabilitationm
after ma mknee mreplacement
ANSWER: mB
A mscreening massessment mis mperformed mfor mthe mpurpose mof mdisease mdetection. mIn mthis
mcase mthismperson mmay mhave mdiabetes mmellitus. mA mshift massessment mis mmost mappropriate
mfor mthe mperson mwho mis mrecovering min mthe mhospital mfrom msurgery. mA mcomprehensive
massessment mis mperformedm during madmission mto ma mfacility mto mobtain ma mdetailed mhistory
mand mcomplete mphysical mexamination. mAn mepisodic mor mfollow-up massessment mis
mperformed mafter mknee mreplacement mtom evaluate mthe moutcome mof mthe mprocedure.
DIF: m m m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof mCare:
Establishing mPriorities
m
4. For mwhich mperson mis ma mshift massessment mindicated?
a. The mperson mwho mhad mabdominal
m surgerym
yesterday
b. The mperson mwho mis munaware mof mhis
mhighmserum mglucose mlevels
c. The mperson mwho mis mbeing madmitted mto ma
long-term mcare mfacility
d. The mperson mwho mis mbeginning
mrehabilitationm
after ma mknee mreplacement
ANSWER: m A
A mshift massessment mis mmost mappropriate mfor mthe mperson mwho mis mrecovering min mthe
mhospital mfrommsurgery. mA mscreening massessment mis mperformed mfor mthe mpurpose mof
mdisease mdetection, min mthis mcase mdiabetes mmellitus. m A mcomprehensive massessment mis
mperformed mduring madmission mto ma
, facility mto mobtain ma mdetailed mhistory mand mcomplete mphysical mexamination. mAn mepisodic
mor mfollow-up massessment mis mperformed mafter mknee mreplacement mto mevaluate mthe
moutcome mof mthem procedure.
DIF: m m m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
m p. m4mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof mCare:
Establishing mPriorities
m
5. For mwhich mperson mis ma mcomprehensive massessment mindicated?
a. The mperson mwho mhad mabdominal
m surgerym
yesterday
b. The mperson mwho mis munaware mof mhis
mhighmserum mglucose mlevels
c. The mperson mwho mis mbeing madmitted
mto mam
long-term mcare mfacility
d. The mperson mwho mis mbeginning
mrehabilitationm
after ma mknee mreplacement
ANSWER: mC
A mcomprehensive massessment mismperformed mduring madmission mto ma mfacilitymto mobtain ma
detailed mhistory mand mcomplete mphysical mexamination. mA mshift massessment mis mmost
mappropriatem for mthe mperson mwho mis mrecovering min mthe mhospital mfrom msurgery. mA
mscreening massessment mis mperformed mfor mthe mpurpose mof mdisease mdetection, min mthis mcase
mdiabetes mmellitus. mAn mepisodic mor mfollow-up massessment mis mperformed mafter mknee
mreplacement mto mevaluate mthe moutcome mof mthe mprocedure.
DIF: m m m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3m
TOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof mCare:
Establishing mPriorities
m
6. For mwhich mperson mis man mepisodic mor mfollow-up massessment mindicated?
a. The mperson mwho mhad mabdominal
m surgerymyesterday
b. The mperson mwho mis munaware mof mhis
mhighm serum mglucose mlevels
c. The mperson mwho mis mbeing madmitted mto ma
long-term mcare mfacility
d. The mperson mwho mis mbeginning
mrehabilitationmafter ma mknee mreplacement
ANSWER: m D
An mepisodic mor mfollow-up massessment mis mperformed mafter mthe mknee mreplacement mto
mevaluate mthe moutcome mof mthe mprocedure. mA mshift massessment mis mmost mappropriate mfor
mthe mperson mwho mismrecovering min mthe mhospital mfrom msurgery. mA mscreening massessment
mis mperformed mfor mthe mpurpose mof mdisease mdetection, min mthis mcase mdiabetes mmellitus. m A
mcomprehensive massessment mis mperformed mduring madmission mto ma mfacility mto mobtain ma
mdetailed mhistory mand mcomplete mphysicalm examination.
DIF: m m m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3m
TOP: mNursing mProcess: mAssessment
m m m m m
m Nursing Practice 7th Edition by Wilson
m m m m m
m Chapter 1 - 24
m m m
,Chapter m01: mIntroduction mto mHealth mAssessment
MULTIPLE mCHOICE
1. A mpatient mcomesmto mthe memergency mdepartment mand mtells mthe mtriage m nurse
mthat m hemis m“having ma mheart mattack.” mWhat mismthe mnurse’s mtop mprioritymat mthis mtime?
a. Determine mthe mpatient’s mpersonal mdata mand
insurance mcoverage.
m
b. Ask mthe mpatient mto mtake ma mseat min mthe
mwaitingmroom muntil m his mname mis mcalled.
c. Request mthat ma mnurse mcollect mdata
mfor mam
comprehensive mhistory.
d. Ask ma mnurse mto mstart ma mfocused
massessmentm of mthis mpatient mnow.
ANSWER: m D
The mnurse mneeds mto mbegin man massessment mas msoon mas mpossible mthat mis mfocused mon mthis
mpatient’smcardiovascular msystem. mThe mtype mof mhealth massessment mperformed mby mthe
mnurse mis malso mdrivenm by mpatient mneed. mPersonal mdata mand minsurance minformation mwill mbe
mobtained, mbut min mthis msituation, mthese mdata mcan mwait muntil mafter mthe mpatient mis massessed.
mBased malso mon mMaslow’s mhierarchy mof mneeds, mphysiologic mneeds mtake mprecedence.
mRather mthan masking mthe mpatient mto mwait, mthe mnurse mneeds mto mbegin mdata mcollection,
msuch mas mvital msigns, mimmediately mto mdeterminem the mpatient’s mhealth mstatus.
mComplications mcan mbe mprevented mif man mimmediate massessment mis mmade mto manalyze mthe
mpatient’s msymptoms. mA mcomprehensive mhistory mis mnot mindicated min mthis msituation mat mthis
mtime. mSome msubjective mdata mwill mbe mcollected, msuch mas mallergies mand mmedical mhistory
mrelated mto mcardiovascular mdisease. mEyes, mears, mor ma mcomplete mmusculoskeletal mor
mmental m health massessment mis mnot ma mpriority mat mthis mtime.
DIF: m m m Cognitive mLevel: mApply REF: mBox m1-3 m|
m p. m3mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof mCare:
Establishing mPriorities
m
2. Which msituation millustrates ma m screening massessment?
a. A mpatient mvisits man mobstetric mclinic mfor mthe
mfirst mtime mand mthe m nurse mconducts ma
mdetailedm historymand mphysical mexamination.
b. A mhospital msponsors ma mhealth mfair mat ma
mlocalm mall mand mprovides mcholesterol mand
mblood mpressure mchecks mto mmall mpatrons.
c. The mnurse min man murgent mcare mcenter
mchecksm the mvital msigns mof ma mpatient
mwho mis mcomplaining mof mleg mpain.
, d. A mpatient mnewly mdiagnosed mwith
mdiabetesmmellitus mcomes mto mtest mhis
mfasting mblood mglucose mlevel.
ANSWER: mB
A mhealth mfair mat ma mlocal mmall mthat mprovides mcholesterol mand mblood mpressure mchecks mis
man mexample mof ma mscreening massessment mfocused mon mdisease mdetection. mA mdetailed
mhistory mand mphysical mexamination mconducted mduring ma m first-time m visit mto man mobstetric
mclinic mis man mexamplem of ma mcomprehensive massessment. mAssessing ma mpatient mcomplaining
mof mleg mpain min mthe mtriage marea mof man murgent mcare mcenter mis man mexample mof ma mproblem-
based/focused massessment. mA mpatient’s mreturn mappointment m1 mmonth mafter mtoday’s moffice
mvisit mto mreport mfasting mblood mglucose mlevels mis man mexample mof man mepisodic mor m follow-up
massessment.
DIF: m m m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3m
TOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mHealth mPromotion mand mMaintenance: mHealth mScreening
3. For mwhich mperson mis ma mscreening massessment mindicated?
a. The mperson mwho mhad mabdominal
m surgerym
yesterday
b. The mperson mwho mis munaware mof mhis
mhighmserum mglucose mlevels
c. The mperson mwho mis mbeing madmitted
mto mam
long-term mcare mfacility
d. The mperson mwho mis mbeginning
mrehabilitationm
after ma mknee mreplacement
ANSWER: mB
A mscreening massessment mis mperformed mfor mthe mpurpose mof mdisease mdetection. mIn mthis
mcase mthismperson mmay mhave mdiabetes mmellitus. mA mshift massessment mis mmost mappropriate
mfor mthe mperson mwho mis mrecovering min mthe mhospital mfrom msurgery. mA mcomprehensive
massessment mis mperformedm during madmission mto ma mfacility mto mobtain ma mdetailed mhistory
mand mcomplete mphysical mexamination. mAn mepisodic mor mfollow-up massessment mis
mperformed mafter mknee mreplacement mtom evaluate mthe moutcome mof mthe mprocedure.
DIF: m m m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof mCare:
Establishing mPriorities
m
4. For mwhich mperson mis ma mshift massessment mindicated?
a. The mperson mwho mhad mabdominal
m surgerym
yesterday
b. The mperson mwho mis munaware mof mhis
mhighmserum mglucose mlevels
c. The mperson mwho mis mbeing madmitted mto ma
long-term mcare mfacility
d. The mperson mwho mis mbeginning
mrehabilitationm
after ma mknee mreplacement
ANSWER: m A
A mshift massessment mis mmost mappropriate mfor mthe mperson mwho mis mrecovering min mthe
mhospital mfrommsurgery. mA mscreening massessment mis mperformed mfor mthe mpurpose mof
mdisease mdetection, min mthis mcase mdiabetes mmellitus. m A mcomprehensive massessment mis
mperformed mduring madmission mto ma
, facility mto mobtain ma mdetailed mhistory mand mcomplete mphysical mexamination. mAn mepisodic
mor mfollow-up massessment mis mperformed mafter mknee mreplacement mto mevaluate mthe
moutcome mof mthem procedure.
DIF: m m m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
m p. m4mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof mCare:
Establishing mPriorities
m
5. For mwhich mperson mis ma mcomprehensive massessment mindicated?
a. The mperson mwho mhad mabdominal
m surgerym
yesterday
b. The mperson mwho mis munaware mof mhis
mhighmserum mglucose mlevels
c. The mperson mwho mis mbeing madmitted
mto mam
long-term mcare mfacility
d. The mperson mwho mis mbeginning
mrehabilitationm
after ma mknee mreplacement
ANSWER: mC
A mcomprehensive massessment mismperformed mduring madmission mto ma mfacilitymto mobtain ma
detailed mhistory mand mcomplete mphysical mexamination. mA mshift massessment mis mmost
mappropriatem for mthe mperson mwho mis mrecovering min mthe mhospital mfrom msurgery. mA
mscreening massessment mis mperformed mfor mthe mpurpose mof mdisease mdetection, min mthis mcase
mdiabetes mmellitus. mAn mepisodic mor mfollow-up massessment mis mperformed mafter mknee
mreplacement mto mevaluate mthe moutcome mof mthe mprocedure.
DIF: m m m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3m
TOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof mCare:
Establishing mPriorities
m
6. For mwhich mperson mis man mepisodic mor mfollow-up massessment mindicated?
a. The mperson mwho mhad mabdominal
m surgerymyesterday
b. The mperson mwho mis munaware mof mhis
mhighm serum mglucose mlevels
c. The mperson mwho mis mbeing madmitted mto ma
long-term mcare mfacility
d. The mperson mwho mis mbeginning
mrehabilitationmafter ma mknee mreplacement
ANSWER: m D
An mepisodic mor mfollow-up massessment mis mperformed mafter mthe mknee mreplacement mto
mevaluate mthe moutcome mof mthe mprocedure. mA mshift massessment mis mmost mappropriate mfor
mthe mperson mwho mismrecovering min mthe mhospital mfrom msurgery. mA mscreening massessment
mis mperformed mfor mthe mpurpose mof mdisease mdetection, min mthis mcase mdiabetes mmellitus. m A
mcomprehensive massessment mis mperformed mduring madmission mto ma mfacility mto mobtain ma
mdetailed mhistory mand mcomplete mphysicalm examination.
DIF: m m m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3m
TOP: mNursing mProcess: mAssessment
