TEST BANK for Health Assessment for Nu
3 3 3 3 3 3
rsing Practice 8th Edition by Susan Fickert
3 3 3 3 3 3
t Wilson & Jean Foret Giddens
3 3 3 3 3
Complete3Chapters31-
243With3Expert3Approved3Q&As3&3Explanations3for3Exam3P
reparation|3A+3PASS3GUARANTEED
13|3P3a3g3e
, Chapter31:3Importance3of3Health3Assessment3MU
LTIPLE3CHOICE
1. A3patient3comes3to3the3emergency3department3and3tells3the3triage3nurse3that3he3is3―having3a3he
art3attack.‖3What3is3the3nurse‘s3top3priority3at3this3time?
a. Determine3the3patient‘s3personal3data3and3insurance3coverage.
b. Ask3the3patient3to3take3a3seat3in3the3waiting3room3until3his3name3is3called.
c. Request3that3a3nurse3collect3data3for3a3comprehensive3history.
d. Ask3a3nurse3to3start3a3focused3assessment3of3this3patient3now.
CORRECT3ANSWER:3
D
Feedback
A Personal3data3and3insurance3information3will3be3obtained,3but3in3this3situation,3these3data3can3w
ait3until3after3the3patient3is3assessed.
B Rather3than3asking3the3patient3to3wait,3the3nurse3needs3to3begin3data3collection,3such3as3vital3signs,
immediately3to3determine3the3patient‘s3health3status.
C A3comprehensive3history3is3not3indicated3in3this3situation3at3this3time.3Some3subjective3data3w
ill3be3collected,3such3as3allergies3and3medical3history3related3to3cardiovascular3disease.
D The3nurse3needs3to3begin3an3assessment3as3soon3as3possible3that3is3focused3on
this3patient‘s3cardiovascular3system.3The3type3of3health3assessment3performed3by3the3nurse3is3also3driven
by3patient3need.
DIF: Cognitive3Level:3Apply3 REF:333TOP:3Nursing3Process:3Assessment
MSC:3NCLEX3Patient3Needs:3Safe3and3Effective3Care3Environment:3Management3of3Care:3Establishing
3Priorities
2. Which3situation3illustrates3a3screening3assessment?
a. A3patient3visits3an3obstetric3clinic3for3the3first3time3and3the3nurse3conducts3a3detailed3history3a
nd3physical3examination.
b. A3hospital3sponsors3a3health3fair3at3a3local3mall3and3provides3cholesterol3and3blood3press
ure3checks3to3mall3patrons.
23|3P3a3g3e
,c. The3nurse3in3an3urgent3care3center3checks3the3vital3signs3of3a3patient3who3is3complaining3of3
leg3pain.
d. A3patient3newly3diagnosed3with3diabetes3mellitus3comes3to3test3his3fasting3blood3glucose3level.
CORRECT3ANSWER:3
B
Feedback
A A3detailed3history3and3physical3examination3conducted3during3a3first-
time3visit3to3an3obstetric3clinic3is3an3example3of3a3comprehensive3assessment.
B A3health3fair3at3a3local3mall3that3provides3cholesterol3and3blood3pressure3checks3is3an3example
3of3a3screening3assessment3focused3on3disease3detection.
C Assessing3a3patient3complaining3of3leg3pain3in3the3triage3area3of3an3urgent3care3center3is3
an3example3of3a3problem-based/focused3assessment.
D A3patient‘s3return3appointment313month3after3today‘s3office3visit3to3report3fasting3blood3glucose
levels3is3an3example3of3an3episodic3or3follow-up3assessment.
DIF: Cognitive3Level:3Understand
REF:333TOP:3Nursing3Process:3Assessment3MSC:3NCLEX3Patient3Needs:3
Health3Promotion3and3Maintenance:3Health3Screening
3. For3which3person3is3a3screening3assessment3indicated?
a. The3person3who3had3abdominal3surgery3yesterday
b. The3person3who3is3unaware3of3his3high3serum3glucose3levels
c. The3person3who3is3being3admitted3to3a3long-term3care3facility
d. The3person3who3is3beginning3rehabilitation3after3a3knee3replaceme
nt3CORRECT3ANSWER:3B
Feedback
A A3shift3assessment3is3most3appropriate3for3the3person3who3is3recovering3in3the3hospital3fr
om3surgery.
33|3P3a3g3e
, B A3screening3assessment3is3performed3for3the3purpose3of3disease3detection.3In3this3case3this3pers
on3may3have3diabetes3mellitus.
C A3comprehensive3assessment3is3performed3during3admission3to3a3facility3to3obtain3a3detail
ed3history3and3complete3physical3examination.
D An3episodic3or3follow-
up3assessment3is3performed3after3knee3replacement3to3evaluate3the3outcome3of3the3procedure.
DIF: Cognitive3Level:3Understand REF:333TOP:3Nursing3Process:3Assessment
MSC:3NCLEX3Patient3Needs:3Safe3and3Effective3Care3Environment:3Management3of3Care:3Establishing
3Priorities
4. For3which3person3is3a3shift3assessment3indicated?
a. The3person3who3had3abdominal3surgery3yesterday
b. The3person3who3is3unaware3of3his3high3serum3glucose3levels.
c. The3person3who3is3being3admitted3to3a3long-term3care3facility.
d. The3person3who3is3beginning3rehabilitation3after3a3knee3replacement.
CORRECT3ANSWER:3A
Feedback
A A3shift3assessment3is3most3appropriate3for3the3person3who3is3recovering3in3the3hospital3fr
om3surgery.
B A3screening3assessment3is3performed3for3the3purpose3of3disease3detection,3in3this3case3diabet
es3mellitus.
C A3comprehensive3assessment3is3performed3during3admission3to3a3facility3to3obtain3a3detail
ed3history3and3complete3physical3examination.
D An3episodic3or3follow-
up3assessment3is3performed3after3knee3replacement3to3evaluate3the3outcome3of3the3procedure.
DIF: Cognitive3Level:3Understand REF:333TOP:3Nursing3Process:3Assessment
MSC:3NCLEX3Patient3Needs:3Safe3and3Effective3Care3Environment:3Management3of3Care:3Establishing
3Priorities
43|3P3a3g3e
3 3 3 3 3 3
rsing Practice 8th Edition by Susan Fickert
3 3 3 3 3 3
t Wilson & Jean Foret Giddens
3 3 3 3 3
Complete3Chapters31-
243With3Expert3Approved3Q&As3&3Explanations3for3Exam3P
reparation|3A+3PASS3GUARANTEED
13|3P3a3g3e
, Chapter31:3Importance3of3Health3Assessment3MU
LTIPLE3CHOICE
1. A3patient3comes3to3the3emergency3department3and3tells3the3triage3nurse3that3he3is3―having3a3he
art3attack.‖3What3is3the3nurse‘s3top3priority3at3this3time?
a. Determine3the3patient‘s3personal3data3and3insurance3coverage.
b. Ask3the3patient3to3take3a3seat3in3the3waiting3room3until3his3name3is3called.
c. Request3that3a3nurse3collect3data3for3a3comprehensive3history.
d. Ask3a3nurse3to3start3a3focused3assessment3of3this3patient3now.
CORRECT3ANSWER:3
D
Feedback
A Personal3data3and3insurance3information3will3be3obtained,3but3in3this3situation,3these3data3can3w
ait3until3after3the3patient3is3assessed.
B Rather3than3asking3the3patient3to3wait,3the3nurse3needs3to3begin3data3collection,3such3as3vital3signs,
immediately3to3determine3the3patient‘s3health3status.
C A3comprehensive3history3is3not3indicated3in3this3situation3at3this3time.3Some3subjective3data3w
ill3be3collected,3such3as3allergies3and3medical3history3related3to3cardiovascular3disease.
D The3nurse3needs3to3begin3an3assessment3as3soon3as3possible3that3is3focused3on
this3patient‘s3cardiovascular3system.3The3type3of3health3assessment3performed3by3the3nurse3is3also3driven
by3patient3need.
DIF: Cognitive3Level:3Apply3 REF:333TOP:3Nursing3Process:3Assessment
MSC:3NCLEX3Patient3Needs:3Safe3and3Effective3Care3Environment:3Management3of3Care:3Establishing
3Priorities
2. Which3situation3illustrates3a3screening3assessment?
a. A3patient3visits3an3obstetric3clinic3for3the3first3time3and3the3nurse3conducts3a3detailed3history3a
nd3physical3examination.
b. A3hospital3sponsors3a3health3fair3at3a3local3mall3and3provides3cholesterol3and3blood3press
ure3checks3to3mall3patrons.
23|3P3a3g3e
,c. The3nurse3in3an3urgent3care3center3checks3the3vital3signs3of3a3patient3who3is3complaining3of3
leg3pain.
d. A3patient3newly3diagnosed3with3diabetes3mellitus3comes3to3test3his3fasting3blood3glucose3level.
CORRECT3ANSWER:3
B
Feedback
A A3detailed3history3and3physical3examination3conducted3during3a3first-
time3visit3to3an3obstetric3clinic3is3an3example3of3a3comprehensive3assessment.
B A3health3fair3at3a3local3mall3that3provides3cholesterol3and3blood3pressure3checks3is3an3example
3of3a3screening3assessment3focused3on3disease3detection.
C Assessing3a3patient3complaining3of3leg3pain3in3the3triage3area3of3an3urgent3care3center3is3
an3example3of3a3problem-based/focused3assessment.
D A3patient‘s3return3appointment313month3after3today‘s3office3visit3to3report3fasting3blood3glucose
levels3is3an3example3of3an3episodic3or3follow-up3assessment.
DIF: Cognitive3Level:3Understand
REF:333TOP:3Nursing3Process:3Assessment3MSC:3NCLEX3Patient3Needs:3
Health3Promotion3and3Maintenance:3Health3Screening
3. For3which3person3is3a3screening3assessment3indicated?
a. The3person3who3had3abdominal3surgery3yesterday
b. The3person3who3is3unaware3of3his3high3serum3glucose3levels
c. The3person3who3is3being3admitted3to3a3long-term3care3facility
d. The3person3who3is3beginning3rehabilitation3after3a3knee3replaceme
nt3CORRECT3ANSWER:3B
Feedback
A A3shift3assessment3is3most3appropriate3for3the3person3who3is3recovering3in3the3hospital3fr
om3surgery.
33|3P3a3g3e
, B A3screening3assessment3is3performed3for3the3purpose3of3disease3detection.3In3this3case3this3pers
on3may3have3diabetes3mellitus.
C A3comprehensive3assessment3is3performed3during3admission3to3a3facility3to3obtain3a3detail
ed3history3and3complete3physical3examination.
D An3episodic3or3follow-
up3assessment3is3performed3after3knee3replacement3to3evaluate3the3outcome3of3the3procedure.
DIF: Cognitive3Level:3Understand REF:333TOP:3Nursing3Process:3Assessment
MSC:3NCLEX3Patient3Needs:3Safe3and3Effective3Care3Environment:3Management3of3Care:3Establishing
3Priorities
4. For3which3person3is3a3shift3assessment3indicated?
a. The3person3who3had3abdominal3surgery3yesterday
b. The3person3who3is3unaware3of3his3high3serum3glucose3levels.
c. The3person3who3is3being3admitted3to3a3long-term3care3facility.
d. The3person3who3is3beginning3rehabilitation3after3a3knee3replacement.
CORRECT3ANSWER:3A
Feedback
A A3shift3assessment3is3most3appropriate3for3the3person3who3is3recovering3in3the3hospital3fr
om3surgery.
B A3screening3assessment3is3performed3for3the3purpose3of3disease3detection,3in3this3case3diabet
es3mellitus.
C A3comprehensive3assessment3is3performed3during3admission3to3a3facility3to3obtain3a3detail
ed3history3and3complete3physical3examination.
D An3episodic3or3follow-
up3assessment3is3performed3after3knee3replacement3to3evaluate3the3outcome3of3the3procedure.
DIF: Cognitive3Level:3Understand REF:333TOP:3Nursing3Process:3Assessment
MSC:3NCLEX3Patient3Needs:3Safe3and3Effective3Care3Environment:3Management3of3Care:3Establishing
3Priorities
43|3P3a3g3e
