Test Bank for Health Assessment for
Nursing Practice 7th Edition by Wilson
Chapter 1 - 24
,Chapter H01: HIntroduction Hto HHealth HAssessment
MULTIPLE HCHOICE
1. A Hpatient Hcomes Hto Hthe Hemergency Hdepartment Hand Htells Hthe Htriage H nurse
Hthat H heHis H“having Ha H heart Hattack.” HWhat His Hthe H nurse’s Htop Hpriority Hat Hthis Htime?
a. Determine Hthe Hpatient’s Hpersonal Hdata Hand
Hinsurance Hcoverage.
b. Ask Hthe Hpatient Hto Htake Ha Hseat Hin Hthe
HwaitingHroom Huntil H his Hname His Hcalled.
c. Request Hthat Ha Hnurse Hcollect Hdata
Hfor HaHcomprehensive H history.
d. Ask Ha Hnurse Hto Hstart Ha Hfocused
HassessmentHof Hthis Hpatient Hnow.
ANSWER: H D
The Hnurse Hneeds Hto Hbegin Han Hassessment Has Hsoon Has Hpossible Hthat His Hfocused Hon Hthis
Hpatient’sHcardiovascular Hsystem. HThe Htype Hof Hhealth Hassessment Hperformed Hby Hthe
Hnurse His Halso HdrivenHby Hpatient Hneed. HPersonal Hdata Hand Hinsurance Hinformation Hwill
Hbe Hobtained, Hbut Hin Hthis Hsituation, Hthese Hdata Hcan Hwait Huntil Hafter Hthe Hpatient His
Hassessed. HBased Halso Hon HMaslow’s Hhierarchy Hof Hneeds, Hphysiologic Hneeds Htake
Hprecedence. HRather Hthan Hasking Hthe Hpatient Hto Hwait, Hthe Hnurse Hneeds Hto Hbegin Hdata
Hcollection, Hsuch Has Hvital Hsigns, Himmediately Hto HdetermineHthe Hpatient’s Hhealth Hstatus.
HComplications Hcan Hbe Hprevented Hif Han Himmediate Hassessment His Hmade Hto Hanalyze
Hthe Hpatient’s Hsymptoms. HA Hcomprehensive Hhistory His Hnot Hindicated Hin Hthis Hsituation
Hat Hthis Htime. HSome Hsubjective Hdata Hwill Hbe Hcollected, Hsuch Has Hallergies Hand Hmedical
Hhistory Hrelated Hto Hcardiovascular Hdisease. HEyes, Hears, Hor Ha Hcomplete Hmusculoskeletal
Hor Hmental H health Hassessment His Hnot Ha Hpriority Hat Hthis Htime.
DIF: H H H Cognitive HLevel: HApply REF: HBox H1-3 H|
Hp. H3HTOP: HNursing HProcess: HAssessment
MSC: HNCLEX HPatient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare:
HEstablishing HPriorities
2. Which Hsituation Hillustrates Ha Hscreening Hassessment?
a. A Hpatient Hvisits Han Hobstetric Hclinic Hfor
Hthe Hfirst Htime Hand Hthe Hnurse Hconducts Ha
HdetailedHhistory Hand Hphysical Hexamination.
b. A Hhospital Hsponsors Ha Hhealth Hfair Hat Ha
HlocalHmall Hand Hprovides Hcholesterol
Hand Hblood Hpressure Hchecks Hto Hmall
Hpatrons.
c. The Hnurse Hin Han Hurgent Hcare Hcenter
HchecksHthe Hvital Hsigns Hof Ha Hpatient
Hwho His Hcomplaining Hof Hleg Hpain.
, d. A Hpatient H newly Hdiagnosed Hwith
HdiabetesHmellitus Hcomes Hto Htest Hhis
Hfasting Hblood Hglucose Hlevel.
ANSWER: HB
A Hhealth Hfair Hat Ha Hlocal Hmall Hthat Hprovides Hcholesterol Hand Hblood Hpressure Hchecks His
Han Hexample Hof Ha Hscreening Hassessment Hfocused Hon Hdisease Hdetection. HA Hdetailed
Hhistory Hand Hphysical Hexamination Hconducted Hduring Ha Hfirst-time Hvisit Hto Han Hobstetric
Hclinic His Han HexampleHof Ha Hcomprehensive Hassessment. HAssessing Ha Hpatient
Hcomplaining Hof Hleg Hpain Hin Hthe Htriage Harea Hof Han Hurgent Hcare Hcenter His Han Hexample
Hof Ha Hproblem-based/focused Hassessment. HA Hpatient’s Hreturn Happointment H1 Hmonth
Hafter Htoday’s Hoffice Hvisit Hto Hreport Hfasting Hblood Hglucose Hlevels His Han Hexample Hof Han
Hepisodic Hor H follow-up Hassessment.
DIF: H H H Cognitive HLevel: HUnderstand REF: HBox H1-3 H|
Hp. H3HTOP: HNursing HProcess: H Assessment
MSC: HNCLEX HPatient H Needs: H Health HPromotion Hand HMaintenance: HHealth HScreening
3. For Hwhich Hperson His Ha Hscreening Hassessment Hindicated?
a. The Hperson Hwho Hhad Habdominal
HsurgeryHyesterday
b. The Hperson Hwho His Hunaware Hof Hhis
HhighHserum Hglucose Hlevels
c. The Hperson Hwho His Hbeing Hadmitted
Hto HaHlong-term Hcare Hfacility
d. The Hperson Hwho His Hbeginning
HrehabilitationHafter Ha Hknee Hreplacement
ANSWER: HB
A Hscreening Hassessment His Hperformed Hfor Hthe Hpurpose Hof Hdisease Hdetection. HIn Hthis
Hcase HthisHperson Hmay Hhave Hdiabetes Hmellitus. HA Hshift Hassessment His Hmost
Happropriate Hfor Hthe Hperson Hwho His Hrecovering Hin Hthe Hhospital Hfrom Hsurgery. HA
Hcomprehensive Hassessment His HperformedHduring Hadmission Hto Ha Hfacility Hto Hobtain Ha
Hdetailed Hhistory Hand Hcomplete Hphysical Hexamination. HAn Hepisodic Hor Hfollow-up
Hassessment His Hperformed Hafter Hknee Hreplacement HtoHevaluate Hthe Houtcome Hof Hthe
Hprocedure.
DIF: H H H Cognitive HLevel: HUnderstand REF: HBox H1-3 H|
Hp. H3HTOP: HNursing HProcess: H Assessment
MSC: HNCLEX HPatient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare:
HEstablishing HPriorities
4. For Hwhich Hperson His Ha Hshift Hassessment Hindicated?
a. The Hperson Hwho Hhad Habdominal
HsurgeryHyesterday
b. The Hperson Hwho His Hunaware Hof Hhis
HhighHserum Hglucose Hlevels
c. The Hperson Hwho His Hbeing Hadmitted Hto Ha
long-term Hcare Hfacility
d. The Hperson Hwho His Hbeginning
HrehabilitationHafter Ha Hknee Hreplacement
ANSWER: H A
A Hshift Hassessment His Hmost Happropriate Hfor Hthe Hperson Hwho His Hrecovering Hin Hthe
Hhospital HfromHsurgery. HA Hscreening Hassessment His Hperformed Hfor Hthe Hpurpose Hof
Hdisease Hdetection, Hin Hthis Hcase Hdiabetes Hmellitus. H A Hcomprehensive Hassessment His
Hperformed Hduring Hadmission Hto Ha
, facility Hto Hobtain Ha Hdetailed Hhistory Hand Hcomplete Hphysical Hexamination. HAn
Hepisodic Hor Hfollow-up Hassessment His Hperformed Hafter Hknee Hreplacement Hto Hevaluate
Hthe Houtcome Hof HtheHprocedure.
DIF: H H H Cognitive HLevel: HUnderstand REF: HBox H1-3 H|
Hp. H4HTOP: HNursing HProcess: HAssessment
MSC: HNCLEX HPatient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare:
HEstablishing HPriorities
5. For Hwhich Hperson His Ha Hcomprehensive Hassessment Hindicated?
a. The Hperson Hwho Hhad Habdominal
HsurgeryHyesterday
b. The Hperson Hwho His Hunaware Hof Hhis
HhighHserum Hglucose Hlevels
c. The Hperson Hwho His Hbeing Hadmitted
Hto HaHlong-term Hcare Hfacility
d. The Hperson Hwho His Hbeginning
HrehabilitationHafter Ha Hknee Hreplacement
ANSWER: HC
A Hcomprehensive Hassessment His Hperformed Hduring Hadmission Hto Ha Hfacility Hto Hobtain Ha
detailed Hhistory Hand Hcomplete Hphysical Hexamination. HA Hshift Hassessment His Hmost
HappropriateHfor Hthe Hperson Hwho His Hrecovering Hin Hthe Hhospital Hfrom Hsurgery. HA
Hscreening Hassessment His Hperformed Hfor Hthe Hpurpose Hof Hdisease Hdetection, Hin Hthis
Hcase Hdiabetes Hmellitus. HAn Hepisodic Hor Hfollow-up Hassessment His Hperformed Hafter
Hknee Hreplacement Hto Hevaluate Hthe Houtcome Hof Hthe Hprocedure.
DIF: H H H Cognitive HLevel: HUnderstand REF: HBox H1-3 H|
Hp. H3HTOP: HNursing HProcess: H Assessment
MSC: HNCLEX HPatient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare:
HEstablishing HPriorities
6. For Hwhich Hperson His Han Hepisodic Hor Hfollow-up Hassessment Hindicated?
a. The Hperson Hwho Hhad Habdominal
HsurgeryHyesterday
b. The Hperson Hwho His Hunaware Hof Hhis
HhighHserum Hglucose Hlevels
c. The Hperson Hwho His Hbeing Hadmitted Hto Ha
long-term Hcare Hfacility
d. The Hperson Hwho His Hbeginning
HrehabilitationHafter Ha Hknee Hreplacement
ANSWER: H D
An Hepisodic Hor Hfollow-up Hassessment His Hperformed Hafter Hthe Hknee Hreplacement Hto
Hevaluate Hthe Houtcome Hof Hthe Hprocedure. HA Hshift Hassessment His Hmost Happropriate Hfor
Hthe Hperson Hwho HisHrecovering Hin Hthe Hhospital Hfrom Hsurgery. HA Hscreening Hassessment
His Hperformed Hfor Hthe Hpurpose Hof Hdisease Hdetection, Hin Hthis Hcase Hdiabetes Hmellitus. HA
Hcomprehensive Hassessment His Hperformed Hduring Hadmission Hto Ha Hfacility Hto Hobtain Ha
Hdetailed Hhistory Hand Hcomplete HphysicalHexamination.
DIF: H H H Cognitive HLevel: HUnderstand REF: HBox H1-3 H|
Hp. H3HTOP: HNursing HProcess: H Assessment
Nursing Practice 7th Edition by Wilson
Chapter 1 - 24
,Chapter H01: HIntroduction Hto HHealth HAssessment
MULTIPLE HCHOICE
1. A Hpatient Hcomes Hto Hthe Hemergency Hdepartment Hand Htells Hthe Htriage H nurse
Hthat H heHis H“having Ha H heart Hattack.” HWhat His Hthe H nurse’s Htop Hpriority Hat Hthis Htime?
a. Determine Hthe Hpatient’s Hpersonal Hdata Hand
Hinsurance Hcoverage.
b. Ask Hthe Hpatient Hto Htake Ha Hseat Hin Hthe
HwaitingHroom Huntil H his Hname His Hcalled.
c. Request Hthat Ha Hnurse Hcollect Hdata
Hfor HaHcomprehensive H history.
d. Ask Ha Hnurse Hto Hstart Ha Hfocused
HassessmentHof Hthis Hpatient Hnow.
ANSWER: H D
The Hnurse Hneeds Hto Hbegin Han Hassessment Has Hsoon Has Hpossible Hthat His Hfocused Hon Hthis
Hpatient’sHcardiovascular Hsystem. HThe Htype Hof Hhealth Hassessment Hperformed Hby Hthe
Hnurse His Halso HdrivenHby Hpatient Hneed. HPersonal Hdata Hand Hinsurance Hinformation Hwill
Hbe Hobtained, Hbut Hin Hthis Hsituation, Hthese Hdata Hcan Hwait Huntil Hafter Hthe Hpatient His
Hassessed. HBased Halso Hon HMaslow’s Hhierarchy Hof Hneeds, Hphysiologic Hneeds Htake
Hprecedence. HRather Hthan Hasking Hthe Hpatient Hto Hwait, Hthe Hnurse Hneeds Hto Hbegin Hdata
Hcollection, Hsuch Has Hvital Hsigns, Himmediately Hto HdetermineHthe Hpatient’s Hhealth Hstatus.
HComplications Hcan Hbe Hprevented Hif Han Himmediate Hassessment His Hmade Hto Hanalyze
Hthe Hpatient’s Hsymptoms. HA Hcomprehensive Hhistory His Hnot Hindicated Hin Hthis Hsituation
Hat Hthis Htime. HSome Hsubjective Hdata Hwill Hbe Hcollected, Hsuch Has Hallergies Hand Hmedical
Hhistory Hrelated Hto Hcardiovascular Hdisease. HEyes, Hears, Hor Ha Hcomplete Hmusculoskeletal
Hor Hmental H health Hassessment His Hnot Ha Hpriority Hat Hthis Htime.
DIF: H H H Cognitive HLevel: HApply REF: HBox H1-3 H|
Hp. H3HTOP: HNursing HProcess: HAssessment
MSC: HNCLEX HPatient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare:
HEstablishing HPriorities
2. Which Hsituation Hillustrates Ha Hscreening Hassessment?
a. A Hpatient Hvisits Han Hobstetric Hclinic Hfor
Hthe Hfirst Htime Hand Hthe Hnurse Hconducts Ha
HdetailedHhistory Hand Hphysical Hexamination.
b. A Hhospital Hsponsors Ha Hhealth Hfair Hat Ha
HlocalHmall Hand Hprovides Hcholesterol
Hand Hblood Hpressure Hchecks Hto Hmall
Hpatrons.
c. The Hnurse Hin Han Hurgent Hcare Hcenter
HchecksHthe Hvital Hsigns Hof Ha Hpatient
Hwho His Hcomplaining Hof Hleg Hpain.
, d. A Hpatient H newly Hdiagnosed Hwith
HdiabetesHmellitus Hcomes Hto Htest Hhis
Hfasting Hblood Hglucose Hlevel.
ANSWER: HB
A Hhealth Hfair Hat Ha Hlocal Hmall Hthat Hprovides Hcholesterol Hand Hblood Hpressure Hchecks His
Han Hexample Hof Ha Hscreening Hassessment Hfocused Hon Hdisease Hdetection. HA Hdetailed
Hhistory Hand Hphysical Hexamination Hconducted Hduring Ha Hfirst-time Hvisit Hto Han Hobstetric
Hclinic His Han HexampleHof Ha Hcomprehensive Hassessment. HAssessing Ha Hpatient
Hcomplaining Hof Hleg Hpain Hin Hthe Htriage Harea Hof Han Hurgent Hcare Hcenter His Han Hexample
Hof Ha Hproblem-based/focused Hassessment. HA Hpatient’s Hreturn Happointment H1 Hmonth
Hafter Htoday’s Hoffice Hvisit Hto Hreport Hfasting Hblood Hglucose Hlevels His Han Hexample Hof Han
Hepisodic Hor H follow-up Hassessment.
DIF: H H H Cognitive HLevel: HUnderstand REF: HBox H1-3 H|
Hp. H3HTOP: HNursing HProcess: H Assessment
MSC: HNCLEX HPatient H Needs: H Health HPromotion Hand HMaintenance: HHealth HScreening
3. For Hwhich Hperson His Ha Hscreening Hassessment Hindicated?
a. The Hperson Hwho Hhad Habdominal
HsurgeryHyesterday
b. The Hperson Hwho His Hunaware Hof Hhis
HhighHserum Hglucose Hlevels
c. The Hperson Hwho His Hbeing Hadmitted
Hto HaHlong-term Hcare Hfacility
d. The Hperson Hwho His Hbeginning
HrehabilitationHafter Ha Hknee Hreplacement
ANSWER: HB
A Hscreening Hassessment His Hperformed Hfor Hthe Hpurpose Hof Hdisease Hdetection. HIn Hthis
Hcase HthisHperson Hmay Hhave Hdiabetes Hmellitus. HA Hshift Hassessment His Hmost
Happropriate Hfor Hthe Hperson Hwho His Hrecovering Hin Hthe Hhospital Hfrom Hsurgery. HA
Hcomprehensive Hassessment His HperformedHduring Hadmission Hto Ha Hfacility Hto Hobtain Ha
Hdetailed Hhistory Hand Hcomplete Hphysical Hexamination. HAn Hepisodic Hor Hfollow-up
Hassessment His Hperformed Hafter Hknee Hreplacement HtoHevaluate Hthe Houtcome Hof Hthe
Hprocedure.
DIF: H H H Cognitive HLevel: HUnderstand REF: HBox H1-3 H|
Hp. H3HTOP: HNursing HProcess: H Assessment
MSC: HNCLEX HPatient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare:
HEstablishing HPriorities
4. For Hwhich Hperson His Ha Hshift Hassessment Hindicated?
a. The Hperson Hwho Hhad Habdominal
HsurgeryHyesterday
b. The Hperson Hwho His Hunaware Hof Hhis
HhighHserum Hglucose Hlevels
c. The Hperson Hwho His Hbeing Hadmitted Hto Ha
long-term Hcare Hfacility
d. The Hperson Hwho His Hbeginning
HrehabilitationHafter Ha Hknee Hreplacement
ANSWER: H A
A Hshift Hassessment His Hmost Happropriate Hfor Hthe Hperson Hwho His Hrecovering Hin Hthe
Hhospital HfromHsurgery. HA Hscreening Hassessment His Hperformed Hfor Hthe Hpurpose Hof
Hdisease Hdetection, Hin Hthis Hcase Hdiabetes Hmellitus. H A Hcomprehensive Hassessment His
Hperformed Hduring Hadmission Hto Ha
, facility Hto Hobtain Ha Hdetailed Hhistory Hand Hcomplete Hphysical Hexamination. HAn
Hepisodic Hor Hfollow-up Hassessment His Hperformed Hafter Hknee Hreplacement Hto Hevaluate
Hthe Houtcome Hof HtheHprocedure.
DIF: H H H Cognitive HLevel: HUnderstand REF: HBox H1-3 H|
Hp. H4HTOP: HNursing HProcess: HAssessment
MSC: HNCLEX HPatient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare:
HEstablishing HPriorities
5. For Hwhich Hperson His Ha Hcomprehensive Hassessment Hindicated?
a. The Hperson Hwho Hhad Habdominal
HsurgeryHyesterday
b. The Hperson Hwho His Hunaware Hof Hhis
HhighHserum Hglucose Hlevels
c. The Hperson Hwho His Hbeing Hadmitted
Hto HaHlong-term Hcare Hfacility
d. The Hperson Hwho His Hbeginning
HrehabilitationHafter Ha Hknee Hreplacement
ANSWER: HC
A Hcomprehensive Hassessment His Hperformed Hduring Hadmission Hto Ha Hfacility Hto Hobtain Ha
detailed Hhistory Hand Hcomplete Hphysical Hexamination. HA Hshift Hassessment His Hmost
HappropriateHfor Hthe Hperson Hwho His Hrecovering Hin Hthe Hhospital Hfrom Hsurgery. HA
Hscreening Hassessment His Hperformed Hfor Hthe Hpurpose Hof Hdisease Hdetection, Hin Hthis
Hcase Hdiabetes Hmellitus. HAn Hepisodic Hor Hfollow-up Hassessment His Hperformed Hafter
Hknee Hreplacement Hto Hevaluate Hthe Houtcome Hof Hthe Hprocedure.
DIF: H H H Cognitive HLevel: HUnderstand REF: HBox H1-3 H|
Hp. H3HTOP: HNursing HProcess: H Assessment
MSC: HNCLEX HPatient HNeeds: HSafe Hand HEffective HCare HEnvironment: HManagement Hof HCare:
HEstablishing HPriorities
6. For Hwhich Hperson His Han Hepisodic Hor Hfollow-up Hassessment Hindicated?
a. The Hperson Hwho Hhad Habdominal
HsurgeryHyesterday
b. The Hperson Hwho His Hunaware Hof Hhis
HhighHserum Hglucose Hlevels
c. The Hperson Hwho His Hbeing Hadmitted Hto Ha
long-term Hcare Hfacility
d. The Hperson Hwho His Hbeginning
HrehabilitationHafter Ha Hknee Hreplacement
ANSWER: H D
An Hepisodic Hor Hfollow-up Hassessment His Hperformed Hafter Hthe Hknee Hreplacement Hto
Hevaluate Hthe Houtcome Hof Hthe Hprocedure. HA Hshift Hassessment His Hmost Happropriate Hfor
Hthe Hperson Hwho HisHrecovering Hin Hthe Hhospital Hfrom Hsurgery. HA Hscreening Hassessment
His Hperformed Hfor Hthe Hpurpose Hof Hdisease Hdetection, Hin Hthis Hcase Hdiabetes Hmellitus. HA
Hcomprehensive Hassessment His Hperformed Hduring Hadmission Hto Ha Hfacility Hto Hobtain Ha
Hdetailed Hhistory Hand Hcomplete HphysicalHexamination.
DIF: H H H Cognitive HLevel: HUnderstand REF: HBox H1-3 H|
Hp. H3HTOP: HNursing HProcess: H Assessment
