HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION
TEST BANK
HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION
BY WILSON ALL CHAPTERS 1 – 24 COVERED QUESTIONS AND
ANSWERS GRADED A+ LATEST UPDATE.
,HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION
Chapter 01: Introduction to Health Assessment
MULTIPLE CHOICE
1.A patient comes to the emergency department and tells the
triage nurse that heis “having a heart attack.” What is the nurse’s top
priority at this time?
a. Determine the patient’s personal
data andinsurance coverage.
b. Ask the patient to take a seat in the
waitingroom until his name is
called.
c. Request that a nurse collect
data for acomprehensive
history.
d. Ask a nurse to start a focused
assessmentof 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 detailedhistory and
physical examination.
,HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION
b. A hospital sponsors a health fair
at a localmall 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
diabetesmellitus 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 examination conducted during a
first-time visit to an obstetric clinic is an exampleof 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 appointment 1 month after today’s office
visit to report fasting blood glucose levels is an example of an episodic or
follow-up assessment.
DIF: Cognitive Level: Understand REF: Box 1-3 |
p. 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
3. For which person is a screening assessment indicated?
a. The person who had abdominal
surgeryyesterday
b. The person who is unaware of
his highserum glucose levels
c. The person who is being
admitted to along-term care
facility
d. The person who is beginning
rehabilitationafter a knee
replacement
ANS >> B
A screening assessment is performed for the purpose of disease
detection. In this case this person 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
admission to a facility to obtain a detailed history and complete physical
,HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION
examination. An episodic or follow-up assessment is performed after
knee replacement toevaluate 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
4. For which person is a shift assessment indicated?
a. The person who had abdominal
surgeryyesterday
b. The person who is unaware of
his highserum glucose levels
c. The person who is being admitted
to a
long-term care facility
d. The person who is beginning
rehabilitationafter a knee
replacement
ANS >> A
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
TEST BANK
HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION
BY WILSON ALL CHAPTERS 1 – 24 COVERED QUESTIONS AND
ANSWERS GRADED A+ LATEST UPDATE.
,HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION
Chapter 01: Introduction to Health Assessment
MULTIPLE CHOICE
1.A patient comes to the emergency department and tells the
triage nurse that heis “having a heart attack.” What is the nurse’s top
priority at this time?
a. Determine the patient’s personal
data andinsurance coverage.
b. Ask the patient to take a seat in the
waitingroom until his name is
called.
c. Request that a nurse collect
data for acomprehensive
history.
d. Ask a nurse to start a focused
assessmentof 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 detailedhistory and
physical examination.
,HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION
b. A hospital sponsors a health fair
at a localmall 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
diabetesmellitus 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 examination conducted during a
first-time visit to an obstetric clinic is an exampleof 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 appointment 1 month after today’s office
visit to report fasting blood glucose levels is an example of an episodic or
follow-up assessment.
DIF: Cognitive Level: Understand REF: Box 1-3 |
p. 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
3. For which person is a screening assessment indicated?
a. The person who had abdominal
surgeryyesterday
b. The person who is unaware of
his highserum glucose levels
c. The person who is being
admitted to along-term care
facility
d. The person who is beginning
rehabilitationafter a knee
replacement
ANS >> B
A screening assessment is performed for the purpose of disease
detection. In this case this person 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
admission to a facility to obtain a detailed history and complete physical
,HEALTH ASSESSMENT FOR NURSING PRACTICE 7TH EDITION
examination. An episodic or follow-up assessment is performed after
knee replacement toevaluate 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
4. For which person is a shift assessment indicated?
a. The person who had abdominal
surgeryyesterday
b. The person who is unaware of
his highserum glucose levels
c. The person who is being admitted
to a
long-term care facility
d. The person who is beginning
rehabilitationafter a knee
replacement
ANS >> A
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
