Test Bank for Health Assessment for
Nursing Practice 7th Edition by Wilson
Chapter 1 - 24
,Chapter 01: Introduction to Health Assessment
Qg Qg Qg Qg Qg
MULTIPLE CHOICE Qg
1. A patient comes to the emergency department and tells the triage nurse
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qg that heis “having a heart attack.” What is the nurse’s top priority at this time?
Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. Determine the patient’s personal data and Qg Qg Qg Qg Qg
insurance coverage. Q
g Qg
b. Ask the patient to take a seat in the
Qg Qg Qg Qg Qg Qg Qg Qg
waitingroom until his name is called.
Qg Q
g Qg Qg Qg Qg Qg
c. Request that a nurse collect data Qg Qg Qg Qg Qg
for acomprehensive history.
Qg Qg Q
g Qg
d. Ask a nurse to start a focused
Qg Qg Qg Qg Qg Qg
assessmentof this patient now.
Qg Q
g Qg Qg Qg
ANSWER: D Qg
The nurse needs to begin an assessment as soon as possible that is focused on this
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
patient’scardiovascular system. The type of health assessment performed by the
Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg Qg
nurse is also drivenby patient need. Personal data and insurance information will
Qg Qg Qg Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg
be obtained, but in this situation, these data can wait until after the patient is
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
assessed. Based also on Maslow’s hierarchy of needs, physiologic needs take
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
precedence. Rather than asking the patient to wait, the nurse needs to begin data
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
collection, such as vital signs, immediately to determinethe patient’s health status.
Qg Qg Qg Qg Qg Qg Qg Qg Q
g Qg Qg Qg
Complications can be prevented if an immediate assessment is made to analyze
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
the patient’s symptoms. A comprehensive history is not indicated in this situation
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
at this time. Some subjective data will be collected, such as allergies and medical
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
history related to cardiovascular disease. Eyes, ears, or a complete musculoskeletal
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
or mental health assessment is not a priority at this time.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Cognitive Level: Apply
Qg Qg Q g REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 3TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Establishing Priorities
Q
g Qg
2. Which situation illustrates a screening assessment?
Qg Qg Qg Qg Qg
a. A patient visits an obstetric clinic for Qg Qg Qg Qg Qg Qg
the first time and the nurse conducts a Qg Qg Qg Qg Qg Qg Qg Qg
detailedhistory and physical examination. Qg Q
g Qg Qg Qg
b. A hospital sponsors a health fair at a Qg Qg Qg Qg Qg Qg Qg
localmall and provides cholesterol Qg Q
g Qg Qg Qg
and blood pressure checks to mall Qg Qg Qg Qg Qg Qg
patrons. Qg
c. The nurse in an urgent care center Qg Qg Qg Qg Qg Qg
checksthe vital signs of a patient Qg Q
g Qg Qg Qg Qg Qg
who is complaining of leg pain. Qg Qg Qg Qg Qg Qg
, d. A patient newly diagnosed with
Qg Qg Qg Qg
diabetesmellitus comes to test his
Qg Q
g Qg Qg Qg Qg
fasting blood glucose level.
Qg Qg Qg Qg
ANSWER: B Qg
A health fair at a local mall that provides cholesterol and blood pressure checks is
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
an example of a screening assessment focused on disease detection. A detailed
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
history and physical examination conducted during a first-time visit to an obstetric
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
clinic is an exampleof a comprehensive assessment. Assessing a patient
Qg Qg Qg Qg Q
g Qg Qg Qg Qg Qg Qg
complaining of leg pain in the triage area of an urgent care center is an example
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
of a problem-based/focused assessment. A patient’s return appointment 1 month
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
after today’s office visit to report fasting blood glucose levels is an example of an
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
episodic or follow-up assessment.
Qg Qg Qg Qg
DIF: Cognitive Level: Understand
Qg Qg Qg REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 3TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
Qg Qg Qg Qg Qg Qg Qg Qg Qg
3. For which person is a screening assessment indicated?
Qg Qg Qg Qg Qg Qg Qg
a. The person who had abdominal Qg Qg Qg Qg
surgeryyesterday Qg Q
g
b. The person who is unaware of his
Qg Qg Qg Qg Qg Qg
highserum glucose levels
Qg Q
g Qg Qg
c. The person who is being admitted
Qg Qg Qg Qg Qg
to along-term care facility
Qg Qg Q
g Qg Qg
d. The person who is beginning
Qg Qg Qg Qg
rehabilitationafter a knee replacement
Qg Q
g Qg Qg Qg
ANSWER: B Qg
A screening assessment is performed for the purpose of disease detection. In this
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
case thisperson may have diabetes mellitus. A shift assessment is most
Qg Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg Qg
appropriate for the person who is recovering in the hospital from surgery. A
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
comprehensive assessment is performedduring admission to a facility to obtain a
Qg Qg Qg Qg Q
g Qg Qg Qg Qg Qg Qg Qg
detailed history and complete physical examination. An episodic or follow-up
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
assessment is performed after knee replacement toevaluate the outcome of the
Qg Qg Qg Qg Qg Qg Qg gQ Qg Qg Qg Qg
procedure.
Qg
DIF: Cognitive Level: Understand
Qg Qg Qg REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 3TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Establishing Priorities
Q
g Qg
4. For which person is a shift assessment indicated?
Qg Qg Qg Qg Qg Qg Qg
a. The person who had abdominal Qg Qg Qg Qg
surgeryyesterday Qg Q
g
b. The person who is unaware of his Qg Qg Qg Qg Qg Qg
highserum glucose levels Qg Q
g Qg Qg
c. The person who is being admitted to a Qg Qg Qg Qg Qg Qg Qg
long-term care facility Qg Qg
d. The person who is beginning Qg Qg Qg Qg
rehabilitationafter a knee replacement Qg Q
g Qg Qg Qg
ANSWER: A Qg
A shift assessment is most appropriate for the person who is recovering in the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
hospital fromsurgery. A screening assessment is performed for the purpose of
Qg Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg Qg
disease detection, in this case diabetes mellitus. A comprehensive assessment is
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
performed during admission to a
Qg Qg Qg Qg Qg
, facility to obtain a detailed history and complete physical examination. An
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
episodic or follow-up assessment is performed after knee replacement to evaluate
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
the outcome of theprocedure.
Qg Qg Qg Qg Q
g
DIF: Cognitive Level: Understand
Qg Qg Qg REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 4TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Establishing Priorities
Q
g Qg
5. For which person is a comprehensive assessment indicated?
Qg Qg Qg Qg Qg Qg Qg
a. The person who had abdominal Qg Qg Qg Qg
surgeryyesterday Qg Q
g
b. The person who is unaware of his Qg Qg Qg Qg Qg Qg
highserum glucose levels Qg Q
g Qg Qg
c. The person who is being admitted Qg Qg Qg Qg Qg
to along-term care facility Qg Qg Q
g Qg Qg
d. The person who is beginning Qg Qg Qg Qg
rehabilitationafter a knee replacement Qg Q
g Qg Qg Qg
ANSWER: C Qg
A comprehensive assessment is performed during admission to a facility to obtain a
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
detailed history and complete physical examination. A shift assessment is most
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
appropriatefor the person who is recovering in the hospital from surgery. A
Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
screening assessment is performed for the purpose of disease detection, in this
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
case diabetes mellitus. An episodic or follow-up assessment is performed after
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
knee replacement to evaluate the outcome of the procedure.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Cognitive Level: Understand
Qg Qg Qg REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 3TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Establishing Priorities
Q
g Qg
6. For which person is an episodic or follow-up assessment indicated?
Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. The person who had abdominal Qg Qg Qg Qg
surgeryyesterday Qg Q
g
b. The person who is unaware of his Qg Qg Qg Qg Qg Qg
highserum glucose levels Qg Q
g Qg Qg
c. The person who is being admitted to a Qg Qg Qg Qg Qg Qg Qg
long-term care facility Qg Qg
d. The person who is beginning Qg Qg Qg Qg
rehabilitationafter a knee replacement Qg Q
g Qg Qg Qg
ANSWER: D Qg
An episodic or follow-up assessment is performed after the knee replacement to
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
evaluate the outcome of the procedure. A shift assessment is most appropriate for
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
the person who isrecovering in the hospital from surgery. A screening assessment
Qg Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg
is performed for the purpose of disease detection, in this case diabetes mellitus. A
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
comprehensive assessment is performed during admission to a facility to obtain a
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
detailed history and complete physicalexamination.
Qg Qg Qg Qg Qg Q
g
DIF: Cognitive Level: Understand
Qg Qg Qg REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 3TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
Nursing Practice 7th Edition by Wilson
Chapter 1 - 24
,Chapter 01: Introduction to Health Assessment
Qg Qg Qg Qg Qg
MULTIPLE CHOICE Qg
1. A patient comes to the emergency department and tells the triage nurse
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Qg that heis “having a heart attack.” What is the nurse’s top priority at this time?
Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. Determine the patient’s personal data and Qg Qg Qg Qg Qg
insurance coverage. Q
g Qg
b. Ask the patient to take a seat in the
Qg Qg Qg Qg Qg Qg Qg Qg
waitingroom until his name is called.
Qg Q
g Qg Qg Qg Qg Qg
c. Request that a nurse collect data Qg Qg Qg Qg Qg
for acomprehensive history.
Qg Qg Q
g Qg
d. Ask a nurse to start a focused
Qg Qg Qg Qg Qg Qg
assessmentof this patient now.
Qg Q
g Qg Qg Qg
ANSWER: D Qg
The nurse needs to begin an assessment as soon as possible that is focused on this
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
patient’scardiovascular system. The type of health assessment performed by the
Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg Qg
nurse is also drivenby patient need. Personal data and insurance information will
Qg Qg Qg Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg
be obtained, but in this situation, these data can wait until after the patient is
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
assessed. Based also on Maslow’s hierarchy of needs, physiologic needs take
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
precedence. Rather than asking the patient to wait, the nurse needs to begin data
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
collection, such as vital signs, immediately to determinethe patient’s health status.
Qg Qg Qg Qg Qg Qg Qg Qg Q
g Qg Qg Qg
Complications can be prevented if an immediate assessment is made to analyze
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
the patient’s symptoms. A comprehensive history is not indicated in this situation
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
at this time. Some subjective data will be collected, such as allergies and medical
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
history related to cardiovascular disease. Eyes, ears, or a complete musculoskeletal
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
or mental health assessment is not a priority at this time.
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Cognitive Level: Apply
Qg Qg Q g REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 3TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Establishing Priorities
Q
g Qg
2. Which situation illustrates a screening assessment?
Qg Qg Qg Qg Qg
a. A patient visits an obstetric clinic for Qg Qg Qg Qg Qg Qg
the first time and the nurse conducts a Qg Qg Qg Qg Qg Qg Qg Qg
detailedhistory and physical examination. Qg Q
g Qg Qg Qg
b. A hospital sponsors a health fair at a Qg Qg Qg Qg Qg Qg Qg
localmall and provides cholesterol Qg Q
g Qg Qg Qg
and blood pressure checks to mall Qg Qg Qg Qg Qg Qg
patrons. Qg
c. The nurse in an urgent care center Qg Qg Qg Qg Qg Qg
checksthe vital signs of a patient Qg Q
g Qg Qg Qg Qg Qg
who is complaining of leg pain. Qg Qg Qg Qg Qg Qg
, d. A patient newly diagnosed with
Qg Qg Qg Qg
diabetesmellitus comes to test his
Qg Q
g Qg Qg Qg Qg
fasting blood glucose level.
Qg Qg Qg Qg
ANSWER: B Qg
A health fair at a local mall that provides cholesterol and blood pressure checks is
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
an example of a screening assessment focused on disease detection. A detailed
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
history and physical examination conducted during a first-time visit to an obstetric
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
clinic is an exampleof a comprehensive assessment. Assessing a patient
Qg Qg Qg Qg Q
g Qg Qg Qg Qg Qg Qg
complaining of leg pain in the triage area of an urgent care center is an example
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
of a problem-based/focused assessment. A patient’s return appointment 1 month
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
after today’s office visit to report fasting blood glucose levels is an example of an
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
episodic or follow-up assessment.
Qg Qg Qg Qg
DIF: Cognitive Level: Understand
Qg Qg Qg REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 3TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
Qg Qg Qg Qg Qg Qg Qg Qg Qg
3. For which person is a screening assessment indicated?
Qg Qg Qg Qg Qg Qg Qg
a. The person who had abdominal Qg Qg Qg Qg
surgeryyesterday Qg Q
g
b. The person who is unaware of his
Qg Qg Qg Qg Qg Qg
highserum glucose levels
Qg Q
g Qg Qg
c. The person who is being admitted
Qg Qg Qg Qg Qg
to along-term care facility
Qg Qg Q
g Qg Qg
d. The person who is beginning
Qg Qg Qg Qg
rehabilitationafter a knee replacement
Qg Q
g Qg Qg Qg
ANSWER: B Qg
A screening assessment is performed for the purpose of disease detection. In this
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
case thisperson may have diabetes mellitus. A shift assessment is most
Qg Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg Qg
appropriate for the person who is recovering in the hospital from surgery. A
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
comprehensive assessment is performedduring admission to a facility to obtain a
Qg Qg Qg Qg Q
g Qg Qg Qg Qg Qg Qg Qg
detailed history and complete physical examination. An episodic or follow-up
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
assessment is performed after knee replacement toevaluate the outcome of the
Qg Qg Qg Qg Qg Qg Qg gQ Qg Qg Qg Qg
procedure.
Qg
DIF: Cognitive Level: Understand
Qg Qg Qg REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 3TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Establishing Priorities
Q
g Qg
4. For which person is a shift assessment indicated?
Qg Qg Qg Qg Qg Qg Qg
a. The person who had abdominal Qg Qg Qg Qg
surgeryyesterday Qg Q
g
b. The person who is unaware of his Qg Qg Qg Qg Qg Qg
highserum glucose levels Qg Q
g Qg Qg
c. The person who is being admitted to a Qg Qg Qg Qg Qg Qg Qg
long-term care facility Qg Qg
d. The person who is beginning Qg Qg Qg Qg
rehabilitationafter a knee replacement Qg Q
g Qg Qg Qg
ANSWER: A Qg
A shift assessment is most appropriate for the person who is recovering in the
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
hospital fromsurgery. A screening assessment is performed for the purpose of
Qg Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg Qg
disease detection, in this case diabetes mellitus. A comprehensive assessment is
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
performed during admission to a
Qg Qg Qg Qg Qg
, facility to obtain a detailed history and complete physical examination. An
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
episodic or follow-up assessment is performed after knee replacement to evaluate
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
the outcome of theprocedure.
Qg Qg Qg Qg Q
g
DIF: Cognitive Level: Understand
Qg Qg Qg REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 4TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Establishing Priorities
Q
g Qg
5. For which person is a comprehensive assessment indicated?
Qg Qg Qg Qg Qg Qg Qg
a. The person who had abdominal Qg Qg Qg Qg
surgeryyesterday Qg Q
g
b. The person who is unaware of his Qg Qg Qg Qg Qg Qg
highserum glucose levels Qg Q
g Qg Qg
c. The person who is being admitted Qg Qg Qg Qg Qg
to along-term care facility Qg Qg Q
g Qg Qg
d. The person who is beginning Qg Qg Qg Qg
rehabilitationafter a knee replacement Qg Q
g Qg Qg Qg
ANSWER: C Qg
A comprehensive assessment is performed during admission to a facility to obtain a
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
detailed history and complete physical examination. A shift assessment is most
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
appropriatefor the person who is recovering in the hospital from surgery. A
Qg Q
g Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
screening assessment is performed for the purpose of disease detection, in this
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
case diabetes mellitus. An episodic or follow-up assessment is performed after
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
knee replacement to evaluate the outcome of the procedure.
Qg Qg Qg Qg Qg Qg Qg Qg Qg
DIF: Cognitive Level: Understand
Qg Qg Qg REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 3TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
Establishing Priorities
Q
g Qg
6. For which person is an episodic or follow-up assessment indicated?
Qg Qg Qg Qg Qg Qg Qg Qg Qg
a. The person who had abdominal Qg Qg Qg Qg
surgeryyesterday Qg Q
g
b. The person who is unaware of his Qg Qg Qg Qg Qg Qg
highserum glucose levels Qg Q
g Qg Qg
c. The person who is being admitted to a Qg Qg Qg Qg Qg Qg Qg
long-term care facility Qg Qg
d. The person who is beginning Qg Qg Qg Qg
rehabilitationafter a knee replacement Qg Q
g Qg Qg Qg
ANSWER: D Qg
An episodic or follow-up assessment is performed after the knee replacement to
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
evaluate the outcome of the procedure. A shift assessment is most appropriate for
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
the person who isrecovering in the hospital from surgery. A screening assessment
Qg Qg Qg Qg gQ Qg Qg Qg Qg Qg Qg Qg Qg
is performed for the purpose of disease detection, in this case diabetes mellitus. A
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
comprehensive assessment is performed during admission to a facility to obtain a
Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg Qg
detailed history and complete physicalexamination.
Qg Qg Qg Qg Qg Q
g
DIF: Cognitive Level: Understand
Qg Qg Qg REF: Box 1-3 | Qg Qg Qg Qg Qg
p. 3TOP: Nursing Process: Assessment
Qg Qg Q
g Qg Qg Qg
