TEST BANK For Health Assessment for
Nursing Practice, 7th Edition by Wilson,
Verified Chapters 1 - 24, Complete Newest
Version
,
,Chapter 1: Introduction to Health Assessment
(Original Questions 1–15 of your exclusive 1500-question test bank)
1.A patient comes to the emergency department and tells the triage nurse
that he is “having a heart attack.” What is the nurse’s top priority at this
time?
a. Determine the patient’s personal data and insurance coverage
b. Ask the patient to take a seat in the waiting room until his name is called
c. Request that a nurse collect data for a comprehensive history
d. Ask a nurse to start a focused assessment of this patient now
--ANSWER--: d
Rationale: Chest pain is a potentially life-threatening symptom. According
to triage principles and Maslow’s hierarchy, physiologic needs take
precedence. A rapid focused cardiovascular assessment must begin
immediately.
DIF: Analyze Cognitive Level: Apply Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment:
Management of Care
2.Which situation illustrates a screening assessment?
a. A patient visits an obstetric clinic for the first time and the nurse
conducts a detailed history and physical examination
b. A hospital sponsors a health fair at a local mall 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 home health nurse performs a head-to-toe examination on a
postoperative client
--ANSWER--: b
Rationale: Screening assessments are brief assessments performed on
apparently healthy people to detect unrecognized problems or risk factors.
DIF: Understand Cognitive Level: Remember Nursing Process:
Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance
3.During which type of assessment is the review of systems typically
performed?
a. Emergency
b. Focused
c. Comprehensive
d. Screening
--ANSWER--: c
Rationale: The review of systems is a standard component of the
comprehensive health assessment.
DIF: Understand Cognitive Level: Remember Nursing Process:
Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance
4.The nurse is preparing to perform a comprehensive health assessment. In
what order should the nurse complete the following steps?
Nursing Practice, 7th Edition by Wilson,
Verified Chapters 1 - 24, Complete Newest
Version
,
,Chapter 1: Introduction to Health Assessment
(Original Questions 1–15 of your exclusive 1500-question test bank)
1.A patient comes to the emergency department and tells the triage nurse
that he is “having a heart attack.” What is the nurse’s top priority at this
time?
a. Determine the patient’s personal data and insurance coverage
b. Ask the patient to take a seat in the waiting room until his name is called
c. Request that a nurse collect data for a comprehensive history
d. Ask a nurse to start a focused assessment of this patient now
--ANSWER--: d
Rationale: Chest pain is a potentially life-threatening symptom. According
to triage principles and Maslow’s hierarchy, physiologic needs take
precedence. A rapid focused cardiovascular assessment must begin
immediately.
DIF: Analyze Cognitive Level: Apply Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment:
Management of Care
2.Which situation illustrates a screening assessment?
a. A patient visits an obstetric clinic for the first time and the nurse
conducts a detailed history and physical examination
b. A hospital sponsors a health fair at a local mall 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 home health nurse performs a head-to-toe examination on a
postoperative client
--ANSWER--: b
Rationale: Screening assessments are brief assessments performed on
apparently healthy people to detect unrecognized problems or risk factors.
DIF: Understand Cognitive Level: Remember Nursing Process:
Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance
3.During which type of assessment is the review of systems typically
performed?
a. Emergency
b. Focused
c. Comprehensive
d. Screening
--ANSWER--: c
Rationale: The review of systems is a standard component of the
comprehensive health assessment.
DIF: Understand Cognitive Level: Remember Nursing Process:
Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance
4.The nurse is preparing to perform a comprehensive health assessment. In
what order should the nurse complete the following steps?
