Test bbBank bbfor bbHealth
bbAssessment bbfor bbNursing
bbPractice bb7th bbEdition bbby
bb
Wil
son
bb
Cha
pter
bb1
bb-
bb2
,4
,Chapter bb01: bbIntroduction bbto bbHealth bbAssessment
MULTIPLE bbCHOICE
1. A bbpatient bbcomes bbto bbthe bbemergency bbdepartment bband bbtells
bbthe bbtriage bbnurse bbthat bbhebbis bb“having bba bbheart bbattack.” bbWhat bbis
bbthe bbnurse’s bbtop bbpriority bbat bbthis bbtime?
a. Determine bbthe bbpatient’s bbpersonal
bbdata bbandbbinsurance bbcoverage.
b. Ask bbthe bbpatient bbto bbtake bba bbseat
bbin bbthe bbwaiting bbroom bbuntil bbhis
bbname bbis bbcalled.
c. Request bbthat bba bbnurse bbcollect
bbdata bbfor bbabbcomprehensive
bbhistory.
d. Ask bba bbnurse bbto bbstart bba
bbfocused bbassessment bbof bbthis
bbpatient bbnow.
ANSWER: bbD
The bbnurse bbneeds bbto bbbegin bban bbassessment bbas bbsoon bbas bbpossible bbthat
bbis bbfocused bbon bbthis bbpatient’sbbcardiovascular bbsystem. bbThe bbtype bbof
bbhealth bbassessment bbperformed bbby bbthe bbnurse bbis bbalso bbdriven bbby
bbpatient bbneed. bbPersonal bbdata bband bbinsurance bbinformation bbwill bbbe
bbobtained, bbbut bbin bbthis bbsituation, bbthese bbdata bbcan bbwait bbuntil bbafter
bbthe bbpatient bbis bbassessed. bbBased bbalso bbon bbMaslow’s bbhierarchy bbof
bbneeds, bbphysiologic bbneeds bbtake bbprecedence. bbRather bbthan bbasking bbthe
bbpatient bbto bbwait, bbthe bbnurse bbneeds bbto bbbegin bbdata bbcollection, bbsuch
bbas bbvital bbsigns, bbimmediately bbto bbdeterminebbthe bbpatient’s bbhealth bbstatus.
bbComplications bbcan bbbe bbprevented bbif bban bbimmediate bbassessment bbis
bbmade bbto bbanalyze bbthe bbpatient’s bbsymptoms. bbA bbcomprehensive bbhistory
bbis bbnot bbindicated bbin bbthis bbsituation bbat bbthis bbtime. bbSome bbsubjective
bbdata bbwill bbbe bbcollected, bbsuch bbas bballergies bband bbmedical bbhistory
bbrelated bbto bbcardiovascular bbdisease. bbEyes, bbears, bbor bba bbcomplete
bbmusculoskeletal bbor bbmental bbhealth bbassessment bbis bbnot bba bbpriority bbat
bbthis bbtime.
DIF: bb bb bbCognitive bbLevel: bbApply REF: bbBox bb1-3
bb| bbp. bb3bbTOP: bbNursing bbProcess: bbAssessment
MSC: bbNCLEX bbPatient bbNeeds: bbSafe bband bbEffective bbCare bbEnvironment:
bbManagement bbof bbCare:bbEstablishing bbPriorities
2. Which bbsituation bbillustrates bba bbscreening bbassessment?
a. A bbpatient bbvisits bban bbobstetric
bbclinic bbfor bbthe bbfirst bbtime bband
bbthe bbnurse bbconducts bba bbdetailed
bbhistory bband bbphysical bbexamination.
b. A bbhospital bbsponsors bba bbhealth
bbfair bbat bba bblocal bbmall bband
bbprovides bbcholesterol bband bbblood
bbpressure bbchecks bbto bbmall
bbpatrons.
, c. The bbnurse bbin bban bburgent bbcare
bbcenter bbchecksbbthe bbvital bbsigns
bbof bba bbpatient bbwho bbis
bbcomplaining bbof bbleg bbpain.
bbAssessment bbfor bbNursing
bbPractice bb7th bbEdition bbby
bb
Wil
son
bb
Cha
pter
bb1
bb-
bb2
,4
,Chapter bb01: bbIntroduction bbto bbHealth bbAssessment
MULTIPLE bbCHOICE
1. A bbpatient bbcomes bbto bbthe bbemergency bbdepartment bband bbtells
bbthe bbtriage bbnurse bbthat bbhebbis bb“having bba bbheart bbattack.” bbWhat bbis
bbthe bbnurse’s bbtop bbpriority bbat bbthis bbtime?
a. Determine bbthe bbpatient’s bbpersonal
bbdata bbandbbinsurance bbcoverage.
b. Ask bbthe bbpatient bbto bbtake bba bbseat
bbin bbthe bbwaiting bbroom bbuntil bbhis
bbname bbis bbcalled.
c. Request bbthat bba bbnurse bbcollect
bbdata bbfor bbabbcomprehensive
bbhistory.
d. Ask bba bbnurse bbto bbstart bba
bbfocused bbassessment bbof bbthis
bbpatient bbnow.
ANSWER: bbD
The bbnurse bbneeds bbto bbbegin bban bbassessment bbas bbsoon bbas bbpossible bbthat
bbis bbfocused bbon bbthis bbpatient’sbbcardiovascular bbsystem. bbThe bbtype bbof
bbhealth bbassessment bbperformed bbby bbthe bbnurse bbis bbalso bbdriven bbby
bbpatient bbneed. bbPersonal bbdata bband bbinsurance bbinformation bbwill bbbe
bbobtained, bbbut bbin bbthis bbsituation, bbthese bbdata bbcan bbwait bbuntil bbafter
bbthe bbpatient bbis bbassessed. bbBased bbalso bbon bbMaslow’s bbhierarchy bbof
bbneeds, bbphysiologic bbneeds bbtake bbprecedence. bbRather bbthan bbasking bbthe
bbpatient bbto bbwait, bbthe bbnurse bbneeds bbto bbbegin bbdata bbcollection, bbsuch
bbas bbvital bbsigns, bbimmediately bbto bbdeterminebbthe bbpatient’s bbhealth bbstatus.
bbComplications bbcan bbbe bbprevented bbif bban bbimmediate bbassessment bbis
bbmade bbto bbanalyze bbthe bbpatient’s bbsymptoms. bbA bbcomprehensive bbhistory
bbis bbnot bbindicated bbin bbthis bbsituation bbat bbthis bbtime. bbSome bbsubjective
bbdata bbwill bbbe bbcollected, bbsuch bbas bballergies bband bbmedical bbhistory
bbrelated bbto bbcardiovascular bbdisease. bbEyes, bbears, bbor bba bbcomplete
bbmusculoskeletal bbor bbmental bbhealth bbassessment bbis bbnot bba bbpriority bbat
bbthis bbtime.
DIF: bb bb bbCognitive bbLevel: bbApply REF: bbBox bb1-3
bb| bbp. bb3bbTOP: bbNursing bbProcess: bbAssessment
MSC: bbNCLEX bbPatient bbNeeds: bbSafe bband bbEffective bbCare bbEnvironment:
bbManagement bbof bbCare:bbEstablishing bbPriorities
2. Which bbsituation bbillustrates bba bbscreening bbassessment?
a. A bbpatient bbvisits bban bbobstetric
bbclinic bbfor bbthe bbfirst bbtime bband
bbthe bbnurse bbconducts bba bbdetailed
bbhistory bband bbphysical bbexamination.
b. A bbhospital bbsponsors bba bbhealth
bbfair bbat bba bblocal bbmall bband
bbprovides bbcholesterol bband bbblood
bbpressure bbchecks bbto bbmall
bbpatrons.
, c. The bbnurse bbin bban bburgent bbcare
bbcenter bbchecksbbthe bbvital bbsigns
bbof bba bbpatient bbwho bbis
bbcomplaining bbof bbleg bbpain.
