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