Test Bank for Health Assessment in Nursing | 2025 Exam Questions & Rationales

Test Bank for Health Assessment for Nursing Practice 7th
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Edition by Wilson Chapter 1 - 24
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,Chapterl01:lIntroductionltolHealthlAssessmentlM
ULTIPLElCHOICE


1. Alpatientlcomesltolthelemergencyldepartmentlandltellslt
heltriagelnurselthatlheisl“havinglalheartlattack.”lWhatlislthelnur
se’sltoplprioritylatlthisltime?
a. Determinelthelpatient’s
personalldatalandinsurancelcov
erage.
b. Asklthelpatientltoltakelalseatlin
thelwaitingroomluntillhislnameli
slcalled.
c. Requestlthatlalnurselcollec
tldatalforla
comprehensivelhistory.
d. Asklalnurseltolstartlalfocusedlass
essmentoflthislpatient
now.
ANSWER:lD
Thelnurselneedsltolbeginlanlassessmentlaslsoonlaslpossiblelthatlis
l focusedlonlthislpatient’scardiovascularlsystem.lTheltypeloflhealt
hlassessmentlperformedlbylthelnurselislalsoldrivenbylpatientlnee
d.lPersonalldatalandlinsurancelinformationlwilllbelobtained,lbutli
nlthislsituation,ltheseldatalcanlwaitluntillafterlthelpatientlislassess
ed.lBasedlalsolonlMaslow’slhierarchyloflneeds,lphysiologiclneedsl
takelprecedence.lRatherlthanlaskinglthelpatientltolwait,lthelnurse
l needsltolbeginldatalcollection,lsuchlaslvitallsigns,limmediatelyltol
determinethelpatient’slhealthlstatus.lComplicationslcanlbelpreve
ntedliflanlimmediatelassessmentlislmadeltolanalyzelthelpatient’sl
symptoms.lAlcomprehensive

,historylislnotlindicatedlinlthislsituationlatlthisltime.lSomelsubject
iveldatalwilllbelcollected,lsuchlaslallergieslandlmedicallhistorylre
latedltolcardiovascularldisease.lEyes,lears,lorlalcompletelmuscul
oskeletallorlmentallhealthlassessmentlislnotlalprioritylatlthisltim
e.

DIF:l l CognitivelLevel:lApply REF:lBoxl1-3
|lp.l3TOP:lNursinglProcess:lAssessment
MSC:lNCLEXlPatientlNeeds:lSafelandlEffectivelCarelEnvironment:lManageme
ntloflCare:EstablishinglPriorities

2. Whichlsituationlillustrateslalscreeninglassessment?
a. Alpatientlvisitslanlobstetriclclini
clforlthelfirstltimelandlthelnursel
conductslaldetailedlhistorylandl
physical
examination.
b. Alhospitallsponsorslalhealthlfa
irlatlallocalmalllandlprovideslc
holesterollandlbloodlpressurel
checksltolmall
patrons.
c. Thelnurselinlanlurgentlcarel
centerlchecksthelvitallsignsl
oflalpatientlwholis
complainingloflleglpain.

, d. Alpatientlnewlyldiagnosedlw
ithldiabetesmellituslcomeslt
oltestlhislfastinglblood
glucosellevel.
ANSWER:lB
Alhealthlfairlatlallocallmalllthatlprovideslcholesterollandlbloodlpre
ssurelcheckslislanlexampleloflalscreeninglassessmentlfocusedlonldi
seaseldetection.lAldetailedlhistorylandlphysicallexaminationlcond
uctedlduringlalfirst-
timelvisitltolanlobstetriclcliniclislanlexampleoflalcomprehensivelas
sessment.lAssessinglalpatientlcomplainingloflleglpainlinltheltriagel
arealoflanlurgentlcarelcenterlislanlexampleloflalproblem-
based/focusedlassessment.lAlpatient’slreturnlappointmentl1lmon
thlafterltoday’slofficelvisitltolreportlfastinglbloodlglucosellevelslisla
nlexampleloflanlepisodiclorlfollow-uplassessment.

DIF:l l CognitivelLevel:lUnderstand REF:
Boxl1-3l|lp.l3TOP:lNursinglProcess:
Assessment
MSC:lNCLEXlPatientlNeeds:lHealthlPromotionlandlMaintenance:lHealthlScree
ning


3. Forlwhichlpersonlislalscreeninglassessmentlindicated?
a. Thelpersonlwholhad
abdominallsurgerylyester
day
b. Thelpersonlwholislunaware
oflhislhighserumlglucosell
evels
c. Thelpersonlwholislbeingladmitte
dltolalong-term
carelfacility