TEST BANK
FOR HEALTH ASSESSMENT FOR
NURSING PRACTICE 8TH EDITION
BY WILSON CHAPTER 1 - 24
[Date]
,Table Of Contents
Unit I: Foundations For Health Assessment
1. Introduction To Health Assessment
2. Interviewing Patients To Obtain A Health History
3. Techniques And Equipment For Physical Assessment
4. General Inspection And Measurement Of Vital Signs
5. Ethnic, Cultural, And Spiritual Considerations
6. Pain Assessment
7. Mental Health And Abusive Behavior Assessment
8. Nutritional Assessment
Unit Ii: Health Assessment Of The Adult
9. Skin, Hair, And Nails
10. Head, Eyes, Ears, Nose, And Throat
11. Lungs And Respiratory System
12. Heart And Peripheral Vascular System
13. Abdomen And Gastrointestinal System
14. Musculoskeletal System
15. Neurologic System
16. Breasts And Axillae
17. Reproductive System And The Perineum
Unit Iii: Health Assessment Across The Life Span
18. Developmental Assessment Throughout The Life Span
19. Assessment Of The Infant, Child, And Adolescent
20. Assessment Of The Pregnant Patient
21. Assessment Of The Older Adult
Unit Iv: Synthesis And Application Of Health Assessment
22. Conducting A Head-To-Toe Examination
23. Documenting The Head-To-Toe Health Assessment
24. Adapting Health Assessment
[Date]
, Multiple choice
1. A patient comes to the emergency department and tells the triage nurse that heis
―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 calle d.
C. Request that a nurse collect data for
acomprehensive history.
D. Ask a nurse to start a focused assessment of
this patient now.
Ans: d
The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s cardiovascula
r system. The type of health assessment performed by the nurse is also driven by patient need.
Persona l data and insura nc e informa tion will be obtaine d, but in this situation, these data can wait
until after the patient is assessed. Based also on maslow‘s hierarchy of needs, physiologic needs
take precedence. Rather than asking the patient to wait, the nurse needs to begin data collection, such
as vital signs, immediate ly to determine the patient‘s health status. Complica tions can be prevente d
if an immediate assessment is made to analyze the patient‘s symptoms. A comprehe nsive history is
not indicated in this situation at this time. Some subjective data will be collected, such as allergie s
and medical history related to cardiovasc ular disease. Eyes, ears, or a comple te musculoske le ta l or
mental health assessment is not a priority at this time.
Dif: cognitive level: apply ref: box 1-3 | p. 3
top: nursing process: assessment
Msc: nclex patient needs: safe and effective care environment: management of care:establishing priorities
2. Which situation illustrates a screening assessment?
A. A patient visits an obstetric clinic for the
first
Time and the nurse conducts a detailedhistory and
physical examination.
B. A hospital sponsors a health fair at a
localmall 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.
[Date]
,Test bank for health assessment for nursing practice 8th edition by wilson chapter 1
- 24
D. A patient newly diagnose d with
diabetesmellitus comes to test his fasting blood
glucose level.
Ans: b
A health fair at a local mall that provides cholesterol and blood pressure checks is an example of a
screening assessment focused on disease detection. A detailed history and physical examination
conduc te d during a first-time visit to an obstetric clinic is an exampleof a comprehe nsive assessment.
Assessing a patient complaining of leg pain in the triage area of an urgent care center is an example
of a problem -base d/foc use d assessment. A patient‘s return appointment 1 month after today‘s
office visit to report fasting blood glucose levels is an example of an episodic or follow-up
assessment.
Dif: cognitive level: understand ref: box 1-3 | p. 3
top: nursing process: assessment
Msc: nclex patient needs: health promotion and maintenance: health screening
3. For which person is a screening assessm ent indicate d?
A. The person who had abdomina l surgery
yesterday
B. The person who is unaware of his high serum
glucose levels
C. The person who is being admitte d to a
long-term care facility
D. The person who is beginning rehabilitation
after a knee replacement
Ans: b
A screening assessment is performed for the purpose of disease detection. In this case this person may
have diabetes mellitus. A shift assessment is most appropria te for the person who is recovering in
the hospita l from surgery. A compre he nsive assessment is performed during admission to a facility
to obtain a detailed history and complete physical examination. An episodic or follow-up
assessment is performed after knee replacement to evaluate the outcome of the procedure.
Dif: cognitive level: understand ref: box 1-3 | p. 3
top: nursing process: assessment
Msc: nclex patient needs: safe and effective care environment: management of care:establishing priorities
4. For which person is a shift assessm ent indicate d?
A. The person who had abdomina l surgery
yesterday
B. The person who is unaware of his high serum
glucose levels
C. The person who is being admitte d to a
long-term care facility
D. The person who is beginning rehabilitation
after a knee replacement
Ans: a
A shift assessment is most appropria te for the person who is recovering in the hospital from surgery.
A screening assessment is performed for the purpose of disease detection, in this case diabetes
mellitus. A comprehensive assessment is performed during admission to a
[Date]
FOR HEALTH ASSESSMENT FOR
NURSING PRACTICE 8TH EDITION
BY WILSON CHAPTER 1 - 24
[Date]
,Table Of Contents
Unit I: Foundations For Health Assessment
1. Introduction To Health Assessment
2. Interviewing Patients To Obtain A Health History
3. Techniques And Equipment For Physical Assessment
4. General Inspection And Measurement Of Vital Signs
5. Ethnic, Cultural, And Spiritual Considerations
6. Pain Assessment
7. Mental Health And Abusive Behavior Assessment
8. Nutritional Assessment
Unit Ii: Health Assessment Of The Adult
9. Skin, Hair, And Nails
10. Head, Eyes, Ears, Nose, And Throat
11. Lungs And Respiratory System
12. Heart And Peripheral Vascular System
13. Abdomen And Gastrointestinal System
14. Musculoskeletal System
15. Neurologic System
16. Breasts And Axillae
17. Reproductive System And The Perineum
Unit Iii: Health Assessment Across The Life Span
18. Developmental Assessment Throughout The Life Span
19. Assessment Of The Infant, Child, And Adolescent
20. Assessment Of The Pregnant Patient
21. Assessment Of The Older Adult
Unit Iv: Synthesis And Application Of Health Assessment
22. Conducting A Head-To-Toe Examination
23. Documenting The Head-To-Toe Health Assessment
24. Adapting Health Assessment
[Date]
, Multiple choice
1. A patient comes to the emergency department and tells the triage nurse that heis
―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 calle d.
C. Request that a nurse collect data for
acomprehensive history.
D. Ask a nurse to start a focused assessment of
this patient now.
Ans: d
The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s cardiovascula
r system. The type of health assessment performed by the nurse is also driven by patient need.
Persona l data and insura nc e informa tion will be obtaine d, but in this situation, these data can wait
until after the patient is assessed. Based also on maslow‘s hierarchy of needs, physiologic needs
take precedence. Rather than asking the patient to wait, the nurse needs to begin data collection, such
as vital signs, immediate ly to determine the patient‘s health status. Complica tions can be prevente d
if an immediate assessment is made to analyze the patient‘s symptoms. A comprehe nsive history is
not indicated in this situation at this time. Some subjective data will be collected, such as allergie s
and medical history related to cardiovasc ular disease. Eyes, ears, or a comple te musculoske le ta l or
mental health assessment is not a priority at this time.
Dif: cognitive level: apply ref: box 1-3 | p. 3
top: nursing process: assessment
Msc: nclex patient needs: safe and effective care environment: management of care:establishing priorities
2. Which situation illustrates a screening assessment?
A. A patient visits an obstetric clinic for the
first
Time and the nurse conducts a detailedhistory and
physical examination.
B. A hospital sponsors a health fair at a
localmall 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.
[Date]
,Test bank for health assessment for nursing practice 8th edition by wilson chapter 1
- 24
D. A patient newly diagnose d with
diabetesmellitus comes to test his fasting blood
glucose level.
Ans: b
A health fair at a local mall that provides cholesterol and blood pressure checks is an example of a
screening assessment focused on disease detection. A detailed history and physical examination
conduc te d during a first-time visit to an obstetric clinic is an exampleof a comprehe nsive assessment.
Assessing a patient complaining of leg pain in the triage area of an urgent care center is an example
of a problem -base d/foc use d assessment. A patient‘s return appointment 1 month after today‘s
office visit to report fasting blood glucose levels is an example of an episodic or follow-up
assessment.
Dif: cognitive level: understand ref: box 1-3 | p. 3
top: nursing process: assessment
Msc: nclex patient needs: health promotion and maintenance: health screening
3. For which person is a screening assessm ent indicate d?
A. The person who had abdomina l surgery
yesterday
B. The person who is unaware of his high serum
glucose levels
C. The person who is being admitte d to a
long-term care facility
D. The person who is beginning rehabilitation
after a knee replacement
Ans: b
A screening assessment is performed for the purpose of disease detection. In this case this person may
have diabetes mellitus. A shift assessment is most appropria te for the person who is recovering in
the hospita l from surgery. A compre he nsive assessment is performed during admission to a facility
to obtain a detailed history and complete physical examination. An episodic or follow-up
assessment is performed after knee replacement to evaluate the outcome of the procedure.
Dif: cognitive level: understand ref: box 1-3 | p. 3
top: nursing process: assessment
Msc: nclex patient needs: safe and effective care environment: management of care:establishing priorities
4. For which person is a shift assessm ent indicate d?
A. The person who had abdomina l surgery
yesterday
B. The person who is unaware of his high serum
glucose levels
C. The person who is being admitte d to a
long-term care facility
D. The person who is beginning rehabilitation
after a knee replacement
Ans: a
A shift assessment is most appropria te for the person who is recovering in the hospital from surgery.
A screening assessment is performed for the purpose of disease detection, in this case diabetes
mellitus. A comprehensive assessment is performed during admission to a
[Date]
