TestBankforHealthAssessmentforNursingPractice
o o o o o
7th Edition byWilson (NEWEST VERSIONEXAM
oo oo oo oo oo oo
2022CHAPTERS 1-24.)
oo o oo
, Chapter 01: Introduction to Health Assessment oo oo oo oo oo
MULTIPLE CHOICE oo
1. A patient comes to the emergency department and tells the triage nurse that
oo oo oo oo oo oo oo oo oo oo oo oo
he is ―having a heart attack.‖ What is the nurse‘s top priority at this time?
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
a. Determine the patient‘s personal data and oo oo oo oo oo
insurance coverage. oo oo
b. Ask the patient to take a seat in the waiting oo oo oo oo oo oo oo oo oo
room until his name is called. oo oo oo oo oo oo
c. Request that a nurse collect data for a oo oo oo oo oo oo oo
comprehensive history. oo oo
d. Ask a nurse to start a focused assessment oo oo oo oo oo oo oo
of this patient now. oo oo oo oo
ANS: D oo
The nurse needs to begin an assessment as soon as possible that is focused on this
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
patient‘s cardiovascular system. The type of health assessment performed by the nurse is
oo oo oo oo oo oo oo oo oo oo oo oo oo
also driven by patient need. Personal data and insurance information will be obtained,
oo oo oo oo oo oo oo oo oo oo oo oo oo
but in this situation, these data can wait until after the patient is assessed. Based also on
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
Maslow‘s hierarchy of needs, physiologic needs take precedence. Rather than asking the
oo oo oo oo oo oo oo oo oo oo oo oo
patient to wait, the nurse needs to begin data collection, such as vital signs, immediately
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
to determine the patient‘s health status. Complications can be prevented if an immediate
oo oo oo oo oo oo oo oo oo oo oo oo oo
assessment is made to analyze the patient‘s symptoms. A comprehensive history is not
oo oo oo oo oo oo oo oo oo oo oo oo oo
indicated in this situation at this time. Some subjective data will be collected, such as
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
allergies and medical history related to cardiovascular disease. Eyes, ears, or a complete
oo oo oo oo oo oo oo oo oo oo oo oo oo
musculoskeletal or mental health assessment is not a priority at this time.
oo oo oo oo oo oo oo oo oo oo oo oo
DIF: Cognitive Level: Apply REF: Box 1-3 | p. oo oo oo oo oo
3 TOP: Nursing Process: Assessment
oo oo oo oo oo
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
oo oo oo oo oo oo oo oo oo oo oo
Establishing Priorities
oo oo
2. Which situation illustrates a screening assessment?
oo oo oo oo oo
a. A patient visits an obstetric clinic for the oo oo oo oo oo oo oo
first time and the nurse conducts a detailed oo oo oo oo oo oo oo oo
history and physical examination. oo oo oo oo
b. A hospital sponsors a health fair at a local oo oo oo oo oo oo oo oo
mall and provides cholesterol and blood oo oo oo oo oo oo
pressure checks to mall patrons. oo oo oo oo oo
c. The nurse in an urgent care center checks oo oo oo oo oo oo oo
the vital signs of a patient who is oo oo oo oo oo oo oo oo
complaining of leg pain. oo oo oo oo
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oo o o o o oo o o oo oo oo oo oo oo oo o o -06:00
https://www.coursehero.com/file/34584368/chapter-1pdf/
Downloaded by: cmedrano14 | oo oo oo
oo
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell oo oo oo oo oo oo oo
d. your Study A patient newly diagnosed with diabetes oo oo oo oo oo
oo mellitus comes to test his fasting blood oo oo oo oo oo oo
oo glucose level. oo
ANS: B oo
A health fair at a local mall that provides cholesterol and blood pressure checks is an
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
example of a screening assessment focused on disease detection. A detailed history and
oo oo oo oo oo oo oo oo oo oo oo oo oo
physical examination conducted during a first-time visit to an obstetric clinic is an
oo oo oo oo oo oo oo oo oo oo oo oo oo
example of a comprehensive assessment. Assessing a patient complaining of leg pain in
oo oo oo oo oo oo oo oo oo oo oo oo oo
the triage area of an urgent care center is an example of a problem-based/focused
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
assessment. A patient‘s return appointment 1 month after today‘s office visit to report
oo oo oo oo oo oo oo oo oo oo oo oo oo
fasting blood glucose levels is an example of an episodic or follow-up assessment.
oo oo oo oo oo oo oo oo oo oo oo oo oo
DIF: Cognitive Level: Understand REF: Box 1-3 | p. oo oo oo oo oo
3 TOP: Nursing Process: Assessment
oo oo oo oo oo
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
oo oo oo oo oo oo oo oo oo
3. For which person is a screening assessment indicated?
oo oo oo oo oo oo oo
a. The person who had abdominal surgery oo oo oo oo oo
yesterday oo
b. The person who is unaware of his high oo oo oo oo oo oo oo
serum glucose levels oo oo oo
c. The person who is being admitted to a oo oo oo oo oo oo oo
long-term care facility oo oo oo
d. The person who is beginning rehabilitation oo oo oo oo oo
after a knee replacement oo oo oo oo
ANS: B oo
A screening assessment is performed for the purpose of disease detection. In this case this
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
person may have diabetes mellitus. A shift assessment is most appropriate for the
oo oo oo oo oo oo oo oo oo oo oo oo oo
person who is recovering in the hospital from surgery. A comprehensive assessment is
oo oo oo oo oo oo oo oo oo oo oo oo oo
performed during admission to a facility to obtain a detailed history and complete
oo oo oo oo oo oo oo oo oo oo oo oo oo
physical examination. An episodic or follow-up assessment is performed after knee
oo oo oo oo oo oo oo oo oo oo oo
replacement to evaluate the outcome of the procedure.
oo oo oo oo oo oo oo oo
DIF: Cognitive Level: Understand REF: Box 1-3 | p. oo oo oo oo oo
3 TOP: Nursing Process: Assessment
oo oo oo oo oo
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
oo oo oo oo oo oo oo oo oo oo oo
Establishing Priorities
oo oo
4. For which person is a shift assessment indicated?
oo oo oo oo oo oo oo
a. The person who had abdominal surgery oo oo oo oo oo
yesterday oo
b. The person who is unaware of his high oo oo oo oo oo oo oo
serum glucose levels oo oo oo
c. The person who is being admitted to a oo oo oo oo oo oo oo
long-term care facility oo oo oo
d. The person who is beginning rehabilitation oo oo oo oo oo
after a knee replacement oo oo oo oo
ANS: A oo
A shift assessment is most appropriate for the person who is recovering in the hospital
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
from surgery. A screening assessment is performed for the purpose of disease detection,
oo oo oo oo oo oo oo oo oo oo oo oo oo
in this case diabetes mellitus. A comprehensive assessment is performed during
oo oo oo oo oo oo oo oo oo oo oo
admission to a
oo oo oo
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oo
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell
oo oo oo oo oo oo oo
facility to obtain a your Studyhistory and complete physical examination. An episodic
detailed oo oo oo oo oo oo oo oo oo oo oo
or follow-up assessment is performed after knee replacement to evaluate the
oo oo oo oo oo oo oo oo oo oo oo
outcome of the procedure.
oo oo oo oo
DIF: Cognitive Level: Understand REF: Box 1-3 | p. oo oo oo oo oo
4 TOP: Nursing Process: Assessment
oo oo oo oo oo
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
oo oo oo oo oo oo oo oo oo oo oo
Establishing Priorities
oo oo
5. For which person is a comprehensive assessment indicated?
oo oo oo oo oo oo oo
a. The person who had abdominal surgery oo oo oo oo oo
yesterday oo
b. The person who is unaware of his high oo oo oo oo oo oo oo
serum glucose levels oo oo oo
c. The person who is being admitted to a oo oo oo oo oo oo oo
long-term care facility oo oo oo
d. The person who is beginning rehabilitation oo oo oo oo oo
after a knee replacement oo oo oo oo
ANS: C oo
A comprehensive assessment is performed during admission to a facility to obtain a
oo oo oo oo oo oo oo oo oo oo oo oo
detailed history and complete physical examination. A shift assessment is most
oo oo oo oo oo oo oo oo oo oo
appropriate for the person who is recovering in the hospital from surgery. A screening
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
assessment is performed for the purpose of disease detection, in this case diabetes
oo oo oo oo oo oo oo oo oo oo oo oo oo
mellitus. An episodic or follow-up assessment is performed after knee replacement to
oo oo oo oo oo oo oo oo oo oo oo oo
evaluate the outcome of the procedure.
oo oo oo oo oo oo
DIF: Cognitive Level: Understand REF: Box 1-3 | p. oo oo oo oo oo
3 TOP: Nursing Process: Assessment
oo oo oo oo oo
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
oo oo oo oo oo oo oo oo oo oo oo
Establishing Priorities
oo oo
6. For which person is an episodic or follow-up assessment indicated?
oo oo oo oo oo oo oo oo oo
a. The person who had abdominal surgery oo oo oo oo oo
yesterday oo
b. The person who is unaware of his high oo oo oo oo oo oo oo
serum glucose levels oo oo oo
c. The person who is being admitted to a oo oo oo oo oo oo oo
long-term care facility oo oo oo
d. The person who is beginning rehabilitation oo oo oo oo oo
after a knee replacement oo oo oo oo
ANS: D oo
An episodic or follow-up assessment is performed after the knee replacement to
oo oo oo oo oo oo oo oo oo oo oo
evaluate the outcome of the procedure. A shift assessment is most appropriate for the
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
person who is recovering in the hospital from surgery. A screening assessment is
oo oo oo oo oo oo oo oo oo oo oo oo oo
performed for the purpose of disease detection, in this case diabetes mellitus. A
oo oo oo oo oo oo oo oo oo oo oo oo oo
comprehensive assessment is performed during admission to a facility to obtain a
oo oo oo oo oo oo oo oo oo oo oo oo
detailed history and complete physical examination.
oo oo oo oo oo oo
DIF: Cognitive Level: Understand oo oo REF: Box 1-3 | p. oo oo oo
3 TOP: Nursing Process: Assessment
oo oo oo oo oo
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oo o o o o oo o o oo oo oo oo oo oo oo o o -06:00
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Downloaded by: cmedrano14 | oo oo oo
oo
Distribution of this document is illegal
o o o o o
7th Edition byWilson (NEWEST VERSIONEXAM
oo oo oo oo oo oo
2022CHAPTERS 1-24.)
oo o oo
, Chapter 01: Introduction to Health Assessment oo oo oo oo oo
MULTIPLE CHOICE oo
1. A patient comes to the emergency department and tells the triage nurse that
oo oo oo oo oo oo oo oo oo oo oo oo
he is ―having a heart attack.‖ What is the nurse‘s top priority at this time?
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
a. Determine the patient‘s personal data and oo oo oo oo oo
insurance coverage. oo oo
b. Ask the patient to take a seat in the waiting oo oo oo oo oo oo oo oo oo
room until his name is called. oo oo oo oo oo oo
c. Request that a nurse collect data for a oo oo oo oo oo oo oo
comprehensive history. oo oo
d. Ask a nurse to start a focused assessment oo oo oo oo oo oo oo
of this patient now. oo oo oo oo
ANS: D oo
The nurse needs to begin an assessment as soon as possible that is focused on this
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
patient‘s cardiovascular system. The type of health assessment performed by the nurse is
oo oo oo oo oo oo oo oo oo oo oo oo oo
also driven by patient need. Personal data and insurance information will be obtained,
oo oo oo oo oo oo oo oo oo oo oo oo oo
but in this situation, these data can wait until after the patient is assessed. Based also on
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
Maslow‘s hierarchy of needs, physiologic needs take precedence. Rather than asking the
oo oo oo oo oo oo oo oo oo oo oo oo
patient to wait, the nurse needs to begin data collection, such as vital signs, immediately
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
to determine the patient‘s health status. Complications can be prevented if an immediate
oo oo oo oo oo oo oo oo oo oo oo oo oo
assessment is made to analyze the patient‘s symptoms. A comprehensive history is not
oo oo oo oo oo oo oo oo oo oo oo oo oo
indicated in this situation at this time. Some subjective data will be collected, such as
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
allergies and medical history related to cardiovascular disease. Eyes, ears, or a complete
oo oo oo oo oo oo oo oo oo oo oo oo oo
musculoskeletal or mental health assessment is not a priority at this time.
oo oo oo oo oo oo oo oo oo oo oo oo
DIF: Cognitive Level: Apply REF: Box 1-3 | p. oo oo oo oo oo
3 TOP: Nursing Process: Assessment
oo oo oo oo oo
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
oo oo oo oo oo oo oo oo oo oo oo
Establishing Priorities
oo oo
2. Which situation illustrates a screening assessment?
oo oo oo oo oo
a. A patient visits an obstetric clinic for the oo oo oo oo oo oo oo
first time and the nurse conducts a detailed oo oo oo oo oo oo oo oo
history and physical examination. oo oo oo oo
b. A hospital sponsors a health fair at a local oo oo oo oo oo oo oo oo
mall and provides cholesterol and blood oo oo oo oo oo oo
pressure checks to mall patrons. oo oo oo oo oo
c. The nurse in an urgent care center checks oo oo oo oo oo oo oo
the vital signs of a patient who is oo oo oo oo oo oo oo oo
complaining of leg pain. oo oo oo oo
This study source was downloaded by 100000838401522 from CourseHero.com on 03-03-2022 08:46:13 GMT
oo o o o o oo o o oo oo oo oo oo oo oo o o -06:00
https://www.coursehero.com/file/34584368/chapter-1pdf/
Downloaded by: cmedrano14 | oo oo oo
oo
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell oo oo oo oo oo oo oo
d. your Study A patient newly diagnosed with diabetes oo oo oo oo oo
oo mellitus comes to test his fasting blood oo oo oo oo oo oo
oo glucose level. oo
ANS: B oo
A health fair at a local mall that provides cholesterol and blood pressure checks is an
oo oo oo oo oo oo oo oo oo oo oo oo oo oo oo
example of a screening assessment focused on disease detection. A detailed history and
oo oo oo oo oo oo oo oo oo oo oo oo oo
physical examination conducted during a first-time visit to an obstetric clinic is an
oo oo oo oo oo oo oo oo oo oo oo oo oo
example of a comprehensive assessment. Assessing a patient complaining of leg pain in
oo oo oo oo oo oo oo oo oo oo oo oo oo
the triage area of an urgent care center is an example of a problem-based/focused
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
assessment. A patient‘s return appointment 1 month after today‘s office visit to report
oo oo oo oo oo oo oo oo oo oo oo oo oo
fasting blood glucose levels is an example of an episodic or follow-up assessment.
oo oo oo oo oo oo oo oo oo oo oo oo oo
DIF: Cognitive Level: Understand REF: Box 1-3 | p. oo oo oo oo oo
3 TOP: Nursing Process: Assessment
oo oo oo oo oo
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
oo oo oo oo oo oo oo oo oo
3. For which person is a screening assessment indicated?
oo oo oo oo oo oo oo
a. The person who had abdominal surgery oo oo oo oo oo
yesterday oo
b. The person who is unaware of his high oo oo oo oo oo oo oo
serum glucose levels oo oo oo
c. The person who is being admitted to a oo oo oo oo oo oo oo
long-term care facility oo oo oo
d. The person who is beginning rehabilitation oo oo oo oo oo
after a knee replacement oo oo oo oo
ANS: B oo
A screening assessment is performed for the purpose of disease detection. In this case this
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
person may have diabetes mellitus. A shift assessment is most appropriate for the
oo oo oo oo oo oo oo oo oo oo oo oo oo
person who is recovering in the hospital from surgery. A comprehensive assessment is
oo oo oo oo oo oo oo oo oo oo oo oo oo
performed during admission to a facility to obtain a detailed history and complete
oo oo oo oo oo oo oo oo oo oo oo oo oo
physical examination. An episodic or follow-up assessment is performed after knee
oo oo oo oo oo oo oo oo oo oo oo
replacement to evaluate the outcome of the procedure.
oo oo oo oo oo oo oo oo
DIF: Cognitive Level: Understand REF: Box 1-3 | p. oo oo oo oo oo
3 TOP: Nursing Process: Assessment
oo oo oo oo oo
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
oo oo oo oo oo oo oo oo oo oo oo
Establishing Priorities
oo oo
4. For which person is a shift assessment indicated?
oo oo oo oo oo oo oo
a. The person who had abdominal surgery oo oo oo oo oo
yesterday oo
b. The person who is unaware of his high oo oo oo oo oo oo oo
serum glucose levels oo oo oo
c. The person who is being admitted to a oo oo oo oo oo oo oo
long-term care facility oo oo oo
d. The person who is beginning rehabilitation oo oo oo oo oo
after a knee replacement oo oo oo oo
ANS: A oo
A shift assessment is most appropriate for the person who is recovering in the hospital
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
from surgery. A screening assessment is performed for the purpose of disease detection,
oo oo oo oo oo oo oo oo oo oo oo oo oo
in this case diabetes mellitus. A comprehensive assessment is performed during
oo oo oo oo oo oo oo oo oo oo oo
admission to a
oo oo oo
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oo o o o o oo o o oo oo oo oo oo oo oo o o -06:00
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Downloaded by: cmedrano14 | oo oo oo
oo
Distribution of this document is illegal
, Stuvia.com - The Marketplace to Buy and Sell
oo oo oo oo oo oo oo
facility to obtain a your Studyhistory and complete physical examination. An episodic
detailed oo oo oo oo oo oo oo oo oo oo oo
or follow-up assessment is performed after knee replacement to evaluate the
oo oo oo oo oo oo oo oo oo oo oo
outcome of the procedure.
oo oo oo oo
DIF: Cognitive Level: Understand REF: Box 1-3 | p. oo oo oo oo oo
4 TOP: Nursing Process: Assessment
oo oo oo oo oo
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
oo oo oo oo oo oo oo oo oo oo oo
Establishing Priorities
oo oo
5. For which person is a comprehensive assessment indicated?
oo oo oo oo oo oo oo
a. The person who had abdominal surgery oo oo oo oo oo
yesterday oo
b. The person who is unaware of his high oo oo oo oo oo oo oo
serum glucose levels oo oo oo
c. The person who is being admitted to a oo oo oo oo oo oo oo
long-term care facility oo oo oo
d. The person who is beginning rehabilitation oo oo oo oo oo
after a knee replacement oo oo oo oo
ANS: C oo
A comprehensive assessment is performed during admission to a facility to obtain a
oo oo oo oo oo oo oo oo oo oo oo oo
detailed history and complete physical examination. A shift assessment is most
oo oo oo oo oo oo oo oo oo oo
appropriate for the person who is recovering in the hospital from surgery. A screening
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
assessment is performed for the purpose of disease detection, in this case diabetes
oo oo oo oo oo oo oo oo oo oo oo oo oo
mellitus. An episodic or follow-up assessment is performed after knee replacement to
oo oo oo oo oo oo oo oo oo oo oo oo
evaluate the outcome of the procedure.
oo oo oo oo oo oo
DIF: Cognitive Level: Understand REF: Box 1-3 | p. oo oo oo oo oo
3 TOP: Nursing Process: Assessment
oo oo oo oo oo
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
oo oo oo oo oo oo oo oo oo oo oo
Establishing Priorities
oo oo
6. For which person is an episodic or follow-up assessment indicated?
oo oo oo oo oo oo oo oo oo
a. The person who had abdominal surgery oo oo oo oo oo
yesterday oo
b. The person who is unaware of his high oo oo oo oo oo oo oo
serum glucose levels oo oo oo
c. The person who is being admitted to a oo oo oo oo oo oo oo
long-term care facility oo oo oo
d. The person who is beginning rehabilitation oo oo oo oo oo
after a knee replacement oo oo oo oo
ANS: D oo
An episodic or follow-up assessment is performed after the knee replacement to
oo oo oo oo oo oo oo oo oo oo oo
evaluate the outcome of the procedure. A shift assessment is most appropriate for the
oo oo oo oo oo oo oo oo oo oo oo oo oo oo
person who is recovering in the hospital from surgery. A screening assessment is
oo oo oo oo oo oo oo oo oo oo oo oo oo
performed for the purpose of disease detection, in this case diabetes mellitus. A
oo oo oo oo oo oo oo oo oo oo oo oo oo
comprehensive assessment is performed during admission to a facility to obtain a
oo oo oo oo oo oo oo oo oo oo oo oo
detailed history and complete physical examination.
oo oo oo oo oo oo
DIF: Cognitive Level: Understand oo oo REF: Box 1-3 | p. oo oo oo
3 TOP: Nursing Process: Assessment
oo oo oo oo oo
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