Test Bank for Health Assessment for Nursing Practice, 7th Edition by Wilson

Test Bank for Health Assessment for
Nursing Practice 7th Edition by Wilson
Chapter 1 - 24

,ChapterN01:NIntroductionNtoNHealthNAssessment
MULTIPLENCHOICE

1. ANpatientNcomesNtoNtheNemergencyNdepartmentNandNtellsNtheNtriageNnurseNthatN
heNisN―havingNaNheartNattack.‖NWhatNisNtheNnurse‘sNtopNpriorityNatNthisNtime?
a. DetermineNtheNpatient‘sNpersonalNdataNandNin
suranceNcoverage.
b. AskNtheNpatientNtoNtakeNaNseatNinNtheNwaitingN
roomNuntilN hisNnameNisNcalled.
c. RequestNthatNaNnurseNcollectNdataNforN
aNcomprehensiveNhistory.
d. AskNaNnurseNtoNstartNaNfocusedNassessme
ntNofNthisNpatientNnow.
ANSWER:N D
TheNnurseNneedsNtoNbeginNanNassessmentNasNsoonNasNpossibleNthatNisNfocusedNonNthisNpatien
t‘sNcardiovascularNsystem.NTheNtypeNofNhealthNassessmentNperformedNbyNtheNnurseNisNalsoNd
rivenNbyNpatientNneed.NPersonalNdataNandNinsuranceNinformationNwillNbeNobtained,NbutNinNthi
sNsituation,NtheseNdataNcanNwaitNuntilNafterNtheNpatientNisNassessed.NBasedNalsoNonNMaslow‘s
NhierarchyNofNneeds,NphysiologicNneedsNtakeNprecedence.NRatherNthanNaskingNtheNpatientNto

Nwait,NtheNnurseNneedsNtoNbeginNdataNcollection,NsuchNasNvitalNsigns,NimmediatelyNtoNdeterm

ineNtheNpatient‘sNhealthNstatus.NComplicationsNcanNbeNpreventedNifNanNimmediateNassessmen
tNisNmadeNtoNanalyzeNtheNpatient‘sNsymptoms.NANcomprehensiveNhistoryNisNnotNindicatedNin
NthisNsituationNatNthisNtime.NSomeNsubjectiveNdataNwillNbeNcollected,NsuchNasNallergiesNandN

medicalNhistoryNrelatedNtoNcardiovascularNdisease.NEyes,Nears,NorNaNcompleteNmusculoskelet
alNorNmentalNhealthNassessmentNisNnotNaNpriorityNatNthisNtime.

DIF:NNN CognitiveNLevel:NApply REF:NBoxN1-
3N|Np.N3NTOP:NNursingNProcess:NAssessment
MSC:NNCLEXNPatientNNeeds:NSafeNandNEffectiveNCareNEnvironment:NManagementNofNCare:NEstabli
shingNPriorities

2. WhichNsituationNillustratesNaNscreeningNassessment?
a. ANpatientNvisitsNanNobstetricNclinicNforNtheNfi
rstNtimeNandNtheNnurseNconductsNaNdetailedNhi
storyNandNphysicalNexamination.
b. ANhospitalNsponsorsNaNhealthNfairNatNaNloc
alNmallNandNprovidesNcholesterolNandNbloo
dNpressureNchecksNtoNmallNpatrons.
c. TheNnurseNinNanNurgentNcareNcenterNcheck
sNtheNvitalNsignsNofNaNpatientNwhoNisNcom
plainingNofNlegNpain.

, d. ANpatientNnewlyNdiagnosedNwithNdiabete
sNmellitusNcomesNtoNtestNhisNfastingNbloo
dNglucoseNlevel.
ANSWER:NB
ANhealthNfairNatNaNlocalNmallNthatNprovidesNcholesterolNandNbloodNpressureNchecksNisNanNexa
mpleNofNaNscreeningNassessmentNfocusedNonNdiseaseNdetection.NANdetailedNhistoryNandNphys
icalNexaminationNconductedNduringNaNfirst-
timeNvisitNtoNanNobstetricNclinicNisNanNexampleNofNaNcomprehensiveNassessment.NAssessingNa
NpatientNcomplainingNofNlegNpainNinNtheNtriageNareaNofNanNurgentNcareNcenterNisNanNexampleN

ofNaNproblem-
based/focusedNassessment.NANpatient‘sNreturnNappointmentN1NmonthNafterNtoday‘sNofficeNvi
sitNtoNreportNfastingNbloodNglucoseNlevelsNisNanNexampleNofNanNepisodicNorNfollow-
upNassessment.

DIF:NNNCognitiveNLevel:NUnderstand REF:NBoxN1-
3N|Np.N3NTOP:NNursingNProcess:NAssessment
MSC:NNCLEXNPatientNNeeds:NHealthNPromotionNandNMaintenance:NHealthNScreening

3. ForNwhichNpersonNisNaNscreeningNassessmentNindicated?
a. TheNpersonNwhoNhadNabdominalNsurger
yNyesterday
b. TheNpersonNwhoNisNunawareNofNhisNhig
hNserumNglucoseNlevels
c. TheNpersonNwhoNisNbeingNadmittedNtoN
aNlong-termNcareNfacility
d. TheNpersonNwhoNisNbeginningNrehabilitationN
afterNaNkneeNreplacement
ANSWER:NB
ANscreeningNassessmentNisNperformedNforNtheNpurposeNofNdiseaseNdetection.NInNthisNcaseNt
hisNpersonNmayNhaveNdiabetesNmellitus.NANshiftNassessmentNisNmostNappropriateNforNtheNpe
rsonNwhoNisNrecoveringNinNtheNhospitalNfromNsurgery.NANcomprehensiveNassessmentNisNper
formedNduringNadmissionNtoNaNfacilityNtoNobtainNaNdetailedNhistoryNandNcompleteNphysicalN
examination.NAnNepisodicNorNfollow-
upNassessmentNisNperformedNafterNkneeNreplacementNtoNevaluateNtheNoutcomeNofNtheNproce
dure.

DIF:NNNCognitiveNLevel:NUnderstand REF:NBoxN1-
3N|Np.N3NTOP:NNursingNProcess:NAssessment
MSC:NNCLEXNPatientNNeeds:NSafeNandNEffectiveNCareNEnvironment:NManagementNofNCare:NEstabli
shingNPriorities

4. ForNwhichNpersonNisNaNshiftNassessmentNindicated?
a. TheNpersonNwhoNhadNabdominalNsurger
yNyesterday
b. TheNpersonNwhoNisNunawareNofNhisNhig
hNserumNglucoseNlevels
c. TheNpersonNwhoNisNbeingNadmittedNtoNa
long-termNcareNfacility
d. TheNpersonNwhoNisNbeginningNrehabilitatio
nNafterNaNkneeNreplacement
ANSWER:N A
ANshiftNassessmentNisNmostNappropriateNforNtheNpersonNwhoNisNrecoveringNinNtheNhospitalNfr
omNsurgery.NANscreeningNassessmentNisNperformedNforNtheNpurposeNofNdiseaseNdetection,NinN
thisNcaseNdiabetesNmellitus.NANcomprehensiveNassessmentNisNperformedNduringNadmissionNto
Na

, facilityNtoNobtainNaNdetailedNhistoryNandNcompleteNphysicalNexamination.NAnNepisodicNorN
follow-
upNassessmentNisNperformedNafterNkneeNreplacementNtoNevaluateNtheNoutcomeNofNtheNproce
dure.

DIF:NNNCognitiveNLevel:NUnderstand REF:NBoxN1-
3N|Np.N4NTOP:NNursingNProcess:NAssessment
MSC:NNCLEXNPatientNNeeds:NSafeNandNEffectiveNCareNEnvironment:NManagementNofNCare:NEstabli
shingNPriorities

5. ForNwhichNpersonNisNaNcomprehensiveNassessmentNindicated?
a. TheNpersonNwhoNhadNabdominalNsurger
yNyesterday
b. TheNpersonNwhoNisNunawareNofNhisNhig
hNserumNglucoseNlevels
c. TheNpersonNwhoNisNbeingNadmittedNtoN
aNlong-termNcareNfacility
d. TheNpersonNwhoNisNbeginningNrehabilitationN
afterNaNkneeNreplacement
ANSWER:NC
ANcomprehensiveNassessmentNisNperformedNduringNadmissionNtoNaNfacilityNtoNobtainNa

detailedNhistoryNandNcompleteNphysicalNexamination.NANshiftNassessmentNisNmostNappropria
teNforNtheNpersonNwhoNisNrecoveringNinNtheNhospitalNfromNsurgery.NANscreeningNassessment
NisNperformedNforNtheNpurposeNofNdiseaseNdetection,NinNthisNcaseNdiabetesNmellitus.NAnNepi

sodicNorNfollow-
upNassessmentNisNperformedNafterNkneeNreplacementNtoNevaluateNtheNoutcomeNofNtheNproce
dure.

DIF:NNNCognitiveNLevel:NUnderstand REF:NBoxN1-
3N|Np.N3NTOP:NNursingNProcess:NAssessment
MSC:NNCLEXNPatientNNeeds:NSafeNandNEffectiveNCareNEnvironment:NManagementNofNCare:NEstabli
shingNPriorities

6. ForNwhichNpersonNisNanNepisodicNorNfollow-upNassessmentNindicated?
a. TheNpersonNwhoNhadNabdominalNsurger
yNyesterday
b. TheNpersonNwhoNisNunawareNofNhisNhig
hNserumNglucoseNlevels
c. TheNpersonNwhoNisNbeingNadmittedNtoNa
long-termNcareNfacility
d. TheNpersonNwhoNisNbeginningNrehabilitationN
afterNaNkneeNreplacement
ANSWER:N D
AnNepisodicNorNfollow-
upNassessmentNisNperformedNafterNtheNkneeNreplacementNtoNevaluateNtheNoutcomeNofNtheNpr
ocedure.NANshiftNassessmentNisNmostNappropriateNforNtheNpersonNwhoNisNrecoveringNinNtheNh
ospitalNfromNsurgery.NANscreeningNassessmentNisNperformedNforNtheNpurposeNofNdiseaseNdet
ection,NinNthisNcaseNdiabetesNmellitus.NANcomprehensiveNassessmentNisNperformedNduringNa
dmissionNtoNaNfacilityNtoNobtainNaNdetailedNhistoryNandNcompleteNphysicalNexamination.

DIF:NNNCognitiveNLevel:NUnderstand REF:NBoxN1-
3N|Np.N3NTOP:NNursingNProcess:NAssessment