Test Bank for Health Assessment for
B B B B B
B Nursing Practice 7th Edition by Wilson
B B B B B
Chapter 1 - 24 B B B B
The Marketplace to Buy and Sell your Study Material
B B B B B B B B
At Stuvia, you will find the best notes, summaries, flashcards & other study material. Search for your school or
B B B B B B B B B B B B B B B B B B
uni and find the study material you need.
B B B B B B B B
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B B B
Distribution of this document is illegal
B B B B B extra per year?
B B
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
B B B B B B B B B B
Test Bank for Health Assessment for
B B B B B
B Nursing Practice 7th Edition by Wilson
B B B B B
Chapter 1 - 24 B B B
Downloaded by: Bookista |
B B B B Want to earn $1.236
B B B
Distribution of this document is illegal
B B B B B extra per year?
B B
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
B B B B B B B B B B
Chapter 01: Introduction to Health Assessment
B B B B B
MULTIPLE CHOICE B
1. Apatient comesto the emergencydepartment and tells the triage nurse that he is
B B B B B B B B B B B B B B
―having a heart attack.‖ What is the nurse‘s top priority at this time?
B B B B B B B B B B B B B
a. Determine the patient‘s personal data and B B B B B
insurance coverage. B B
b. Ask the patient to take a seat in the waiting
B B B B B B B B B
room until his name is called.
B B B B B B
c. Request that a nurse collect data for a B B B B B B B
comprehensive history.
B B
d. Ask a nurse to start a focused assessment of
B B B B B B B B
this patient now.
B B B
ANSWER: D B
The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s
B B B B B B B B B B B B B B B B
cardiovascular system. The type of health assessment performed by the nurse is also driven by
B B B B B B B B B B B B B B B
patient need. Personal data and insurance information will be obtained, but in this situation,
B B B B B B B B B B B B B B
these data can wait until after the patient is assessed. Based also on Maslow‘s hierarchy of
B B B B B B B B B B B B B B B B
needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse
B B B B B B B B B B B B B B
needs to begin data collection, such as vital signs, immediately to determine the patient‘s
B B B B B B B B B B B B B B
health status. Complications can be prevented if an immediate assessment is made to analyze
B B B B B B B B B B B B B B
the patient‘s symptoms. A comprehensive history is not indicated in this situation at this time.
B B B B B B B B B B B B B B B
Some subjective data will be collected, such as allergies and medical history related to
B B B B B B B B B B B B B B
cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health
B B B B B B B B B B B
assessment is not a priority at this time.
B B B B B B B B
DIF: Cognitive Level: Apply
B REF: Box 1-3 | p. 3 B B B B B B B
TOP: Nursing Process: Assessment
B B B B
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
B B B B B B B B B B B
Establishing Priorities
B B
2. Which situation illustrates a screening assessment?
B B B B B
a. A patient visits an obstetric clinic for the B B B B B B B
first time and the nurse conducts a detailed B B B B B B B B
history and physical examination. B B B B
b. A hospital sponsors a health fair at a local B B B B B B B B
mall and provides cholesterol and blood B B B B B B
pressure checks to mall patrons. B B B B B
c. The nurse in an urgent care center checks the B B B B B B B B
vital signs of a patient who is complaining B B B B B B B B
of leg pain. B B B
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Distribution of this document is illegal B B B B B extra per year?
B B
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d. A patient newly diagnosed with diabetes
B B B B B
mellitus comes to test his fasting blood
B B B B B B B
glucose level.
B B
ANSWER: B B
A health fair at a local mall that provides cholesterol and blood
B B B B B B B B B B B B B B B B B B B B B B
pressure checks is an example of a screening assessment focused on
B B B B B B B B B B B B B B B B B B B B B
disease B
detection. A detailed history and physical examination conducted during a
B B B B B B B B B
Bfirst-time visit to an obstetric clinic is an example of a comprehensive B B B B B B B B B B
assessment. Assessing a patient complaining of leg pain in the triage
B B B B B B B B B B B B B B B B B B B B B B
Barea
of an urgent care center is an example of a problem-based/focused
B B B B B B B B B B
B assessment. A patient‘s return appointment 1 month after today‘s office B B B B B B B B B B B B B B B B B B
visit to report fasting blood glucose levels is an example of an
B B B B B B B B B B B B B B B
episodic or follow-up assessment.
B B B B
DIF: Cognitive Level: UnderstandREF: Box 1-3 B B B B B B B B B
| p. 3 TOP: Nursing Process: Assessment
B B B B B B B B B
MSC: NCLEX Patient Needs: Health Promotion and Maintenance:
B B B B B B B B B B Health Screening B B
3. For which person is a screening assessment indicated?
B B B B B B B B
a. The person who had B B
abdominal surgery yesterday B B B
b. The person who is unaware B B B B
of his high serum glucose B B B B B
levels B
c. The person who is being B B B B
admitted to a long-term care B B B B B
facility
d. The person who is beginning B B B B
rehabilitation after a knee B B B
replacement B
ANSWER: B
A screening assessment is performed for the purpose of disease detection.
B B B B B B B B B B B B B B B B B B B B
In this case this person may have diabetes mellitus. A shift assessment
B B B B B B B B B B B B B B B B B B B B B
is most appropriate for the person who is recovering in the hospital
B B B B B B B B B B B
from surgery. A comprehensive assessment is performed during admission
B B B B B B B B B
to a facility to obtain a detailed history and complete physical
B B B B B B B B B B B
examination. An episodic or follow-up assessment is performed after
B B B B B B B B B B B B B B B B
knee replacement to B B B B B
evaluate the outcome of the procedure. B B B B B B B B B B
DIF: Cognitive Level: UnderstandREF: Box 1-3 B B B B B B B B B
| p. 3 TOP: Nursing Process: Assessment
B B B B B B B B B
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management
B B B B B B B B B B
of Care: Establishing Priorities
B B B B
4. For which person is a shift assessment indicated?
B B B B B B B B B B
a. The person who had B B
abdominal surgery yesterday B B B
b. The person who is unaware B B B B
of his high serum glucose B B B B B
levels B
c. The person who is being B B B
admitted to a B B B
long-term care facility B B B
d. The person who is beginning B B B B
rehabilitation after a knee B B B
B B B B B
B Nursing Practice 7th Edition by Wilson
B B B B B
Chapter 1 - 24 B B B B
The Marketplace to Buy and Sell your Study Material
B B B B B B B B
At Stuvia, you will find the best notes, summaries, flashcards & other study material. Search for your school or
B B B B B B B B B B B B B B B B B B
uni and find the study material you need.
B B B B B B B B
www.stuvia.com
Downloaded by: Bookista |
B B B B Want to earn $1.236
B B B
Distribution of this document is illegal
B B B B B extra per year?
B B
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
B B B B B B B B B B
Test Bank for Health Assessment for
B B B B B
B Nursing Practice 7th Edition by Wilson
B B B B B
Chapter 1 - 24 B B B
Downloaded by: Bookista |
B B B B Want to earn $1.236
B B B
Distribution of this document is illegal
B B B B B extra per year?
B B
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
B B B B B B B B B B
Chapter 01: Introduction to Health Assessment
B B B B B
MULTIPLE CHOICE B
1. Apatient comesto the emergencydepartment and tells the triage nurse that he is
B B B B B B B B B B B B B B
―having a heart attack.‖ What is the nurse‘s top priority at this time?
B B B B B B B B B B B B B
a. Determine the patient‘s personal data and B B B B B
insurance coverage. B B
b. Ask the patient to take a seat in the waiting
B B B B B B B B B
room until his name is called.
B B B B B B
c. Request that a nurse collect data for a B B B B B B B
comprehensive history.
B B
d. Ask a nurse to start a focused assessment of
B B B B B B B B
this patient now.
B B B
ANSWER: D B
The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s
B B B B B B B B B B B B B B B B
cardiovascular system. The type of health assessment performed by the nurse is also driven by
B B B B B B B B B B B B B B B
patient need. Personal data and insurance information will be obtained, but in this situation,
B B B B B B B B B B B B B B
these data can wait until after the patient is assessed. Based also on Maslow‘s hierarchy of
B B B B B B B B B B B B B B B B
needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse
B B B B B B B B B B B B B B
needs to begin data collection, such as vital signs, immediately to determine the patient‘s
B B B B B B B B B B B B B B
health status. Complications can be prevented if an immediate assessment is made to analyze
B B B B B B B B B B B B B B
the patient‘s symptoms. A comprehensive history is not indicated in this situation at this time.
B B B B B B B B B B B B B B B
Some subjective data will be collected, such as allergies and medical history related to
B B B B B B B B B B B B B B
cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health
B B B B B B B B B B B
assessment is not a priority at this time.
B B B B B B B B
DIF: Cognitive Level: Apply
B REF: Box 1-3 | p. 3 B B B B B B B
TOP: Nursing Process: Assessment
B B B B
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
B B B B B B B B B B B
Establishing Priorities
B B
2. Which situation illustrates a screening assessment?
B B B B B
a. A patient visits an obstetric clinic for the B B B B B B B
first time and the nurse conducts a detailed B B B B B B B B
history and physical examination. B B B B
b. A hospital sponsors a health fair at a local B B B B B B B B
mall and provides cholesterol and blood B B B B B B
pressure checks to mall patrons. B B B B B
c. The nurse in an urgent care center checks the B B B B B B B B
vital signs of a patient who is complaining B B B B B B B B
of leg pain. B B B
Downloaded by: Bookista | B B B B Want to earn $1.236 B B B
Distribution of this document is illegal B B B B B extra per year?
B B
, Stuvia.com - The Marketplace to Buy and Sell your Study MaterialB B B B B B B B B B
d. A patient newly diagnosed with diabetes
B B B B B
mellitus comes to test his fasting blood
B B B B B B B
glucose level.
B B
ANSWER: B B
A health fair at a local mall that provides cholesterol and blood
B B B B B B B B B B B B B B B B B B B B B B
pressure checks is an example of a screening assessment focused on
B B B B B B B B B B B B B B B B B B B B B
disease B
detection. A detailed history and physical examination conducted during a
B B B B B B B B B
Bfirst-time visit to an obstetric clinic is an example of a comprehensive B B B B B B B B B B
assessment. Assessing a patient complaining of leg pain in the triage
B B B B B B B B B B B B B B B B B B B B B B
Barea
of an urgent care center is an example of a problem-based/focused
B B B B B B B B B B
B assessment. A patient‘s return appointment 1 month after today‘s office B B B B B B B B B B B B B B B B B B
visit to report fasting blood glucose levels is an example of an
B B B B B B B B B B B B B B B
episodic or follow-up assessment.
B B B B
DIF: Cognitive Level: UnderstandREF: Box 1-3 B B B B B B B B B
| p. 3 TOP: Nursing Process: Assessment
B B B B B B B B B
MSC: NCLEX Patient Needs: Health Promotion and Maintenance:
B B B B B B B B B B Health Screening B B
3. For which person is a screening assessment indicated?
B B B B B B B B
a. The person who had B B
abdominal surgery yesterday B B B
b. The person who is unaware B B B B
of his high serum glucose B B B B B
levels B
c. The person who is being B B B B
admitted to a long-term care B B B B B
facility
d. The person who is beginning B B B B
rehabilitation after a knee B B B
replacement B
ANSWER: B
A screening assessment is performed for the purpose of disease detection.
B B B B B B B B B B B B B B B B B B B B
In this case this person may have diabetes mellitus. A shift assessment
B B B B B B B B B B B B B B B B B B B B B
is most appropriate for the person who is recovering in the hospital
B B B B B B B B B B B
from surgery. A comprehensive assessment is performed during admission
B B B B B B B B B
to a facility to obtain a detailed history and complete physical
B B B B B B B B B B B
examination. An episodic or follow-up assessment is performed after
B B B B B B B B B B B B B B B B
knee replacement to B B B B B
evaluate the outcome of the procedure. B B B B B B B B B B
DIF: Cognitive Level: UnderstandREF: Box 1-3 B B B B B B B B B
| p. 3 TOP: Nursing Process: Assessment
B B B B B B B B B
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management
B B B B B B B B B B
of Care: Establishing Priorities
B B B B
4. For which person is a shift assessment indicated?
B B B B B B B B B B
a. The person who had B B
abdominal surgery yesterday B B B
b. The person who is unaware B B B B
of his high serum glucose B B B B B
levels B
c. The person who is being B B B
admitted to a B B B
long-term care facility B B B
d. The person who is beginning B B B B
rehabilitation after a knee B B B
