HEALTH ASSESSMENT TEST LATEST ACTUAL TEST REAL QUESTIONS AND CORRECT VERIFIED ANSWERS (A NEW UPDATED VERSION) 2025

Test Bank For Health Assessment for Nursing Practice
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7th Edition by Susan Fickertt Wilson, Jean Foret Gidde
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ns Chapter 1-24
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,Chapterg01:gIntroductiongtogHealthgAssessment
Wilson:gHealthgAssessmentgforgNursinggPractice,g7thgEdition


MULTIPLEgCHOICE

1. Agpatientgcomesgtogthegemergencygdepartmentgandgtellsgthegtriagegnursegthatghegisg―having
a heartgattack.‖gWhatgisgthegnurse‘sgtopgprioritygatgthisgtime?
g g
a. Determinegthegpatient‘sgpersonalgdatagandginsurancegcoverage.
b. Askgthegpatientgtogtakegagseatgingthegwaitinggroomguntilghisgnamegisgcalled.
c. Requestgthatgagnursegcollectgdatagforgagcomprehensiveghistory.
d. Askgagnursegtogstartgagfocusedgassessmentgofgthisgpatientgnow.
ANS:g D
Thegnursegneedsgtogbegingangassessmentgasgsoongasgpossiblegthatgisgfocusedgongthisgpatient‘sgc
ardiovasculargsystem.gThegtypegofghealthgassessmentgperformedgbygthegnursegisgalsogdrivengby
gpatientgneed.gPersonalgdatagandginsuranceginformationgwillgbegobtained,gbutgingthisgsituation,g
thesegdatagcangwaitguntilgaftergthegpatientgisgassessed.gBasedgalsogongMaslow‘sghierarchygofgn
eeds,gphysiologicgneedsgtakegprecedence.gRathergthangaskinggthegpatientgtogwait,gthegnursegne
edsgtogbegingdatagcollection,gsuchgasgvitalgsigns,gimmediatelygtogdeterminegthegpatient‘sghealt
hgstatus.gComplicationsgcangbegpreventedgifgangimmediategassessmentgisgmadegtoganalyzegtheg
patient‘sgsymptoms.gAgcomprehensiveghistorygisgnotgindicatedgingthisgsituationgatgthisgtime.gS
omegsubjectivegdatagwillgbegcollected,gsuchgasgallergiesgandgmedicalghistorygrelatedgtogcardiov
asculargdisease.gEyes,gears,gorgagcompletegmusculoskeletalgorgmentalghealthgassessmentgisgnot
gagprioritygatgthisgtime.


DIF:CognitivegLevel:gApplyg REF: Boxg1-
3gTOP:NursinggProcess:gAssessment
MSC:NCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablish
inggPriorities

2. Whichgsituationgillustratesgagscreeninggassessment?
a. Agpatientgvisitsgangobstetricgclinicgforgthegfirstgtimegandgthegnursegconductsg
agdetailedghistorygandgphysicalgexamination.
b. Aghospitalgsponsorsgaghealthgfairgatgaglocalgmallgandgprovidesgcholesterolgandgbloo
dgpressuregchecksgtogmallgpatrons.
c. Thegnursegingangurgentgcaregcentergchecksgthegvitalgsignsgofgagpatientgwhog
isgcomplaininggofgleggpain.
d. Agpatientgnewlygdiagnosedgwithgdiabetesgmellitusgcomesgtogtestghisgfastinggbloo
dgglucoseglevel.
ANS:g B
Aghealthgfairgatgaglocalgmallgthatgprovidesgcholesterolgandgbloodgpressuregchecksgisgangexamp
legofgagscreeninggassessmentgfocusedgongdiseasegdetection.gAgdetailedghistorygandgphysicalgex
aminationgconductedgduringgagfirst-
timegvisitgtogangobstetricgclinicgisgangexamplegofgagcomprehensivegassessment.gAssessinggagpa
tientgcomplaininggofgleggpaingingthegtriagegareagofg angurgentgcaregcentergisgangexamplegofgagpr
oblem-
based/focusedgassessment.gAgpatient‘sgreturngappointmentg1gmonthgaftergtoday‘sgofficegvisitgt
ogreportgfastinggbloodgglucoseglevelsgisgangexamplegofgangepisodicgorgfollow-upgassessment.

DIF:CognitivegLevel:gUnderstand REF:gBoxg1-3

, TOP:NursinggProcess:gAssessment
MSC:NCLEXgPatientgNeeds:gHealthgPromotiongandgMaintenance:gHealthgScreening

3. Forgwhichgpersongisgagscreeninggassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgerygyesterday
b. Thegpersongwhogisgunawaregofghisghighgserumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtogaglong-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationgaftergagkneegreplacement

ANS:gB
Agscreeninggassessmentgisgperformedgforgthegpurposegofgdiseasegdetection.gIngthisgcasegthisgpe
rsongmayghavegdiabetesgmellitus.gAgshiftgassessmentgisgmostgappropriategforgthegpersongwhogi
sgrecoveringgingtheghospitalgfromgsurgery.gAgcomprehensivegassessmentgisgperformedgduringg
admissiongtogagfacilitygtogobtaingagdetailedghistorygandgcompletegphysicalgexamination.gAngep
isodicgorgfollow-
upgassessmentgisgperformedgaftergkneegreplacementgtogevaluategthegoutcomegofgthegprocedure.

DIF:CognitivegLevel:gUnderstand REF:gBoxg1-
3gTOP:NursinggProcess:gAssessment
MSC:NCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablish
inggPriorities

4. Forgwhichgpersongisgagshiftgassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgerygyesterday
b. Thegpersongwhogisgunawaregofghisghighgserumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtogaglong-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationgaftergagkneegreplacement

ANS:gA
Agshiftgassessmentgisgmostgappropriategforgthegpersongwhogisgrecoveringgingtheghospitalgfromgs
urgery.gAgscreeninggassessmentgisgperformedgforgthegpurposegofgdiseasegdetection,gingthisgcaseg
diabetesgmellitus.gAgcomprehensivegassessmentgisgperformedgduringgadmissiongtogagfacilitygto
gobtaingagdetailedghistorygandgcompletegphysicalgexamination.gAngepisodicgorgfollow-
upgassessmentgisgperformedgaftergkneegreplacementgtogevaluategthegoutcomegofgthegprocedure.

DIF:CognitivegLevel:gUnderstand REF:gBoxg1-
3gTOP:NursinggProcess:gAssessment
MSC:NCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablish
inggPriorities

5. Forgwhichgpersongisgagcomprehensivegassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgerygyesterday
b. Thegpersongwhogisgunawaregofghisghighgserumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtogaglong-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationgaftergagkneegreplacement
ANS:gC
Agcomprehensivegassessmentgisgperformedgduringgadmissiongtogagfacilitygtogobtaingagdetailed
ghistorygandgcompletegphysicalgexamination.gAgshiftgassessmentgisgmostgappropriategforgthegp
ersongwhogisgrecoveringgingtheghospitalgfromgsurgery.gAgscreeninggassessmentgisgperformedgf
orgthegpurposegofgdiseasegdetection,gingthisgcasegdiabetesgmellitus.gAngepisodicgorgfollow-
upgassessmentgisgperformedgaftergkneegreplacementgtogevaluategthegoutcomegofgthegprocedure
.

, DIF:CognitivegLevel:gUnderstand REF:gBoxg1-
3gTOP:NursinggProcess:gAssessment
MSC:NCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablish
inggPriorities

6. Forgwhichgpersongisgangepisodicgorgfollow-upgassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgerygyesterday
b. Thegpersongwhogisgunawaregofghisghighgserumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtogaglong-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationgaftergagkneegreplacement

ANS:gD
Angepisodicgorgfollow-
upgassessmentgisgperformedgaftergthegkneegreplacementgtogevaluategthegoutcomegofgthegproce
dure.gAgshiftgassessmentgisgmostgappropriategforgthegpersongwhogisgrecoveringgingtheghospital
gfromgsurgery.gAgscreeninggassessmentgisgperformedgforgthegpurposegofgdiseasegdetection,gingt
hisgcasegdiabetesgmellitus.gAgcomprehensivegassessmentgisgperformedgduringgadmissiongtogag
facilitygtogobtaingagdetailedghistorygandgcompletegphysicalgexamination.

DIF:CognitivegLevel:gUnderstand REF:gBoxg1-
3gTOP:NursinggProcess:gAssessment
MSC:NCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablish
inggPriorities

7. Whichgisgangexamplegofgdatagagnursegcollectsgduringgagphysicalgexamination?
a. Thegpatient‘sglackgofghairgandgshinygskingovergbothgshins
b. Thegpatient‘sgstatedgconcerngaboutglackgofgmoneygforgprescriptions
c. Thegpatient‘sgcomplaintsgofgtinglinggsensationsgingthegfeet
d. Thegpatient‘sgmother‘sgstatementsgthatgthegpatientgisgverygnervousglately

ANS:gA
Theglackgofghairgandgshinygskingovergbothgshinsgaregobjectivegdatagorgsignsgthatgaregpartgofgth
egphysicalgexamination.gAgpatient‘sgconcernsgaboutglackgofgmoneygaregsubjectivegdatagandgar
egpartgofgtheghealthghistory.gAgpatient‘sgcomplaintsgofgtinglinggsensationsgingthegfeetgaregsubj
ectivegdatagandgaregpartgofgtheghealthghistory.gAgpatient‘sgfamilygstatementsgaregconsideredgse
condarygdata,garegsubjectivegdata,gandgaregpartgofgtheghealthghistory.

DIF:CognitivegLevel:gApplyg REF: Boxg1-
3gTOP:NursinggProcess:gAssessment
MSC:NCLEXgPatientgNeeds:gPhysiologicalgIntegrity:gReductiongofgRiskgPotential:gSystemgSpecificg
Assessments

8. Thegnursegdocumentsgwhichginformationgingthegpatient‘sghistory?
a. Thegpatient‘sgskingfeelsgwarmgtogthegtouch.
b. Thegpatientgisgscratchingghisgarm.
c. Thegpatient‘sgtemperaturegisg100gF.
d. Thegpatientgcomplainsgofgitching.
ANS:gD