TEST BANK FOR HEALTHASSESSMENT FOR NURSING
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PRACTICE7THEDITIONBYSUSAN FICKERTTWILSON,
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JEAN FORET GIDDENS| 9780323661195| ALL CHAPTERS
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1-24| LATEST
d d
•
Chapter 01: Introduction to Health Assessment
d d d d d
Wilson:HealthAssessmentforNursingPractice,7thEdition
d n n n
MULTIPLE CHOICE d
1. Apatientcomestothe emergencydepartment andtellsthetriage nursethat heis―havinga heart
d d d d d d d d d d d d d d
attack.‖ What is the nurse’s toppriorityat thistime?
d d d n d d d d d d
a. Determine the patient’spersonal data and insurance coverage.
d d d d d d d
b. Askthe patienttotakea seat inthe waiting roomuntilhisname iscalled.
d d d d d d d d d d d d d d d
c. Request that anursecollect data foracomprehensive history.
d d d d d d d d d
d. Askanursetostartafocusedassessmentofthispatientnow.
d d d d d d d d d d d
ANS:D
d d
,Thenurseneedstobeginanassessmentassoonaspossiblethatisfocusedonthispatient’s cardiovascular
d d d d d d d d d d d d d d d d
system.Thetypeofhealthassessmentperformedbythenurseisalsodrivenbypatient need. Personal data
d d d d d d d d d d d d d d d d d d
andinsurance information will be obtained, but inthis situation, thesedatacan waituntilafterthepatientis
d d d d d d d d d d d d d d d d d d
assessed.BasedalsoonMaslow’shierarchyofneeds,physiologicneeds takeprecedence.Ratherthan
d d d d d d d d d d d d d d
askingthepatientto wait, the nurse needstobegin data collection, such as vital signs,
d d d d d d d d d d d d d d d d
immediatelyto determine the patient’s health status.
d d d d d d d
Complicationscanbepreventedifanimmediateassessment is madetoanalyzethepatient’s symptoms.A
d d d d d d d n d d d d d d
comprehensivehistoryisnotindicatedinthissituationatthistime.Somesubjective datawillbecollected,
d d d d d d d d d d d d d d d d d
suchasallergiesandmedicalhistoryrelated tocardiovasculardisease.Eyes, ears,oracomplete
d d d d d d d n d d d d d d d
musculoskeletalormentalhealthassessmentisnotapriorityatthistime.
d d d d d d d d d d d
DIF: Cognitive Level: Apply
d d REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment d d d d d d d d d d d
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
d d d d d d d d d d d d
EstablishingPriorities
d d
2. Which situation illustratesa screening assessment? d d d d d
a. Apatient visitsanobstetric clinic forthe firsttime andthenurseconductsa detailed
d d d d d d d d d d d d d d d
historyand physical examination.
d d d
b. Ahospitalsponsorsahealthfairatalocalmallandprovidescholesterolandblood
d d d d d d d d d d d d d
pressure checks to mall patrons.
d d d d d
c. Thenurseinanurgentcarecenterchecksthevitalsignsofapatientwhoiscomplainingof leg
d d d d d d d d d d d d d d d d n d
pain.
d
d. Apatient newly diagnosed with diabetes mellitus comestotest his fasting blood
d d d d d d d d d d d d
glucoselevel.
d d
ANS:B
,Ahealth fairat a local mallthat providescholesteroland blood pressure checks isan example ofa screening
d d d d d d d d d d d d d d d d d n d
assessment focused ondisease detection. Adetailed historyand physical
d d d d d d d d d
, examinationconductedduringafirst-timevisittoanobstetricclinicisanexampleofa comprehensive
d d d d d d d d d d d d d d
assessment.Assessingapatientcomplainingoflegpaininthetriageareaofan urgent care center is an
d d d d d d d d d d d d d d d d d d d
example of a problem-based/focused assessment. A patient’s return appointment1monthafter
d d d d d d d d d d d d
today’sofficevisit toreportfastingbloodglucoselevelsisanexample ofan episodic or follow-up
d d d n d d d d d d d d d d d
assessment.
d
DIF: Cognitive Level: UnderstandREF: Box 1-3 |p.3 TOP: Nursing Process: Assessment d d d d d d d d d d d d
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
d d d d d d d d d d
3. For which personisa screeningassessment indicated? d d d d d d d
a. The person who hadabdominal surgery yesterday d d d d d d
b. The personwho isunaware ofhis high serumglucose levels d d d d d d d d d d
c. The personwho isbeing admittedto along-termcare facility d d d d d d d d d d
d. Thepersonwhoisbeginningrehabilitationafterakneereplacement d d d d d d d
ANS: B
d d
Ascreeningassessmentisperformedforthepurposeofdiseasedetection.Inthiscasethispersonmay have
d d d d d d d d d d d d d d d
diabetesmellitus. A shiftassessment ismost appropriate for the person who isrecoveringin thehospital
d d d d d d d d d d d d d d d d d
fromsurgery.Acomprehensiveassessmentisperformedduringadmissiontoafacilityto obtainadetailed
d d d d d d d d d d d d d d d d
historyandcompletephysicalexamination. Anepisodicorfollow-upassessment isperformedafter
d d d d d d d d d d d d d
kneereplacementtoevaluatetheoutcomeofthe procedure.
d d d d d d d n d
DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment MSC:
d d d d d d d d d d d d d d
NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
d d d d d d d d d d d d
Priorities
d
4. For whichpersonisa shiftassessment indicated? d d d d d d d
a. The person who hadabdominal surgery yesterday d d d d d d
b. The personwho isunaware ofhis high serumglucose levels d d d d d d d d d d
c. The personwho isbeingadmittedto along-termcare facility d d d d d d d d d d
d. Thepersonwhoisbeginningrehabilitationafterakneereplacement d d d d d d d
ANS: A
d d
Ashiftassessmentismostappropriateforthepersonwhoisrecoveringinthehospitalfromsurgery. A
d d d d d d d d d d d d d d d d
screeningassessmentisperformedforthepurposeofdiseasedetection,inthiscasediabetes mellitus. A
d d d d d d d d d d d d d
comprehensive assessment is performed during admission to a facility toobtaina detailedhistoryand
d d d d d d d d d d d d d d
completephysicalexamination.Anepisodicorfollow-upassessment is performed after knee
d d d d d d d d d d d d
replacement toevaluate the outcome ofthe procedure.
d d d d d d d
DIF: Cognitive Level: Understand REF: Box 1-3 | p. 4 TOP: Nursing Process: Assessment MSC:
d d d d d d d d d d d d d d
NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
d d d d d d d d d d d d
Priorities
d
5. For which personisa comprehensive assessment indicated?
d d d d d d d
a. The person who hadabdominal surgery yesterday d d d d d d
b. The personwho isunaware ofhis high serumglucose levels d d d d d d d d d d
c. The personwho isbeingadmittedto along-termcare facility d d d d d d d d d d
d. Thepersonwhoisbeginningrehabilitationafterakneereplacement d d d d d d d
ANS: C
d d
d d d d d dd
PRACTICE7THEDITIONBYSUSAN FICKERTTWILSON,
d d d d d dd d
JEAN FORET GIDDENS| 9780323661195| ALL CHAPTERS
d d d dd d d
1-24| LATEST
d d
•
Chapter 01: Introduction to Health Assessment
d d d d d
Wilson:HealthAssessmentforNursingPractice,7thEdition
d n n n
MULTIPLE CHOICE d
1. Apatientcomestothe emergencydepartment andtellsthetriage nursethat heis―havinga heart
d d d d d d d d d d d d d d
attack.‖ What is the nurse’s toppriorityat thistime?
d d d n d d d d d d
a. Determine the patient’spersonal data and insurance coverage.
d d d d d d d
b. Askthe patienttotakea seat inthe waiting roomuntilhisname iscalled.
d d d d d d d d d d d d d d d
c. Request that anursecollect data foracomprehensive history.
d d d d d d d d d
d. Askanursetostartafocusedassessmentofthispatientnow.
d d d d d d d d d d d
ANS:D
d d
,Thenurseneedstobeginanassessmentassoonaspossiblethatisfocusedonthispatient’s cardiovascular
d d d d d d d d d d d d d d d d
system.Thetypeofhealthassessmentperformedbythenurseisalsodrivenbypatient need. Personal data
d d d d d d d d d d d d d d d d d d
andinsurance information will be obtained, but inthis situation, thesedatacan waituntilafterthepatientis
d d d d d d d d d d d d d d d d d d
assessed.BasedalsoonMaslow’shierarchyofneeds,physiologicneeds takeprecedence.Ratherthan
d d d d d d d d d d d d d d
askingthepatientto wait, the nurse needstobegin data collection, such as vital signs,
d d d d d d d d d d d d d d d d
immediatelyto determine the patient’s health status.
d d d d d d d
Complicationscanbepreventedifanimmediateassessment is madetoanalyzethepatient’s symptoms.A
d d d d d d d n d d d d d d
comprehensivehistoryisnotindicatedinthissituationatthistime.Somesubjective datawillbecollected,
d d d d d d d d d d d d d d d d d
suchasallergiesandmedicalhistoryrelated tocardiovasculardisease.Eyes, ears,oracomplete
d d d d d d d n d d d d d d d
musculoskeletalormentalhealthassessmentisnotapriorityatthistime.
d d d d d d d d d d d
DIF: Cognitive Level: Apply
d d REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment d d d d d d d d d d d
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
d d d d d d d d d d d d
EstablishingPriorities
d d
2. Which situation illustratesa screening assessment? d d d d d
a. Apatient visitsanobstetric clinic forthe firsttime andthenurseconductsa detailed
d d d d d d d d d d d d d d d
historyand physical examination.
d d d
b. Ahospitalsponsorsahealthfairatalocalmallandprovidescholesterolandblood
d d d d d d d d d d d d d
pressure checks to mall patrons.
d d d d d
c. Thenurseinanurgentcarecenterchecksthevitalsignsofapatientwhoiscomplainingof leg
d d d d d d d d d d d d d d d d n d
pain.
d
d. Apatient newly diagnosed with diabetes mellitus comestotest his fasting blood
d d d d d d d d d d d d
glucoselevel.
d d
ANS:B
,Ahealth fairat a local mallthat providescholesteroland blood pressure checks isan example ofa screening
d d d d d d d d d d d d d d d d d n d
assessment focused ondisease detection. Adetailed historyand physical
d d d d d d d d d
, examinationconductedduringafirst-timevisittoanobstetricclinicisanexampleofa comprehensive
d d d d d d d d d d d d d d
assessment.Assessingapatientcomplainingoflegpaininthetriageareaofan urgent care center is an
d d d d d d d d d d d d d d d d d d d
example of a problem-based/focused assessment. A patient’s return appointment1monthafter
d d d d d d d d d d d d
today’sofficevisit toreportfastingbloodglucoselevelsisanexample ofan episodic or follow-up
d d d n d d d d d d d d d d d
assessment.
d
DIF: Cognitive Level: UnderstandREF: Box 1-3 |p.3 TOP: Nursing Process: Assessment d d d d d d d d d d d d
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
d d d d d d d d d d
3. For which personisa screeningassessment indicated? d d d d d d d
a. The person who hadabdominal surgery yesterday d d d d d d
b. The personwho isunaware ofhis high serumglucose levels d d d d d d d d d d
c. The personwho isbeing admittedto along-termcare facility d d d d d d d d d d
d. Thepersonwhoisbeginningrehabilitationafterakneereplacement d d d d d d d
ANS: B
d d
Ascreeningassessmentisperformedforthepurposeofdiseasedetection.Inthiscasethispersonmay have
d d d d d d d d d d d d d d d
diabetesmellitus. A shiftassessment ismost appropriate for the person who isrecoveringin thehospital
d d d d d d d d d d d d d d d d d
fromsurgery.Acomprehensiveassessmentisperformedduringadmissiontoafacilityto obtainadetailed
d d d d d d d d d d d d d d d d
historyandcompletephysicalexamination. Anepisodicorfollow-upassessment isperformedafter
d d d d d d d d d d d d d
kneereplacementtoevaluatetheoutcomeofthe procedure.
d d d d d d d n d
DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment MSC:
d d d d d d d d d d d d d d
NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
d d d d d d d d d d d d
Priorities
d
4. For whichpersonisa shiftassessment indicated? d d d d d d d
a. The person who hadabdominal surgery yesterday d d d d d d
b. The personwho isunaware ofhis high serumglucose levels d d d d d d d d d d
c. The personwho isbeingadmittedto along-termcare facility d d d d d d d d d d
d. Thepersonwhoisbeginningrehabilitationafterakneereplacement d d d d d d d
ANS: A
d d
Ashiftassessmentismostappropriateforthepersonwhoisrecoveringinthehospitalfromsurgery. A
d d d d d d d d d d d d d d d d
screeningassessmentisperformedforthepurposeofdiseasedetection,inthiscasediabetes mellitus. A
d d d d d d d d d d d d d
comprehensive assessment is performed during admission to a facility toobtaina detailedhistoryand
d d d d d d d d d d d d d d
completephysicalexamination.Anepisodicorfollow-upassessment is performed after knee
d d d d d d d d d d d d
replacement toevaluate the outcome ofthe procedure.
d d d d d d d
DIF: Cognitive Level: Understand REF: Box 1-3 | p. 4 TOP: Nursing Process: Assessment MSC:
d d d d d d d d d d d d d d
NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
d d d d d d d d d d d d
Priorities
d
5. For which personisa comprehensive assessment indicated?
d d d d d d d
a. The person who hadabdominal surgery yesterday d d d d d d
b. The personwho isunaware ofhis high serumglucose levels d d d d d d d d d d
c. The personwho isbeingadmittedto along-termcare facility d d d d d d d d d d
d. Thepersonwhoisbeginningrehabilitationafterakneereplacement d d d d d d d
ANS: C
d d
