TEST BANK FOR HEALTH ASSESSMENT FOR
NURSING PRACTICE 7TH EDITION BY SUSAN
FICKERTT WILSON, JEAN FORET GIDDENS
CHAPTER 1-24
,Chapter c01: cIntroduction cto cHealth cAssessment
Wilson: cHealth cAssessment cfor cNursing cPractice, c7th cEdition
MULTIPLE cCHOICE
1. A cpatient ccomes cto cthe cemergency cdepartment cand ctells cthe ctriage cnurse cthat che cis
c―having ca cheart cattack.‖ cWhat cis cthe cnurse‘s ctop cpriority cat cthis ctime?
a. Determine cthe cpatient‘s cpersonal cdata cand cinsurance ccoverage.
b. Ask cthe cpatient cto ctake ca cseat cin cthe cwaiting croom cuntil chis cname cis ccalled.
c. Request cthat ca cnurse ccollect cdata cfor ca ccomprehensive chistory.
d. Ask ca cnurse cto cstart ca cfocused cassessment cof cthis cpatient cnow.
ANS: c D
The cnurse cneeds cto cbegin can cassessment cas csoon cas cpossible cthat cis cfocused con cthis
cpatient‘s ccardiovascular csystem. cThe ctype cof chealth cassessment cperformed cby cthe cnurse
cis calso cdriven cby cpatient cneed. cPersonal cdata cand cinsurance cinformation cwill cbe
cobtained, cbut cin cthis csituation, cthese cdata ccan cwait cuntil cafter cthe cpatient cis cassessed.
cBased calso con cMaslow‘s chierarchy cof cneeds, cphysiologic cneeds ctake cprecedence. cRather
cthan casking cthe cpatient cto cwait, cthe cnurse cneeds cto cbegin cdata ccollection, csuch cas cvital
csigns, cimmediately cto cdetermine cthe cpatient‘s chealth cstatus. cComplications ccan cbe
cprevented cif can cimmediate cassessment cis cmade cto canalyze cthe cpatient‘s csymptoms. cA
ccomprehensive chistory cis cnot cindicated cin cthis csituation cat cthis ctime. cSome csubjective
cdata cwill cbe ccollected, csuch cas callergies cand cmedical chistory crelated cto ccardiovascular
cdisease. cEyes, cears, cor ca ccomplete cmusculoskeletal cor cmental chealth cassessment cis cnot ca
cpriority cat cthis ctime.
DIF:Cognitive cLevel: cApply c REF: Box c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cSafe cand cEffective cCare cEnvironment: cManagement cof cCare:
cEstablishing cPriorities
2. Which csituation cillustrates ca cscreening cassessment?
a. A cpatient cvisits can cobstetric cclinic cfor cthe cfirst ctime cand cthe cnurse
cconducts ca cdetailed chistory cand cphysical cexamination.
b. A chospital csponsors ca chealth cfair cat ca clocal cmall cand cprovides ccholesterol cand
cblood cpressure cchecks cto cmall cpatrons.
c. The cnurse cin can curgent ccare ccenter cchecks cthe cvital csigns cof ca cpatient
cwho cis ccomplaining cof cleg cpain.
d. A cpatient cnewly cdiagnosed cwith cdiabetes cmellitus ccomes cto ctest chis cfasting
cblood cglucose clevel.
ANS: c B
A chealth cfair cat ca clocal cmall cthat cprovides ccholesterol cand cblood cpressure cchecks cis can
cexample cof ca cscreening cassessment cfocused con cdisease cdetection. cA cdetailed chistory
cand cphysical cexamination cconducted cduring ca cfirst-time cvisit cto can cobstetric cclinic cis can
cexample cof ca ccomprehensive cassessment. cAssessing ca cpatient ccomplaining cof cleg cpain
cin cthe ctriage carea cof c an curgent ccare ccenter cis can cexample cof ca cproblem-based/focused
cassessment. cA cpatient‘s creturn cappointment c1 cmonth cafter ctoday‘s coffice cvisit cto creport
cfasting cblood cglucose clevels cis can cexample cof can cepisodic cor cfollow-up cassessment.
DIF:Cognitive cLevel: cUnderstand REF: cBox c1-3
, TOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cHealth cPromotion cand cMaintenance: cHealth cScreening
3. For cwhich cperson cis ca cscreening cassessment cindicated?
a. The cperson cwho chad cabdominal csurgery cyesterday
b. The cperson cwho cis cunaware cof chis chigh cserum cglucose clevels
c. The cperson cwho cis cbeing cadmitted cto ca clong-term ccare cfacility
d. The cperson cwho cis cbeginning crehabilitation cafter ca cknee creplacement
ANS: cB
A cscreening cassessment cis cperformed cfor cthe cpurpose cof cdisease cdetection. cIn cthis ccase
cthis cperson cmay chave cdiabetes cmellitus. cA cshift cassessment cis cmost cappropriate cfor cthe
cperson cwho cis crecovering cin cthe chospital cfrom csurgery. cA ccomprehensive cassessment cis
cperformed cduring cadmission cto ca cfacility cto cobtain ca cdetailed chistory cand ccomplete
cphysical cexamination. cAn cepisodic cor cfollow-up cassessment cis cperformed cafter cknee
creplacement cto cevaluate cthe coutcome cof cthe cprocedure.
DIF:Cognitive cLevel: cUnderstand REF: cBox c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cSafe cand cEffective cCare cEnvironment: cManagement cof cCare:
cEstablishing cPriorities
4. For cwhich cperson cis ca cshift cassessment cindicated?
a. The cperson cwho chad cabdominal csurgery cyesterday
b. The cperson cwho cis cunaware cof chis chigh cserum cglucose clevels
c. The cperson cwho cis cbeing cadmitted cto ca clong-term ccare cfacility
d. The cperson cwho cis cbeginning crehabilitation cafter ca cknee creplacement
ANS: cA
A cshift cassessment cis cmost cappropriate cfor cthe cperson cwho cis crecovering cin cthe chospital
cfrom csurgery. cA cscreening cassessment cis cperformed cfor cthe cpurpose cof cdisease cdetection,
cin cthis ccase cdiabetes cmellitus. cA ccomprehensive cassessment cis cperformed cduring
cadmission cto ca cfacility cto cobtain ca cdetailed chistory cand ccomplete cphysical cexamination.
cAn cepisodic cor cfollow-up cassessment cis cperformed cafter cknee creplacement cto cevaluate
cthe coutcome cof cthe cprocedure.
DIF:Cognitive cLevel: cUnderstand REF: cBox c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cSafe cand cEffective cCare cEnvironment: cManagement cof cCare:
cEstablishing cPriorities
5. For cwhich cperson cis ca ccomprehensive cassessment cindicated?
a. The cperson cwho chad cabdominal csurgery cyesterday
b. The cperson cwho cis cunaware cof chis chigh cserum cglucose clevels
c. The cperson cwho cis cbeing cadmitted cto ca clong-term ccare cfacility
d. The cperson cwho cis cbeginning crehabilitation cafter ca cknee creplacement
ANS: cC
A ccomprehensive cassessment cis cperformed cduring cadmission cto ca cfacility cto cobtain ca
cdetailed chistory cand ccomplete cphysical cexamination. cA cshift cassessment cis cmost
cappropriate cfor cthe cperson cwho cis crecovering cin cthe chospital cfrom csurgery. cA cscreening
cassessment cis cperformed cfor cthe cpurpose cof cdisease cdetection, cin cthis ccase cdiabetes
cmellitus. cAn cepisodic cor cfollow-up cassessment cis cperformed cafter cknee creplacement cto
cevaluate cthe coutcome cof cthe cprocedure.
, DIF:Cognitive cLevel: cUnderstand REF: cBox c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cSafe cand cEffective cCare cEnvironment: cManagement cof cCare:
cEstablishing cPriorities
6. For cwhich cperson cis can cepisodic cor cfollow-up cassessment cindicated?
a. The cperson cwho chad cabdominal csurgery cyesterday
b. The cperson cwho cis cunaware cof chis chigh cserum cglucose clevels
c. The cperson cwho cis cbeing cadmitted cto ca clong-term ccare cfacility
d. The cperson cwho cis cbeginning crehabilitation cafter ca cknee creplacement
ANS: cD
An cepisodic cor cfollow-up cassessment cis cperformed cafter cthe cknee creplacement cto
cevaluate cthe coutcome cof cthe cprocedure. cA cshift cassessment cis cmost cappropriate cfor cthe
cperson cwho cis crecovering cin cthe chospital cfrom csurgery. cA cscreening cassessment cis
cperformed cfor cthe cpurpose cof cdisease cdetection, cin cthis ccase cdiabetes cmellitus. cA
ccomprehensive cassessment cis cperformed cduring cadmission cto ca cfacility cto cobtain ca
cdetailed chistory cand ccomplete cphysical cexamination.
DIF:Cognitive cLevel: cUnderstand REF: cBox c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cSafe cand cEffective cCare cEnvironment: cManagement cof cCare:
cEstablishing cPriorities
7. Which cis can cexample cof cdata ca cnurse ccollects cduring ca cphysical cexamination?
a. The cpatient‘s clack cof chair cand cshiny cskin cover cboth cshins
b. The cpatient‘s cstated cconcern cabout clack cof cmoney cfor cprescriptions
c. The cpatient‘s ccomplaints cof ctingling csensations cin cthe cfeet
d. The cpatient‘s cmother‘s cstatements cthat cthe cpatient cis cvery cnervous clately
ANS: cA
The clack cof chair cand cshiny cskin cover cboth cshins care cobjective cdata cor csigns cthat care
cpart cof cthe cphysical cexamination. cA cpatient‘s cconcerns cabout clack cof cmoney care
csubjective cdata cand care cpart cof cthe chealth chistory. cA cpatient‘s ccomplaints cof ctingling
csensations cin cthe cfeet care csubjective cdata cand care cpart cof cthe chealth chistory. cA cpatient‘s
cfamily cstatements care cconsidered csecondary cdata, care csubjective cdata, cand care cpart cof
cthe chealth chistory.
DIF:Cognitive cLevel: cApply c REF: Box c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cPhysiological cIntegrity: cReduction cof cRisk cPotential: cSystem
cSpecific cAssessments
8. The cnurse cdocuments cwhich cinformation cin cthe cpatient‘s chistory?
a. The cpatient‘s cskin cfeels cwarm cto cthe ctouch.
b. The cpatient cis cscratching chis carm.
c. The cpatient‘s ctemperature cis c100 cF.
d. The cpatient ccomplains cof citching.
ANS: cD
NURSING PRACTICE 7TH EDITION BY SUSAN
FICKERTT WILSON, JEAN FORET GIDDENS
CHAPTER 1-24
,Chapter c01: cIntroduction cto cHealth cAssessment
Wilson: cHealth cAssessment cfor cNursing cPractice, c7th cEdition
MULTIPLE cCHOICE
1. A cpatient ccomes cto cthe cemergency cdepartment cand ctells cthe ctriage cnurse cthat che cis
c―having ca cheart cattack.‖ cWhat cis cthe cnurse‘s ctop cpriority cat cthis ctime?
a. Determine cthe cpatient‘s cpersonal cdata cand cinsurance ccoverage.
b. Ask cthe cpatient cto ctake ca cseat cin cthe cwaiting croom cuntil chis cname cis ccalled.
c. Request cthat ca cnurse ccollect cdata cfor ca ccomprehensive chistory.
d. Ask ca cnurse cto cstart ca cfocused cassessment cof cthis cpatient cnow.
ANS: c D
The cnurse cneeds cto cbegin can cassessment cas csoon cas cpossible cthat cis cfocused con cthis
cpatient‘s ccardiovascular csystem. cThe ctype cof chealth cassessment cperformed cby cthe cnurse
cis calso cdriven cby cpatient cneed. cPersonal cdata cand cinsurance cinformation cwill cbe
cobtained, cbut cin cthis csituation, cthese cdata ccan cwait cuntil cafter cthe cpatient cis cassessed.
cBased calso con cMaslow‘s chierarchy cof cneeds, cphysiologic cneeds ctake cprecedence. cRather
cthan casking cthe cpatient cto cwait, cthe cnurse cneeds cto cbegin cdata ccollection, csuch cas cvital
csigns, cimmediately cto cdetermine cthe cpatient‘s chealth cstatus. cComplications ccan cbe
cprevented cif can cimmediate cassessment cis cmade cto canalyze cthe cpatient‘s csymptoms. cA
ccomprehensive chistory cis cnot cindicated cin cthis csituation cat cthis ctime. cSome csubjective
cdata cwill cbe ccollected, csuch cas callergies cand cmedical chistory crelated cto ccardiovascular
cdisease. cEyes, cears, cor ca ccomplete cmusculoskeletal cor cmental chealth cassessment cis cnot ca
cpriority cat cthis ctime.
DIF:Cognitive cLevel: cApply c REF: Box c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cSafe cand cEffective cCare cEnvironment: cManagement cof cCare:
cEstablishing cPriorities
2. Which csituation cillustrates ca cscreening cassessment?
a. A cpatient cvisits can cobstetric cclinic cfor cthe cfirst ctime cand cthe cnurse
cconducts ca cdetailed chistory cand cphysical cexamination.
b. A chospital csponsors ca chealth cfair cat ca clocal cmall cand cprovides ccholesterol cand
cblood cpressure cchecks cto cmall cpatrons.
c. The cnurse cin can curgent ccare ccenter cchecks cthe cvital csigns cof ca cpatient
cwho cis ccomplaining cof cleg cpain.
d. A cpatient cnewly cdiagnosed cwith cdiabetes cmellitus ccomes cto ctest chis cfasting
cblood cglucose clevel.
ANS: c B
A chealth cfair cat ca clocal cmall cthat cprovides ccholesterol cand cblood cpressure cchecks cis can
cexample cof ca cscreening cassessment cfocused con cdisease cdetection. cA cdetailed chistory
cand cphysical cexamination cconducted cduring ca cfirst-time cvisit cto can cobstetric cclinic cis can
cexample cof ca ccomprehensive cassessment. cAssessing ca cpatient ccomplaining cof cleg cpain
cin cthe ctriage carea cof c an curgent ccare ccenter cis can cexample cof ca cproblem-based/focused
cassessment. cA cpatient‘s creturn cappointment c1 cmonth cafter ctoday‘s coffice cvisit cto creport
cfasting cblood cglucose clevels cis can cexample cof can cepisodic cor cfollow-up cassessment.
DIF:Cognitive cLevel: cUnderstand REF: cBox c1-3
, TOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cHealth cPromotion cand cMaintenance: cHealth cScreening
3. For cwhich cperson cis ca cscreening cassessment cindicated?
a. The cperson cwho chad cabdominal csurgery cyesterday
b. The cperson cwho cis cunaware cof chis chigh cserum cglucose clevels
c. The cperson cwho cis cbeing cadmitted cto ca clong-term ccare cfacility
d. The cperson cwho cis cbeginning crehabilitation cafter ca cknee creplacement
ANS: cB
A cscreening cassessment cis cperformed cfor cthe cpurpose cof cdisease cdetection. cIn cthis ccase
cthis cperson cmay chave cdiabetes cmellitus. cA cshift cassessment cis cmost cappropriate cfor cthe
cperson cwho cis crecovering cin cthe chospital cfrom csurgery. cA ccomprehensive cassessment cis
cperformed cduring cadmission cto ca cfacility cto cobtain ca cdetailed chistory cand ccomplete
cphysical cexamination. cAn cepisodic cor cfollow-up cassessment cis cperformed cafter cknee
creplacement cto cevaluate cthe coutcome cof cthe cprocedure.
DIF:Cognitive cLevel: cUnderstand REF: cBox c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cSafe cand cEffective cCare cEnvironment: cManagement cof cCare:
cEstablishing cPriorities
4. For cwhich cperson cis ca cshift cassessment cindicated?
a. The cperson cwho chad cabdominal csurgery cyesterday
b. The cperson cwho cis cunaware cof chis chigh cserum cglucose clevels
c. The cperson cwho cis cbeing cadmitted cto ca clong-term ccare cfacility
d. The cperson cwho cis cbeginning crehabilitation cafter ca cknee creplacement
ANS: cA
A cshift cassessment cis cmost cappropriate cfor cthe cperson cwho cis crecovering cin cthe chospital
cfrom csurgery. cA cscreening cassessment cis cperformed cfor cthe cpurpose cof cdisease cdetection,
cin cthis ccase cdiabetes cmellitus. cA ccomprehensive cassessment cis cperformed cduring
cadmission cto ca cfacility cto cobtain ca cdetailed chistory cand ccomplete cphysical cexamination.
cAn cepisodic cor cfollow-up cassessment cis cperformed cafter cknee creplacement cto cevaluate
cthe coutcome cof cthe cprocedure.
DIF:Cognitive cLevel: cUnderstand REF: cBox c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cSafe cand cEffective cCare cEnvironment: cManagement cof cCare:
cEstablishing cPriorities
5. For cwhich cperson cis ca ccomprehensive cassessment cindicated?
a. The cperson cwho chad cabdominal csurgery cyesterday
b. The cperson cwho cis cunaware cof chis chigh cserum cglucose clevels
c. The cperson cwho cis cbeing cadmitted cto ca clong-term ccare cfacility
d. The cperson cwho cis cbeginning crehabilitation cafter ca cknee creplacement
ANS: cC
A ccomprehensive cassessment cis cperformed cduring cadmission cto ca cfacility cto cobtain ca
cdetailed chistory cand ccomplete cphysical cexamination. cA cshift cassessment cis cmost
cappropriate cfor cthe cperson cwho cis crecovering cin cthe chospital cfrom csurgery. cA cscreening
cassessment cis cperformed cfor cthe cpurpose cof cdisease cdetection, cin cthis ccase cdiabetes
cmellitus. cAn cepisodic cor cfollow-up cassessment cis cperformed cafter cknee creplacement cto
cevaluate cthe coutcome cof cthe cprocedure.
, DIF:Cognitive cLevel: cUnderstand REF: cBox c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cSafe cand cEffective cCare cEnvironment: cManagement cof cCare:
cEstablishing cPriorities
6. For cwhich cperson cis can cepisodic cor cfollow-up cassessment cindicated?
a. The cperson cwho chad cabdominal csurgery cyesterday
b. The cperson cwho cis cunaware cof chis chigh cserum cglucose clevels
c. The cperson cwho cis cbeing cadmitted cto ca clong-term ccare cfacility
d. The cperson cwho cis cbeginning crehabilitation cafter ca cknee creplacement
ANS: cD
An cepisodic cor cfollow-up cassessment cis cperformed cafter cthe cknee creplacement cto
cevaluate cthe coutcome cof cthe cprocedure. cA cshift cassessment cis cmost cappropriate cfor cthe
cperson cwho cis crecovering cin cthe chospital cfrom csurgery. cA cscreening cassessment cis
cperformed cfor cthe cpurpose cof cdisease cdetection, cin cthis ccase cdiabetes cmellitus. cA
ccomprehensive cassessment cis cperformed cduring cadmission cto ca cfacility cto cobtain ca
cdetailed chistory cand ccomplete cphysical cexamination.
DIF:Cognitive cLevel: cUnderstand REF: cBox c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cSafe cand cEffective cCare cEnvironment: cManagement cof cCare:
cEstablishing cPriorities
7. Which cis can cexample cof cdata ca cnurse ccollects cduring ca cphysical cexamination?
a. The cpatient‘s clack cof chair cand cshiny cskin cover cboth cshins
b. The cpatient‘s cstated cconcern cabout clack cof cmoney cfor cprescriptions
c. The cpatient‘s ccomplaints cof ctingling csensations cin cthe cfeet
d. The cpatient‘s cmother‘s cstatements cthat cthe cpatient cis cvery cnervous clately
ANS: cA
The clack cof chair cand cshiny cskin cover cboth cshins care cobjective cdata cor csigns cthat care
cpart cof cthe cphysical cexamination. cA cpatient‘s cconcerns cabout clack cof cmoney care
csubjective cdata cand care cpart cof cthe chealth chistory. cA cpatient‘s ccomplaints cof ctingling
csensations cin cthe cfeet care csubjective cdata cand care cpart cof cthe chealth chistory. cA cpatient‘s
cfamily cstatements care cconsidered csecondary cdata, care csubjective cdata, cand care cpart cof
cthe chealth chistory.
DIF:Cognitive cLevel: cApply c REF: Box c1-
3 cTOP:Nursing cProcess: cAssessment
MSC:NCLEX cPatient cNeeds: cPhysiological cIntegrity: cReduction cof cRisk cPotential: cSystem
cSpecific cAssessments
8. The cnurse cdocuments cwhich cinformation cin cthe cpatient‘s chistory?
a. The cpatient‘s cskin cfeels cwarm cto cthe ctouch.
b. The cpatient cis cscratching chis carm.
c. The cpatient‘s ctemperature cis c100 cF.
d. The cpatient ccomplains cof citching.
ANS: cD
