TEST BANK for Health Assessment for N
79 79 79 79 79 79
ursing Practice 8th Edition by Susan Fic
79 79 79 79 79 79
kertt Wilson & Jean Foret Giddens
79 79 79 79 79
Complete79Chapters791-
2479With79Expert79Approved79Q&As79&79Explanations79for79Exa
m79Preparation|79A+79PASS79GUARANTEED
179|79P79a79
g e
, Chapter791:79Importance79of79Health79Assessment79
MULTIPLE79CHOICE
1. A79patient79comes79to79the79emergency79department79and79tells79the79triage79nurse79that79he79is79―h
aving79a79heart79attack.‖79What79is79the79nurse‘s79top79priority79at79this79time?
a. Determine79the79patient‘s79personal79data79and79insurance79coverage.
b. Ask79the79patient79to79take79a79seat79in79the79waiting79room79until79his79name79is79called.
c. Request79that79a79nurse79collect79data79for79a79comprehensive79history.
d. Ask79a79nurse79to79start79a79focused79assessment79of79this79patient79now.
CORRECT79ANSWER:79
D
Feedback
A Personal79data79and79insurance79information79will79be79obtained,79but79in79this79situation,79these79d
ata79can79wait79until79after79the79patient79is79assessed.
B Rather79than79asking79the79patient79to79wait,79the79nurse79needs79to79begin79data79collection,79such79as79
vital79signs,
immediately79to79determine79the79patient‘s79health79status.
C A79comprehensive79history79is79not79indicated79in79this79situation79at79this79time.79Some79subjecti
ve79data79will79be79collected,79such79as79allergies79and79medical79history79related79to79cardiovascular79di
sease.
D The79nurse79needs79to79begin79an79assessment79as79soon79as79possible79that79is79focused79on
this79patient‘s79cardiovascular79system.79The79type79of79health79assessment79performed79by79the79nurse79is79also
79driven
by79patient79need.
DIF: Cognitive79Level:79Apply79 REF:79379TOP:79Nursing79Process:79Assessment
MSC:79NCLEX79Patient79Needs:79Safe79and79Effective79Care79Environment:79Management79of79Care:79Est
ablishing79Priorities
2. Which79situation79illustrates79a79screening79assessment?
a. A79patient79visits79an79obstetric79clinic79for79the79first79time79and79the79nurse79conducts79a79detail
ed79history79and79physical79examination.
b. A79hospital79sponsors79a79health79fair79at79a79local79mall79and79provides79cholesterol79and79bl
279|79P79a79
g e
,ood79pressure79checks79to79mall79patrons.
379|79P79a79
g e
, c. The79nurse79in79an79urgent79care79center79checks79the79vital79signs79of79a79patient79who79is79com
plaining79of79leg79pain.
d. A79patient79newly79diagnosed79with79diabetes79mellitus79comes79to79test79his79fasting79blood79glucose79l
evel.
CORRECT79ANSWER:79
B
Feedback
A A79detailed79history79and79physical79examination79conducted79during79a79first-
time79visit79to79an79obstetric79clinic79is79an79example79of79a79comprehensive79assessment.
B A79health79fair79at79a79local79mall79that79provides79cholesterol79and79blood79pressure79checks79is79
an79example79of79a79screening79assessment79focused79on79disease79detection.
C Assessing79a79patient79complaining79of79leg79pain79in79the79triage79area79of79an79urgent79car
e79center79is79an79example79of79a79problem-based/focused79assessment.
D A79patient‘s79return79appointment79179month79after79today‘s79office79visit79to79report79fasting79blood79gl
ucose
levels79is79an79example79of79an79episodic79or79follow-up79assessment.
DIF: Cognitive79Level:79Understand
REF:79379TOP:79Nursing79Process:79Assessment79MSC:79NCLEX79Patient79
Needs:79Health79Promotion79and79Maintenance:79Health79Screening
3. For79which79person79is79a79screening79assessment79indicated?
a. The79person79who79had79abdominal79surgery79yesterday
b. The79person79who79is79unaware79of79his79high79serum79glucose79levels
c. The79person79who79is79being79admitted79to79a79long-term79care79facility
d. The79person79who79is79beginning79rehabilitation79after79a79knee79repl
acement79CORRECT79ANSWER:79B
Feedback
479|79P79a79
g e
79 79 79 79 79 79
ursing Practice 8th Edition by Susan Fic
79 79 79 79 79 79
kertt Wilson & Jean Foret Giddens
79 79 79 79 79
Complete79Chapters791-
2479With79Expert79Approved79Q&As79&79Explanations79for79Exa
m79Preparation|79A+79PASS79GUARANTEED
179|79P79a79
g e
, Chapter791:79Importance79of79Health79Assessment79
MULTIPLE79CHOICE
1. A79patient79comes79to79the79emergency79department79and79tells79the79triage79nurse79that79he79is79―h
aving79a79heart79attack.‖79What79is79the79nurse‘s79top79priority79at79this79time?
a. Determine79the79patient‘s79personal79data79and79insurance79coverage.
b. Ask79the79patient79to79take79a79seat79in79the79waiting79room79until79his79name79is79called.
c. Request79that79a79nurse79collect79data79for79a79comprehensive79history.
d. Ask79a79nurse79to79start79a79focused79assessment79of79this79patient79now.
CORRECT79ANSWER:79
D
Feedback
A Personal79data79and79insurance79information79will79be79obtained,79but79in79this79situation,79these79d
ata79can79wait79until79after79the79patient79is79assessed.
B Rather79than79asking79the79patient79to79wait,79the79nurse79needs79to79begin79data79collection,79such79as79
vital79signs,
immediately79to79determine79the79patient‘s79health79status.
C A79comprehensive79history79is79not79indicated79in79this79situation79at79this79time.79Some79subjecti
ve79data79will79be79collected,79such79as79allergies79and79medical79history79related79to79cardiovascular79di
sease.
D The79nurse79needs79to79begin79an79assessment79as79soon79as79possible79that79is79focused79on
this79patient‘s79cardiovascular79system.79The79type79of79health79assessment79performed79by79the79nurse79is79also
79driven
by79patient79need.
DIF: Cognitive79Level:79Apply79 REF:79379TOP:79Nursing79Process:79Assessment
MSC:79NCLEX79Patient79Needs:79Safe79and79Effective79Care79Environment:79Management79of79Care:79Est
ablishing79Priorities
2. Which79situation79illustrates79a79screening79assessment?
a. A79patient79visits79an79obstetric79clinic79for79the79first79time79and79the79nurse79conducts79a79detail
ed79history79and79physical79examination.
b. A79hospital79sponsors79a79health79fair79at79a79local79mall79and79provides79cholesterol79and79bl
279|79P79a79
g e
,ood79pressure79checks79to79mall79patrons.
379|79P79a79
g e
, c. The79nurse79in79an79urgent79care79center79checks79the79vital79signs79of79a79patient79who79is79com
plaining79of79leg79pain.
d. A79patient79newly79diagnosed79with79diabetes79mellitus79comes79to79test79his79fasting79blood79glucose79l
evel.
CORRECT79ANSWER:79
B
Feedback
A A79detailed79history79and79physical79examination79conducted79during79a79first-
time79visit79to79an79obstetric79clinic79is79an79example79of79a79comprehensive79assessment.
B A79health79fair79at79a79local79mall79that79provides79cholesterol79and79blood79pressure79checks79is79
an79example79of79a79screening79assessment79focused79on79disease79detection.
C Assessing79a79patient79complaining79of79leg79pain79in79the79triage79area79of79an79urgent79car
e79center79is79an79example79of79a79problem-based/focused79assessment.
D A79patient‘s79return79appointment79179month79after79today‘s79office79visit79to79report79fasting79blood79gl
ucose
levels79is79an79example79of79an79episodic79or79follow-up79assessment.
DIF: Cognitive79Level:79Understand
REF:79379TOP:79Nursing79Process:79Assessment79MSC:79NCLEX79Patient79
Needs:79Health79Promotion79and79Maintenance:79Health79Screening
3. For79which79person79is79a79screening79assessment79indicated?
a. The79person79who79had79abdominal79surgery79yesterday
b. The79person79who79is79unaware79of79his79high79serum79glucose79levels
c. The79person79who79is79being79admitted79to79a79long-term79care79facility
d. The79person79who79is79beginning79rehabilitation79after79a79knee79repl
acement79CORRECT79ANSWER:79B
Feedback
479|79P79a79
g e
