Test Bank for Health Assessment for
b b b b b
Nursing Practice 7th Edition by Wilson
b b b b b b
Chapter 1 - 24
b b b b
,Chapter 01: Introduction to Health Assessment
b b b b b
MULTIPLE CHOICE b
1. A patient comes to the emergency department and tells the triage nurse that
b b b b b b b b b b b b
b heis ―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 b
a. Determine the patient‘s personal data b b b b
andinsurance coverage. b b b
b. Ask the patient to take a seat in the
b b b b b b b b
waitingroom until his name is called.
b b b b b b b
c. Request that a nurse collect data for b b b b b b
acomprehensive history.
b b b
d. Ask a nurse to start a focused
b b b b b b
assessmentof this patient now.
b b b b b
ANSWER: D b
The nurse needs to begin an assessment as soon as possible that is focused on this
b b b b b b b b b b b b b b b
patient‘scardiovascular system. The type of health assessment performed by the nurse is
b b b b b b b b b b b b b
also drivenby patient need. Personal data and insurance information will be obtained, but
b b b b b b b b b b b b b b
in this situation, these data can wait until after the patient is assessed. Based also on
b b b b b b b b b b b b b b b b
Maslow‘s hierarchy of needs, physiologic needs take precedence. Rather than asking the
b b b b b b b b b b b b
patient to wait, the nurse needs to begin data collection, such as vital signs, immediately
b b b b b b b b b b b b b b b
to determinethe patient‘s health status. Complications can be prevented if an immediate
b b b b b b b b b b b b b
assessment is made to analyze the patient‘s symptoms. A comprehensive history is not
b b b b b b b b b b b b b
indicated in this situation at this time. Some subjective data will be collected, such as
b b b b b b b b b b b b b b b
allergies and medical history related to cardiovascular disease. Eyes, ears, or a complete
b b b b b b b b b b b b b
musculoskeletal or mental health assessment is not a priority at this time.
b b b b b b b b b b b b
DIF: Cognitive Level: Apply
bb b REF: Box 1-3 | p. b b b b b b
3TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
b b b b b b b b b b
Care:Establishing Priorities
b 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 b b b b b b b
detailedhistory and physical examination. b b b b b
b. A hospital sponsors a health fair at a b b b b b b b
localmall and provides cholesterol and b b b b b b
blood pressure checks to mall patrons. b b b b b b
c. The nurse in an urgent care center b b b b b b
checksthe vital signs of a patient who is b b b b b b b b b
complaining of leg pain. b b b b
, d. A patient newly diagnosed with
b b b b
diabetesmellitus comes to test his
b b b b b b
fasting blood glucose level.
b b b b
ANSWER: B b
A health fair at a local mall that provides cholesterol and blood pressure checks is an
b b b b b b b b b b b b b b b
example of a screening assessment focused on disease detection. A detailed history and
b b b b b b b b b b b b b
physical examination conducted during a first-time visit to an obstetric clinic is an
b b b b b b b b b b b b b
exampleof a comprehensive assessment. Assessing a patient complaining of leg pain in
b b b b b b b b b b b b b
the triage area of an urgent care center is an example of a problem-based/focused
b b b b b b b b b b b b b b
assessment. A patient‘s return appointment 1 month after today‘s office visit to report
b b b b b b b b b b b b b
fasting blood glucose levels is an example of an episodic or follow-up assessment.
b b b b b b b b b b b b b
DIF: Cognitive Level: Understand
bb b REF: Box 1-3 | p. b b b b b b
3TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
b b b b b b b b b
3. For which person is a screening assessment indicated?
b b b b b b b
a. The person who had abdominal b b b b
surgeryyesterday b b
b. The person who is unaware of his
b b b b b b
highserum glucose levels
b b b b
c. The person who is being admitted to
b b b b b b
along-term care facility
b b b b
d. The person who is beginning
b b b b
rehabilitationafter a knee replacement
b b b b b
ANSWER: B b
A screening assessment is performed for the purpose of disease detection. In this case
b b b b b b b b b b b b b
thisperson may have diabetes mellitus. A shift assessment is most appropriate for the
b b b b b b b b b b b b b b
person who is recovering in the hospital from surgery. A comprehensive assessment is
b b b b b b b b b b b b b
performedduring admission to a facility to obtain a detailed history and complete
b b b b b b b b b b b b b
physical examination. An episodic or follow-up assessment is performed after knee
b b b b b b b b b b b
replacement toevaluate the outcome of the procedure.
b b b b b b b b
DIF: Cognitive Level: Understand
bb b REF: Box 1-3 | p. b b b b b b
3TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
b b b b b b b b b b
Care:Establishing Priorities
b b b
4. For which person is a shift assessment indicated?
b b b b b b b
a. The person who had abdominal b b b b
surgeryyesterday b b
b. The person who is unaware of his b b b b b b
highserum glucose levels b b b b
c. The person who is being admitted to a b b b b b b b
long-term care facility b b
d. The person who is beginning b b b b
rehabilitationafter a knee replacement b b b b b
ANSWER: A b
A shift assessment is most appropriate for the person who is recovering in the hospital
b b b b b b b b b b b b b b
fromsurgery. A screening assessment is performed for the purpose of disease detection, in
b b b b b b b b b b b b b b
this case diabetes mellitus. A comprehensive assessment is performed during admission to a
b b b b b b b b b b b b b
, facility to obtain a detailed history and complete physical examination. An episodic or
b b b b b b b b b b b b
bfollow-up assessment is performed after knee replacement to evaluate the outcome of
b b b b b b b b b b b
theprocedure.
b b
DIF: Cognitive Level: Understand
bb b REF: Box 1-3 | p. b b b b b b
4TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
b b b b b b b b b b
Care:Establishing Priorities
b b b
5. For which person is a comprehensive assessment indicated?
b b b b b b b
a. The person who had abdominal b b b b
surgeryyesterday b b
b. The person who is unaware of his b b b b b b
highserum glucose levels b b b b
c. The person who is being admitted to b b b b b b
along-term care facility b b b b
d. The person who is beginning b b b b
rehabilitationafter a knee replacement b b b b b
ANSWER: C b
A comprehensive assessment is performed during admission to a facility to obtain a
b b b b b b b b b b b b
detailed history and complete physical examination. A shift assessment is most
b b b b b b b b b b
appropriatefor the person who is recovering in the hospital from surgery. A screening
b b b b b b b b b b b b b b
assessment is performed for the purpose of disease detection, in this case diabetes
b b b b b b b b b b b b b
mellitus. An episodic or follow-up assessment is performed after knee replacement to
b b b b b b b b b b b b
evaluate the outcome of the procedure.
b b b b b b
DIF: Cognitive Level: Understand
bb b REF: Box 1-3 | p. b b b b b b
3TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
b b b b b b b b b b
Care:Establishing Priorities
b b b
6. For which person is an episodic or follow-up assessment indicated?
b b b b b b b b b
a. The person who had abdominal b b b b
surgeryyesterday b b
b. The person who is unaware of his b b b b b b
highserum glucose levels b b b b
c. The person who is being admitted to a b b b b b b b
long-term care facility b b
d. The person who is beginning b b b b
rehabilitationafter a knee replacement b b b b b
ANSWER: D b
An episodic or follow-up assessment is performed after the knee replacement to evaluate
b b b b b b b b b b b b
the outcome of the procedure. A shift assessment is most appropriate for the person who
b b b b b b b b b b b b b b b
isrecovering in the hospital from surgery. A screening assessment is performed for the
b b b b b b b b b b b b b b
purpose of disease detection, in this case diabetes mellitus. A comprehensive assessment is
b b b b b b b b b b b b b
performed during admission to a facility to obtain a detailed history and complete
b b b b b b b b b b b b b
physicalexamination.
b b
DIF: Cognitive Level: Understand
bb b b b REF: Box 1-3 | p.
b b b b
3TOP: Nursing Process: Assessment
b b b b b
b b b b b
Nursing Practice 7th Edition by Wilson
b b b b b b
Chapter 1 - 24
b b b b
,Chapter 01: Introduction to Health Assessment
b b b b b
MULTIPLE CHOICE b
1. A patient comes to the emergency department and tells the triage nurse that
b b b b b b b b b b b b
b heis ―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 b
a. Determine the patient‘s personal data b b b b
andinsurance coverage. b b b
b. Ask the patient to take a seat in the
b b b b b b b b
waitingroom until his name is called.
b b b b b b b
c. Request that a nurse collect data for b b b b b b
acomprehensive history.
b b b
d. Ask a nurse to start a focused
b b b b b b
assessmentof this patient now.
b b b b b
ANSWER: D b
The nurse needs to begin an assessment as soon as possible that is focused on this
b b b b b b b b b b b b b b b
patient‘scardiovascular system. The type of health assessment performed by the nurse is
b b b b b b b b b b b b b
also drivenby patient need. Personal data and insurance information will be obtained, but
b b b b b b b b b b b b b b
in this situation, these data can wait until after the patient is assessed. Based also on
b b b b b b b b b b b b b b b b
Maslow‘s hierarchy of needs, physiologic needs take precedence. Rather than asking the
b b b b b b b b b b b b
patient to wait, the nurse needs to begin data collection, such as vital signs, immediately
b b b b b b b b b b b b b b b
to determinethe patient‘s health status. Complications can be prevented if an immediate
b b b b b b b b b b b b b
assessment is made to analyze the patient‘s symptoms. A comprehensive history is not
b b b b b b b b b b b b b
indicated in this situation at this time. Some subjective data will be collected, such as
b b b b b b b b b b b b b b b
allergies and medical history related to cardiovascular disease. Eyes, ears, or a complete
b b b b b b b b b b b b b
musculoskeletal or mental health assessment is not a priority at this time.
b b b b b b b b b b b b
DIF: Cognitive Level: Apply
bb b REF: Box 1-3 | p. b b b b b b
3TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
b b b b b b b b b b
Care:Establishing Priorities
b 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 b b b b b b b
detailedhistory and physical examination. b b b b b
b. A hospital sponsors a health fair at a b b b b b b b
localmall and provides cholesterol and b b b b b b
blood pressure checks to mall patrons. b b b b b b
c. The nurse in an urgent care center b b b b b b
checksthe vital signs of a patient who is b b b b b b b b b
complaining of leg pain. b b b b
, d. A patient newly diagnosed with
b b b b
diabetesmellitus comes to test his
b b b b b b
fasting blood glucose level.
b b b b
ANSWER: B b
A health fair at a local mall that provides cholesterol and blood pressure checks is an
b b b b b b b b b b b b b b b
example of a screening assessment focused on disease detection. A detailed history and
b b b b b b b b b b b b b
physical examination conducted during a first-time visit to an obstetric clinic is an
b b b b b b b b b b b b b
exampleof a comprehensive assessment. Assessing a patient complaining of leg pain in
b b b b b b b b b b b b b
the triage area of an urgent care center is an example of a problem-based/focused
b b b b b b b b b b b b b b
assessment. A patient‘s return appointment 1 month after today‘s office visit to report
b b b b b b b b b b b b b
fasting blood glucose levels is an example of an episodic or follow-up assessment.
b b b b b b b b b b b b b
DIF: Cognitive Level: Understand
bb b REF: Box 1-3 | p. b b b b b b
3TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
b b b b b b b b b
3. For which person is a screening assessment indicated?
b b b b b b b
a. The person who had abdominal b b b b
surgeryyesterday b b
b. The person who is unaware of his
b b b b b b
highserum glucose levels
b b b b
c. The person who is being admitted to
b b b b b b
along-term care facility
b b b b
d. The person who is beginning
b b b b
rehabilitationafter a knee replacement
b b b b b
ANSWER: B b
A screening assessment is performed for the purpose of disease detection. In this case
b b b b b b b b b b b b b
thisperson may have diabetes mellitus. A shift assessment is most appropriate for the
b b b b b b b b b b b b b b
person who is recovering in the hospital from surgery. A comprehensive assessment is
b b b b b b b b b b b b b
performedduring admission to a facility to obtain a detailed history and complete
b b b b b b b b b b b b b
physical examination. An episodic or follow-up assessment is performed after knee
b b b b b b b b b b b
replacement toevaluate the outcome of the procedure.
b b b b b b b b
DIF: Cognitive Level: Understand
bb b REF: Box 1-3 | p. b b b b b b
3TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
b b b b b b b b b b
Care:Establishing Priorities
b b b
4. For which person is a shift assessment indicated?
b b b b b b b
a. The person who had abdominal b b b b
surgeryyesterday b b
b. The person who is unaware of his b b b b b b
highserum glucose levels b b b b
c. The person who is being admitted to a b b b b b b b
long-term care facility b b
d. The person who is beginning b b b b
rehabilitationafter a knee replacement b b b b b
ANSWER: A b
A shift assessment is most appropriate for the person who is recovering in the hospital
b b b b b b b b b b b b b b
fromsurgery. A screening assessment is performed for the purpose of disease detection, in
b b b b b b b b b b b b b b
this case diabetes mellitus. A comprehensive assessment is performed during admission to a
b b b b b b b b b b b b b
, facility to obtain a detailed history and complete physical examination. An episodic or
b b b b b b b b b b b b
bfollow-up assessment is performed after knee replacement to evaluate the outcome of
b b b b b b b b b b b
theprocedure.
b b
DIF: Cognitive Level: Understand
bb b REF: Box 1-3 | p. b b b b b b
4TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
b b b b b b b b b b
Care:Establishing Priorities
b b b
5. For which person is a comprehensive assessment indicated?
b b b b b b b
a. The person who had abdominal b b b b
surgeryyesterday b b
b. The person who is unaware of his b b b b b b
highserum glucose levels b b b b
c. The person who is being admitted to b b b b b b
along-term care facility b b b b
d. The person who is beginning b b b b
rehabilitationafter a knee replacement b b b b b
ANSWER: C b
A comprehensive assessment is performed during admission to a facility to obtain a
b b b b b b b b b b b b
detailed history and complete physical examination. A shift assessment is most
b b b b b b b b b b
appropriatefor the person who is recovering in the hospital from surgery. A screening
b b b b b b b b b b b b b b
assessment is performed for the purpose of disease detection, in this case diabetes
b b b b b b b b b b b b b
mellitus. An episodic or follow-up assessment is performed after knee replacement to
b b b b b b b b b b b b
evaluate the outcome of the procedure.
b b b b b b
DIF: Cognitive Level: Understand
bb b REF: Box 1-3 | p. b b b b b b
3TOP: Nursing Process: Assessment
b b b b b
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of
b b b b b b b b b b
Care:Establishing Priorities
b b b
6. For which person is an episodic or follow-up assessment indicated?
b b b b b b b b b
a. The person who had abdominal b b b b
surgeryyesterday b b
b. The person who is unaware of his b b b b b b
highserum glucose levels b b b b
c. The person who is being admitted to a b b b b b b b
long-term care facility b b
d. The person who is beginning b b b b
rehabilitationafter a knee replacement b b b b b
ANSWER: D b
An episodic or follow-up assessment is performed after the knee replacement to evaluate
b b b b b b b b b b b b
the outcome of the procedure. A shift assessment is most appropriate for the person who
b b b b b b b b b b b b b b b
isrecovering in the hospital from surgery. A screening assessment is performed for the
b b b b b b b b b b b b b b
purpose of disease detection, in this case diabetes mellitus. A comprehensive assessment is
b b b b b b b b b b b b b
performed during admission to a facility to obtain a detailed history and complete
b b b b b b b b b b b b b
physicalexamination.
b b
DIF: Cognitive Level: Understand
bb b b b REF: Box 1-3 | p.
b b b b
3TOP: Nursing Process: Assessment
b b b b b
