Test Bank
Health Assessment for Nursing Practice
7th Edition by Wilson and Giddens
All Chapters 1-24, Complete
,Chapterg01:gIntroductiongtogHealthgAssessment
MULTIPLEgCHOICE
1. Agpatientgcomesgtogthegemergencygdepartmentgandgtellsgthegtriageg nursegthatg
hegisg“havinggagheartgattack.”gWhatgisgthegnurse’sgtopgprioritygatgthisgtime?
a. Determinegthegpatient’sgpersonalgdatagandgin
surancegcoverage.
b. Askgthegpatientgtogtakegagseatgingthegwaitinggr
oomguntilg hisgnamegisgcalled.
c. Requestgthatgagnursegcollectgdatagforg
agcomprehensiveghistory.
d. Askgagnursegtogstartgagfocusedgassessme
ntgofgthisgpatientgnow.
ANSWER:g D
Thegnursegneedsgtogbegingangassessmentgasgsoongasgpossiblegthatgisgfocusedgongthisgpatie
nt’sgcardiovasculargsystem.gThegtypegofghealthgassessmentgperformedgbygthegnursegisgalsog
drivengbygpatientgneed.gPersonalgdatagandginsuranceginformationgwillgbegobtained,gbutgingthi
sgsituation,gthesegdatagcangwaitguntilgaftergthegpatientgisgassessed.gBasedgalsogongMaslow’
sghierarchygofgneeds,gphysiologicgneedsgtakegprecedence.gRathergthangaskinggthegpatientgto
gwait,gthegnursegneedsgtogbegingdatagcollection,gsuchgasgvitalgsigns,gimmediatelygtogdetermi
negthegpatient’sghealthgstatus.gComplicationsgcangbegpreventedgifgangimmediategassessmen
tgisgmadegtoganalyzegthegpatient’sgsymptoms.gAgcomprehensiveghistorygisgnotgindicatedgingt
hisgsituationgatgthisgtime.gSomegsubjectivegdatagwillgbegcollected,gsuchgasgallergiesgandgme
dicalghistorygrelatedgtogcardiovasculargdisease.gEyes,gears,gorgagcompletegmusculoskeletalg
orgmentalg healthgassessmentgisgnotgagprioritygatgthisgtime.
DIF:ggg CognitivegLevel:gApply REF:gBoxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment
MSC:gNCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablishi
nggPriorities
2. Whichgsituationgillustratesgag screeninggassessment?
a. Agpatientgvisitsgangobstetricgclinicgforgthegfirs
tgtimegandgthegnursegconductsgagdetailedghist
orygandgphysicalgexamination.
b. Aghospitalgsponsorsgaghealthgfairgatgagloca
lgmallgandgprovidesgcholesterolgandgblood
gpressuregchecksgtogmallgpatrons.
c. Thegnursegingangurgentgcaregcentergcheck
sgthegvitalgsignsgofgagpatientgwhogisgcompl
aininggofgleggpain.
, d. Agpatientg newlygdiagnosedgwithgdiabetesg
mellitusgcomesgtogtestghisgfastinggbloodg
glucoseglevel.
ANSWER:gB
Aghealthgfairgatgaglocalgmallgthatgprovidesgcholesterolgandgbloodgpressuregchecksgisgangexa
mplegofgagscreeninggassessmentgfocusedgongdiseasegdetection.gAgdetailedghistorygandgphy
sicalgexaminationgconductedgduringgagfirst-
timegvisitgtogangobstetricgclinicgisgangexamplegofgagcomprehensivegassessment.gAssessinggag
patientgcomplaininggofgleggpaingingthegtriagegareagofgangurgentgcaregcentergisgangexamplegofg
agproblem-
based/focusedgassessment.gAgpatient’sgreturngappointmentg1gmonthgaftergtoday’sgofficegvi
sitgtogreportgfastinggbloodgglucoseglevelsgisgangexamplegofgangepisodicgorgfollow-
upgassessment.
DIF:ggg CognitivegLevel:gUnderstand REF:gBoxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment
MSC:gNCLEXgPatientgNeeds:gHealthgPromotiongandgMaintenance:gHealthgScreening
3. Forgwhichgpersongisgagscreeninggassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgeryg
yesterday
b. Thegpersongwhogisgunawaregofghisghighg
serumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtog
aglong-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationgaf
tergagkneegreplacement
ANSWER:gB
Agscreeninggassessmentgisgperformedgforgthegpurposegofgdiseasegdetection.gIngthisgcasegt
hisgpersongmayghavegdiabetesgmellitus.gAgshiftgassessmentgisgmostgappropriategforgthegper
songwhogisgrecoveringgingtheghospitalgfromgsurgery.gAgcomprehensivegassessmentgisgperfor
medgduringgadmissiongtogagfacilitygtogobtaingagdetailedghistorygandgcompletegphysicalgexa
mination.gAngepisodicgorgfollow-
upgassessmentgisgperformedgaftergkneegreplacementgtogevaluategthegoutcomegofgthegproc
edure.
DIF:ggg CognitivegLevel:gUnderstand REF:gBoxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment
MSC:gNCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablishi
nggPriorities
4. Forgwhichgpersongisgagshiftgassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgeryg
yesterday
b. Thegpersongwhogisgunawaregofghisghighg
serumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtoga
long-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationg
aftergagkneegreplacement
ANSWER:g A
Agshiftgassessmentgisgmostgappropriategforgthegpersongwhogisgrecoveringgingtheghospitalgfro
mgsurgery.gAgscreeninggassessmentgisgperformedgforgthegpurposegofgdiseasegdetection,gingth
isgcasegdiabetesgmellitus.g Agcomprehensivegassessmentgisgperformedgduringgadmissiongtoga
, facilitygtogobtaingagdetailedghistorygandgcompletegphysicalgexamination.gAngepisodicgorgfo
llow-
upgassessmentgisgperformedgaftergkneegreplacementgtogevaluategthegoutcomegofgthegproc
edure.
DIF:ggg CognitivegLevel:gUnderstand REF:gBoxg1-
3g|gp.g4gTOP:gNursinggProcess:gAssessment
MSC:gNCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablishi
nggPriorities
5. Forgwhichgpersongisgagcomprehensivegassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgeryg
yesterday
b. Thegpersongwhogisgunawaregofghisghighg
serumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtog
aglong-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationgaf
tergagkneegreplacement
ANSWER:gC
Agcomprehensivegassessmentgisgperformedgduringgadmissiongtogagfacilitygtogobtainga
detailedghistorygandgcompletegphysicalgexamination.gAgshiftgassessmentgisgmostgappropria
tegforgthegpersongwhogisgrecoveringgingtheghospitalgfromgsurgery.gAgscreeninggassessmentgi
sgperformedgforgthegpurposegofgdiseasegdetection,gingthisgcasegdiabetesgmellitus.gAngepiso
dicgorgfollow-
upgassessmentgisgperformedgaftergkneegreplacementgtogevaluategthegoutcomegofgthegproc
edure.
DIF:ggg CognitivegLevel:gUnderstand REF:gBoxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment
MSC:gNCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablishi
nggPriorities
6. Forgwhichgpersongisgangepisodicgorgfollow-upgassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgeryg
yesterday
b. Thegpersongwhogisgunawaregofghisghighg
serumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtoga
long-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationgaf
tergagkneegreplacement
ANSWER:g D
Angepisodicgorgfollow-
upgassessmentgisgperformedgaftergthegkneegreplacementgtogevaluategthegoutcomegofgthegp
rocedure.gAgshiftgassessmentgisgmostgappropriategforgthegpersongwhogisgrecoveringgingthegh
ospitalgfromgsurgery.gAgscreeninggassessmentgisgperformedgforgthegpurposegofgdiseasegdet
ection,gingthisgcasegdiabetesgmellitus.gAgcomprehensivegassessmentgisgperformedgduringga
dmissiongtogagfacilitygtogobtaingagdetailedghistorygandgcompletegphysicalgexamination.
DIF:ggg CognitivegLevel:gUnderstand REF:gBoxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment
Health Assessment for Nursing Practice
7th Edition by Wilson and Giddens
All Chapters 1-24, Complete
,Chapterg01:gIntroductiongtogHealthgAssessment
MULTIPLEgCHOICE
1. Agpatientgcomesgtogthegemergencygdepartmentgandgtellsgthegtriageg nursegthatg
hegisg“havinggagheartgattack.”gWhatgisgthegnurse’sgtopgprioritygatgthisgtime?
a. Determinegthegpatient’sgpersonalgdatagandgin
surancegcoverage.
b. Askgthegpatientgtogtakegagseatgingthegwaitinggr
oomguntilg hisgnamegisgcalled.
c. Requestgthatgagnursegcollectgdatagforg
agcomprehensiveghistory.
d. Askgagnursegtogstartgagfocusedgassessme
ntgofgthisgpatientgnow.
ANSWER:g D
Thegnursegneedsgtogbegingangassessmentgasgsoongasgpossiblegthatgisgfocusedgongthisgpatie
nt’sgcardiovasculargsystem.gThegtypegofghealthgassessmentgperformedgbygthegnursegisgalsog
drivengbygpatientgneed.gPersonalgdatagandginsuranceginformationgwillgbegobtained,gbutgingthi
sgsituation,gthesegdatagcangwaitguntilgaftergthegpatientgisgassessed.gBasedgalsogongMaslow’
sghierarchygofgneeds,gphysiologicgneedsgtakegprecedence.gRathergthangaskinggthegpatientgto
gwait,gthegnursegneedsgtogbegingdatagcollection,gsuchgasgvitalgsigns,gimmediatelygtogdetermi
negthegpatient’sghealthgstatus.gComplicationsgcangbegpreventedgifgangimmediategassessmen
tgisgmadegtoganalyzegthegpatient’sgsymptoms.gAgcomprehensiveghistorygisgnotgindicatedgingt
hisgsituationgatgthisgtime.gSomegsubjectivegdatagwillgbegcollected,gsuchgasgallergiesgandgme
dicalghistorygrelatedgtogcardiovasculargdisease.gEyes,gears,gorgagcompletegmusculoskeletalg
orgmentalg healthgassessmentgisgnotgagprioritygatgthisgtime.
DIF:ggg CognitivegLevel:gApply REF:gBoxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment
MSC:gNCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablishi
nggPriorities
2. Whichgsituationgillustratesgag screeninggassessment?
a. Agpatientgvisitsgangobstetricgclinicgforgthegfirs
tgtimegandgthegnursegconductsgagdetailedghist
orygandgphysicalgexamination.
b. Aghospitalgsponsorsgaghealthgfairgatgagloca
lgmallgandgprovidesgcholesterolgandgblood
gpressuregchecksgtogmallgpatrons.
c. Thegnursegingangurgentgcaregcentergcheck
sgthegvitalgsignsgofgagpatientgwhogisgcompl
aininggofgleggpain.
, d. Agpatientg newlygdiagnosedgwithgdiabetesg
mellitusgcomesgtogtestghisgfastinggbloodg
glucoseglevel.
ANSWER:gB
Aghealthgfairgatgaglocalgmallgthatgprovidesgcholesterolgandgbloodgpressuregchecksgisgangexa
mplegofgagscreeninggassessmentgfocusedgongdiseasegdetection.gAgdetailedghistorygandgphy
sicalgexaminationgconductedgduringgagfirst-
timegvisitgtogangobstetricgclinicgisgangexamplegofgagcomprehensivegassessment.gAssessinggag
patientgcomplaininggofgleggpaingingthegtriagegareagofgangurgentgcaregcentergisgangexamplegofg
agproblem-
based/focusedgassessment.gAgpatient’sgreturngappointmentg1gmonthgaftergtoday’sgofficegvi
sitgtogreportgfastinggbloodgglucoseglevelsgisgangexamplegofgangepisodicgorgfollow-
upgassessment.
DIF:ggg CognitivegLevel:gUnderstand REF:gBoxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment
MSC:gNCLEXgPatientgNeeds:gHealthgPromotiongandgMaintenance:gHealthgScreening
3. Forgwhichgpersongisgagscreeninggassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgeryg
yesterday
b. Thegpersongwhogisgunawaregofghisghighg
serumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtog
aglong-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationgaf
tergagkneegreplacement
ANSWER:gB
Agscreeninggassessmentgisgperformedgforgthegpurposegofgdiseasegdetection.gIngthisgcasegt
hisgpersongmayghavegdiabetesgmellitus.gAgshiftgassessmentgisgmostgappropriategforgthegper
songwhogisgrecoveringgingtheghospitalgfromgsurgery.gAgcomprehensivegassessmentgisgperfor
medgduringgadmissiongtogagfacilitygtogobtaingagdetailedghistorygandgcompletegphysicalgexa
mination.gAngepisodicgorgfollow-
upgassessmentgisgperformedgaftergkneegreplacementgtogevaluategthegoutcomegofgthegproc
edure.
DIF:ggg CognitivegLevel:gUnderstand REF:gBoxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment
MSC:gNCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablishi
nggPriorities
4. Forgwhichgpersongisgagshiftgassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgeryg
yesterday
b. Thegpersongwhogisgunawaregofghisghighg
serumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtoga
long-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationg
aftergagkneegreplacement
ANSWER:g A
Agshiftgassessmentgisgmostgappropriategforgthegpersongwhogisgrecoveringgingtheghospitalgfro
mgsurgery.gAgscreeninggassessmentgisgperformedgforgthegpurposegofgdiseasegdetection,gingth
isgcasegdiabetesgmellitus.g Agcomprehensivegassessmentgisgperformedgduringgadmissiongtoga
, facilitygtogobtaingagdetailedghistorygandgcompletegphysicalgexamination.gAngepisodicgorgfo
llow-
upgassessmentgisgperformedgaftergkneegreplacementgtogevaluategthegoutcomegofgthegproc
edure.
DIF:ggg CognitivegLevel:gUnderstand REF:gBoxg1-
3g|gp.g4gTOP:gNursinggProcess:gAssessment
MSC:gNCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablishi
nggPriorities
5. Forgwhichgpersongisgagcomprehensivegassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgeryg
yesterday
b. Thegpersongwhogisgunawaregofghisghighg
serumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtog
aglong-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationgaf
tergagkneegreplacement
ANSWER:gC
Agcomprehensivegassessmentgisgperformedgduringgadmissiongtogagfacilitygtogobtainga
detailedghistorygandgcompletegphysicalgexamination.gAgshiftgassessmentgisgmostgappropria
tegforgthegpersongwhogisgrecoveringgingtheghospitalgfromgsurgery.gAgscreeninggassessmentgi
sgperformedgforgthegpurposegofgdiseasegdetection,gingthisgcasegdiabetesgmellitus.gAngepiso
dicgorgfollow-
upgassessmentgisgperformedgaftergkneegreplacementgtogevaluategthegoutcomegofgthegproc
edure.
DIF:ggg CognitivegLevel:gUnderstand REF:gBoxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment
MSC:gNCLEXgPatientgNeeds:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare:gEstablishi
nggPriorities
6. Forgwhichgpersongisgangepisodicgorgfollow-upgassessmentgindicated?
a. Thegpersongwhoghadgabdominalgsurgeryg
yesterday
b. Thegpersongwhogisgunawaregofghisghighg
serumgglucoseglevels
c. Thegpersongwhogisgbeinggadmittedgtoga
long-termgcaregfacility
d. Thegpersongwhogisgbeginninggrehabilitationgaf
tergagkneegreplacement
ANSWER:g D
Angepisodicgorgfollow-
upgassessmentgisgperformedgaftergthegkneegreplacementgtogevaluategthegoutcomegofgthegp
rocedure.gAgshiftgassessmentgisgmostgappropriategforgthegpersongwhogisgrecoveringgingthegh
ospitalgfromgsurgery.gAgscreeninggassessmentgisgperformedgforgthegpurposegofgdiseasegdet
ection,gingthisgcasegdiabetesgmellitus.gAgcomprehensivegassessmentgisgperformedgduringga
dmissiongtogagfacilitygtogobtaingagdetailedghistorygandgcompletegphysicalgexamination.
DIF:ggg CognitivegLevel:gUnderstand REF:gBoxg1-
3g|gp.g3gTOP:gNursinggProcess:gAssessment
