TEST BANK for Health Assessment for
t t t t t
Nursing Practice 8th Edition by Susan
t t t t t t
Fickertt Wilson & Jean Foret Giddens
t t t t t t
Complete Chapters 1-24 With Expert Approved Q&As & Explanations
t t t t t t t t
for Exam Preparation| A+ PASS GUARANTEED
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1|P a g e
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, Chapter 1: Importance of Health Assessment t t t t t
t MULTIPLE CHOICE t
1. A patient comes to the emergency department and tells the triage nurse that he is ―having a heart
t t t t t t t t t t t t t t t t t
attack.‖ What is the nurse‘s top priority at this time?
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a. Determine the patient‘s personal data and insurance coverage. t t t t t t t
b. Ask the patient to take a seat in the waiting room until his name is called.
t t t t t t t t t t t t t t t
c. Request that a nurse collect data for a comprehensive history.
t t t t t t t t t
d. Ask a nurse to start a focused assessment of this patient now.
t t t t t t t t t t t
CORRECT ANSWER: D t t
Feedback
A Personal data and insurance information will be obtained, but in this situation, these data can wait
t t t t t t t t t t t t t t t
until after the patient is assessed.
t t t t t t
B Rather than asking the patient to wait, the nurse needs to begin data collection, such as vital signs,
t t t t t t t t t t t t t t t t t
immediately to determine the patient‘s health status. t t t t t t
C A comprehensive history is not indicated in this situation at this time. Some subjective data will be
t t t t t t t t t t t t t t t t
collected, such as allergies and medical history related to cardiovascular disease.
t t t t t t t t t t t
D The nurse needs to begin an assessment as soon as possible that is focused on
t t t t t t t t t t t t t t
this patient‘s cardiovascular system. The type of health assessment performed by the nurse is also driven
t t t t t t t t t t t t t t t
by patient need.
t t
DIF: Cognitive Level: Apply REF: 3 TOP: Nursing Process: Assessment t t t t t t t t
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
t t t t t t t t t t t t
Priorities
t
2. Which situation illustrates a screening assessment?
t t t t t
a. A patient visits an obstetric clinic for the first time and the nurse conducts a detailed history and
t t t t t t t t t t t t t t t t t
physical examination.
t t
b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure
t t t t t t t t t t t t t t t
checks to mall patrons.
t t t t
2|P a g e
t t t t t
,c. The nurse in an urgent care center checks the vital signs of a patient who is complaining of leg
t t t t t t t t t t t t t t t t t t
pain.
t
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood glucose level.
t t t t t t t t t t t t t t
CORRECT ANSWER: B t t
Feedback
A A detailed history and physical examination conducted during a first-time visit to an obstetric
t t t t t t t t t t t t t
clinic is an example of a comprehensive assessment.
t t t t t t t t
B A health fair at a local mall that provides cholesterol and blood pressure checks is an example of a
t t t t t t t t t t t t t t t t t t
screening assessment focused on disease detection.
t t t t t t
C Assessing a patient complaining of leg pain in the triage area of an urgent care center is an
t t t t t t t t t t t t t t t t t
example of a problem-based/focused assessment.
t t t t t
D A patient‘s return appointment 1 month after today‘s office visit to report fasting blood glucose
t t t t t t t t t t t t t t
levels is an example of an episodic or follow-up assessment.
t t t t t t t t t
DIF: Cognitive Level: Understand t t REF: 3 TOP: Nursing Process: Assessment
t t t t t
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
t t t t t t t t t t
3. For which person is a screening assessment indicated?
t t t t t t t
a. The person who had abdominal surgery yesterday
t t t t t t
b. The person who is unaware of his high serum glucose levels
t t t t t t t t t t
c. The person who is being admitted to a long-term care facility
t t t t t t t t t t
d. The person who is beginning rehabilitation after a knee replacement
t t t t t t t t t
CORRECT ANSWER: B
t t t
Feedback
A A shift assessment is most appropriate for the person who is recovering in the hospital from
t t t t t t t t t t t t t t t
surgery.
t
3|P a g e
t t t t t
, B A screening assessment is performed for the purpose of disease detection. In this case this person
t t t t t t t t t t t t t t t
may have diabetes mellitus.
t t t t
C A comprehensive assessment is performed during admission to a facility to obtain a detailed
t t t t t t t t t t t t t
history and complete physical examination.
t t t t t
D An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome of
t t t t t t t t t t t t t t
the procedure.
t t
DIF: Cognitive Level: Understand
t t REF: 3 TOP: Nursing Process: Assessment
t t t t t
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
t t t t t t t t t t t t
Priorities
t
4. For which person is a shift assessment indicated?
t t t t t t t
a. The person who had abdominal surgery yesterday
t t t t t t
b. The person who is unaware of his high serum glucose levels.
t t t t t t t t t t
c. The person who is being admitted to a long-term care facility.
t t t t t t t t t t
d. The person who is beginning rehabilitation after a knee replacement.
t t t t t t t t t
CORRECT ANSWER: A t t
Feedback
A A shift assessment is most appropriate for the person who is recovering in the hospital from
t t t t t t t t t t t t t t t
surgery.
t
B A screening assessment is performed for the purpose of disease detection, in this case diabetes
t t t t t t t t t t t t t t
mellitus.
t
C A comprehensive assessment is performed during admission to a facility to obtain a detailed
t t t t t t t t t t t t t
history and complete physical examination.
t t t t t
D An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome of
t t t t t t t t t t t t t t
the procedure.
t t
DIF: Cognitive Level: Understand
t t REF: 3 TOP: Nursing Process: Assessment
t t t t t
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
t t t t t t t t t t t t
Priorities
t
4|P a g e
t t t t t
t t t t t
Nursing Practice 8th Edition by Susan
t t t t t t
Fickertt Wilson & Jean Foret Giddens
t t t t t t
Complete Chapters 1-24 With Expert Approved Q&As & Explanations
t t t t t t t t
for Exam Preparation| A+ PASS GUARANTEED
t t t t t t
1|P a g e
t t t t t
, Chapter 1: Importance of Health Assessment t t t t t
t MULTIPLE CHOICE t
1. A patient comes to the emergency department and tells the triage nurse that he is ―having a heart
t t t t t t t t t t t t t t t t t
attack.‖ What is the nurse‘s top priority at this time?
t t t t t t t t t t
a. Determine the patient‘s personal data and insurance coverage. t t t t t t t
b. Ask the patient to take a seat in the waiting room until his name is called.
t t t t t t t t t t t t t t t
c. Request that a nurse collect data for a comprehensive history.
t t t t t t t t t
d. Ask a nurse to start a focused assessment of this patient now.
t t t t t t t t t t t
CORRECT ANSWER: D t t
Feedback
A Personal data and insurance information will be obtained, but in this situation, these data can wait
t t t t t t t t t t t t t t t
until after the patient is assessed.
t t t t t t
B Rather than asking the patient to wait, the nurse needs to begin data collection, such as vital signs,
t t t t t t t t t t t t t t t t t
immediately to determine the patient‘s health status. t t t t t t
C A comprehensive history is not indicated in this situation at this time. Some subjective data will be
t t t t t t t t t t t t t t t t
collected, such as allergies and medical history related to cardiovascular disease.
t t t t t t t t t t t
D The nurse needs to begin an assessment as soon as possible that is focused on
t t t t t t t t t t t t t t
this patient‘s cardiovascular system. The type of health assessment performed by the nurse is also driven
t t t t t t t t t t t t t t t
by patient need.
t t
DIF: Cognitive Level: Apply REF: 3 TOP: Nursing Process: Assessment t t t t t t t t
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
t t t t t t t t t t t t
Priorities
t
2. Which situation illustrates a screening assessment?
t t t t t
a. A patient visits an obstetric clinic for the first time and the nurse conducts a detailed history and
t t t t t t t t t t t t t t t t t
physical examination.
t t
b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood pressure
t t t t t t t t t t t t t t t
checks to mall patrons.
t t t t
2|P a g e
t t t t t
,c. The nurse in an urgent care center checks the vital signs of a patient who is complaining of leg
t t t t t t t t t t t t t t t t t t
pain.
t
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood glucose level.
t t t t t t t t t t t t t t
CORRECT ANSWER: B t t
Feedback
A A detailed history and physical examination conducted during a first-time visit to an obstetric
t t t t t t t t t t t t t
clinic is an example of a comprehensive assessment.
t t t t t t t t
B A health fair at a local mall that provides cholesterol and blood pressure checks is an example of a
t t t t t t t t t t t t t t t t t t
screening assessment focused on disease detection.
t t t t t t
C Assessing a patient complaining of leg pain in the triage area of an urgent care center is an
t t t t t t t t t t t t t t t t t
example of a problem-based/focused assessment.
t t t t t
D A patient‘s return appointment 1 month after today‘s office visit to report fasting blood glucose
t t t t t t t t t t t t t t
levels is an example of an episodic or follow-up assessment.
t t t t t t t t t
DIF: Cognitive Level: Understand t t REF: 3 TOP: Nursing Process: Assessment
t t t t t
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
t t t t t t t t t t
3. For which person is a screening assessment indicated?
t t t t t t t
a. The person who had abdominal surgery yesterday
t t t t t t
b. The person who is unaware of his high serum glucose levels
t t t t t t t t t t
c. The person who is being admitted to a long-term care facility
t t t t t t t t t t
d. The person who is beginning rehabilitation after a knee replacement
t t t t t t t t t
CORRECT ANSWER: B
t t t
Feedback
A A shift assessment is most appropriate for the person who is recovering in the hospital from
t t t t t t t t t t t t t t t
surgery.
t
3|P a g e
t t t t t
, B A screening assessment is performed for the purpose of disease detection. In this case this person
t t t t t t t t t t t t t t t
may have diabetes mellitus.
t t t t
C A comprehensive assessment is performed during admission to a facility to obtain a detailed
t t t t t t t t t t t t t
history and complete physical examination.
t t t t t
D An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome of
t t t t t t t t t t t t t t
the procedure.
t t
DIF: Cognitive Level: Understand
t t REF: 3 TOP: Nursing Process: Assessment
t t t t t
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
t t t t t t t t t t t t
Priorities
t
4. For which person is a shift assessment indicated?
t t t t t t t
a. The person who had abdominal surgery yesterday
t t t t t t
b. The person who is unaware of his high serum glucose levels.
t t t t t t t t t t
c. The person who is being admitted to a long-term care facility.
t t t t t t t t t t
d. The person who is beginning rehabilitation after a knee replacement.
t t t t t t t t t
CORRECT ANSWER: A t t
Feedback
A A shift assessment is most appropriate for the person who is recovering in the hospital from
t t t t t t t t t t t t t t t
surgery.
t
B A screening assessment is performed for the purpose of disease detection, in this case diabetes
t t t t t t t t t t t t t t
mellitus.
t
C A comprehensive assessment is performed during admission to a facility to obtain a detailed
t t t t t t t t t t t t t
history and complete physical examination.
t t t t t
D An episodic or follow-up assessment is performed after knee replacement to evaluate the outcome of
t t t t t t t t t t t t t t
the procedure.
t t
DIF: Cognitive Level: Understand
t t REF: 3 TOP: Nursing Process: Assessment
t t t t t
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
t t t t t t t t t t t t
Priorities
t
4|P a g e
t t t t t
