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Test Bank for Health Assessment for Nursing Practice 7th Edition By Wilson And Giddens
Test Bank for Health Assessment for Nursing Practice 7th Edition By Wilson And Giddens
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Test Bank for Health Assessment for Nursing Practice7th Edition By Wilson And Giddens
,Chapter 01: Introduction to Health Assessment
Wilson: Health Assessment for Nursing Practice, 7th Edition
MULTIPLE CHOICE
1. A hospital patient comes to the emergency department and tells the triage nursing
practitioner that he is ―having a heart attack.‖ What is the nurse‘s top priority at this time?
a. Determine the hospital patient‘s personal data and insurance coverage.
b. Ask the hospital patient to take a seat in the waiting room until his name is called.
c. Request that a nursing practitioner collect data for a comprehensive history.
d. Ask a nursing practitioner to start a focused assessment of this hospital patient now.
RIGHT CHOICE>- D
The nursing practitioner needs to begin an assessment as soon as possible that is focused on
this hospital patient‘s cardiovascular system. The type of health assessment performed by the
nursing practitioner is also driven by hospital patient need. Personal data and insurance
information will be obtained, but in this situation, these data can wait until after the hospital
patient is assessed. Based also on Maslow‘s hierarchy of needs, physiologic needs take
precedence. Rather than asking the hospital patient to wait, the nursing practitioner needs to
begin data collection, such as vital signs, immediately to determine the hospital patient‘s
health status. Complications can be prevented if an immediate assessment is made to analyze
the hospital patient‘s symptoms. A comprehensive history is not indicated in this situation at
this time. Some subjective data will be collected, such as allergies and medical history related
to cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health
assessment is not a priority at this time.
COMPLEXITY: Cognitive Level: Apply REF: Box
1-3 SUBJECT: Nursing Process: Assessment
MSC- NCLEX Hospital patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities
2. Which situation illustrates a screening assessment?
a. A hospital patient visits an obstetric clinic for the first time and the nursing
practitioner conducts a detailed history and physical examination.
b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood
pressure checks to mall patrons.
c. The nursing practitioner in an urgent care center checks the vital signs of a
hospital patient who is complaining of leg pain.
d. A hospital patient newly diagnosed with diabetes mellitus comes to test his
fasting blood glucose level.
RIGHT CHOICE>- B
A health fair at a local mall that provides cholesterol and blood pressure checks is an example
of a screening assessment focused on disease detection. A detailed history and physical
examination conducted during a first-time visit to an obstetric clinic is an example of a
comprehensive assessment. Assessing a hospital patient complaining of leg pain in the triage
area of an urgent care center is an example of a problem-based/focused assessment. A hospital
patient‘s return appointment 1 month after today‘s office visit to report fasting blood glucose
levels is an example of an episodic or follow-up assessment.
COMPLEXITY: Cognitive Level: Understand REF: Box 1-3
, SUBJECT: Nursing Process: Assessment
MSC- NCLEX Hospital patient Needs: Health Promotion and Maintenance: Health Screening
3. For which person is a screening assessment indicated?
a. The person who had abdominal surgery yesterday
b. The person who is unaware of his high serum glucose levels
c. The person who is being admitted to a long-term care facility
d. The person who is beginning rehabilitation after a knee replacement
RIGHT CHOICE>- B
A screening assessment is performed for the purpose of disease detection. In this case this
person may have diabetes mellitus. A shift assessment is most appropriate for the person who
is recovering in the hospital from surgery. A comprehensive assessment is performed during
admission to a facility to obtain a detailed history and complete physical examination. An
episodic or follow-up assessment is performed after knee replacement to evaluate the outcome
of the procedure.
COMPLEXITY: Cognitive Level: Understand REF: Box
1-3 SUBJECT: Nursing Process: Assessment
MSC- NCLEX Hospital patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities
4. For which person is a shift assessment indicated?
a. The person who had abdominal surgery yesterday
b. The person who is unaware of his high serum glucose levels
c. The person who is being admitted to a long-term care facility
d. The person who is beginning rehabilitation after a knee replacement
RIGHT CHOICE>- A
A shift assessment is most appropriate for the person who is recovering in the hospital from
surgery. A screening assessment is performed for the purpose of disease detection, in this case
diabetes mellitus. A comprehensive assessment is performed during admission to a facility to
obtain a detailed history and complete physical examination. An episodic or follow-up
assessment is performed after knee replacement to evaluate the outcome of the procedure.
COMPLEXITY: Cognitive Level: Understand REF: Box
1-3 SUBJECT: Nursing Process: Assessment
MSC- NCLEX Hospital patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities
5. For which person is a comprehensive assessment indicated?
a. The person who had abdominal surgery yesterday
b. The person who is unaware of his high serum glucose levels
c. The person who is being admitted to a long-term care facility
d. The person who is beginning rehabilitation after a knee replacement
RIGHT CHOICE>- C
A comprehensive assessment is performed during admission to a facility to obtain a detailed
history and complete physical examination. A shift assessment is most appropriate for the
person who is recovering in the hospital from surgery. A screening assessment is performed
for the purpose of disease detection, in this case diabetes mellitus. An episodic or follow-up
assessment is performed after knee replacement to evaluate the outcome of the procedure.
, COMPLEXITY: Cognitive Level: Understand REF: Box
1-3 SUBJECT: Nursing Process: Assessment
MSC- NCLEX Hospital patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities
6. For which person is an episodic or follow-up assessment indicated?
a. The person who had abdominal surgery yesterday
b. The person who is unaware of his high serum glucose levels
c. The person who is being admitted to a long-term care facility
d. The person who is beginning rehabilitation after a knee replacement
RIGHT CHOICE>- D
An episodic or follow-up assessment is performed after the knee replacement to evaluate the
outcome of the procedure. A shift assessment is most appropriate for the person who is
recovering in the hospital from surgery. A screening assessment is performed for the purpose
of disease detection, in this case diabetes mellitus. A comprehensive assessment is performed
during admission to a facility to obtain a detailed history and complete physical examination.
COMPLEXITY: Cognitive Level: Understand REF: Box
1-3 SUBJECT: Nursing Process: Assessment
MSC- NCLEX Hospital patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities
7. Which is an example of data a nursing practitioner collects during a physical examination?
a. The hospital patient‘s lack of hair and shiny skin over both shins
b. The hospital patient‘s stated concern about lack of money for prescriptions
c. The hospital patient‘s complaints of tingling sensations in the feet
d. The hospital patient‘s mother‘s statements that the hospital patient is very nervous lately
RIGHT CHOICE>- A
The lack of hair and shiny skin over both shins are objective data or signs that are part of the
physical examination. A hospital patient‘s concerns about lack of money are subjective data
and are part of the health history. A hospital patient‘s complaints of tingling sensations in the
feet are subjective data and are part of the health history. A hospital patient‘s family
statements are considered secondary data, are subjective data, and are part of the health
history.
COMPLEXITY: Cognitive Level: Apply REF: Box
1-3 SUBJECT: Nursing Process: Assessment
MSC- NCLEX Hospital patient Needs: Physiological Integrity: Reduction of Risk Potential: System
Specific Assessments
8. The nursing practitioner documents which information in the hospital patient‘s history?
a. The hospital patient‘s skin feels warm to the touch.
b. The hospital patient is scratching his arm.
c. The hospital patient‘s temperature is 100 F.
d. The hospital patient complains of itching.
RIGHT CHOICE>- D
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