100% tevredenheidsgarantie Direct beschikbaar na je betaling Lees online óf als PDF Geen vaste maandelijkse kosten
logo-home
Health Assessment for Nursing Practice 7th Edition Test Bank by Susan Fickertt Wilson, Jean Foret Giddens $18.99
In winkelwagen

Tentamen (uitwerkingen)

Health Assessment for Nursing Practice 7th Edition Test Bank by Susan Fickertt Wilson, Jean Foret Giddens

1 beoordeling
 1 keer verkocht
  • Vak
  • Health Assessment for Nursing Practice
  • Instelling
  • Health Assessment For Nursing Practice

This isn't a book,a test bank is a collection of pre-written exam questions and answers designed to help educators assess and evaluate students' knowledge and understanding of course material. It serves as a valuable resource for creating quizzes and exams, saving instructors time and ensuring...

[Meer zien]

Voorbeeld 4 van de 226  pagina's

  • 5 november 2024
  • 226
  • 2024/2025
  • Tentamen (uitwerkingen)
  • Vragen en antwoorden
  • test bank nursing
  • nursing
book image

Titel boek:

Auteur(s):

  • Uitgave:
  • ISBN:
  • Druk:
  • Health Assessment for Nursing Practice
  • Health Assessment for Nursing Practice

1  beoordeling

review-writer-avatar

Door: anajaestephney • 12 minuten geleden

avatar-seller
QuizNursing
Health Assessment for Nursing Practice 7th Edition Test Bank

Chapter 01: Introduction to Health Assessment
Wilson: Health Assessment for Nursing Practice, 7th Edition




MULTIPLE CHOICE




1. A patient comes to the emergency department and tells the
triage nurse that he is “having a heart attack.” What is the nurse’s
top priority at this time?

a. Determine the patient’s personal data and insurance coverage.
b. Ask the patient to take a seat in the waiting room until his name is called.
c. Request that a nurse collect data for a comprehensive history.
d. Ask a nurse to start a focused assessment of this patient now.
ANS: D
The nurse needs to begin an assessment as soon as possible that is focused on this patient’s
cardiovascular system. The type of health assessment performed by the nurse is also driven by
patient need. Personal data and insurance information will be obtained, but in this situation,
these data can wait until after the patient is assessed. Based also on Maslow’s hierarchy of
needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse
needs to begin data collection, such as vital signs, immediately to determine the patient’s
health status. Complications can be prevented if an immediate assessment is made to analyze
the 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.

DIF: Cognitive Level: Apply REF: Box 1-3
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities

2. Which situation illustrates a screening assessment?
a. A patient visits an obstetric clinic for the first time and the nurse 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 nurse in an urgent care center checks the vital signs of a patient who is
complaining of leg pain.

, Health Assessment for Nursing Practice 7th Edition Test Bank

d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood
glucose level.
ANS: 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 patient complaining of leg pain in the triage area of
an urgent care center is an example of a problem-based/focused assessment. A 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.

DIF: Cognitive Level: Understand REF: Box 1-3
TOP: Nursing Process: Assessment
MSC: NCLEX 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
ANS: 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.

DIF: Cognitive Level: Understand REF: Box 1-3
TOP: Nursing Process: Assessment
MSC: NCLEX 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
ANS: 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.

DIF: Cognitive Level: Understand REF: Box 1-3
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities

, Health Assessment for Nursing Practice 7th Edition Test Bank

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
ANS: 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.

DIF: Cognitive Level: Understand REF: Box 1-3
TOP: Nursing Process: Assessment
MSC: NCLEX 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
ANS: 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.

DIF: Cognitive Level: Understand REF: Box 1-3
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities

7. Which is an example of data a nurse collects during a physical examination?
a. The patient’s lack of hair and shiny skin over both shins
b. The patient’s stated concern about lack of money for prescriptions
c. The patient’s complaints of tingling sensations in the feet
d. The patient’s mother’s statements that the patient is very nervous lately
ANS: A
The lack of hair and shiny skin over both shins are objective data or signs that are part of the
physical examination. A patient’s concerns about lack of money are subjective data and are
part of the health history. A patient’s complaints of tingling sensations in the feet are
subjective data and are part of the health history. A patient’s family statements are considered
secondary data, are subjective data, and are part of the health history.

DIF: Cognitive Level: Apply REF: Box 1-3
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Physiological Integrity: Reduction of Risk Potential: System Specific
Assessments

, Health Assessment for Nursing Practice 7th Edition Test Bank


8. The nurse documents which information in the patient’s history?
a. The patient’s skin feels warm to the touch.
b. The patient is scratching his arm.
c. The patient’s temperature is 100 F.
d. The patient complains of itching.
ANS: D
A patient’s complaint of itching is subjective information, which means it is a symptom and is
documented in the history. The patient’s warm skin is objective information gathered by the
nurse through palpation, is also a sign, and is documented in the physical examination. The
patient’s scratching is objective information gathered by the nurse through observation, is also
a sign, and is documented in the physical examination. The patient’s elevated temperature is
objective information gathered by the nurse through measurement, is also a sign, and is
documented in the physical examination.

DIF: Cognitive Level: Apply REF: Box 1-2
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities

9. Which patient information does the nurse document in the patient’s physical assessment?
a. Slurred speech
b. Immunizations
c. Smoking habit
d. Allergies
ANS: A
Slurred speech should be noticed by the nurse and documented as objective data in the
physical assessment. Data on immunizations are collected from the patient, are subjective, and
documented in the history. A smoking habit is information that comes from the patient,
making it subjective data that is documented in the history. Allergies are information that
come from the patient, making it subjective data that is documented in the history.

DIF: Cognitive Level: Apply REF: Box 1-2
TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:
Establishing Priorities

10. After collecting the data, the nurse begins data analysis with which action?
a. Clustering data
b. Documenting subjective data
c. Reporting information to other health team members
d. Documenting objective information
ANS: A
After collecting data, the nurse organizes or clusters the data so that the problems appear more
clearly. To cluster data, the nurse interprets the assessment data collected. Documenting
subjective data is necessary for the medical record, but does not provide analysis. Before
reporting data to health team members, the nurse clusters and interprets data. Documenting
objective data is necessary for the medical record, but does not provide analysis.

DIF: Cognitive Level: Understand TOP: Nursing Process: Assessment

Dit zijn jouw voordelen als je samenvattingen koopt bij Stuvia:

Bewezen kwaliteit door reviews

Bewezen kwaliteit door reviews

Studenten hebben al meer dan 850.000 samenvattingen beoordeeld. Zo weet jij zeker dat je de beste keuze maakt!

In een paar klikken geregeld

In een paar klikken geregeld

Geen gedoe — betaal gewoon eenmalig met iDeal, creditcard of je Stuvia-tegoed en je bent klaar. Geen abonnement nodig.

Direct to-the-point

Direct to-the-point

Studenten maken samenvattingen voor studenten. Dat betekent: actuele inhoud waar jij écht wat aan hebt. Geen overbodige details!

Veelgestelde vragen

Wat krijg ik als ik dit document koop?

Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.

Tevredenheidsgarantie: hoe werkt dat?

Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.

Van wie koop ik deze samenvatting?

Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper QuizNursing. Stuvia faciliteert de betaling aan de verkoper.

Zit ik meteen vast aan een abonnement?

Nee, je koopt alleen deze samenvatting voor $18.99. Je zit daarna nergens aan vast.

Is Stuvia te vertrouwen?

4,6 sterren op Google & Trustpilot (+1000 reviews)

Afgelopen 30 dagen zijn er 63950 samenvattingen verkocht

Opgericht in 2010, al 15 jaar dé plek om samenvattingen te kopen

Begin nu gratis
$18.99  1x  verkocht
  • (1)
In winkelwagen
Toegevoegd