{"id":115743,"date":"2023-08-24T18:28:21","date_gmt":"2023-08-24T18:28:21","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=115743"},"modified":"2023-08-24T18:28:25","modified_gmt":"2023-08-24T18:28:25","slug":"health-assessment-for-nursing-practice-6th-edition-wilson-test-bank","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/24\/health-assessment-for-nursing-practice-6th-edition-wilson-test-bank\/","title":{"rendered":"Health Assessment for Nursing Practice 6th Edition Wilson Test Bank"},"content":{"rendered":"\n<p>Health Assessment for Nursing Practice 6th Edition Wilson Test Bank<br>NURSING TEST BANK<br>Health Assessment for Nursing Practice 6th Edition<br>Wilson Test Bank<br>Chapter 01: Introduction to Health Assessment<br>Wilson: Health Assessment for Nursing Practice, 6th Edition<br>MULTIPLE CHOICE<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>A patient comes to the emergency department and tells the triage nurse that he is \u201chaving a<br>heart attack.\u201d What is the nurse\u2019s top priority at this time?<br>a. Determine the patient\u2019s personal data and insurance coverage.<br>b. Ask the patient to take a seat in the waiting room until his name is called.<br>c. Request that a nurse collect data for a comprehensive history.<br>d. Ask a nurse to start a focused assessment of this patient now.<br>ANS: D<br>The nurse needs to begin an assessment as soon as possible that is focused on this patient\u2019s<br>cardiovascular system. The type of health assessment performed by the nurse is also driven by<br>patient need. Personal data and insurance information will be obtained, but in this situation,<br>these data can wait until after the patient is assessed. Based also on Maslow\u2019s hierarchy of<br>needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse<br>needs to begin data collection, such as vital signs, immediately to determine the patient\u2019s<br>health status. Complications can be prevented if an immediate assessment is made to analyze<br>the patient\u2019s symptoms. A comprehensive history is not indicated in this situation at this time.<br>Some subjective data will be collected, such as allergies and medical history related to<br>cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health assessment<br>is not a priority at this time.<br>DIF: Cognitive Level: ApplyN R I GREBF:.BoxMC 1-3 | p. 3<br>TOP: Nursing Process: AssessmUent S N T O<br>MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:<br>Establishing Priorities<\/li>\n\n\n\n<li>Which situation illustrates a screening assessment?<br>a. A patient visits an obstetric clinic for the first time and the nurse conducts a<br>detailed history and physical examination.<br>b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood<br>pressure checks to mall patrons.<br>c. The nurse in an urgent care center checks the vital signs of a patient who is<br>complaining of leg pain.<br>d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood<br>glucose level.<br>ANS: B<br>A health fair at a local mall that provides cholesterol and blood pressure checks is an example<br>of a screening assessment focused on disease detection. A detailed history and physical<br>examination conducted during a first-time visit to an obstetric clinic is an example of a<br>comprehensive assessment. Assessing a patient complaining of leg pain in the triage area of<br>an urgent care center is an example of a problem-based\/focused assessment. A patient\u2019s return<br>appointment 1 month after today\u2019s office visit to report fasting blood glucose levels is an<br>example of an episodic or follow-up assessment.<\/li>\n<\/ol>\n\n\n\n<p>Health Assessment for Nursing Practice 6th Edition Wilson Test Bank<br>NURSING TEST BANK<br>DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3<br>TOP: Nursing Process: Assessment<br>MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"3\">\n<li>For which person is a screening assessment indicated?<br>a. The person who had abdominal surgery yesterday<br>b. The person who is unaware of his high serum glucose levels<br>c. The person who is being admitted to a long-term care facility<br>d. The person who is beginning rehabilitation after a knee replacement<br>ANS: B<br>A screening assessment is performed for the purpose of disease detection. In this case this<br>person may have diabetes mellitus. A shift assessment is most appropriate for the person who<br>is recovering in the hospital from surgery. A comprehensive assessment is performed during<br>admission to a facility to obtain a detailed history and complete physical examination. An<br>episodic or follow-up assessment is performed after knee replacement to evaluate the outcome<br>of the procedure.<br>DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3<br>TOP: Nursing Process: Assessment<br>MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:<br>Establishing Priorities<\/li>\n\n\n\n<li>For which person is a shift assessment indicated?<br>a. The person who had abdominal surgery yesterday<br>b. The person who is unaware of his high serum glucose levels<br>c. The person who is being admitted to a long-term care facility<br>d. The person who is beginning rehabilitation after a knee replacement<br>ANS: A<br>A shift assessment is most appropriate for the person who is recovering in the hospital from<br>surgery. A screening assessment is performed for the purpose of disease detection, in this case<br>diabetes mellitus. A comprehensive assessment is performed during admission to a facility to<br>obtain a detailed history and complete physical examination. An episodic or follow-up<br>assessment is performed after knee replacement to evaluate the outcome of the procedure.<br>DIF: Cognitive Level: Understand REF: Box 1-3 | p. 4<br>TOP: Nursing Process: Assessment<br>MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:<br>Establishing Priorities<\/li>\n\n\n\n<li>For which person is a comprehensive assessment indicated?<br>a. The person who had abdominal surgery yesterday<br>b. The person who is unaware of his high serum glucose levels<br>c. The person who is being admitted to a long-term care facility<br>d. The person who is beginning rehabilitation after a knee replacement<br>ANS: C<br>A comprehensive assessment is performed during admission to a facility to obtain a detailed<br>history and complete physical examination. A shift assessment is most appropriate for the<br>person who is recovering in the hospital from surgery. A screening assessment is performed<br>for the purpose of disease detection, in this case diabetes mellitus. An episodic or follow-up<br>assessment is performed after knee replacement to evaluate the outcome of the procedure.<\/li>\n<\/ol>\n\n\n\n<p>Health Assessment for Nursing Practice 6th Edition Wilson Test Bank<br>NURSING TEST BANK<br>U S N T O<br>DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3<br>TOP: Nursing Process: Assessment<br>MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:<br>Establishing Priorities<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"6\">\n<li>For which person is an episodic or follow-up assessment indicated?<br>a. The person who had abdominal surgery yesterday<br>b. The person who is unaware of his high serum glucose levels<br>c. The person who is being admitted to a long-term care facility<br>d. The person who is beginning rehabilitation after a knee replacement<br>ANS: D<br>An episodic or follow-up assessment is performed after the knee replacement to evaluate the<br>outcome of the procedure. A shift assessment is most appropriate for the person who is<br>recovering in the hospital from surgery. A screening assessment is performed for the purpose<br>of disease detection, in this case diabetes mellitus. A comprehensive assessment is performed<br>during admission to a facility to obtain a detailed history and complete physical examination.<br>DIF: Cognitive Level: Understand REF: Box 1-3 | p. 3<br>TOP: Nursing Process: Assessment<br>MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:<br>Establishing Priorities<\/li>\n\n\n\n<li>Which is an example of data a nurse collects during a physical examination?<br>a. The patient\u2019s lack of hair and shiny skin over both shins<br>b. The patient\u2019s stated concern about lack of money for prescriptions<br>c. The patient\u2019s complaintsNof tRinglIingGsensBa.tioCns iMn the feet<br>d. The patient\u2019s mother\u2019s statements that the patient is very nervous lately<br>ANS: A<br>The lack of hair and shiny skin over both shins are objective data or signs that are part of the<br>physical examination. A patient\u2019s concerns about lack of money are subjective data and are<br>part of the health history. A patient\u2019s complaints of tingling sensations in the feet are<br>subjective data and are part of the health history. A patient\u2019s family statements are considered<br>secondary data, are subjective data, and are part of the health history.<br>DIF: Cognitive Level: Apply REF: Box 1-3 | p. 3<br>TOP: Nursing Process: Assessment<br>MSC: NCLEX Patient Needs: Physiologic Integrity: Reduction of Risk Potential: System Specific<br>Assessments<\/li>\n\n\n\n<li>The nurse documents which information in the patient\u2019s history?<br>a. The patient\u2019s skin feels warm to the touch.<br>b. The patient is scratching his arm.<br>c. The patient\u2019s temperature is 100\u00b0 F.<br>d. The patient complains of itching.<br>ANS: D<\/li>\n<\/ol>\n\n\n\n<p>Health Assessment for Nursing Practice 6th Edition Wilson Test Bank<br>NURSING TEST BANK<br>A patient\u2019s complaint of itching is subjective information, which means it is a symptom and is<br>documented in the history. The patient\u2019s warm skin is objective information gathered by the<br>nurse through palpation, is also a sign, and is documented in the physical examination. The<br>patient\u2019s scratching is objective information gathered by the nurse through observation, is also<br>a sign, and is documented in the physical examination. The patient\u2019s elevated temperature is<br>objective information gathered by the nurse through measurement, is also a sign, and is<br>documented in the physical examination.<br>DIF: Cognitive Level: Apply REF: p. 1 | p. 2 and Box 1-2<br>TOP: Nursing Process: Assessment<br>MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:<br>Establishing Priorities<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"9\">\n<li>Which patient information does the nurse document in the patient\u2019s physical assessment?<br>a. Slurred speech<br>b. Immunizations<br>c. Smoking habit<br>d. Allergies<br>ANS: A<br>Slurred speech should be noticed by the nurse and documented as objective data in the<br>physical assessment. Data on immunizations are collected from the patient, are subjective, and<br>documented in the history. A smoking habit is information that comes from the patient,<br>making it subjective data that is documented in the history. Allergies are information that<br>come from the patient, making it subjective data that is documented in the history.<br>DIF: Cognitive Level: Apply REF: p. 1-2 and Box 1-2<br>TOP: Nursing Process: AssessNmUenRt SINGTB.COM<br>MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:<br>Establishing Priorities<\/li>\n\n\n\n<li>After collecting the data, the nurse begins data analysis with which action?<br>a. Clustering data<br>b. Documenting subjective data<br>c. Reporting information to other health team members<br>d. Documenting objective information<br>ANS: A<br>After collecting data, the nurse organizes or clusters the data so that the problems appear more<br>clearly. To cluster data, the nurse interprets the assessment data collected. Documenting<br>subjective data is necessary for the medical record, but does not provide analysis. Before<br>reporting data to health team members, the nurse clusters and interprets data. Documenting<br>objective data is necessary for the medical record, but does not provide analysis.<br>DIF: Cognitive Level: Understand REF: p. 4<br>TOP: Nursing Process: Assessment<br>MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:<br>Establishing Priorities<\/li>\n\n\n\n<li>Which activity illustrates the concept of primary prevention?<br>a. Monthly breast self-examination<br>b. Annual cervical (Papanicolaou test) examination<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Health Assessment for Nursing Practice 6th Edition Wilson Test BankNURSING TEST BANKHealth Assessment for Nursing Practice 6th EditionWilson Test BankChapter 01: Introduction to Health AssessmentWilson: Health Assessment for Nursing Practice, 6th EditionMULTIPLE CHOICE Health Assessment for Nursing Practice 6th Edition Wilson Test BankNURSING TEST BANKDIF: Cognitive Level: Understand REF: Box 1-3 | p. 3TOP: Nursing [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-115743","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115743","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=115743"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/115743\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=115743"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=115743"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=115743"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}