TEST BANK
Health Assessment for Nursing Practice
7th Edition by Wilson Chapter 1 - 24
,TABLE OF CONTENTS
Unit I: Foundations for Health Assessment
1. Introduction to Health Assessment
2. Interviewing Patients to Obtain a Health History
3. Techniques and Equipment for Physical Assessment
4. General Inspection and Measurement of Vital Signs
5. Ethnic, Cultural, and Spiritual Considerations
6. Pain Assessment
7. Mental Health and Abusive Behavior Assessment
8. Nutritional Assessment
Unit II: Health Assessment of the Adult
9. Skin, Hair, and Nails
10. Head, Eyes, Ears, Nose, and Throat
11. Lungs and Respiratory System
12. Heart and Peripheral Vascular System
13. Abdomen and Gastrointestinal System
14. Musculoskeletal System
15. Neurologic System
16. Breasts and Axillae
17. Reproductive System and the Perineum
Unit III: Health Assessment Across the Life Span
18. Developmental Assessment Throughout the Life Span
19. Assessment of the Infant, Child, and Adolescent
20. Assessment of the Pregnant Patient
21. Assessment of the Older Adult
Unit IV: Synthesis and Application of Health Assessment
22. Conducting a Head-to-Toe Examination
23. Documenting the Head-to-Toe Health Assessment
24. Adapting Health Assessment
Chapter 01: Introduction to Health Assessment
,MULTIPLE mCHOICE
1. A mpatient mcomes mto mthe memergency mdepartment mand mtells mthe mtriage
mnurse mthat mheis m“having ma mheart mattack.” mWhat mis mthe mnurse’s mtop mpriority mat mthis
mtime?
a. Determine mthe mpatient’s mpersonal mdata mand
minsurance mcoverage.
b. Ask mthe mpatient mto mtake ma mseat min mthe
mwaiting mroom muntil mhis mname mis mcalled.
c. Request mthat m a m nurse mcollect mdata m for
acomprehensive m history.
d. Ask ma mnurse mto mstart ma mfocused
massessment
of mthis mpatient mnow.
ANSWER: mD
The mnurse mneeds mto mbegin man massessment mas msoon mas mpossible mthat mis mfocused mon mthis
mpatient’s mcardiovascular msystem. mThe mtype mof mhealth massessment mperformed mby mthe
mnurse mis malso mdriven mby mpatient mneed. mPersonal mdata mand minsurance minformation mwill
mbe mobtained, mbut min mthis msituation, mthese mdata mcan mwait muntil mafter mthe mpatient mis
massessed. mBased malso m on m Maslow’s mhierarchy mof mneeds, mphysiologic mneeds mtake
mprecedence. mRather mthan masking mthe mpatient mto mwait, mthe mnurse mneeds mto mbegin mdata
mcollection, msuch mas mvital msigns, mimmediately mto mdetermine mthe mpatient’s mhealth mstatus.
mComplications mcan mbe mprevented mif man mimmediate massessment mis m made mto manalyze
mthe mpatient’s msymptoms. mA mcomprehensive mhistory mis mnot mindicated min mthis msituation
mat mthis mtime. mSome msubjective mdata mwill mbe mcollected, msuch mas mallergies m and mmedical
mhistory mrelated mto mcardiovascular mdisease. mEyes, mears, mor ma mcomplete
mmusculoskeletal mor mmental mhealth massessment mis mnot ma mpriority mat mthis mtime.
DIF: m Cognitive mLevel: mApply REF: mBox m1-3 m|
mp. m3 mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof
mCare:Establishing m Priorities
2. Which m situation millustrates ma m screening massessment?
a. A mpatient mvisits man mobstetric mclinic mfor mthe
mfirst
time mand mthe mnurse mconducts ma
mdetailedhistory mand mphysical
mexamination.
b. A mhospital msponsors ma mhealth mfair mat ma
localmall mand mprovides mcholesterol mand
mblood mpressure mchecks mto mmall mpatrons.
c. The mnurse min man murgent mcare mcenter
mchecks
the mvital msigns mof ma mpatient mwho mis
mcomplaining mof mleg mpain.
, d. A mpatient m newly mdiagnosed mwith
diabetesmellitus mcomes mto mtest mhis mfasting
mblood mglucose mlevel.
ANSWER: mB
A mhealth mfair mat ma mlocal mmall mthat mprovides mcholesterol mand mblood mpressure mchecks mis
man mexample mof ma mscreening massessment mfocused mon mdisease mdetection. mA mdetailed
mhistory mand mphysical mexamination mconducted mduring ma mfirst-time mvisit mto man mobstetric
mclinic mis man mexampleof ma mcomprehensive massessment. mAssessing ma mpatient
mcomplaining mof mleg mpain min mthe mtriage marea mof man murgent mcare mcenter mis man mexample
mof ma mproblem-based/focused massessment. mA mpatient’s mreturn mappointment m1 mmonth
mafter mtoday’s moffice mvisit mto mreport mfasting mblood mglucose mlevels mis man mexample mof
man mepisodic mor mfollow-up massessment.
DIF: m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3 mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient m Needs: m Health mPromotion mand mMaintenance: m Health mScreening
3. For m which mperson mis ma m screening massessment m indicated?
a. The mperson mwho mhad mabdominal msurgery
yesterday
b. The mperson mwho mis munaware mof mhis
mhigh mserum mglucose mlevels
c. The mperson mwho mis mbeing madmitted mto ma
long-term mcare mfacility
d. The mperson mwho mis mbeginning mrehabilitation
after ma mknee mreplacement
ANSWER: mB
A mscreening massessment mis mperformed mfor mthe mpurpose mof mdisease mdetection. mIn mthis
mcase mthis mperson mmay mhave mdiabetes mmellitus. mA mshift massessment mis mmost
mappropriate mfor mthe mperson mwho mis mrecovering min mthe mhospital mfrom msurgery. mA
mcomprehensive massessment mis mperformed mduring madmission mto ma mfacility mto mobtain ma
mdetailed mhistory mand mcomplete mphysical mexamination. mAn mepisodic mor mfollow-up
massessment mis mperformed mafter mknee mreplacement mto mevaluate mthe moutcome mof mthe
mprocedure.
DIF: m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3 mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof
mCare:Establishing m Priorities
4. For m which mperson mis ma m shift m assessment m indicated?
a. The mperson mwho mhad mabdominal msurgery
yesterday
b. The mperson mwho mis munaware mof mhis mhigh
serum m glucose m levels
c. The mperson mwho mis mbeing madmitted mto ma
long-term mcare mfacility
d. The mperson mwho mis mbeginning mrehabilitation
after ma mknee mreplacement
ANSWER: mA
A mshift massessment mis mmost mappropriate mfor mthe mperson mwho mis mrecovering min mthe
mhospital mfrom msurgery. mA mscreening massessment mis mperformed mfor mthe mpurpose mof
mdisease mdetection, min mthis mcase mdiabetes mmellitus. mA mcomprehensive massessment mis
mperformed mduring madmission mto ma
Health Assessment for Nursing Practice
7th Edition by Wilson Chapter 1 - 24
,TABLE OF CONTENTS
Unit I: Foundations for Health Assessment
1. Introduction to Health Assessment
2. Interviewing Patients to Obtain a Health History
3. Techniques and Equipment for Physical Assessment
4. General Inspection and Measurement of Vital Signs
5. Ethnic, Cultural, and Spiritual Considerations
6. Pain Assessment
7. Mental Health and Abusive Behavior Assessment
8. Nutritional Assessment
Unit II: Health Assessment of the Adult
9. Skin, Hair, and Nails
10. Head, Eyes, Ears, Nose, and Throat
11. Lungs and Respiratory System
12. Heart and Peripheral Vascular System
13. Abdomen and Gastrointestinal System
14. Musculoskeletal System
15. Neurologic System
16. Breasts and Axillae
17. Reproductive System and the Perineum
Unit III: Health Assessment Across the Life Span
18. Developmental Assessment Throughout the Life Span
19. Assessment of the Infant, Child, and Adolescent
20. Assessment of the Pregnant Patient
21. Assessment of the Older Adult
Unit IV: Synthesis and Application of Health Assessment
22. Conducting a Head-to-Toe Examination
23. Documenting the Head-to-Toe Health Assessment
24. Adapting Health Assessment
Chapter 01: Introduction to Health Assessment
,MULTIPLE mCHOICE
1. A mpatient mcomes mto mthe memergency mdepartment mand mtells mthe mtriage
mnurse mthat mheis m“having ma mheart mattack.” mWhat mis mthe mnurse’s mtop mpriority mat mthis
mtime?
a. Determine mthe mpatient’s mpersonal mdata mand
minsurance mcoverage.
b. Ask mthe mpatient mto mtake ma mseat min mthe
mwaiting mroom muntil mhis mname mis mcalled.
c. Request mthat m a m nurse mcollect mdata m for
acomprehensive m history.
d. Ask ma mnurse mto mstart ma mfocused
massessment
of mthis mpatient mnow.
ANSWER: mD
The mnurse mneeds mto mbegin man massessment mas msoon mas mpossible mthat mis mfocused mon mthis
mpatient’s mcardiovascular msystem. mThe mtype mof mhealth massessment mperformed mby mthe
mnurse mis malso mdriven mby mpatient mneed. mPersonal mdata mand minsurance minformation mwill
mbe mobtained, mbut min mthis msituation, mthese mdata mcan mwait muntil mafter mthe mpatient mis
massessed. mBased malso m on m Maslow’s mhierarchy mof mneeds, mphysiologic mneeds mtake
mprecedence. mRather mthan masking mthe mpatient mto mwait, mthe mnurse mneeds mto mbegin mdata
mcollection, msuch mas mvital msigns, mimmediately mto mdetermine mthe mpatient’s mhealth mstatus.
mComplications mcan mbe mprevented mif man mimmediate massessment mis m made mto manalyze
mthe mpatient’s msymptoms. mA mcomprehensive mhistory mis mnot mindicated min mthis msituation
mat mthis mtime. mSome msubjective mdata mwill mbe mcollected, msuch mas mallergies m and mmedical
mhistory mrelated mto mcardiovascular mdisease. mEyes, mears, mor ma mcomplete
mmusculoskeletal mor mmental mhealth massessment mis mnot ma mpriority mat mthis mtime.
DIF: m Cognitive mLevel: mApply REF: mBox m1-3 m|
mp. m3 mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof
mCare:Establishing m Priorities
2. Which m situation millustrates ma m screening massessment?
a. A mpatient mvisits man mobstetric mclinic mfor mthe
mfirst
time mand mthe mnurse mconducts ma
mdetailedhistory mand mphysical
mexamination.
b. A mhospital msponsors ma mhealth mfair mat ma
localmall mand mprovides mcholesterol mand
mblood mpressure mchecks mto mmall mpatrons.
c. The mnurse min man murgent mcare mcenter
mchecks
the mvital msigns mof ma mpatient mwho mis
mcomplaining mof mleg mpain.
, d. A mpatient m newly mdiagnosed mwith
diabetesmellitus mcomes mto mtest mhis mfasting
mblood mglucose mlevel.
ANSWER: mB
A mhealth mfair mat ma mlocal mmall mthat mprovides mcholesterol mand mblood mpressure mchecks mis
man mexample mof ma mscreening massessment mfocused mon mdisease mdetection. mA mdetailed
mhistory mand mphysical mexamination mconducted mduring ma mfirst-time mvisit mto man mobstetric
mclinic mis man mexampleof ma mcomprehensive massessment. mAssessing ma mpatient
mcomplaining mof mleg mpain min mthe mtriage marea mof man murgent mcare mcenter mis man mexample
mof ma mproblem-based/focused massessment. mA mpatient’s mreturn mappointment m1 mmonth
mafter mtoday’s moffice mvisit mto mreport mfasting mblood mglucose mlevels mis man mexample mof
man mepisodic mor mfollow-up massessment.
DIF: m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3 mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient m Needs: m Health mPromotion mand mMaintenance: m Health mScreening
3. For m which mperson mis ma m screening massessment m indicated?
a. The mperson mwho mhad mabdominal msurgery
yesterday
b. The mperson mwho mis munaware mof mhis
mhigh mserum mglucose mlevels
c. The mperson mwho mis mbeing madmitted mto ma
long-term mcare mfacility
d. The mperson mwho mis mbeginning mrehabilitation
after ma mknee mreplacement
ANSWER: mB
A mscreening massessment mis mperformed mfor mthe mpurpose mof mdisease mdetection. mIn mthis
mcase mthis mperson mmay mhave mdiabetes mmellitus. mA mshift massessment mis mmost
mappropriate mfor mthe mperson mwho mis mrecovering min mthe mhospital mfrom msurgery. mA
mcomprehensive massessment mis mperformed mduring madmission mto ma mfacility mto mobtain ma
mdetailed mhistory mand mcomplete mphysical mexamination. mAn mepisodic mor mfollow-up
massessment mis mperformed mafter mknee mreplacement mto mevaluate mthe moutcome mof mthe
mprocedure.
DIF: m Cognitive mLevel: mUnderstand REF: mBox m1-3 m|
mp. m3 mTOP: mNursing mProcess: mAssessment
MSC: mNCLEX mPatient mNeeds: mSafe mand mEffective mCare mEnvironment: mManagement mof
mCare:Establishing m Priorities
4. For m which mperson mis ma m shift m assessment m indicated?
a. The mperson mwho mhad mabdominal msurgery
yesterday
b. The mperson mwho mis munaware mof mhis mhigh
serum m glucose m levels
c. The mperson mwho mis mbeing madmitted mto ma
long-term mcare mfacility
d. The mperson mwho mis mbeginning mrehabilitation
after ma mknee mreplacement
ANSWER: mA
A mshift massessment mis mmost mappropriate mfor mthe mperson mwho mis mrecovering min mthe
mhospital mfrom msurgery. mA mscreening massessment mis mperformed mfor mthe mpurpose mof
mdisease mdetection, min mthis mcase mdiabetes mmellitus. mA mcomprehensive massessment mis
mperformed mduring madmission mto ma
