COMPLETE TEST BANK
Health Assessment for Nursing Practice by Susan Fickertt Wilson
PhD RN Jean Foret Giddens PhD RN FAAN ANEF (2025) || LATEST
EDITION||ACCURATE ANSWERS
8th Edition
,Table of Contents
Unit I. Foundations For Health Assessment ........................... 4
Chapter 01: Introduction To Health Assessment ................................................. 4
Chapter 02: Obtaining A Health History ............................................................ 13
Chapter 03: Techniques And Equipment For Physical Assessment .................... 33
Chapter 04: General Inspection And Measurement Of Vital Signs .................... 51
Chapter 05: Ethnic, Cultural, And Spiritual Considerations ............................... 61
Chapter 06: Pain Assessment ............................................................................ 72
Chapter 07: Mental Health Assessment ............................................................ 82
Chapter 08: Nutritional Assessment ................................................................. 94
Unit Ii. Health Assessment Of The Adult ............................ 105
Chapter 09: Skin, Hair, And Nails..................................................................... 106
Chapter 10: Head, Eyes, Ears, Nose, And Throat ............................................. 124
Chapter 11: Lungs And Respiratory System ..................................................... 167
Chapter 12: Heart And Peripheral Vascular System......................................... 186
Chapter 13: Abdomen And Gastrointestinal System ....................................... 205
Chapter 14: Musculoskeletal System .............................................................. 228
Chapter 15: Neurologic System ....................................................................... 245
Chapter 16: Breasts And Axillae ...................................................................... 265
Chapter 17: Reproductive System And The Perineum ..................................... 279
Unit Iii. Health Assessment Across The Life Span ............................................ 301
Chapter 18: Developmental Assessment Throughout The Life Span ............... 301
Chapter 19: Assessment Of The Infant, Child, And Adolescent ....................... 312
Chapter 20: Assessment Of The Pregnant Patient ........................................... 337
Chapter 21: Assessment Of The Older Adult ................................................... 353
Unit Iv. Synthesis And Application Of Health Assessment 365
,Chapter 22: Conducting A Head-To-Toe Examination ...................................... 365
Chapter 23: Documenting The Comprehensive Health Assessment ................ 369
Chapter 24: Adapting Health Assessment To The Hospitalized Patient ........... 373
, unit i. Foundations for health assessment
Chapter 01: introduction to health assessment
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.
Accurate Answer : 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 | p. 3 top: nursing process: assessment
Msc: nclex patient needs: safe and effective care environment: management of care:
establishing priorities
Health Assessment for Nursing Practice by Susan Fickertt Wilson
PhD RN Jean Foret Giddens PhD RN FAAN ANEF (2025) || LATEST
EDITION||ACCURATE ANSWERS
8th Edition
,Table of Contents
Unit I. Foundations For Health Assessment ........................... 4
Chapter 01: Introduction To Health Assessment ................................................. 4
Chapter 02: Obtaining A Health History ............................................................ 13
Chapter 03: Techniques And Equipment For Physical Assessment .................... 33
Chapter 04: General Inspection And Measurement Of Vital Signs .................... 51
Chapter 05: Ethnic, Cultural, And Spiritual Considerations ............................... 61
Chapter 06: Pain Assessment ............................................................................ 72
Chapter 07: Mental Health Assessment ............................................................ 82
Chapter 08: Nutritional Assessment ................................................................. 94
Unit Ii. Health Assessment Of The Adult ............................ 105
Chapter 09: Skin, Hair, And Nails..................................................................... 106
Chapter 10: Head, Eyes, Ears, Nose, And Throat ............................................. 124
Chapter 11: Lungs And Respiratory System ..................................................... 167
Chapter 12: Heart And Peripheral Vascular System......................................... 186
Chapter 13: Abdomen And Gastrointestinal System ....................................... 205
Chapter 14: Musculoskeletal System .............................................................. 228
Chapter 15: Neurologic System ....................................................................... 245
Chapter 16: Breasts And Axillae ...................................................................... 265
Chapter 17: Reproductive System And The Perineum ..................................... 279
Unit Iii. Health Assessment Across The Life Span ............................................ 301
Chapter 18: Developmental Assessment Throughout The Life Span ............... 301
Chapter 19: Assessment Of The Infant, Child, And Adolescent ....................... 312
Chapter 20: Assessment Of The Pregnant Patient ........................................... 337
Chapter 21: Assessment Of The Older Adult ................................................... 353
Unit Iv. Synthesis And Application Of Health Assessment 365
,Chapter 22: Conducting A Head-To-Toe Examination ...................................... 365
Chapter 23: Documenting The Comprehensive Health Assessment ................ 369
Chapter 24: Adapting Health Assessment To The Hospitalized Patient ........... 373
, unit i. Foundations for health assessment
Chapter 01: introduction to health assessment
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.
Accurate Answer : 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 | p. 3 top: nursing process: assessment
Msc: nclex patient needs: safe and effective care environment: management of care:
establishing priorities
