TEST BANK
Nursing Health Assessment: The Foundation of Clinical Practice
3rd Edition
By Patricia M. Dillon
LU
XE
LI
BR
AR
Y
, TABLE OF CONTENT
Chapter 1: Introduction to Assessment
Chapter 2: Assessing the Integumentary System
Chapter 3: Assessing the Head, Face, and Neck
Chapter 4: Assessing the Eyes and the Ears
Chapter 5: Assessing the Respiratory System
Chapter 6: Assessing the Cardiovascular System
Chapter 7: Assessing the Peripheral-Vascular and Lymphatic Systems
Chapter 8: Assessing the Breasts
LU
Chapter 9: Assessing the Abdomen
Chapter 10: Assessing the Female Genitourinary System
Chapter 11: Assessing the Male Genitourinary System
Chapter 12: Assessing the Motor-Musculoskeletal System
XE
Chapter 13: Assessing the Sensory-Neurologic System
Chapter 14: Assessing the mother-to-Be
Chapter 15: Assessing the Newborn and Infant
Chapter 16: Assessing the Toddler and Preschooler
LI
Chapter 17: Assessing the School-Age Child and Adolescent
Chapter 18: Assessing the Older Adult
Chapter 19: Assessing the Homeless Person
BR
Chapter 20: Assessing Pain
Chapter 21: Approach to the Mental Health Assessment
Chapter 22: Assessing Nutrition
Chapter 23: Assessing Spirituality
AR
Chapter 24: Assessing Culture
Chapter 25: Assessing the Patient’s Environment
Chapter 26: Assessing Abuse
Chapter 27: Assessing the Dying Patient
Y
, LKJHGFDS
Chapter 01: The Complete Health Assessment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient?
1) Divergent thinking
2) Reasoning
3) Creativity
4) Reflection
LU
2. The primary level of preventive health care focuses on which topic?
1) Health promotion
2) Early detection
3) Promotion intervention
4) End-of-life care
XE
3. The nurse is prioritizing data collected during the health assessment. Which data is primary?
1) Pain rating of 4 on a 1 to 10 numeric scale
2) New diagnosis of type 2 diabetes mellitus (DM)
3) Blood pressure of 130/90 mmHg
4) Pulse oximetry reading of 73%
4. Which type of skill is most important when performing a physical assessment?
LI
1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
BR
5. Which activity is an example of secondary prevention?
1) Wound débridement
2) Immunization
3) Preoperative teaching
4) Long-term nasogastric feedings
6. Which assessment data is considered a symptom?
AR
1) Rapid respirations
2) Sweaty palms
3) Belching
4) Feelings of anxiety
7. Who or what is considered the primary data source for a toddler-age patient?
1) The toddler
Y
2) A parent
3) The medical record
4) Other healthcare providers
8. Which part of the assessment provides the most subjective data?
1) Health history
2) Physical assessment
3) Review of medical records
4) Medication record
LKJHGFDS
, LKJHGFDS
9. The nurse is preparing to conduct a health history for a new patient. Where would the nurse gather data for
this portion of the assessment?
1) The patient's chart
2) A physical assessment
3) Laboratory tests
4) A discussion with the patient
10. The nurse is preparing to begin a health history for a new patient. Which question is most appropriate for the
nurse to begin the process?
1) “What problem brought you here today?”
LU
2) “How old are you?”
3) “Have you had any difficulty breathing?”
4) “What childhood illnesses have you had?”
11. Which is the reason for asking the patient about family history of diseases when conducting a health history
interview?
1) To identify functional or dysfunctional family dynamics
XE
2) To identify support systems
3) To identify familial or genetically linked health disorders
4) To identify rehabilitation needs
12. Which data are part of the past health history?
1) Health beliefs
2) Surgeries
LI
3) Genetically linked diseases
4) Age of siblings
13. Which is the purpose of the nursing health history?
BR
1) To determine the patient's response to the health problem
2) To determine the extent of the health problem
3) To determine which medications are appropriate to alleviate the health problem
4) All of the above
14. Which setting is the best place to gather data for a health history?
1) Waiting room
2) Hallway
AR
3) Patient's room
4) On the way to surgery
15. The nurse is preparing to conduct a health history interview with a patient. Which is the best position for the
nurse to assume during this process?
1) Leaning over the bed
2) Standing at the bedside
Y
3) Sitting on the bed
4) Sitting on a chair at the bedside
16. The nurse is asking a patient questions about health practices and beliefs. In which portion of the health
history will the nurse document these findings?
1) Psychosocial profile
2) Current health problems
3) Past health problems
4) Developmental considerations
LKJHGFDS
Nursing Health Assessment: The Foundation of Clinical Practice
3rd Edition
By Patricia M. Dillon
LU
XE
LI
BR
AR
Y
, TABLE OF CONTENT
Chapter 1: Introduction to Assessment
Chapter 2: Assessing the Integumentary System
Chapter 3: Assessing the Head, Face, and Neck
Chapter 4: Assessing the Eyes and the Ears
Chapter 5: Assessing the Respiratory System
Chapter 6: Assessing the Cardiovascular System
Chapter 7: Assessing the Peripheral-Vascular and Lymphatic Systems
Chapter 8: Assessing the Breasts
LU
Chapter 9: Assessing the Abdomen
Chapter 10: Assessing the Female Genitourinary System
Chapter 11: Assessing the Male Genitourinary System
Chapter 12: Assessing the Motor-Musculoskeletal System
XE
Chapter 13: Assessing the Sensory-Neurologic System
Chapter 14: Assessing the mother-to-Be
Chapter 15: Assessing the Newborn and Infant
Chapter 16: Assessing the Toddler and Preschooler
LI
Chapter 17: Assessing the School-Age Child and Adolescent
Chapter 18: Assessing the Older Adult
Chapter 19: Assessing the Homeless Person
BR
Chapter 20: Assessing Pain
Chapter 21: Approach to the Mental Health Assessment
Chapter 22: Assessing Nutrition
Chapter 23: Assessing Spirituality
AR
Chapter 24: Assessing Culture
Chapter 25: Assessing the Patient’s Environment
Chapter 26: Assessing Abuse
Chapter 27: Assessing the Dying Patient
Y
, LKJHGFDS
Chapter 01: The Complete Health Assessment
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient?
1) Divergent thinking
2) Reasoning
3) Creativity
4) Reflection
LU
2. The primary level of preventive health care focuses on which topic?
1) Health promotion
2) Early detection
3) Promotion intervention
4) End-of-life care
XE
3. The nurse is prioritizing data collected during the health assessment. Which data is primary?
1) Pain rating of 4 on a 1 to 10 numeric scale
2) New diagnosis of type 2 diabetes mellitus (DM)
3) Blood pressure of 130/90 mmHg
4) Pulse oximetry reading of 73%
4. Which type of skill is most important when performing a physical assessment?
LI
1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
BR
5. Which activity is an example of secondary prevention?
1) Wound débridement
2) Immunization
3) Preoperative teaching
4) Long-term nasogastric feedings
6. Which assessment data is considered a symptom?
AR
1) Rapid respirations
2) Sweaty palms
3) Belching
4) Feelings of anxiety
7. Who or what is considered the primary data source for a toddler-age patient?
1) The toddler
Y
2) A parent
3) The medical record
4) Other healthcare providers
8. Which part of the assessment provides the most subjective data?
1) Health history
2) Physical assessment
3) Review of medical records
4) Medication record
LKJHGFDS
, LKJHGFDS
9. The nurse is preparing to conduct a health history for a new patient. Where would the nurse gather data for
this portion of the assessment?
1) The patient's chart
2) A physical assessment
3) Laboratory tests
4) A discussion with the patient
10. The nurse is preparing to begin a health history for a new patient. Which question is most appropriate for the
nurse to begin the process?
1) “What problem brought you here today?”
LU
2) “How old are you?”
3) “Have you had any difficulty breathing?”
4) “What childhood illnesses have you had?”
11. Which is the reason for asking the patient about family history of diseases when conducting a health history
interview?
1) To identify functional or dysfunctional family dynamics
XE
2) To identify support systems
3) To identify familial or genetically linked health disorders
4) To identify rehabilitation needs
12. Which data are part of the past health history?
1) Health beliefs
2) Surgeries
LI
3) Genetically linked diseases
4) Age of siblings
13. Which is the purpose of the nursing health history?
BR
1) To determine the patient's response to the health problem
2) To determine the extent of the health problem
3) To determine which medications are appropriate to alleviate the health problem
4) All of the above
14. Which setting is the best place to gather data for a health history?
1) Waiting room
2) Hallway
AR
3) Patient's room
4) On the way to surgery
15. The nurse is preparing to conduct a health history interview with a patient. Which is the best position for the
nurse to assume during this process?
1) Leaning over the bed
2) Standing at the bedside
Y
3) Sitting on the bed
4) Sitting on a chair at the bedside
16. The nurse is asking a patient questions about health practices and beliefs. In which portion of the health
history will the nurse document these findings?
1) Psychosocial profile
2) Current health problems
3) Past health problems
4) Developmental considerations
LKJHGFDS
