Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
TEST BANK
Essential Health Assessment
Janice Thompson
2nd Edition
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Table of Contents
Chapter 1. Understanding Health Assessment
Chapter 2. Interviewing the Patient for a Health History
Chapter 3. Taking the Health History
Chapter 4. Assessing Nutrition and Anthropometric Measurements
Chapter 5. Assessment Techniques
Chapter 6. General Survey and Assessing Vital Signs
Chapter 7. Assessing Pain
Chapter 8. Assessing the Skin, Hair, and Nails
Chapter 9. Assessing the Head, Face, Mouth, and Neck
Chapter 10. Assessing the Ears
Chapter 11. Assessing the Eyes
Chapter 12. Assessing the Respiratory System
Chapter 13. Assessing the Cardiovascular System
Chapter 14. Assessing the Abdomen
Chapter 15. Assessing the Peripheral Vascular System and Regional Lymphatic System
Chapter 16. Assessing the Musculoskeletal System
Chapter 17. Assessing the Neurological System
Chapter 18. Assessing the Female Breasts, Axillae, and Reproductive System
Chapter 19. Assessing the Male Breasts and Reproductive System
Chapter 20. Assessing the Anus and Rectum
Chapter 21. Assessing the Newborn
Chapter 22. Assessing the Child and Adolescent
Chapter 23. Assessment of the Pregnant Woman
Chapter 24. Assessing the Older Adult
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Chapter 1. Understanding Health Assessment
Question 1
Type: MCSA
The nurse is obtaining a health history from a client who reports that he is healthy and has no
health concerns. As part of the health history, the nurse documents that the client reported that he
has high blood pressure and suffers from a leg ulcer that remains unhealed after 6 months. Which
of the following statements would be the best choice for the nurse to use at this point in the
interview?
1. I feel that you may be in denial about your health status.
2. Tell me about your definition of being healthy.
3. Do you understand what hypertension is?
4. Is there anything else you are not telling me?
Correct Answer: 2
Rationale 1: More information would be needed before the nurse could attribute the clients
viewpoint as denial or lack of knowledge.
Rationale 2: A client will have his or her own definition of health, illness, and wellness. The
individuals concept of health and wellness is influenced by many factors, including age, gender,
race, family, culture, religion, socioeconomic conditions, environment, previous experiences, and
self-expectations.
Rationale 3: The clients history of hypertension is a valid area requiring further investigation but
the nurse must first ascertain the clients definition of healthy.
Rationale 4: There is not enough information to determine the clients withholding of
information to the nurse.
Global Rationale: A client will have his or her own definition of health, illness, and wellness.
The individuals concept of health and wellness is influenced by many factors, including age,
gender, race, family, culture, religion, socioeconomic conditions, environment, previous
experiences, and self-expectations. More information would be needed before the nurse could
attribute the clients viewpoint as denial or lack of knowledge. The clients history of hypertension
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
is a valid area requiring further investigation but the nurse must first ascertain the clients
definition of healthy. There is also not enough information to determine the clients withholding of
information to the nurse.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.4: Identify the factors to consider in health assessment
Question 2
Type: MCSA
The nurse is documenting in the clients medical record and wishes to use SOAP charting. The
nurse includes which of the following under the assessment category?
1. The clients blood pressure was 177/93.
2. The recent loss of employment and insurance have prevented the client from being able to
afford prescription medications.
3. The client reports having lost her job and insurance 3 months ago.
4. Referrals have been made to social services to determine financial assistance programs
available.
Correct Answer: 2
Rationale 1: This is the O component, objective data.
Rationale 2: The A component of the SOAP note refers to conclusions drawn from the
subjective and objective data obtained.
Rationale 3: This is subjective data.
Rationale 4: This is the P component, plan.
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Global Rationale: The A component of the SOAP note refers to conclusions drawn from the
subjective and objective data obtained. The clients recent loss of employment and the potential that
this was a contributing factor in the inability to afford medications is an example of a conclusion.
The clients reported blood pressure would be an example of objective data. Objective data is
information that can be measured by the examiner. Blood pressure is not an example of subjective
information nor is it a conclusion. The clients reported loss of employment and insurance is an
example of subjective data. The statement does not include conclusions as to the results of these
events. Making referrals to social services is an example of an intervention. It is not a conclusion.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub: Nursing/Integrated Concepts: Nursing Process:
Assessment
Learning Outcome: 1.4: Identify the factors to consider in health assessment.
Question 3
Type: MCSA
The nurse is presenting a workshop on wellness and health promotion and the initiatives of
Healthy People 2020 as a resource for this topic. After the session, which of the following
statements by a participant indicates an understanding concerning the initiatives proposed?
1. It will allow health care providers to lobby legislators for more funding.
2. The primary goal of Healthy People 2020 is to assist health care providers in determining risk
factors for premature birth.
3. Healthy People 2020 seeks to promotes health, prevent illness, disability, and premature death.
4. The initiatives will outline standards of care for providers in managing diseases.
Correct Answer: 3
Rationale 1: Health care providers and other persons interested in programs to promote health
have found the document to be a useful source of information in their efforts to gain funding.
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Rationale 2: The Healthy People 2020 initiative is a 10-year strategy intended to promote
health, prevent illness, disability, and premature death. The document identifies leading health
indicators that reflect public health concerns. Risk factors for premature birth may be part of
those health indicators, but the scope of the document covers broad areas of concern.
Rationale 3: The Healthy People 2020 initiative is a 10-year strategy intended to promote
health, prevent illness, disability, and premature death.
Rationale 4: Standards of care in disease management is not a component of the document.
Global Rationale: The Healthy People 2020 initiative is a 10-year strategy intended to promote
health, prevent illness, disability, and premature death. The document identifies leading health
indicators that reflect public health concerns. Risk factors for premature birth may be part of those
health indicators, but the scope of the document covers broad areas of concern. Health care
providers and other persons interested in programs to promote health have found the document to
be a useful source of information in their efforts to gain funding. Standards of care in disease
management is not a component of the document.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.2: Discuss the importance of Healthy People 2020 and its relevance to
health assessment.
Question 4
Type: MCSA
The nurse is developing a handout for clients in a healthcare providers office. The nurse would
include which of the following focus areas in this handout to emphasize current changes in the
health care delivery system?
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
1. Class recommendations for diabetics concerning insulin administration A2.Guidelines from
the Centers for Disease Control outlining plans to manage outbreaks of disease, eradicating the
use of toxins
2. Guidelines from the Centers for Disease Control outlining plans to manage outbreaks of
disease, eradicating the use of toxins
3. Resources available to treat chronic pain
4. Class listings for exercise classes available in the community Correct Answer:
4
Rationale 1: Symptom management, illness care, and pain management are addressed by the
health care delivery system but are not the primary focus, as clients are taking a more active role
in managing their own care.
Rationale 2: Management of outbreaks of disease is a function of governmental organizations
and health care providers in the community, but is not a focus of individual care.
Rationale 3: Symptom management, illness care, and pain management are addressed by the
health care delivery system but are not the primary focus, as clients are taking a more active role
in managing their own care.
Rationale 4: The focus of health care in the United States today is wellness, prevention of
disease, health promotion and health maintenance, for which a listing of exercise classes is
appropriate.
Global Rationale: The focus of health care in the United States today is wellness, prevention of
disease, health promotion, and health maintenance, for which a listing of exercise classes is
appropriate. Symptom management, illness care, and pain management are addressed by the
health care delivery system but are not the primary focus, as clients are taking a more active role
in managing their own care. Management of outbreaks of disease is a function of governmental
organizations and health care providers in the community, but is not a focus of individual care.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.8: Discuss the elements of a teaching plan. Question 5
Type: MCSA
The nurse is admitting a client to the acute care facility. The health history form has a place for
recording subjective data. The nurse understands that primary subjective data should be obtained
from which of the following sources?
1. The clients physical assessment
2. The clients self-reports
3. The clients healthcare provider
4. The clients significant other
Correct Answer: 2
Rationale 1: The physical assessment will be recorded as objective data.
Rationale 2: Subjective data are gathered from the interview. The interview includes the health
history and focused interview. Data will come from primary and secondary sources.
Rationale 3: The clients healthcare provider and significant other may contribute in the data
collection process. The information obtained from friends and family members is considered
subjective. This source of information is termed secondary.
Rationale 4: The clients significant other may contribute in the data collection process but that
input is classified as subjective.
Global Rationale: Subjective data are gathered from the interview. The interview includes the
health history and focused interview. Data will come from primary and secondary sources. The
client is considered the primary source of subjective information. Family members and
healthcare providers are examples of secondary sources of subjective information. The physical
assessment will be recorded as objective data.
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.7: Describe the role of the professional nurse in health assessment.
Question 6
Type: MCSA
The nurse is reviewing a clients medical records and notes various forms of information. The
nurse understands that which of the following are subjective data?
1. The client states, My abdomen hurts on the left side after eating.
2. The nurse notes the clients abdomen is tender on the left side during palpation.
3. The CAT scan reveals a large mass in the left lower quadrant of the abdomen.
4. The clients hemoglobin is 14.1 gm/dL.
Correct Answer: 1
Rationale 1: Subjective reports by the client are those feelings or symptoms that cannot be
observed by others, of which My abdomen hurts is an example.
Rationale 2: Physical examination findings, laboratory analysis reports and radiographic
findings are objective data.
Rationale 3: Physical examination findings, laboratory analysis reports and radiographic
findings are objective data.
Rationale 4: Physical examination findings, laboratory analysis reports and radiographic
findings are objective data.
Global Rationale: Subjective reports by the client are those feelings or symptoms that cannot be
observed by others. Objective reports are those factors that are based upon observations of
others. Physical examination findings, laboratory analysis reports, and radiographic findings are
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
objective data.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.4: Identify the factors to consider in health assessment.
Question 7
Type: MCSA
The nurse is reviewing a clients medical records and notes various information. The nurse
understands that which of the following is an example of objective data?
1. I hurt my head.
2. I am 6 years old and Im here because I fell.
3. Six-year-old Hispanic female sitting on examination table holding a towel to her forehead.
4. Client states that she fell at the playground.
Correct Answer: 3
Rationale 1: Statements the client makes are subjective data.
Rationale 2: Statements the client makes are subjective data.
Rationale 3: Objective data are data that can be observed or measured by the nurse. The nurse
can see the child holding the towel to her head and can use her birth date to determine her age.
Rationale 4: Statements the client makes are subjective data.
Global Rationale: Objective data are data that can be observed or measured by the nurse. The
nurse can see the child holding the towel to her head and can use her birth date to determine her
age. Statements the client makes are subjective data.
Cognitive Level: Applying
TEST BANK
Essential Health Assessment
Janice Thompson
2nd Edition
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Table of Contents
Chapter 1. Understanding Health Assessment
Chapter 2. Interviewing the Patient for a Health History
Chapter 3. Taking the Health History
Chapter 4. Assessing Nutrition and Anthropometric Measurements
Chapter 5. Assessment Techniques
Chapter 6. General Survey and Assessing Vital Signs
Chapter 7. Assessing Pain
Chapter 8. Assessing the Skin, Hair, and Nails
Chapter 9. Assessing the Head, Face, Mouth, and Neck
Chapter 10. Assessing the Ears
Chapter 11. Assessing the Eyes
Chapter 12. Assessing the Respiratory System
Chapter 13. Assessing the Cardiovascular System
Chapter 14. Assessing the Abdomen
Chapter 15. Assessing the Peripheral Vascular System and Regional Lymphatic System
Chapter 16. Assessing the Musculoskeletal System
Chapter 17. Assessing the Neurological System
Chapter 18. Assessing the Female Breasts, Axillae, and Reproductive System
Chapter 19. Assessing the Male Breasts and Reproductive System
Chapter 20. Assessing the Anus and Rectum
Chapter 21. Assessing the Newborn
Chapter 22. Assessing the Child and Adolescent
Chapter 23. Assessment of the Pregnant Woman
Chapter 24. Assessing the Older Adult
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Chapter 1. Understanding Health Assessment
Question 1
Type: MCSA
The nurse is obtaining a health history from a client who reports that he is healthy and has no
health concerns. As part of the health history, the nurse documents that the client reported that he
has high blood pressure and suffers from a leg ulcer that remains unhealed after 6 months. Which
of the following statements would be the best choice for the nurse to use at this point in the
interview?
1. I feel that you may be in denial about your health status.
2. Tell me about your definition of being healthy.
3. Do you understand what hypertension is?
4. Is there anything else you are not telling me?
Correct Answer: 2
Rationale 1: More information would be needed before the nurse could attribute the clients
viewpoint as denial or lack of knowledge.
Rationale 2: A client will have his or her own definition of health, illness, and wellness. The
individuals concept of health and wellness is influenced by many factors, including age, gender,
race, family, culture, religion, socioeconomic conditions, environment, previous experiences, and
self-expectations.
Rationale 3: The clients history of hypertension is a valid area requiring further investigation but
the nurse must first ascertain the clients definition of healthy.
Rationale 4: There is not enough information to determine the clients withholding of
information to the nurse.
Global Rationale: A client will have his or her own definition of health, illness, and wellness.
The individuals concept of health and wellness is influenced by many factors, including age,
gender, race, family, culture, religion, socioeconomic conditions, environment, previous
experiences, and self-expectations. More information would be needed before the nurse could
attribute the clients viewpoint as denial or lack of knowledge. The clients history of hypertension
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
is a valid area requiring further investigation but the nurse must first ascertain the clients
definition of healthy. There is also not enough information to determine the clients withholding of
information to the nurse.
Cognitive Level: Analyzing
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.4: Identify the factors to consider in health assessment
Question 2
Type: MCSA
The nurse is documenting in the clients medical record and wishes to use SOAP charting. The
nurse includes which of the following under the assessment category?
1. The clients blood pressure was 177/93.
2. The recent loss of employment and insurance have prevented the client from being able to
afford prescription medications.
3. The client reports having lost her job and insurance 3 months ago.
4. Referrals have been made to social services to determine financial assistance programs
available.
Correct Answer: 2
Rationale 1: This is the O component, objective data.
Rationale 2: The A component of the SOAP note refers to conclusions drawn from the
subjective and objective data obtained.
Rationale 3: This is subjective data.
Rationale 4: This is the P component, plan.
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Global Rationale: The A component of the SOAP note refers to conclusions drawn from the
subjective and objective data obtained. The clients recent loss of employment and the potential that
this was a contributing factor in the inability to afford medications is an example of a conclusion.
The clients reported blood pressure would be an example of objective data. Objective data is
information that can be measured by the examiner. Blood pressure is not an example of subjective
information nor is it a conclusion. The clients reported loss of employment and insurance is an
example of subjective data. The statement does not include conclusions as to the results of these
events. Making referrals to social services is an example of an intervention. It is not a conclusion.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub: Nursing/Integrated Concepts: Nursing Process:
Assessment
Learning Outcome: 1.4: Identify the factors to consider in health assessment.
Question 3
Type: MCSA
The nurse is presenting a workshop on wellness and health promotion and the initiatives of
Healthy People 2020 as a resource for this topic. After the session, which of the following
statements by a participant indicates an understanding concerning the initiatives proposed?
1. It will allow health care providers to lobby legislators for more funding.
2. The primary goal of Healthy People 2020 is to assist health care providers in determining risk
factors for premature birth.
3. Healthy People 2020 seeks to promotes health, prevent illness, disability, and premature death.
4. The initiatives will outline standards of care for providers in managing diseases.
Correct Answer: 3
Rationale 1: Health care providers and other persons interested in programs to promote health
have found the document to be a useful source of information in their efforts to gain funding.
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Rationale 2: The Healthy People 2020 initiative is a 10-year strategy intended to promote
health, prevent illness, disability, and premature death. The document identifies leading health
indicators that reflect public health concerns. Risk factors for premature birth may be part of
those health indicators, but the scope of the document covers broad areas of concern.
Rationale 3: The Healthy People 2020 initiative is a 10-year strategy intended to promote
health, prevent illness, disability, and premature death.
Rationale 4: Standards of care in disease management is not a component of the document.
Global Rationale: The Healthy People 2020 initiative is a 10-year strategy intended to promote
health, prevent illness, disability, and premature death. The document identifies leading health
indicators that reflect public health concerns. Risk factors for premature birth may be part of those
health indicators, but the scope of the document covers broad areas of concern. Health care
providers and other persons interested in programs to promote health have found the document to
be a useful source of information in their efforts to gain funding. Standards of care in disease
management is not a component of the document.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.2: Discuss the importance of Healthy People 2020 and its relevance to
health assessment.
Question 4
Type: MCSA
The nurse is developing a handout for clients in a healthcare providers office. The nurse would
include which of the following focus areas in this handout to emphasize current changes in the
health care delivery system?
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
1. Class recommendations for diabetics concerning insulin administration A2.Guidelines from
the Centers for Disease Control outlining plans to manage outbreaks of disease, eradicating the
use of toxins
2. Guidelines from the Centers for Disease Control outlining plans to manage outbreaks of
disease, eradicating the use of toxins
3. Resources available to treat chronic pain
4. Class listings for exercise classes available in the community Correct Answer:
4
Rationale 1: Symptom management, illness care, and pain management are addressed by the
health care delivery system but are not the primary focus, as clients are taking a more active role
in managing their own care.
Rationale 2: Management of outbreaks of disease is a function of governmental organizations
and health care providers in the community, but is not a focus of individual care.
Rationale 3: Symptom management, illness care, and pain management are addressed by the
health care delivery system but are not the primary focus, as clients are taking a more active role
in managing their own care.
Rationale 4: The focus of health care in the United States today is wellness, prevention of
disease, health promotion and health maintenance, for which a listing of exercise classes is
appropriate.
Global Rationale: The focus of health care in the United States today is wellness, prevention of
disease, health promotion, and health maintenance, for which a listing of exercise classes is
appropriate. Symptom management, illness care, and pain management are addressed by the
health care delivery system but are not the primary focus, as clients are taking a more active role
in managing their own care. Management of outbreaks of disease is a function of governmental
organizations and health care providers in the community, but is not a focus of individual care.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 1.8: Discuss the elements of a teaching plan. Question 5
Type: MCSA
The nurse is admitting a client to the acute care facility. The health history form has a place for
recording subjective data. The nurse understands that primary subjective data should be obtained
from which of the following sources?
1. The clients physical assessment
2. The clients self-reports
3. The clients healthcare provider
4. The clients significant other
Correct Answer: 2
Rationale 1: The physical assessment will be recorded as objective data.
Rationale 2: Subjective data are gathered from the interview. The interview includes the health
history and focused interview. Data will come from primary and secondary sources.
Rationale 3: The clients healthcare provider and significant other may contribute in the data
collection process. The information obtained from friends and family members is considered
subjective. This source of information is termed secondary.
Rationale 4: The clients significant other may contribute in the data collection process but that
input is classified as subjective.
Global Rationale: Subjective data are gathered from the interview. The interview includes the
health history and focused interview. Data will come from primary and secondary sources. The
client is considered the primary source of subjective information. Family members and
healthcare providers are examples of secondary sources of subjective information. The physical
assessment will be recorded as objective data.
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
Cognitive Level: Understanding
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.7: Describe the role of the professional nurse in health assessment.
Question 6
Type: MCSA
The nurse is reviewing a clients medical records and notes various forms of information. The
nurse understands that which of the following are subjective data?
1. The client states, My abdomen hurts on the left side after eating.
2. The nurse notes the clients abdomen is tender on the left side during palpation.
3. The CAT scan reveals a large mass in the left lower quadrant of the abdomen.
4. The clients hemoglobin is 14.1 gm/dL.
Correct Answer: 1
Rationale 1: Subjective reports by the client are those feelings or symptoms that cannot be
observed by others, of which My abdomen hurts is an example.
Rationale 2: Physical examination findings, laboratory analysis reports and radiographic
findings are objective data.
Rationale 3: Physical examination findings, laboratory analysis reports and radiographic
findings are objective data.
Rationale 4: Physical examination findings, laboratory analysis reports and radiographic
findings are objective data.
Global Rationale: Subjective reports by the client are those feelings or symptoms that cannot be
observed by others. Objective reports are those factors that are based upon observations of
others. Physical examination findings, laboratory analysis reports, and radiographic findings are
, Test Bank - Essential Health Assessment 2nd Edition (Thompson, 2023)
objective data.
Cognitive Level: Applying
Client Need: Health Promotion and Maintenance
Client Need Sub:
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 1.4: Identify the factors to consider in health assessment.
Question 7
Type: MCSA
The nurse is reviewing a clients medical records and notes various information. The nurse
understands that which of the following is an example of objective data?
1. I hurt my head.
2. I am 6 years old and Im here because I fell.
3. Six-year-old Hispanic female sitting on examination table holding a towel to her forehead.
4. Client states that she fell at the playground.
Correct Answer: 3
Rationale 1: Statements the client makes are subjective data.
Rationale 2: Statements the client makes are subjective data.
Rationale 3: Objective data are data that can be observed or measured by the nurse. The nurse
can see the child holding the towel to her head and can use her birth date to determine her age.
Rationale 4: Statements the client makes are subjective data.
Global Rationale: Objective data are data that can be observed or measured by the nurse. The
nurse can see the child holding the towel to her head and can use her birth date to determine her
age. Statements the client makes are subjective data.
Cognitive Level: Applying
