,TableofContents
Chapter 01 Understanding Health Assessment _____________________________________________________ 1
b3 b3 b3 v#
Chapter 02 Interviewing the Patient forthe Health History
b3 b3 b3 b3 b3 b3 b3
11 Chapter 03 Taking the Health History _________________________________________ 40
b 3 b3 b3 v# b3 b3
Chapter 04 Assessing Nutrition and Anthropometric Measurements
b3 b3 b3 b3 b3 61 b3
Chapter 05 Assessment Techniques _____________________________________________________________ 88
b3 b3 b3
Chapter 06 General Survey and Assessing Vital Signs
b3 b3 b3 b3 b3 b3 b3
99 Chapter 07 Assessing Pain __________________ 128 b3 b3 b3 b3
Chapter 08 Assessing the Skin, Hair, and Nails ____________________________________________________ 149
b3 v# b3 v# b3 v# v#
Chapter 09 Assessing the Head,Face, Mouth, and Neck
b3 b3 v# b3 b3 b3 b3
188 Chapter 10 Assessing the Ears ______________________________________________ 229
b3 b3 b3 b3 b3
Chapter 11 Assessing the Eyes ________________________________________________________________ 250
b3 b3 b3 b3
Chapter 12 Assessing the Respiratory System
b3 b3 v# b3 b3 281
Chapter 13 Assessing the Cardiovascular System
b3 b3 b3 v# 308 b3
Chapter 14 Assessing the Abdomen
b3 v# v# v# 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
b 3 b3 b 3 b3 b3 363 b 3 b3 b3 b3 b3
Chapter 16 Assessing the Musculoskeletal System
b3 v# b3 v# 391 b3
Chapter 17 Assessing the Neurological System
b3 b3 b3 v# 417
b3
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
b3 v# v# b3 b3 451 b3 b3 b3 b3
Chapter 19 Assessing the Male Breasts and Reproductive System
b3 b3 v# b3 b3 477
b3 b3 b3
Chapter 20 Assessing the Anus and Rectum
b3 v# v# b3 b3 b3 501
Chapter 21 Assessing the Newborn
b3 b3 bb 3 b3 517
Chapter 22 Assessing the Child and Adolescent
b3 v# v# v# b3 v# 555
Chapter 23 Assessing the Pregnant Woman
b3 b3 v# b3 b3 583
Chapter 24 Assessing the Older Adult
b3 b3 b3 b3 b3 612
, Testb 3 Bankb 3 -
Chapter1:Understanding Health Assessment v# v#
1. The World Health Organization (WHO) established a global strategy called “Health for All.
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
” The goal for this strategy is:
b3 b 3 b3 b3 v# b3
1. All individuals to get thesame health care throughout their lifespans.
b3 v# v# v# b3 b3 b3 b3 b3
2. The government to supply money to care for all the people in the world.
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
3. Resources for health careto be evenlydistributed andaccessible.
v# b3 b3 b3 v# b3 b3
4. Health-care providers can never deny patients health care.
b3 b3 b3 b3 b3 b3 b3
ANS: 3 b3
Page: 1 b3
Feedback
1. This isincorrect.“Health forAll”does not meanthat all individuals get thesame
b3 b3 b3 b3 v# b3 b3 b3 b3 b3
he
alth care throughout their life spans.
b3 b3 b3 b3 b3
2. This is incorrect. “Health forAll” does not mean thegovernment will supply money
b3 v# b3 v# b3 b3 b3 b3 v# b3 b3
to
care for all the people in the world.
b3 b3 b3 b3 b3 b3 b3 b3
3. This is correct. “Healthfor All” means that resources forhealth care are evenly dis tribu ted
b3 b3 b3 b3 b3 v# b3 v# v# b3 b 3 b3 b3 v#
and accessible toeveryone.
v# b3
4. This is incorrect. “Health forAll” does not mean that health-
b3 v# b3 b3 b3 b3 b3 b3 b3
care providers can deny patients health care.
b3 b3 b3 b3 b3 b3
2. Health assessment is a foundational and priority nursing skill. This essential skill require
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
s registered nurses (RNs) to:
b3 v# b3 b3
1. Diagnose and treat patients. b3 b3 b3
2. Identifynormal and abnormal findings. b3 v# v#
3. Referpatients withabnormalfindings. v# b3
4. Counselpatients withpsychosocial needs. v# b3 v#
ANS: 2 b3
Page: 5-6b3
Feedback
1. This is incorrect. The roleof the RN is not to diagnoseand treat patients.
b3 b3 b3 b3 b3 b3 b3 v# v# b3 b3 v#
2. This is correct. Assessing patients and being ableto identifynormalfrom abnormal
v# v# b3 v# b3 v# v# b3 v#
fin
dings is an essential role of the RN.
b3 b3 b3 b3 b3 b3 b3
3. This is incorrect.RNs in collaboration with thehealth-
v# v# b3 v# v# v# v#
careproviders do refer patients. This is not the essential and foundational role i
v# b3 v# b3 b3 v# v# b3 b3 v# b3 b3
4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational
b3 b3 b3 b3 b3 b3 b3 b3 b3 v# b3 v#
ro
le in health assessment.
b3 b3 b3
3
| P a g
b3 b3 b3 b3 b3
e
, Testb 3 Bankb 3 -
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
v# b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
presence outside his door because the patient is a known drug dealer in the community. You know
b3 b3 v# b3 b3 b3 v# b3 b3 v# v# b3 v# b3 b3 b3 b
3that nurses must treat all patients as persons. This is called:
b3 b3 v# b3 b3 b3 v# b3 v# b3
1. Caring.
2. Holisticprocess.
3. Person-centered care (PCC). v# b3
4. Standards of care. v# v#
ANS: 3 b3
Page: 2 b3
Feedback
1. This is incorrect. Caring is displaying a concern for patients.
b3 b3 b3 b3 b3 b3 b3 b3 b3
2. This isincorrect. The holistic caring process is a relational process; the nurse coll aborate
b3 b3 b3 bn b3 b3 b3 v# b3 b3 b3 b 3 b3
s with the individual to pursue goals for health and well-being.
b3 b3 v# b3 b3 b3 b3 v# b3 b3 v#
3. This iscorrect. Thenew movement in healthcare is person-
b3 b3 b3 b3 b3 b3 b3
centeredcare (PCC), which emphasizes the intrinsic value of treating all patients as
v# v# v# b3 v# v# v# v# b3 b3
4. This isincorrect.Standardsofcareidentifystandards ofprofessional nursing
v# v# b3
pr
actice.
4. Thescience-
b3
based framework updated every 10years by the U.S. Department ofHealth and
v# v# b3 b3 b3 b3 b3 v# v# b3 b3 v# b 3 Human Services that h b3 b3 b3
as set national goals and objectives for health promotion and disease
b3 b3 b3 b3 v# b3 b3 b3 v# b3 v# prevention is: b3
1. HealthyPeople.
2. HealthyPeople 2020. v#
3. U.S. Preventive Task Force.
b3 b3 bn
4. World Health Organization.
v# v#
ANS: 2 b3
Page: 2 b3
Feedback
1. This is incorrect. Healthy Peopleis the general title for the nation’s federal initiative.
b3 v# b3 b3 b3 v# b3 b3 b3 b3 b3 b3
2. This is correct. HealthyPeople2020specifically identifies science-
b3 b3 b3 b3 b3
based, national goalsandobjectiveswith10-
b3 b 3
yeartargets designed to guide nationalhealthpromotion v# b3 v# b3
and disease prevention efforts t o imp v# b3 b3 b3 b3 b3
r ove the health of all people in the United
b3 b3 b3 States. b3 b3 b3 b3 b3 b3
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence
b3 b3 b3 b3 b3 b3 b3 v# b3 b3 b3 b3 v#
-
based medicine to improve the health of all Americans by making evidence-
b3 b3 b3 b3 b3 v# b3 b3 b3 b3 b3
based
recommendationsabout clinicalpreventiveservicessuchasscreenings,counselin g ser b3 v# v# b3 b3
vices, and preventive medications. b3 b3 v#
4. This is incorrect. The World Health Organization is aspecialized agency of the
b3 b3 b3 b3 b3 b3 b3 b3 v# b3 b3
U
nited Nations working to improvethehealth of the world’s people.
b3 b3 b3 b3 b3 b3 b3 v# b3
4
| P a g
b3 b3 b3 b3 b3
e
Chapter 01 Understanding Health Assessment _____________________________________________________ 1
b3 b3 b3 v#
Chapter 02 Interviewing the Patient forthe Health History
b3 b3 b3 b3 b3 b3 b3
11 Chapter 03 Taking the Health History _________________________________________ 40
b 3 b3 b3 v# b3 b3
Chapter 04 Assessing Nutrition and Anthropometric Measurements
b3 b3 b3 b3 b3 61 b3
Chapter 05 Assessment Techniques _____________________________________________________________ 88
b3 b3 b3
Chapter 06 General Survey and Assessing Vital Signs
b3 b3 b3 b3 b3 b3 b3
99 Chapter 07 Assessing Pain __________________ 128 b3 b3 b3 b3
Chapter 08 Assessing the Skin, Hair, and Nails ____________________________________________________ 149
b3 v# b3 v# b3 v# v#
Chapter 09 Assessing the Head,Face, Mouth, and Neck
b3 b3 v# b3 b3 b3 b3
188 Chapter 10 Assessing the Ears ______________________________________________ 229
b3 b3 b3 b3 b3
Chapter 11 Assessing the Eyes ________________________________________________________________ 250
b3 b3 b3 b3
Chapter 12 Assessing the Respiratory System
b3 b3 v# b3 b3 281
Chapter 13 Assessing the Cardiovascular System
b3 b3 b3 v# 308 b3
Chapter 14 Assessing the Abdomen
b3 v# v# v# 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
b 3 b3 b 3 b3 b3 363 b 3 b3 b3 b3 b3
Chapter 16 Assessing the Musculoskeletal System
b3 v# b3 v# 391 b3
Chapter 17 Assessing the Neurological System
b3 b3 b3 v# 417
b3
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
b3 v# v# b3 b3 451 b3 b3 b3 b3
Chapter 19 Assessing the Male Breasts and Reproductive System
b3 b3 v# b3 b3 477
b3 b3 b3
Chapter 20 Assessing the Anus and Rectum
b3 v# v# b3 b3 b3 501
Chapter 21 Assessing the Newborn
b3 b3 bb 3 b3 517
Chapter 22 Assessing the Child and Adolescent
b3 v# v# v# b3 v# 555
Chapter 23 Assessing the Pregnant Woman
b3 b3 v# b3 b3 583
Chapter 24 Assessing the Older Adult
b3 b3 b3 b3 b3 612
, Testb 3 Bankb 3 -
Chapter1:Understanding Health Assessment v# v#
1. The World Health Organization (WHO) established a global strategy called “Health for All.
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
” The goal for this strategy is:
b3 b 3 b3 b3 v# b3
1. All individuals to get thesame health care throughout their lifespans.
b3 v# v# v# b3 b3 b3 b3 b3
2. The government to supply money to care for all the people in the world.
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
3. Resources for health careto be evenlydistributed andaccessible.
v# b3 b3 b3 v# b3 b3
4. Health-care providers can never deny patients health care.
b3 b3 b3 b3 b3 b3 b3
ANS: 3 b3
Page: 1 b3
Feedback
1. This isincorrect.“Health forAll”does not meanthat all individuals get thesame
b3 b3 b3 b3 v# b3 b3 b3 b3 b3
he
alth care throughout their life spans.
b3 b3 b3 b3 b3
2. This is incorrect. “Health forAll” does not mean thegovernment will supply money
b3 v# b3 v# b3 b3 b3 b3 v# b3 b3
to
care for all the people in the world.
b3 b3 b3 b3 b3 b3 b3 b3
3. This is correct. “Healthfor All” means that resources forhealth care are evenly dis tribu ted
b3 b3 b3 b3 b3 v# b3 v# v# b3 b 3 b3 b3 v#
and accessible toeveryone.
v# b3
4. This is incorrect. “Health forAll” does not mean that health-
b3 v# b3 b3 b3 b3 b3 b3 b3
care providers can deny patients health care.
b3 b3 b3 b3 b3 b3
2. Health assessment is a foundational and priority nursing skill. This essential skill require
b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
s registered nurses (RNs) to:
b3 v# b3 b3
1. Diagnose and treat patients. b3 b3 b3
2. Identifynormal and abnormal findings. b3 v# v#
3. Referpatients withabnormalfindings. v# b3
4. Counselpatients withpsychosocial needs. v# b3 v#
ANS: 2 b3
Page: 5-6b3
Feedback
1. This is incorrect. The roleof the RN is not to diagnoseand treat patients.
b3 b3 b3 b3 b3 b3 b3 v# v# b3 b3 v#
2. This is correct. Assessing patients and being ableto identifynormalfrom abnormal
v# v# b3 v# b3 v# v# b3 v#
fin
dings is an essential role of the RN.
b3 b3 b3 b3 b3 b3 b3
3. This is incorrect.RNs in collaboration with thehealth-
v# v# b3 v# v# v# v#
careproviders do refer patients. This is not the essential and foundational role i
v# b3 v# b3 b3 v# v# b3 b3 v# b3 b3
4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational
b3 b3 b3 b3 b3 b3 b3 b3 b3 v# b3 v#
ro
le in health assessment.
b3 b3 b3
3
| P a g
b3 b3 b3 b3 b3
e
, Testb 3 Bankb 3 -
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
v# b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3 b3
presence outside his door because the patient is a known drug dealer in the community. You know
b3 b3 v# b3 b3 b3 v# b3 b3 v# v# b3 v# b3 b3 b3 b
3that nurses must treat all patients as persons. This is called:
b3 b3 v# b3 b3 b3 v# b3 v# b3
1. Caring.
2. Holisticprocess.
3. Person-centered care (PCC). v# b3
4. Standards of care. v# v#
ANS: 3 b3
Page: 2 b3
Feedback
1. This is incorrect. Caring is displaying a concern for patients.
b3 b3 b3 b3 b3 b3 b3 b3 b3
2. This isincorrect. The holistic caring process is a relational process; the nurse coll aborate
b3 b3 b3 bn b3 b3 b3 v# b3 b3 b3 b 3 b3
s with the individual to pursue goals for health and well-being.
b3 b3 v# b3 b3 b3 b3 v# b3 b3 v#
3. This iscorrect. Thenew movement in healthcare is person-
b3 b3 b3 b3 b3 b3 b3
centeredcare (PCC), which emphasizes the intrinsic value of treating all patients as
v# v# v# b3 v# v# v# v# b3 b3
4. This isincorrect.Standardsofcareidentifystandards ofprofessional nursing
v# v# b3
pr
actice.
4. Thescience-
b3
based framework updated every 10years by the U.S. Department ofHealth and
v# v# b3 b3 b3 b3 b3 v# v# b3 b3 v# b 3 Human Services that h b3 b3 b3
as set national goals and objectives for health promotion and disease
b3 b3 b3 b3 v# b3 b3 b3 v# b3 v# prevention is: b3
1. HealthyPeople.
2. HealthyPeople 2020. v#
3. U.S. Preventive Task Force.
b3 b3 bn
4. World Health Organization.
v# v#
ANS: 2 b3
Page: 2 b3
Feedback
1. This is incorrect. Healthy Peopleis the general title for the nation’s federal initiative.
b3 v# b3 b3 b3 v# b3 b3 b3 b3 b3 b3
2. This is correct. HealthyPeople2020specifically identifies science-
b3 b3 b3 b3 b3
based, national goalsandobjectiveswith10-
b3 b 3
yeartargets designed to guide nationalhealthpromotion v# b3 v# b3
and disease prevention efforts t o imp v# b3 b3 b3 b3 b3
r ove the health of all people in the United
b3 b3 b3 States. b3 b3 b3 b3 b3 b3
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence
b3 b3 b3 b3 b3 b3 b3 v# b3 b3 b3 b3 v#
-
based medicine to improve the health of all Americans by making evidence-
b3 b3 b3 b3 b3 v# b3 b3 b3 b3 b3
based
recommendationsabout clinicalpreventiveservicessuchasscreenings,counselin g ser b3 v# v# b3 b3
vices, and preventive medications. b3 b3 v#
4. This is incorrect. The World Health Organization is aspecialized agency of the
b3 b3 b3 b3 b3 b3 b3 b3 v# b3 b3
U
nited Nations working to improvethehealth of the world’s people.
b3 b3 b3 b3 b3 b3 b3 v# b3
4
| P a g
b3 b3 b3 b3 b3
e