Test Bank for
v8 v8 v8
Nursing Health Assessment The Foundation of Clinical Practice,
v8 v8 v8 v8 v8 v8 v8
v8 3rd Edition, Patricia M. Dillon
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,Table of Contents
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1. Introduction to Assessment
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2. Assessing the Integumentary System
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3. Assessing the Head, Face and Neck
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4. Assessing Eyes and the Ears
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5. Assessing the Respiratory System
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6. Assessing the Cardiovascular System
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7. Assessing the Peripheral -Vascular and Lymphatic Systems
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8. Assessing the Breasts
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9. Assessing the Abdomen
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10. Assessing the Female Genitourinary
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11. Assessing the Male Genitourinary
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12. Assessing the Motor Musculoskeletal System
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13. Assessing the Sensory Neurological System
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14. Assessing the Mother to Be
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15. Assessing the Newborn and Infant
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16. Assessing the Toddler and Preschooler
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17. Assessing the School-Age Child and Adolescent
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18. Assessing the Older Adult
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19. Assessing the Homeless Person
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20. Assessing Pain
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,21. Approach to the Mental Health Assessment
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22. Assessing Nutrition
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23. Assessing Spirituality
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24. Assessing Culture
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25. Assessing the Patient’s Environment
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26. Assessing Abuse
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27. Assessing the Dying Patient—new
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, Chapter 01: The Complete Health Assessment
v8 v8 v8 v8 v8
Multiple Choice
v8
Identify the choice that best completes the statement or answers the question.
v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8
1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient?
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1) Divergent thinking v8
2) Reasoning
3) Creativity
4) Reflection
2. The primary level of preventive health care focuses on which topic?
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1) Health promotion v8
2) Early detection v8
3) Promotion intervention v8
4) End-of-life care v8
3. The nurse is prioritizing data collected during the health assessment. Which data is primary?
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1) Pain rating of 4 on a 1 to 10 numeric scale
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2) New diagnosis of type 2 diabetes mellitus (DM)
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3) Blood pressure of 130/90 mmHg v8 v8 v8 v8
4) Pulse oximetry reading of 73% v8 v8 v8 v8
4. Which type of skill is most important when performing a physical assessment?
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1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Which activity is an example of secondary prevention?
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1) Wound débridement v8
2) Immunization
3) Preoperative teaching v8
4) Long-term nasogastric feedings v8 v8
6. Which assessment data is considered a symptom?
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1) Rapid respirations v8
2) Sweaty palms v8
3) Belching
4) Feelings of anxiety v8 v8
7. Who or what is considered the primary data source for a toddler-age patient?
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1) The toddler v8
2) A parent v8
3) The medical record v8 v8
4) Other healthcare providers v8 v8
8. Which part of the assessment provides the most subjective data?
v8 v8 v8 v8 v8 v8 v8 v8 v8
1) Health history v8
2) Physical assessment v8
3) Review of medical records v8 v8 v8
4) Medication record v8
v8 v8 v8
Nursing Health Assessment The Foundation of Clinical Practice,
v8 v8 v8 v8 v8 v8 v8
v8 3rd Edition, Patricia M. Dillon
v8 v8 v8 v8
,Table of Contents
v8 v8
1. Introduction to Assessment
v8 v8 v8
2. Assessing the Integumentary System
v8 v8 v8 v8
3. Assessing the Head, Face and Neck
v8 v8 v8 v8 v8 v8
4. Assessing Eyes and the Ears
v8 v8 v8 v8 v8
5. Assessing the Respiratory System
v8 v8 v8 v8
6. Assessing the Cardiovascular System
v8 v8 v8 v8
7. Assessing the Peripheral -Vascular and Lymphatic Systems
v8 v8 v8 v8 v8 v8 v8
8. Assessing the Breasts
v8 v8 v8
9. Assessing the Abdomen
v8 v8 v8
10. Assessing the Female Genitourinary
v8 v8 v8 v8
11. Assessing the Male Genitourinary
v8 v8 v8 v8
12. Assessing the Motor Musculoskeletal System
v8 v8 v8 v8 v8
13. Assessing the Sensory Neurological System
v8 v8 v8 v8 v8
14. Assessing the Mother to Be
v8 v8 v8 v8 v8
15. Assessing the Newborn and Infant
v8 v8 v8 v8 v8
16. Assessing the Toddler and Preschooler
v8 v8 v8 v8 v8
17. Assessing the School-Age Child and Adolescent
v8 v8 v8 v8 v8 v8
18. Assessing the Older Adult
v8 v8 v8 v8
19. Assessing the Homeless Person
v8 v8 v8 v8
20. Assessing Pain
v8 v8
,21. Approach to the Mental Health Assessment
v8 v8 v8 v8 v8 v8
22. Assessing Nutrition
v8 v8
23. Assessing Spirituality
v8 v8
24. Assessing Culture
v8 v8
25. Assessing the Patient’s Environment
v8 v8 v8 v8
26. Assessing Abuse
v8 v8
27. Assessing the Dying Patient—new
v8 v8 v8 v8
, Chapter 01: The Complete Health Assessment
v8 v8 v8 v8 v8
Multiple Choice
v8
Identify the choice that best completes the statement or answers the question.
v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8
1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient?
v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8
1) Divergent thinking v8
2) Reasoning
3) Creativity
4) Reflection
2. The primary level of preventive health care focuses on which topic?
v8 v8 v8 v8 v8 v8 v8 v8 v8 v8
1) Health promotion v8
2) Early detection v8
3) Promotion intervention v8
4) End-of-life care v8
3. The nurse is prioritizing data collected during the health assessment. Which data is primary?
v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8
1) Pain rating of 4 on a 1 to 10 numeric scale
v8 v8 v8 v8 v8 v8 v8 v8 v8 v8
2) New diagnosis of type 2 diabetes mellitus (DM)
v8 v8 v8 v8 v8 v8 v8
3) Blood pressure of 130/90 mmHg v8 v8 v8 v8
4) Pulse oximetry reading of 73% v8 v8 v8 v8
4. Which type of skill is most important when performing a physical assessment?
v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8
1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Which activity is an example of secondary prevention?
v8 v8 v8 v8 v8 v8 v8
1) Wound débridement v8
2) Immunization
3) Preoperative teaching v8
4) Long-term nasogastric feedings v8 v8
6. Which assessment data is considered a symptom?
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1) Rapid respirations v8
2) Sweaty palms v8
3) Belching
4) Feelings of anxiety v8 v8
7. Who or what is considered the primary data source for a toddler-age patient?
v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8 v8
1) The toddler v8
2) A parent v8
3) The medical record v8 v8
4) Other healthcare providers v8 v8
8. Which part of the assessment provides the most subjective data?
v8 v8 v8 v8 v8 v8 v8 v8 v8
1) Health history v8
2) Physical assessment v8
3) Review of medical records v8 v8 v8
4) Medication record v8