Health Assessment for Nursing Practice 8th
Edition – Test Bank
By Susan Fickertt Wilson (Author), Jean Foret Giddens (Author)
1|Page
,TABLE OF CONTENTS
1. Introduction to Health Assessment
2. Obtaining a Health History
3. Techniques and Equipment for Physical Assessment
4. General Inspection and Measurement of Vital Signs
5. Cultural Competence
6. Pain Assessment
7. Mental Health Assessment
8. Nutritional Assessment
9. Skin, Hair, and Nails
10. Head and Neck
11. Eyes
12. Ears, Nose, and Throat
13. Respiratory System
14. Cardiovascular System
15. Abdomen
16. Musculoskeletal Assessment
17. Neurologic System
18. Breasts and Axillae
19. Female Reproductive System
20. Male Reproductive System
21. Anus, Rectum, and Prostate
22. Assessment of the Infant, Child, Adolescent
23. Assessment of the Pregnant Patient
24. Assessment of the Older Adult
25. Conducting a Comprehensive Health Assessment
26. Adapting Health Assessment
2|Page
,Chapter 1: Importance Of 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.
ANSWER; D
Feedback
A Personal Data And Insurance Information Will Be Obtained, But In This Situation, These Data
Can Wait Until After The Patient Is Assessed.
B 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.
C 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.
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.
DIF: Cognitive Level: Apply REF: 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe And Effective Care Environment: Management Of Care: Establishing
Priorities
2. Which Situation Illustrates A Screening Assessment?
a. A Patient Visits An Obstetric Clinic For The First Time And The Nurse Conducts A Detailed
History And Physical Examination.
b. A Hospital Sponsors A Health Fair At A Local Mall And Provides Cholesterol And Blood
3|Page
, Pressure Checks To Mall Patrons.
c. The Nurse In An Urgent Care Center Checks The Vital Signs Of A Patient Who Is
Complaining Of Leg Pain.
d. A Patient Newly Diagnosed With Diabetes Mellitus Comes To Test His Fasting Blood Glucose Level.
ANSWER; B
Feedback
A A Detailed History And Physical Examination Conducted During A First-Time Visit To An
Obstetric Clinic Is An Example Of A Comprehensive Assessment.
B A Health Fair At A Local Mall That Provides Cholesterol And Blood Pressure Checks Is An
Example Of A Screening Assessment Focused On Disease Detection.
C Assessing A Patient Complaining Of Leg Pain In The Triage Area Of An Urgent Care
Center Is An Example Of A Problem-Based/Focused Assessment.
D A Patient‘S Return Appointment 1 Month After Today‘S Office Visit To Report Fasting Blood
Glucose
Levels Is An Example Of An Episodic Or Follow-Up Assessment.
DIF: Cognitive Level: Understand REF: 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion And Maintenance: Health
Screening
3. For Which Person Is A Screening Assessment Indicated?
a. The Person Who Had Abdominal Surgery Yesterday
b. The Person Who Is Unaware Of His High Serum Glucose Levels
c. The Person Who Is Being Admitted To A Long-Term Care Facility
d. The Person Who Is Beginning Rehabilitation After A Knee
Replacement ANSWER; B
Feedback
A A Shift Assessment Is Most Appropriate For The Person Who Is Recovering In The
4|Page
Edition – Test Bank
By Susan Fickertt Wilson (Author), Jean Foret Giddens (Author)
1|Page
,TABLE OF CONTENTS
1. Introduction to Health Assessment
2. Obtaining a Health History
3. Techniques and Equipment for Physical Assessment
4. General Inspection and Measurement of Vital Signs
5. Cultural Competence
6. Pain Assessment
7. Mental Health Assessment
8. Nutritional Assessment
9. Skin, Hair, and Nails
10. Head and Neck
11. Eyes
12. Ears, Nose, and Throat
13. Respiratory System
14. Cardiovascular System
15. Abdomen
16. Musculoskeletal Assessment
17. Neurologic System
18. Breasts and Axillae
19. Female Reproductive System
20. Male Reproductive System
21. Anus, Rectum, and Prostate
22. Assessment of the Infant, Child, Adolescent
23. Assessment of the Pregnant Patient
24. Assessment of the Older Adult
25. Conducting a Comprehensive Health Assessment
26. Adapting Health Assessment
2|Page
,Chapter 1: Importance Of 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.
ANSWER; D
Feedback
A Personal Data And Insurance Information Will Be Obtained, But In This Situation, These Data
Can Wait Until After The Patient Is Assessed.
B 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.
C 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.
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.
DIF: Cognitive Level: Apply REF: 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe And Effective Care Environment: Management Of Care: Establishing
Priorities
2. Which Situation Illustrates A Screening Assessment?
a. A Patient Visits An Obstetric Clinic For The First Time And The Nurse Conducts A Detailed
History And Physical Examination.
b. A Hospital Sponsors A Health Fair At A Local Mall And Provides Cholesterol And Blood
3|Page
, Pressure Checks To Mall Patrons.
c. The Nurse In An Urgent Care Center Checks The Vital Signs Of A Patient Who Is
Complaining Of Leg Pain.
d. A Patient Newly Diagnosed With Diabetes Mellitus Comes To Test His Fasting Blood Glucose Level.
ANSWER; B
Feedback
A A Detailed History And Physical Examination Conducted During A First-Time Visit To An
Obstetric Clinic Is An Example Of A Comprehensive Assessment.
B A Health Fair At A Local Mall That Provides Cholesterol And Blood Pressure Checks Is An
Example Of A Screening Assessment Focused On Disease Detection.
C Assessing A Patient Complaining Of Leg Pain In The Triage Area Of An Urgent Care
Center Is An Example Of A Problem-Based/Focused Assessment.
D A Patient‘S Return Appointment 1 Month After Today‘S Office Visit To Report Fasting Blood
Glucose
Levels Is An Example Of An Episodic Or Follow-Up Assessment.
DIF: Cognitive Level: Understand REF: 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion And Maintenance: Health
Screening
3. For Which Person Is A Screening Assessment Indicated?
a. The Person Who Had Abdominal Surgery Yesterday
b. The Person Who Is Unaware Of His High Serum Glucose Levels
c. The Person Who Is Being Admitted To A Long-Term Care Facility
d. The Person Who Is Beginning Rehabilitation After A Knee
Replacement ANSWER; B
Feedback
A A Shift Assessment Is Most Appropriate For The Person Who Is Recovering In The
4|Page