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