TEST BANK
Essential Health Assessment
Janice Thompson
1st Edition
,Table of Contents
Chapter 01 Understanding Health Assessment 1
Chapter 02 Interviewing the Patient for the Health History 11
Chapter 03 Taking the Health History 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements 61
Chapter 05 Assessment Techniques 88
Chapter 06 General Survey and Assessing Vital Signs 99
Chapter 07 Assessing Pain 128
Chapter 08 Assessing the Skin, Hair, and Nails 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck 188
Chapter 10 Assessing the Ears 229
Chapter 11 Assessing the Eyes 250
Chapter 12 Assessing the Respiratory System 281
Chapter 13 Assessing the Cardiovascular System 308
Chapter 14 Assessing the Abdomen 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System 363
Chapter 16 Assessing the Musculoskeletal System 391
Chapter 17 Assessing the Neurological System 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System 451
Chapter 19 Assessing the Male Breasts and Reproductive System 477
Chapter 20 Assessing the Anus and Rectum 501
Chapter 21 Assessing the Newborn 517
Chapter 22 Assessing the Child and Adolescent 555
Chapter 23 Assessing the Pregnant Woman 583
Chapter 24 Assessing the Older Adult 612
,______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
Chapter 1: Understanding Health Assessment
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
The goal for this strategy is:
1. All individuals to get the same health care throughout their life spans.
2. The government to supply money to care for all the people in the world.
3. Resources for health care to be evenly distributed and accessible.
4. Health-care providers can never deny patients health care.
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
registered nurses (RNs) to:
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patients with psychosocial needs.
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
presence outside his door because the patient is a known drug dealer in the community. You know
that nurses must treat all patients as persons. This is called:
1. Caring.
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
4. The science-based framework updated every 10 years by the U.S. Department of Health and
Human Services that has set national goals and objectives for health promotion and disease
prevention is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force.
4. World Health Organization.
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
1. Primary health prevention.
______________________________________________________________________________________________
1|Page
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,______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
2. Secondary health prevention.
3. Tertiary health prevention.
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks he is
running a fever and has stomach discomfort.” You are the registered nurse in charge. What should
you do?
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
2. Go check to see if the patient has an order for Tylenol for a fever.
3. Page the resident on call immediately to assess the patient.
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
7. You are leading an interdisciplinary team conference to discuss how to provide better care for a
challenging patient who has behavioral problems. There are several areas that need to be problem
solved and new ideas formulated to create an improved plan of care. What cognitive skills are you
using?
1. Critical thinking
2. Clinical decision making
3. Intuitive thinking
4. Clinical reasoning
8. Best practice assessment techniques and instruments have been validated by:
1. American Nurses Association.
2. Code of Ethics for Nurses With Interpretive Statements.
3. Research and evidence-based practice.
4. Patient Protection and Affordable Care Act.
9. Health and illness are determined by many factors. What are the determinants of health identified
by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
1. Genetics and biology
2. Gender and occupation
3. Individual behavior
4. Social environment
5. Physical environment
6. Health services
______________________________________________________________________________________________
2|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
10. The U.S. health-care system is evolving, and care is becoming more focused on which of the
following? Select all that apply.
1. Wellness
2. Functional status
3. Disease prevention
4. Health promotion
5. Acute illness management
11. You are performing a health assessment on a 32-year-old female patient who reports “feeling
fatigued all the time.” She states, “I have not had a physical in over 8 years because I did not have
medical insurance.” The patient will be having a physical today. What will be part of the health
assessment? Select all that apply.
1. Collecting data on past health
2. Collecting data on present health
3. Collecting data on significant other’s health
4. Assessing factors influencing health
5. Performing a physical examination
12. You are working with a patient as a copartner in care. The patient has multiple medical problems.
Put the following steps of the nursing process in the correct order (1–5). (Enter the number of each
step in the proper sequence; do not use punctuation or spaces. Example: 1234.)
1. Planning
2. Evaluation
3. Assessment
4. Implementation
5. Diagnosis
13. You are working on a medical surgical unit and are caring for a 24-year-old patient who is 3
hours post-op. The patient seems confused and restless since you assessed her an hour ago. You
have a gut feeling that something is very wrong. This is an example of
thinking.
14. The four techniques of health assessment include inspection, palpation, percussion, and
.
______________________________________________________________________________________________
3|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
Answers
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
The goal for this strategy is:
1. All individuals to get the same health care throughout their life spans.
2. The government to supply money to care for all the people in the world.
3. Resources for health care to be evenly distributed and accessible.
4. Health-care providers can never deny patients health care.
ANS: 3
Page: 1
Feedback
1. This is incorrect. “Health for All” does not mean that all individuals get the same
health care throughout their life spans.
2. This is incorrect. “Health for All” does not mean the government will supply money
to care for all the people in the world.
3. This is correct. “Health for All” means that resources for health care are evenly
distributed and accessible to everyone.
4. This is incorrect. “Health for All” does not mean that health-care providers can deny
patients health care.
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
registered nurses (RNs) to:
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patients with psychosocial needs.
ANS: 2
Page: 5-6
Feedback
1. This is incorrect. The role of the RN is not to diagnose and treat patients.
2. This is correct. Assessing patients and being able to identify normal from abnormal
findings is an essential role of the RN.
3. This is incorrect. RNs in collaboration with the health-care providers do refer
patients. This is not the essential and foundational role in health assessment.
4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational
role in health assessment.
______________________________________________________________________________________________
4|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
presence outside his door because the patient is a known drug dealer in the community. You know
that nurses must treat all patients as persons. This is called:
1. Caring.
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
ANS: 3
Page: 2
Feedback
1. This is incorrect. Caring is displaying a concern for patients.
2. This is incorrect. The holistic caring process is a relational process; the nurse
collaborates with the individual to pursue goals for health and well-being.
3. This is correct. The new movement in health care is person-centered care (PCC),
which emphasizes the intrinsic value of treating all patients as persons.
4. This is incorrect. Standards of care identify standards of professional nursing
practice.
4. The science-based framework updated every 10 years by the U.S. Department of Health and
Human Services that has set national goals and objectives for health promotion and disease
prevention is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force.
4. World Health Organization.
ANS: 2
Page: 2
Feedback
1. This is incorrect. Healthy People is the general title for the nation’s federal initiative.
2. This is correct. Healthy People 2020 specifically identifies science-based, national
goals and objectives with 10-year targets designed to guide national health promotion
and disease prevention efforts to improve the health of all people in the United
States.
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence-
based medicine to improve the health of all Americans by making evidence-based
recommendations about clinical preventive services such as screenings, counseling
services, and preventive medications.
4. This is incorrect. The World Health Organization is a specialized agency of the
United Nations working to improve the health of the world’s people.
______________________________________________________________________________________________
5|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
, ______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
1. Primary health prevention.
2. Secondary health prevention.
3. Tertiary health prevention.
ANS: 2
Page: 4
Feedback
1. This is incorrect. This is not an example of primary prevention. Primary prevention is
the prevention of disease and disability and focuses on improving an individual’s
overall health and well-being. Immunizations and health education are examples of
primary prevention.
2. This is correct. Colonoscopy is an example of secondary prevention, which
encompasses early screenings and detection of disease and treatment of diseases.
3. This is incorrect. This is not an example of tertiary prevention. Tertiary prevention
encompasses the restoration of health after illness or disease has occurred. A
rehabilitation program for stroke patients is an example of tertiary prevention.
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks he is
running a fever and has stomach discomfort.” You are the registered nurse in charge. What should
you do?
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
2. Go check to see if the patient has an order for Tylenol for a fever.
3. Page the resident on call immediately to assess the patient.
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
ANS: 4
Page: 5
Feedback
1. This is incorrect. The medical assistant role should never be to assess a patient.
2. This is incorrect. The first priority would be to assess the patient prior to checking
medication orders for fever.
3. This is incorrect. The nurse should first assess the patient to give an objective report
to the resident.
4. This is correct. Assessing a patient is always a priority role of the RN. This is a role
that should never be delegated to the licensed practical nurse or unlicensed assistive
personnel.
______________________________________________________________________________________________
6|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
Essential Health Assessment
Janice Thompson
1st Edition
,Table of Contents
Chapter 01 Understanding Health Assessment 1
Chapter 02 Interviewing the Patient for the Health History 11
Chapter 03 Taking the Health History 40
Chapter 04 Assessing Nutrition and Anthropometric Measurements 61
Chapter 05 Assessment Techniques 88
Chapter 06 General Survey and Assessing Vital Signs 99
Chapter 07 Assessing Pain 128
Chapter 08 Assessing the Skin, Hair, and Nails 149
Chapter 09 Assessing the Head, Face, Mouth, and Neck 188
Chapter 10 Assessing the Ears 229
Chapter 11 Assessing the Eyes 250
Chapter 12 Assessing the Respiratory System 281
Chapter 13 Assessing the Cardiovascular System 308
Chapter 14 Assessing the Abdomen 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System 363
Chapter 16 Assessing the Musculoskeletal System 391
Chapter 17 Assessing the Neurological System 417
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System 451
Chapter 19 Assessing the Male Breasts and Reproductive System 477
Chapter 20 Assessing the Anus and Rectum 501
Chapter 21 Assessing the Newborn 517
Chapter 22 Assessing the Child and Adolescent 555
Chapter 23 Assessing the Pregnant Woman 583
Chapter 24 Assessing the Older Adult 612
,______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
Chapter 1: Understanding Health Assessment
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
The goal for this strategy is:
1. All individuals to get the same health care throughout their life spans.
2. The government to supply money to care for all the people in the world.
3. Resources for health care to be evenly distributed and accessible.
4. Health-care providers can never deny patients health care.
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
registered nurses (RNs) to:
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patients with psychosocial needs.
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
presence outside his door because the patient is a known drug dealer in the community. You know
that nurses must treat all patients as persons. This is called:
1. Caring.
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
4. The science-based framework updated every 10 years by the U.S. Department of Health and
Human Services that has set national goals and objectives for health promotion and disease
prevention is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force.
4. World Health Organization.
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
1. Primary health prevention.
______________________________________________________________________________________________
1|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
2. Secondary health prevention.
3. Tertiary health prevention.
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks he is
running a fever and has stomach discomfort.” You are the registered nurse in charge. What should
you do?
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
2. Go check to see if the patient has an order for Tylenol for a fever.
3. Page the resident on call immediately to assess the patient.
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
7. You are leading an interdisciplinary team conference to discuss how to provide better care for a
challenging patient who has behavioral problems. There are several areas that need to be problem
solved and new ideas formulated to create an improved plan of care. What cognitive skills are you
using?
1. Critical thinking
2. Clinical decision making
3. Intuitive thinking
4. Clinical reasoning
8. Best practice assessment techniques and instruments have been validated by:
1. American Nurses Association.
2. Code of Ethics for Nurses With Interpretive Statements.
3. Research and evidence-based practice.
4. Patient Protection and Affordable Care Act.
9. Health and illness are determined by many factors. What are the determinants of health identified
by the Centers for Disease Control and Prevention (CDC)? Select all that apply.
1. Genetics and biology
2. Gender and occupation
3. Individual behavior
4. Social environment
5. Physical environment
6. Health services
______________________________________________________________________________________________
2|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
10. The U.S. health-care system is evolving, and care is becoming more focused on which of the
following? Select all that apply.
1. Wellness
2. Functional status
3. Disease prevention
4. Health promotion
5. Acute illness management
11. You are performing a health assessment on a 32-year-old female patient who reports “feeling
fatigued all the time.” She states, “I have not had a physical in over 8 years because I did not have
medical insurance.” The patient will be having a physical today. What will be part of the health
assessment? Select all that apply.
1. Collecting data on past health
2. Collecting data on present health
3. Collecting data on significant other’s health
4. Assessing factors influencing health
5. Performing a physical examination
12. You are working with a patient as a copartner in care. The patient has multiple medical problems.
Put the following steps of the nursing process in the correct order (1–5). (Enter the number of each
step in the proper sequence; do not use punctuation or spaces. Example: 1234.)
1. Planning
2. Evaluation
3. Assessment
4. Implementation
5. Diagnosis
13. You are working on a medical surgical unit and are caring for a 24-year-old patient who is 3
hours post-op. The patient seems confused and restless since you assessed her an hour ago. You
have a gut feeling that something is very wrong. This is an example of
thinking.
14. The four techniques of health assessment include inspection, palpation, percussion, and
.
______________________________________________________________________________________________
3|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
Answers
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
The goal for this strategy is:
1. All individuals to get the same health care throughout their life spans.
2. The government to supply money to care for all the people in the world.
3. Resources for health care to be evenly distributed and accessible.
4. Health-care providers can never deny patients health care.
ANS: 3
Page: 1
Feedback
1. This is incorrect. “Health for All” does not mean that all individuals get the same
health care throughout their life spans.
2. This is incorrect. “Health for All” does not mean the government will supply money
to care for all the people in the world.
3. This is correct. “Health for All” means that resources for health care are evenly
distributed and accessible to everyone.
4. This is incorrect. “Health for All” does not mean that health-care providers can deny
patients health care.
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
registered nurses (RNs) to:
1. Diagnose and treat patients.
2. Identify normal and abnormal findings.
3. Refer patients with abnormal findings.
4. Counsel patients with psychosocial needs.
ANS: 2
Page: 5-6
Feedback
1. This is incorrect. The role of the RN is not to diagnose and treat patients.
2. This is correct. Assessing patients and being able to identify normal from abnormal
findings is an essential role of the RN.
3. This is incorrect. RNs in collaboration with the health-care providers do refer
patients. This is not the essential and foundational role in health assessment.
4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational
role in health assessment.
______________________________________________________________________________________________
4|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
,______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police
presence outside his door because the patient is a known drug dealer in the community. You know
that nurses must treat all patients as persons. This is called:
1. Caring.
2. Holistic process.
3. Person-centered care (PCC).
4. Standards of care.
ANS: 3
Page: 2
Feedback
1. This is incorrect. Caring is displaying a concern for patients.
2. This is incorrect. The holistic caring process is a relational process; the nurse
collaborates with the individual to pursue goals for health and well-being.
3. This is correct. The new movement in health care is person-centered care (PCC),
which emphasizes the intrinsic value of treating all patients as persons.
4. This is incorrect. Standards of care identify standards of professional nursing
practice.
4. The science-based framework updated every 10 years by the U.S. Department of Health and
Human Services that has set national goals and objectives for health promotion and disease
prevention is:
1. Healthy People.
2. Healthy People 2020.
3. U.S. Preventive Task Force.
4. World Health Organization.
ANS: 2
Page: 2
Feedback
1. This is incorrect. Healthy People is the general title for the nation’s federal initiative.
2. This is correct. Healthy People 2020 specifically identifies science-based, national
goals and objectives with 10-year targets designed to guide national health promotion
and disease prevention efforts to improve the health of all people in the United
States.
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence-
based medicine to improve the health of all Americans by making evidence-based
recommendations about clinical preventive services such as screenings, counseling
services, and preventive medications.
4. This is incorrect. The World Health Organization is a specialized agency of the
United Nations working to improve the health of the world’s people.
______________________________________________________________________________________________
5|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
, ______________________________________________________________________________________________
Test Bank - Essential Health Assessment, 1st edition (Thompson, 2018)
5. A 38-year-old male has a family history of colon cancer. His father died of colon cancer at age
48. The doctor recommended that this patient have a colonoscopy this year. This is an example of:
1. Primary health prevention.
2. Secondary health prevention.
3. Tertiary health prevention.
ANS: 2
Page: 4
Feedback
1. This is incorrect. This is not an example of primary prevention. Primary prevention is
the prevention of disease and disability and focuses on improving an individual’s
overall health and well-being. Immunizations and health education are examples of
primary prevention.
2. This is correct. Colonoscopy is an example of secondary prevention, which
encompasses early screenings and detection of disease and treatment of diseases.
3. This is incorrect. This is not an example of tertiary prevention. Tertiary prevention
encompasses the restoration of health after illness or disease has occurred. A
rehabilitation program for stroke patients is an example of tertiary prevention.
6. A patient in the hospital puts on his call light and tells the person answering that he “thinks he is
running a fever and has stomach discomfort.” You are the registered nurse in charge. What should
you do?
1. Ask the medical assistant to go to the patient’s room and assess his complaints.
2. Go check to see if the patient has an order for Tylenol for a fever.
3. Page the resident on call immediately to assess the patient.
4. Go to the patient’s room and assess for fever and the epigastric discomfort.
ANS: 4
Page: 5
Feedback
1. This is incorrect. The medical assistant role should never be to assess a patient.
2. This is incorrect. The first priority would be to assess the patient prior to checking
medication orders for fever.
3. This is incorrect. The nurse should first assess the patient to give an objective report
to the resident.
4. This is correct. Assessing a patient is always a priority role of the RN. This is a role
that should never be delegated to the licensed practical nurse or unlicensed assistive
personnel.
______________________________________________________________________________________________
6|Page
https://www.stuvia.com/en-us/user/AllStudyGuides
