TEST BANK FOR
NURSING HEALTH
ASSESSMENT:THE
FOUNDATION OF
CLINICAL
PRACTICE, 3RD
EDITION,PATRICIA
M.DILLON
,Chapter h01: hThe hComplete hHealth hAssessment
Multiple hChoice
Identify hthe hchoice hthat hbest hcompletes hthe hstatement hor hanswers hthe hquestion.
1. Which hcritical hthinking hskill hallows hthe hnurse hto hthink houtside hof hthe hbox hwhen hassessing ha hpatient?
1) Divergent hthinking
2) Reasoning
3) Creativity
4) Reflection
2. The hprimary hlevel hof hpreventive hhealth hcare hfocuses hon hwhich htopic?
1) Health hpromotion
2) Early hdetection
3) Promotion hintervention
4) End-of-life hcare
3. The hnurse his hprioritizing hdata hcollected hduring hthe hhealth hassessment. hWhich hdata his hprimary?
1) Pain hrating hof h4 hon ha h1 hto h10 hnumeric hscale
2) New hdiagnosis hof htype h2 hdiabetes hmellitus h(DM)
3) Blood hpressure hof h130/90 hmmHg
4) Pulse hoximetry hreading hof h73%
4. Which htype hof hskill his hmost himportant hwhen hperforming ha hphysical hassessment?
1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Which hactivity his han hexample hof hsecondary hprevention?
1) Wound hdébridement
2) Immunization
3) Preoperative hteaching
4) Long-term hnasogastric hfeedings
6. Which hassessment hdata his hconsidered ha hsymptom?
1) Rapid hrespirations
2) Sweaty hpalms
3) Belching
4) Feelings hof hanxiety
7. Who hor hwhat his hconsidered hthe hprimary hdata hsource hfor ha htoddler-age hpatient?
1) The htoddler
2) A hparent
3) The hmedical hrecord
4) Other hhealthcare hproviders
8. Which hpart hof hthe hassessment hprovides hthe hmost hsubjective hdata?
1) Health hhistory
2) Physical hassessment
3) Review hof hmedical hrecords
4) Medication hrecord
Copyright h© h2016 hF. hA. hDavis
hCompany
, 9. h The hnurse his hpreparing hto hconduct ha hhealth hhistory hfor ha hnew hpatient. hWhere hwould hthe hnurse
hgather hdata hfor hthis hportion hof hthe hassessment?
1) The hpatient's hchart
2) A hphysical hassessment
3) Laboratory htests
4) A hdiscussion hwith hthe hpatient
h 10. h The hnurse his hpreparing hto hbegin ha hhealth hhistory hfor ha hnew hpatient. hWhich hquestion his hmost
happropriate hfor hthe hnurse hto hbegin hthe hprocess?
1) ―What hproblem hbrought hyou hhere htoday?‖
2) ―How hold hare hyou?‖
3) ―Have hyou hhad hany hdifficulty hbreathing?‖
4) ―What hchildhood hillnesses hhave hyou hhad?‖
h 11. Which his hthe hreason hfor hasking hthe hpatient habout hfamily hhistory hof hdiseases hwhen hconducting ha
h
hhealth hhistory hinterview?
1) To hidentify hfunctional hor hdysfunctional hfamily hdynamics
2) To hidentify hsupport hsystems
3) To hidentify hfamilial hor hgenetically hlinked hhealth hdisorders
4) To hidentify hrehabilitation hneeds
h 12. h h Which hdata hare hpart hof hthe hpast hhealth hhistory?
1) Health hbeliefs
2) Surgeries
3) Genetically hlinked hdiseases
4) Age hof hsiblings
h 13. h h Which his hthe hpurpose hof hthe hnursing hhealth hhistory?
1) To hdetermine hthe hpatient's hresponse hto hthe hhealth hproblem
2) To hdetermine hthe hextent hof hthe hhealth hproblem
3) To hdetermine hwhich hmedications hare happropriate hto halleviate hthe hhealth hproblem
4) All hof hthe habove
h 14. h h Which hsetting his hthe hbest hplace hto hgather hdata hfor ha hhealth hhistory?
1) Waiting hroom
2) Hallway
3) Patient's hroom
4) On hthe hway hto hsurgery
h 15. h The hnurse his hpreparing hto hconduct ha hhealth hhistory hinterview hwith ha hpatient. hWhich his hthe hbest
hposition hfor hthe hnurse hto hassume hduring hthis hprocess?
1) Leaning hover hthe hbed
2) Standing hat hthe hbedside
3) Sitting hon hthe hbed
4) Sitting hon ha hchair hat hthe hbedside
h 16. h The hnurse his hasking ha hpatient hquestions habout hhealth hpractices hand hbeliefs. hIn hwhich hportion
hof hthe hhealth hhistory hwill hthe hnurse hdocument hthese hfindings?
1) Psychosocial hprofile
2) Current hhealth hproblems
3) Past hhealth hproblems
4) Developmental hconsiderations
Copyright h© h2016 hF. hA. hDavis
hCompany
, h 17. h The hpatient htells hthe hnurse, h―I hcan hnever hseem hto hget hwarm hlately hand hdecided hto hcome hto hthe
hclinic.‖ hThe hnurse hrecords hthis hunder hwhich hsection hof hthe hhealth hhistory?
1) Past hhealth hhistory
2) Present hhealth hstatus
3) Reason hfor hseeking hcare
4) Objective hassessment hdata
h 18. h h When his hit happropriate hfor hthe hnurse hto hconduct hthe hfocused hphysical hassessment?
1) During hthe hinitial hassessment hfor ha hyearly hexam
2) On hadmission hto hthe hhospital hfor hsurgery
3) On hadmission hof ha hpatient hin hacute hrespiratory hdistress
4) All hof hthe habove
h 19. h Glass hthermometers hand hsphygmomanometers hhave hbeen hreplaced hby hother hequipment hin hmany
hhealthcare hsettings. hWhich his hthe hrationale hfor hthis hchange?
1) Difficulty hwith hcalibration
2) Difficulty hwith hsterilization
3) Mercury htoxicity
4) Poor hresults
h 20. h h The hbell hof hthe hstethoscope his hbest hfor hdetecting hwhich htype hof hsounds?
1) High hpitch
2) Low hpitch
3) Medium hpitch
4) All hof hthe habove
h 21. h The hnurse his hunable hto hpalpate hpedal hpulses hbilaterally hon han hobese hpatient. hWhich his hthe
hpriority haction hfor hthe hnurse hto htake?
1) Document hthat hpedal hpulses hare habsent
2) Auscultate hheart htones
3) Assess hgait
4) Assess hpulses hwith ha hDoppler
h 22. h h Which his hthe hbest hassessment htool hto huse hwhen htesting hfar hvision hin h2-year-old hchildren?
1) Snellen halphabet hchart
2) Stycar hchart
3) Allen hcards
4) Pocket hvision hscreener
h 23. h h Which his hthe hbest hmethod hfor hthe hnurse hto huse hwhen hdocumenting ha hpatient’s hphysical hexam?
1) In horder hof hthe hassessment
2) By hthe hpatient's hmain hcomplaint
3) By hsystem
4) With hall hnormal hand habnormal hdata hclustered
h 24. h h Which hpart hof hthe hhand hdoes hthe hnurse huse hto hdetect hvibrations?
1) Fingertips
2) Fingerpads
3) Ball hof hhand
4) Dorsal hsurface
Copyright h© h2016 hF. hA. hDavis
hCompany
NURSING HEALTH
ASSESSMENT:THE
FOUNDATION OF
CLINICAL
PRACTICE, 3RD
EDITION,PATRICIA
M.DILLON
,Chapter h01: hThe hComplete hHealth hAssessment
Multiple hChoice
Identify hthe hchoice hthat hbest hcompletes hthe hstatement hor hanswers hthe hquestion.
1. Which hcritical hthinking hskill hallows hthe hnurse hto hthink houtside hof hthe hbox hwhen hassessing ha hpatient?
1) Divergent hthinking
2) Reasoning
3) Creativity
4) Reflection
2. The hprimary hlevel hof hpreventive hhealth hcare hfocuses hon hwhich htopic?
1) Health hpromotion
2) Early hdetection
3) Promotion hintervention
4) End-of-life hcare
3. The hnurse his hprioritizing hdata hcollected hduring hthe hhealth hassessment. hWhich hdata his hprimary?
1) Pain hrating hof h4 hon ha h1 hto h10 hnumeric hscale
2) New hdiagnosis hof htype h2 hdiabetes hmellitus h(DM)
3) Blood hpressure hof h130/90 hmmHg
4) Pulse hoximetry hreading hof h73%
4. Which htype hof hskill his hmost himportant hwhen hperforming ha hphysical hassessment?
1) Psychomotor
2) Interpersonal
3) Ethical
4) Affective
5. Which hactivity his han hexample hof hsecondary hprevention?
1) Wound hdébridement
2) Immunization
3) Preoperative hteaching
4) Long-term hnasogastric hfeedings
6. Which hassessment hdata his hconsidered ha hsymptom?
1) Rapid hrespirations
2) Sweaty hpalms
3) Belching
4) Feelings hof hanxiety
7. Who hor hwhat his hconsidered hthe hprimary hdata hsource hfor ha htoddler-age hpatient?
1) The htoddler
2) A hparent
3) The hmedical hrecord
4) Other hhealthcare hproviders
8. Which hpart hof hthe hassessment hprovides hthe hmost hsubjective hdata?
1) Health hhistory
2) Physical hassessment
3) Review hof hmedical hrecords
4) Medication hrecord
Copyright h© h2016 hF. hA. hDavis
hCompany
, 9. h The hnurse his hpreparing hto hconduct ha hhealth hhistory hfor ha hnew hpatient. hWhere hwould hthe hnurse
hgather hdata hfor hthis hportion hof hthe hassessment?
1) The hpatient's hchart
2) A hphysical hassessment
3) Laboratory htests
4) A hdiscussion hwith hthe hpatient
h 10. h The hnurse his hpreparing hto hbegin ha hhealth hhistory hfor ha hnew hpatient. hWhich hquestion his hmost
happropriate hfor hthe hnurse hto hbegin hthe hprocess?
1) ―What hproblem hbrought hyou hhere htoday?‖
2) ―How hold hare hyou?‖
3) ―Have hyou hhad hany hdifficulty hbreathing?‖
4) ―What hchildhood hillnesses hhave hyou hhad?‖
h 11. Which his hthe hreason hfor hasking hthe hpatient habout hfamily hhistory hof hdiseases hwhen hconducting ha
h
hhealth hhistory hinterview?
1) To hidentify hfunctional hor hdysfunctional hfamily hdynamics
2) To hidentify hsupport hsystems
3) To hidentify hfamilial hor hgenetically hlinked hhealth hdisorders
4) To hidentify hrehabilitation hneeds
h 12. h h Which hdata hare hpart hof hthe hpast hhealth hhistory?
1) Health hbeliefs
2) Surgeries
3) Genetically hlinked hdiseases
4) Age hof hsiblings
h 13. h h Which his hthe hpurpose hof hthe hnursing hhealth hhistory?
1) To hdetermine hthe hpatient's hresponse hto hthe hhealth hproblem
2) To hdetermine hthe hextent hof hthe hhealth hproblem
3) To hdetermine hwhich hmedications hare happropriate hto halleviate hthe hhealth hproblem
4) All hof hthe habove
h 14. h h Which hsetting his hthe hbest hplace hto hgather hdata hfor ha hhealth hhistory?
1) Waiting hroom
2) Hallway
3) Patient's hroom
4) On hthe hway hto hsurgery
h 15. h The hnurse his hpreparing hto hconduct ha hhealth hhistory hinterview hwith ha hpatient. hWhich his hthe hbest
hposition hfor hthe hnurse hto hassume hduring hthis hprocess?
1) Leaning hover hthe hbed
2) Standing hat hthe hbedside
3) Sitting hon hthe hbed
4) Sitting hon ha hchair hat hthe hbedside
h 16. h The hnurse his hasking ha hpatient hquestions habout hhealth hpractices hand hbeliefs. hIn hwhich hportion
hof hthe hhealth hhistory hwill hthe hnurse hdocument hthese hfindings?
1) Psychosocial hprofile
2) Current hhealth hproblems
3) Past hhealth hproblems
4) Developmental hconsiderations
Copyright h© h2016 hF. hA. hDavis
hCompany
, h 17. h The hpatient htells hthe hnurse, h―I hcan hnever hseem hto hget hwarm hlately hand hdecided hto hcome hto hthe
hclinic.‖ hThe hnurse hrecords hthis hunder hwhich hsection hof hthe hhealth hhistory?
1) Past hhealth hhistory
2) Present hhealth hstatus
3) Reason hfor hseeking hcare
4) Objective hassessment hdata
h 18. h h When his hit happropriate hfor hthe hnurse hto hconduct hthe hfocused hphysical hassessment?
1) During hthe hinitial hassessment hfor ha hyearly hexam
2) On hadmission hto hthe hhospital hfor hsurgery
3) On hadmission hof ha hpatient hin hacute hrespiratory hdistress
4) All hof hthe habove
h 19. h Glass hthermometers hand hsphygmomanometers hhave hbeen hreplaced hby hother hequipment hin hmany
hhealthcare hsettings. hWhich his hthe hrationale hfor hthis hchange?
1) Difficulty hwith hcalibration
2) Difficulty hwith hsterilization
3) Mercury htoxicity
4) Poor hresults
h 20. h h The hbell hof hthe hstethoscope his hbest hfor hdetecting hwhich htype hof hsounds?
1) High hpitch
2) Low hpitch
3) Medium hpitch
4) All hof hthe habove
h 21. h The hnurse his hunable hto hpalpate hpedal hpulses hbilaterally hon han hobese hpatient. hWhich his hthe
hpriority haction hfor hthe hnurse hto htake?
1) Document hthat hpedal hpulses hare habsent
2) Auscultate hheart htones
3) Assess hgait
4) Assess hpulses hwith ha hDoppler
h 22. h h Which his hthe hbest hassessment htool hto huse hwhen htesting hfar hvision hin h2-year-old hchildren?
1) Snellen halphabet hchart
2) Stycar hchart
3) Allen hcards
4) Pocket hvision hscreener
h 23. h h Which his hthe hbest hmethod hfor hthe hnurse hto huse hwhen hdocumenting ha hpatient’s hphysical hexam?
1) In horder hof hthe hassessment
2) By hthe hpatient's hmain hcomplaint
3) By hsystem
4) With hall hnormal hand habnormal hdata hclustered
h 24. h h Which hpart hof hthe hhand hdoes hthe hnurse huse hto hdetect hvibrations?
1) Fingertips
2) Fingerpads
3) Ball hof hhand
4) Dorsal hsurface
Copyright h© h2016 hF. hA. hDavis
hCompany
