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