Test Bank for Health Assessment for Nursing Practice 7th Edition
by Wilson and Giddens
,Table of Contents
Unit I. Foundations for Health Assessment
1. Introduction to Health Assessment
2. Interviewing Patients to Obtain a Health History
3. Techniques and Equipment for Physical Assessment
4. General Inspection and Measurement of Vital Signs
5. Ethnic, Cultural, and Spiritual Considerations
6. Pain Assessment
7. Mental Health and Abusive Behavior Assessment
8. Nutritional Assessment
Unit II. Health Assessment of the Adult
9. Skin, Hair, and Nails
10. Head, Eyes, Ears, Nose, and Throat
11. Lungs and Respiratory System
12. Heart and Peripheral Vascular System
13. Abdomen and Gastrointestinal System
,14. Musculoskeletal System
15. Neurologic System
16. Breasts and Axillae
17. Reproductive System and the Perineum
Unit III. Health Assessment Across the Life Span
18. Developmental Assessment Throughout the Life Span
19. Assessment of the Infant, Child, and Adolescent
20. Assessment of the Pregnant Patient
21. Assessment of the Older Adult
Unit IV. Synthesis and Application of Health Assessment
22. Conducting a Head-to-Toe Examination
23. Documenting the Head-to-Toe Health Assessment
24. Adapting Health Assessment to an Ill Patient
, Chapter 01: Introduction to Health Assessment
Wilson: Health Assessment for Nursing Practice, 7th Edition
MULTIPLE CHOICE
1. A patient arrives at the emergency department and informs the triage nurse that he is “having a heart attack.”
At this moment, what should be the nurse’s highest priority?
a. Collect the patient’s personal details and insurance information.
b. Direct the patient to sit in the waiting area until his name is called.
c. Have a nurse gather data for a thorough medical history.
d. Instruct a nurse to begin an immediate focused assessment of the patient.
CORRECT CHOICE- D
The nurse must promptly conduct an assessment concentrating on the patient’s cardiovascular system. The
type of health assessment a nurse performs is determined by patient needs. Although personal details and
insurance data will be gathered later, assessing the patient takes precedence. Based on Maslow’s hierarchy of
needs, physiological concerns are the top priority. Rather than making the patient wait, the nurse should begin
taking vital signs immediately to evaluate the patient’s condition. Performing a quick assessment helps in
identifying symptoms and preventing complications. A comprehensive medical history is not essential at this
point, but some subjective data, including allergies and past cardiovascular issues, will be obtained.
Evaluations of the patient’s eyes, ears, musculoskeletal system, or mental health are not urgent at this time.
DIF: Apply REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
Priorities
2. Which of the following represents an example of a screening assessment?
a. A patient’s first visit to an obstetric clinic, where the nurse performs a detailed history and physical exam.
b. A hospital-organized health fair at a shopping mall offering cholesterol and blood pressure screenings.
c. A nurse in an urgent care clinic measuring the vital signs of a patient experiencing leg pain.
d. A newly diagnosed diabetic patient visiting to check his fasting blood glucose level.
CORRECT CHOICE- B
Conducting cholesterol and blood pressure checks at a health fair in a mall exemplifies a screening
assessment, as it aims to detect diseases. In contrast, a detailed history and physical exam for a first-time visit
to an obstetric clinic is a comprehensive assessment. When assessing a patient with leg pain in an urgent care
triage, the nurse is performing a problem-based or focused assessment. A follow-up assessment is conducted
when a patient returns for a fasting blood glucose check after being diagnosed with diabetes.
DIF: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
NURSINGTB.COM
by Wilson and Giddens
,Table of Contents
Unit I. Foundations for Health Assessment
1. Introduction to Health Assessment
2. Interviewing Patients to Obtain a Health History
3. Techniques and Equipment for Physical Assessment
4. General Inspection and Measurement of Vital Signs
5. Ethnic, Cultural, and Spiritual Considerations
6. Pain Assessment
7. Mental Health and Abusive Behavior Assessment
8. Nutritional Assessment
Unit II. Health Assessment of the Adult
9. Skin, Hair, and Nails
10. Head, Eyes, Ears, Nose, and Throat
11. Lungs and Respiratory System
12. Heart and Peripheral Vascular System
13. Abdomen and Gastrointestinal System
,14. Musculoskeletal System
15. Neurologic System
16. Breasts and Axillae
17. Reproductive System and the Perineum
Unit III. Health Assessment Across the Life Span
18. Developmental Assessment Throughout the Life Span
19. Assessment of the Infant, Child, and Adolescent
20. Assessment of the Pregnant Patient
21. Assessment of the Older Adult
Unit IV. Synthesis and Application of Health Assessment
22. Conducting a Head-to-Toe Examination
23. Documenting the Head-to-Toe Health Assessment
24. Adapting Health Assessment to an Ill Patient
, Chapter 01: Introduction to Health Assessment
Wilson: Health Assessment for Nursing Practice, 7th Edition
MULTIPLE CHOICE
1. A patient arrives at the emergency department and informs the triage nurse that he is “having a heart attack.”
At this moment, what should be the nurse’s highest priority?
a. Collect the patient’s personal details and insurance information.
b. Direct the patient to sit in the waiting area until his name is called.
c. Have a nurse gather data for a thorough medical history.
d. Instruct a nurse to begin an immediate focused assessment of the patient.
CORRECT CHOICE- D
The nurse must promptly conduct an assessment concentrating on the patient’s cardiovascular system. The
type of health assessment a nurse performs is determined by patient needs. Although personal details and
insurance data will be gathered later, assessing the patient takes precedence. Based on Maslow’s hierarchy of
needs, physiological concerns are the top priority. Rather than making the patient wait, the nurse should begin
taking vital signs immediately to evaluate the patient’s condition. Performing a quick assessment helps in
identifying symptoms and preventing complications. A comprehensive medical history is not essential at this
point, but some subjective data, including allergies and past cardiovascular issues, will be obtained.
Evaluations of the patient’s eyes, ears, musculoskeletal system, or mental health are not urgent at this time.
DIF: Apply REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
Priorities
2. Which of the following represents an example of a screening assessment?
a. A patient’s first visit to an obstetric clinic, where the nurse performs a detailed history and physical exam.
b. A hospital-organized health fair at a shopping mall offering cholesterol and blood pressure screenings.
c. A nurse in an urgent care clinic measuring the vital signs of a patient experiencing leg pain.
d. A newly diagnosed diabetic patient visiting to check his fasting blood glucose level.
CORRECT CHOICE- B
Conducting cholesterol and blood pressure checks at a health fair in a mall exemplifies a screening
assessment, as it aims to detect diseases. In contrast, a detailed history and physical exam for a first-time visit
to an obstetric clinic is a comprehensive assessment. When assessing a patient with leg pain in an urgent care
triage, the nurse is performing a problem-based or focused assessment. A follow-up assessment is conducted
when a patient returns for a fasting blood glucose check after being diagnosed with diabetes.
DIF: Understand REF: Box 1-3 | p. 3 TOP: Nursing Process: Assessment
MSC: NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening
NURSINGTB.COM
