Test Bank: Health Assessment for Nursing
Practice: Susan Fickertt Wilson, Jean Fore,
Susan Goebel, Sandra Yamane, Laura
Klenke- Borgmann 8th Edition
,Table THE Content
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 Iiii: 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
, Chapter 01: Introduction To Health Assessment
Multiple Choice
1. A Patient Comes To THE Emergency Department And Tells THE Triage Nurse That
He Is “Having A Heart Attack.” What Is THE Nurse’s Top Priority At This Time?
a. Determine THE Patient’s Personal Data And Insurance Coverage.
b. Ask THE Patient To Take A Seat In THE Waiting Room Until His Name Is Called.
c. Request That A Nurse Collect Data For A Comprehensive History.
d. Ask A Nurse TO Start A Focused Assessment OF
This PATIENT Now.
Answer: D
THE Nurse Needs TO Begin AN Assessment As Soon As Possible That Is Focused ON This
Patient’s Cardiovascular System. THE Type Of Health Assessment Performed By THE Nurse Is
Also Driven By Patient Need. Personal Data And Insurance Information Will Be Obtained, But In
This Situation, THEse Data Can Wait Until After THE Patient Is Assessed. Based Also On
Maslow’s Hierarchy Of Needs, Physiologic Needs Take
Precedence. RaTHEr Than Asking THE Patient To Wait, THE Nurse Needs To Begin Data
Collection, Such As Vital Signs, Immediately To Determine THE Patient’s Health Status.
Complications Can Be Prevented If AN Immediate Assessment Is Made TO Analyze THE
Patient’s Symptoms. A Comprehensive History Is Not Indicated In This Situation At This Time.
Some Subjective Data Will Be Collected, Such As Allergies And
Medical History Related To Cardiovascular Disease. Eyes, Ears, Or A Complete Musculoskeletal
Or Mental Health Assessment Is Not A Priority At This Time.
Dif: Cognitive Level: 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 Situation Illustrates A Screening Assessment?
Practice: Susan Fickertt Wilson, Jean Fore,
Susan Goebel, Sandra Yamane, Laura
Klenke- Borgmann 8th Edition
,Table THE Content
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 Iiii: 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
, Chapter 01: Introduction To Health Assessment
Multiple Choice
1. A Patient Comes To THE Emergency Department And Tells THE Triage Nurse That
He Is “Having A Heart Attack.” What Is THE Nurse’s Top Priority At This Time?
a. Determine THE Patient’s Personal Data And Insurance Coverage.
b. Ask THE Patient To Take A Seat In THE Waiting Room Until His Name Is Called.
c. Request That A Nurse Collect Data For A Comprehensive History.
d. Ask A Nurse TO Start A Focused Assessment OF
This PATIENT Now.
Answer: D
THE Nurse Needs TO Begin AN Assessment As Soon As Possible That Is Focused ON This
Patient’s Cardiovascular System. THE Type Of Health Assessment Performed By THE Nurse Is
Also Driven By Patient Need. Personal Data And Insurance Information Will Be Obtained, But In
This Situation, THEse Data Can Wait Until After THE Patient Is Assessed. Based Also On
Maslow’s Hierarchy Of Needs, Physiologic Needs Take
Precedence. RaTHEr Than Asking THE Patient To Wait, THE Nurse Needs To Begin Data
Collection, Such As Vital Signs, Immediately To Determine THE Patient’s Health Status.
Complications Can Be Prevented If AN Immediate Assessment Is Made TO Analyze THE
Patient’s Symptoms. A Comprehensive History Is Not Indicated In This Situation At This Time.
Some Subjective Data Will Be Collected, Such As Allergies And
Medical History Related To Cardiovascular Disease. Eyes, Ears, Or A Complete Musculoskeletal
Or Mental Health Assessment Is Not A Priority At This Time.
Dif: Cognitive Level: 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 Situation Illustrates A Screening Assessment?
