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