,Table of Contents gx gx
Chapter 01 Understanding Health Assessment _____________________________________________________ 1
gx gx gx gx
Chapter 02 Interviewing the Patient for the Health History
gx gx gx gx gx gx gx gx g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g
x g x g 11 Chapter 03 Taking the Health History _________________________________________ 40
x g x g x g x g x x
g g x gx gx gx gx gx
Chapter 04 Assessing Nutrition and Anthropometric Measurements
gx gx gx gx gx gx g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x
g x g x 61 Chapter 05 Assessment Techniques _____________________________________________ 88
g x g x g x g x x
g gx gx gx gx
Chapter 06 General Survey and Assessing Vital Signs
gx gx gx gxgx gx gx gx g
x 99 Chapter 07 Assessing Pain ___________________ 128 g x gx gx gx gx
Chapter 08 Assessing the Skin, Hair, and Nails ___________________________________________________ 149
gx gx gx gx gx gx gx
Chapter 09 Assessing the Head, Face, Mouth, and Neck
gx gx gx gx gx gx gx gx g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x
g x g x g 188 Chapter 10 Assessing the Ears _____________________________________________ 229
x g x g x g x g x x
g gx gx gx gx gx
Chapter 11 Assessing the Eyes _______________________________________________________________ 250
gx gx gx gx
Chapter 12 Assessing the Respiratory System
gx gx gx gx 281 gx
Chapter 13 Assessing the Cardiovascular System
gx gx gx gx 308 gx
Chapter 14 Assessing the Abdomen
gx gx gx gx 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
gx gx gx gx 363 gx gx gx gx gx gx
Chapter 16 Assessing the Musculoskeletal System
gx gx gx gx 391 gx
Chapter 17 Assessing the Neurological System
gx gx gx gx 417 gx
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
gx gx gx gx 451 gx gx gx gx gx
Chapter 19 Assessing the Male Breasts and Reproductive System
gx gx gx gx 477 gx gx gx gx
Chapter 20 Assessing the Anus and Rectum
gx gx gx gx 501 gx gx
Chapter 21 Assessing the Newborn
gx gx gx gx 517
Chapter 22 Assessing the Child and Adolescent
gx gx gx gx 555 gx gx
Chapter 23 Assessing the Pregnant Woman
gx gx gx gx 583 7%
Chapter 24 Assessing the Older Adult
gx gx gx gx 612 gx
, Test Bank - g x g x
Chapter 1: Understanding Health Assessment
gx gx gx gx
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
gx gx gx gx gx gx gx gx gx gx gx gx
Th e goal for this strategy is:
gx gx gx gx gx gx
1. All individuals to get the same health care throughout their life spans.
gx gx gx gx gx gx gx gx gx gx gx
2. The government to supply money to care for all the people in the world.
gx gx gx gx gx gx gx gx gx gx gx gx gx
3. Resources for health care to be evenly distributed and accessible.
gx gx gx gx gx gx gx gx gx
4. Health-care providers can never deny patients health care.gx gx gx gx gx gx gx
ANS: 3gx
Page: 1
gx
Feedback
1. This is incorrect. “Health for All” does not mean that all individuals get the same hea
gx gx gx gx gx gx gx 7% gx gx gx gx gx gx gx
lth care throughout their life spans.
gx gx gx gx gx
2. This is incorrect. “Health for All” does not mean the government will supply money t
gx gx gx gx gx gx gx gx gx gx gx gx gx gx
o care for all the people in the world.
gx gx gx gx gx gx gx gx
3. This is correct. “Health for All” means that resources for health care are evenly distrib
gx gx gx gx gx gx gx gx gx gx gx gx gx gx
uted and accessible to everyone.
gx gx gx gx
4. This is incorrect. “Health for All” does not mean that health-
gx gx gx gx gx gx gx gx gx gx
care providers can deny patients health care.
gx gx gx gx gx gx
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
gx gx gx gx gx gx gx gx gx gx gx gx
register ed nurses (RNs) to:gx gx gx gx
1. Diagnose and treat patients. gx gx gx
2. Identify normal and abnormal findings.
gx gx gx gx
3. Refer patients with abnormal findings.
gx gx gx gx
4. Counsel patients with psychosocial needs.
gx gx gx gx
ANS: 2gx
Page: 5-6
gx
Feedback
1. This is incorrect. The role of the RN is not to diagnose and treat patients.
gx gx gx gx gx gx gx gx gx 7% gx gx gx gx
2. This is correct. Assessing patients and being able to identify normal from abnormal finding
gx gx gx gx gx gx gx gx gx gx gx gx gx
s is an essential role of the RN.
gx gx gx gx gx gx gx
3. This is incorrect. RNs in collaboration with the health-
gx gx gx gx gx gx gx gx
care providers do refer patients. This is not the essential and foundational rol
gx gx gx gx gx gx gx gx gx gx gx
4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational
gx gx gx gx gx gx gx 7% gx gx 7% gx gx gx gx
role in health assessment.gx gx gx
3
, Test Bank - g x g x
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police presen
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx g x gx
ce outside his door because the patient is a known drug dealer in the community. You know that nu rs
gx gx gx gx gx gx gx gx 7% gx gx gx gx gx gx gx gx gx gx
es must treat all patients as persons. This is called:
gx 7% gx gx gx gx gx gx gx
1. Caring.
2. Holistic process. gx
3. Person-centered care (PCC). gx gx
4. Standards of care. gx gx
ANS: 3 gx
Page: 2 gx
Feedback
1. This is incorrect. Caring is displaying a concern for patients.
gx gx gx gx gx 7% gx gx gx
2. This is incorrect. The holistic caring process is a relational process; the nurse c ollaborates
gx gx gx gx gx gx gx gx gx gx gx gx g x gx g
with the individual to pursue goals for health and well-being.
x gx gx gx gx gx gx gx gx gx
3. This is correct. The new movement in health care is person-
gx gx gx gx gx 7% gx gx gx gx
centered care (PCC), which emphasizes the intrinsic value of treating all patients
gx gx gx gx gx gx gx gx gx gx
4. This is incorrect. Standards of care identify standards of professional nursing practice
gx gx gx gx gx 7% gx gx gx gx gx
.
4. The science-
gx gx
based framework updated every 10 years by the U.S. Department of Health and Human Services th
gx gx gx gx gx gx gx gx gx gx gx gx g x gx gx gx
at has set national goals and objectives for health promotion and disease prevention is:
gx gx gx gx gx gx gx gx gx gx gx gx
1. Healthy People. gx
2. Healthy People 2020. gx gx
3. U.S. Preventive Task Force.
gx gx gx
4. World Health Organization.gx gx
ANS: 2 gx
Page: 2 gx
Feedback
1. This is incorrect. Healthy People is the general title for the nation’s federal initiative.
gx gx gx gx gx gx gx gx gx gx gx gx gx
2. This is correct. Healthy People 2020 specifically identifies science-
gx gx gx gx gx gx gx gx
based, national goals and objectives with 10-
gx gx gx gx gx gx
year targets designed to guide national health promotion
gx gx gx gx gx gx gx
and disease prevention effort s to gx gx gx gx gx gx
improve the health of all people in the United gx States. gx gx gx gx gx gx gx
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence-
gx gx gx gx gx gx gx gx gx gx gx gx gx
based medicine to improve the health of all Americans by making evidence-
gx gx gx gx gx gx gx gx gx gx gx gx
based
recommendations about clinical preventive services such as screenings, counseli gx 7% gx gx gx gx gx gx gx
ng services, and preventive medications.
g x gx gx gx
4. This is incorrect. The World Health Organization is a specialized agency of the
gx gx gx gx gx gx gx gx gx gx gx gx gx
United Nations working to improve the health of the world’s people.
gx gx 7% gx gx gx gx gx gx gx
4
Chapter 01 Understanding Health Assessment _____________________________________________________ 1
gx gx gx gx
Chapter 02 Interviewing the Patient for the Health History
gx gx gx gx gx gx gx gx g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g
x g x g 11 Chapter 03 Taking the Health History _________________________________________ 40
x g x g x g x g x x
g g x gx gx gx gx gx
Chapter 04 Assessing Nutrition and Anthropometric Measurements
gx gx gx gx gx gx g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x
g x g x 61 Chapter 05 Assessment Techniques _____________________________________________ 88
g x g x g x g x x
g gx gx gx gx
Chapter 06 General Survey and Assessing Vital Signs
gx gx gx gxgx gx gx gx g
x 99 Chapter 07 Assessing Pain ___________________ 128 g x gx gx gx gx
Chapter 08 Assessing the Skin, Hair, and Nails ___________________________________________________ 149
gx gx gx gx gx gx gx
Chapter 09 Assessing the Head, Face, Mouth, and Neck
gx gx gx gx gx gx gx gx g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x g x
g x g x g 188 Chapter 10 Assessing the Ears _____________________________________________ 229
x g x g x g x g x x
g gx gx gx gx gx
Chapter 11 Assessing the Eyes _______________________________________________________________ 250
gx gx gx gx
Chapter 12 Assessing the Respiratory System
gx gx gx gx 281 gx
Chapter 13 Assessing the Cardiovascular System
gx gx gx gx 308 gx
Chapter 14 Assessing the Abdomen
gx gx gx gx 335
Chapter 15 Assessing the Peripheral Vascular System and Regional Lymphatic System
gx gx gx gx 363 gx gx gx gx gx gx
Chapter 16 Assessing the Musculoskeletal System
gx gx gx gx 391 gx
Chapter 17 Assessing the Neurological System
gx gx gx gx 417 gx
Chapter 18 Assessing the Female Breasts, Axillae, and Reproductive System
gx gx gx gx 451 gx gx gx gx gx
Chapter 19 Assessing the Male Breasts and Reproductive System
gx gx gx gx 477 gx gx gx gx
Chapter 20 Assessing the Anus and Rectum
gx gx gx gx 501 gx gx
Chapter 21 Assessing the Newborn
gx gx gx gx 517
Chapter 22 Assessing the Child and Adolescent
gx gx gx gx 555 gx gx
Chapter 23 Assessing the Pregnant Woman
gx gx gx gx 583 7%
Chapter 24 Assessing the Older Adult
gx gx gx gx 612 gx
, Test Bank - g x g x
Chapter 1: Understanding Health Assessment
gx gx gx gx
1. The World Health Organization (WHO) established a global strategy called “Health for All.”
gx gx gx gx gx gx gx gx gx gx gx gx
Th e goal for this strategy is:
gx gx gx gx gx gx
1. All individuals to get the same health care throughout their life spans.
gx gx gx gx gx gx gx gx gx gx gx
2. The government to supply money to care for all the people in the world.
gx gx gx gx gx gx gx gx gx gx gx gx gx
3. Resources for health care to be evenly distributed and accessible.
gx gx gx gx gx gx gx gx gx
4. Health-care providers can never deny patients health care.gx gx gx gx gx gx gx
ANS: 3gx
Page: 1
gx
Feedback
1. This is incorrect. “Health for All” does not mean that all individuals get the same hea
gx gx gx gx gx gx gx 7% gx gx gx gx gx gx gx
lth care throughout their life spans.
gx gx gx gx gx
2. This is incorrect. “Health for All” does not mean the government will supply money t
gx gx gx gx gx gx gx gx gx gx gx gx gx gx
o care for all the people in the world.
gx gx gx gx gx gx gx gx
3. This is correct. “Health for All” means that resources for health care are evenly distrib
gx gx gx gx gx gx gx gx gx gx gx gx gx gx
uted and accessible to everyone.
gx gx gx gx
4. This is incorrect. “Health for All” does not mean that health-
gx gx gx gx gx gx gx gx gx gx
care providers can deny patients health care.
gx gx gx gx gx gx
2. Health assessment is a foundational and priority nursing skill. This essential skill requires
gx gx gx gx gx gx gx gx gx gx gx gx
register ed nurses (RNs) to:gx gx gx gx
1. Diagnose and treat patients. gx gx gx
2. Identify normal and abnormal findings.
gx gx gx gx
3. Refer patients with abnormal findings.
gx gx gx gx
4. Counsel patients with psychosocial needs.
gx gx gx gx
ANS: 2gx
Page: 5-6
gx
Feedback
1. This is incorrect. The role of the RN is not to diagnose and treat patients.
gx gx gx gx gx gx gx gx gx 7% gx gx gx gx
2. This is correct. Assessing patients and being able to identify normal from abnormal finding
gx gx gx gx gx gx gx gx gx gx gx gx gx
s is an essential role of the RN.
gx gx gx gx gx gx gx
3. This is incorrect. RNs in collaboration with the health-
gx gx gx gx gx gx gx gx
care providers do refer patients. This is not the essential and foundational rol
gx gx gx gx gx gx gx gx gx gx gx
4. This is incorrect. RNs do counsel patients, but it is not the essential and foundational
gx gx gx gx gx gx gx 7% gx gx 7% gx gx gx gx
role in health assessment.gx gx gx
3
, Test Bank - g x g x
3. You are assessing a patient with five gunshot wounds on a trauma unit. There is a police presen
gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx gx g x gx
ce outside his door because the patient is a known drug dealer in the community. You know that nu rs
gx gx gx gx gx gx gx gx 7% gx gx gx gx gx gx gx gx gx gx
es must treat all patients as persons. This is called:
gx 7% gx gx gx gx gx gx gx
1. Caring.
2. Holistic process. gx
3. Person-centered care (PCC). gx gx
4. Standards of care. gx gx
ANS: 3 gx
Page: 2 gx
Feedback
1. This is incorrect. Caring is displaying a concern for patients.
gx gx gx gx gx 7% gx gx gx
2. This is incorrect. The holistic caring process is a relational process; the nurse c ollaborates
gx gx gx gx gx gx gx gx gx gx gx gx g x gx g
with the individual to pursue goals for health and well-being.
x gx gx gx gx gx gx gx gx gx
3. This is correct. The new movement in health care is person-
gx gx gx gx gx 7% gx gx gx gx
centered care (PCC), which emphasizes the intrinsic value of treating all patients
gx gx gx gx gx gx gx gx gx gx
4. This is incorrect. Standards of care identify standards of professional nursing practice
gx gx gx gx gx 7% gx gx gx gx gx
.
4. The science-
gx gx
based framework updated every 10 years by the U.S. Department of Health and Human Services th
gx gx gx gx gx gx gx gx gx gx gx gx g x gx gx gx
at has set national goals and objectives for health promotion and disease prevention is:
gx gx gx gx gx gx gx gx gx gx gx gx
1. Healthy People. gx
2. Healthy People 2020. gx gx
3. U.S. Preventive Task Force.
gx gx gx
4. World Health Organization.gx gx
ANS: 2 gx
Page: 2 gx
Feedback
1. This is incorrect. Healthy People is the general title for the nation’s federal initiative.
gx gx gx gx gx gx gx gx gx gx gx gx gx
2. This is correct. Healthy People 2020 specifically identifies science-
gx gx gx gx gx gx gx gx
based, national goals and objectives with 10-
gx gx gx gx gx gx
year targets designed to guide national health promotion
gx gx gx gx gx gx gx
and disease prevention effort s to gx gx gx gx gx gx
improve the health of all people in the United gx States. gx gx gx gx gx gx gx
3. This is incorrect. The U.S. Preventive Services Task Force’s goal is to use evidence-
gx gx gx gx gx gx gx gx gx gx gx gx gx
based medicine to improve the health of all Americans by making evidence-
gx gx gx gx gx gx gx gx gx gx gx gx
based
recommendations about clinical preventive services such as screenings, counseli gx 7% gx gx gx gx gx gx gx
ng services, and preventive medications.
g x gx gx gx
4. This is incorrect. The World Health Organization is a specialized agency of the
gx gx gx gx gx gx gx gx gx gx gx gx gx
United Nations working to improve the health of the world’s people.
gx gx 7% gx gx gx gx gx gx gx
4