FULL TEST BANK FOR HEALTH ASSESSMENT FOR NURSING
PRACTICE 8TH EDITION BY SUSAN FICKERTT WILSON , JEAN FORET
GIDDENS || COMPLETE CHAPTERS 1-26|| COMPLETE QUESTIONS &
WELL DETAILED ANSWERS||A+ ULTIMATE GUIDE
,Table of Contents
UNIT I. FOUNDATIONS FOR HEALTH ASSESSMENT ..................................................................................... 3
Chapter 01: Introduction To Health Assessment ...................................................................................... 3
Chapter 02: Obtaining A Health History ................................................................................................. 12
Chapter 03: Techniques And Equipment For Physical Assessment ........................................................ 32
Chapter 04: General Inspection And Measurement Of Vital Signs ......................................................... 51
Chapter 05: Cultural Assessment ............................................................................................................ 62
Chapter 06: Pain Assessment .................................................................................................................. 71
Chapter 07: Mental Health Assessment ................................................................................................. 80
Chapter 08: Nutritional Assessment ....................................................................................................... 91
UNIT II. HEALTH ASSESSMENT OF THE ADULT ........................................................................................ 104
Chapter 09: Skin, Hair, And Nails .......................................................................................................... 104
Chapter 10: Head And Neck .................................................................................................................. 122
Chapter 11: Eyes ................................................................................................................................... 135
Chapter 12: Ears, Nose, And Throat ..................................................................................................... 142
Chapter 13: Respiratory System ........................................................................................................... 151
Chapter 14: Cardiovascular System ...................................................................................................... 171
Chapter 15: Abdomen ........................................................................................................................... 191
Chapter 16: Musculoskeletal System .................................................................................................... 216
Chapter 17: Neurological System.......................................................................................................... 233
Chapter 18: Breasts And Axillae ............................................................................................................ 255
Chapter 19: Female Reproductive System............................................................................................ 269
Chapter 20: Male Reproductive System ............................................................................................... 296
Chapter 21. Anus, Rectum, And Prostate ............................................................................................. 322
UNIT III. HEALTH ASSESSMENT ACROSS THE LIFE SPAN ......................................................................... 334
Chapter 22: Assessment Of The Infant, Child, And Adolescent ............................................................ 335
Chapter 23: Assessment Of The Pregnant Patient................................................................................ 362
Chapter 24: Assessment Of The Older Adult ........................................................................................ 379
UNIT IV. SYNTHESIS AND APPLICATION OF HEALTH ASSESSMENT ........................................................ 392
Chapter 25: Conducting A Head-To-Toe Examination .......................................................................... 392
Chapter 26: Adapting Health Assessment ............................................................................................ 400
,UNIT I. FOUNDATIONS FOR HEALTH ASSESSMENT
Chapter 01: Introduction To Health Assessment
Health Assessment For Nursing Practice 8th Edition
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
Feedback:
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?
A. A Patient Visits An Obstetric Clinic For The First Time And The Nurse Conducts A Detailed History
And Physical Examination.
B. A Hospital Sponsors A Health Fair At A Local Mall And Provides Cholesterol And Blood Pressure
Checks To Mall Patrons.
, C. The Nurse In An Urgent Care Center Checks The Vital Signs Of A Patient Who Is Complaining Of
Leg Pain.
D. A Patient Newly Diagnosed With Diabetes Mellitus Comes To Test His Fasting Blood Glucose
Level.
ANSWER>>B
Feedback:
A Health Fair At A Local Mall That Provides Cholesterol And Blood Pressure Checks Is An Example Of A
Screening Assessment Focused On Disease Detection. A Detailed History And Physical Examination
Conducted During A First-Time Visit To An Obstetric Clinic Is An Example Of A Comprehensive
Assessment. Assessing A Patient Complaining Of Leg Pain In The Triage Area Of An Urgent Care Center Is
An Example Of A Problem-Based/Focused Assessment. A Patient’s Return Appointment 1 Month After
Today’s Office Visit To Report Fasting Blood Glucose Levels Is An Example Of An Episodic Or Follow-Up
Assessment.
Dif: Cognitive Level: Understand Ref: Box 1-3 | P. 3 Top: Nursing Process: Assessment Msc: Nclex
Patient Needs: Health Promotion And Maintenance: Health Screening
3. For Which Person Is A Screening Assessment Indicated?
A. The Person Who Had Abdominal Surgery Yesterday
B. The Person Who Is Unaware Of His High Serum Glucose Levels
C. The Person Who Is Being Admitted To A Long-Term Care Facility
D. The Person Who Is Beginning Rehabilitation After A Knee Replacement
ANSWER>>B
Feedback:
A Screening Assessment Is Performed For The Purpose Of Disease Detection. In This Case This Person
May Have Diabetes Mellitus. A Shift Assessment Is Most Appropriate For The Person Who Is Recovering
In The Hospital From Surgery. A Comprehensive Assessment Is Performed During Admission To A Facility
To Obtain A Detailed History And Complete Physical Examination. An Episodic Or Follow-Up Assessment
Is Performed After Knee Replacement To Evaluate The Outcome Of The Procedure.
Dif: Cognitive Level: Understand Ref: Box 1-3 | P. 3 Top: Nursing Process: Assessment
PRACTICE 8TH EDITION BY SUSAN FICKERTT WILSON , JEAN FORET
GIDDENS || COMPLETE CHAPTERS 1-26|| COMPLETE QUESTIONS &
WELL DETAILED ANSWERS||A+ ULTIMATE GUIDE
,Table of Contents
UNIT I. FOUNDATIONS FOR HEALTH ASSESSMENT ..................................................................................... 3
Chapter 01: Introduction To Health Assessment ...................................................................................... 3
Chapter 02: Obtaining A Health History ................................................................................................. 12
Chapter 03: Techniques And Equipment For Physical Assessment ........................................................ 32
Chapter 04: General Inspection And Measurement Of Vital Signs ......................................................... 51
Chapter 05: Cultural Assessment ............................................................................................................ 62
Chapter 06: Pain Assessment .................................................................................................................. 71
Chapter 07: Mental Health Assessment ................................................................................................. 80
Chapter 08: Nutritional Assessment ....................................................................................................... 91
UNIT II. HEALTH ASSESSMENT OF THE ADULT ........................................................................................ 104
Chapter 09: Skin, Hair, And Nails .......................................................................................................... 104
Chapter 10: Head And Neck .................................................................................................................. 122
Chapter 11: Eyes ................................................................................................................................... 135
Chapter 12: Ears, Nose, And Throat ..................................................................................................... 142
Chapter 13: Respiratory System ........................................................................................................... 151
Chapter 14: Cardiovascular System ...................................................................................................... 171
Chapter 15: Abdomen ........................................................................................................................... 191
Chapter 16: Musculoskeletal System .................................................................................................... 216
Chapter 17: Neurological System.......................................................................................................... 233
Chapter 18: Breasts And Axillae ............................................................................................................ 255
Chapter 19: Female Reproductive System............................................................................................ 269
Chapter 20: Male Reproductive System ............................................................................................... 296
Chapter 21. Anus, Rectum, And Prostate ............................................................................................. 322
UNIT III. HEALTH ASSESSMENT ACROSS THE LIFE SPAN ......................................................................... 334
Chapter 22: Assessment Of The Infant, Child, And Adolescent ............................................................ 335
Chapter 23: Assessment Of The Pregnant Patient................................................................................ 362
Chapter 24: Assessment Of The Older Adult ........................................................................................ 379
UNIT IV. SYNTHESIS AND APPLICATION OF HEALTH ASSESSMENT ........................................................ 392
Chapter 25: Conducting A Head-To-Toe Examination .......................................................................... 392
Chapter 26: Adapting Health Assessment ............................................................................................ 400
,UNIT I. FOUNDATIONS FOR HEALTH ASSESSMENT
Chapter 01: Introduction To Health Assessment
Health Assessment For Nursing Practice 8th Edition
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
Feedback:
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?
A. A Patient Visits An Obstetric Clinic For The First Time And The Nurse Conducts A Detailed History
And Physical Examination.
B. A Hospital Sponsors A Health Fair At A Local Mall And Provides Cholesterol And Blood Pressure
Checks To Mall Patrons.
, C. The Nurse In An Urgent Care Center Checks The Vital Signs Of A Patient Who Is Complaining Of
Leg Pain.
D. A Patient Newly Diagnosed With Diabetes Mellitus Comes To Test His Fasting Blood Glucose
Level.
ANSWER>>B
Feedback:
A Health Fair At A Local Mall That Provides Cholesterol And Blood Pressure Checks Is An Example Of A
Screening Assessment Focused On Disease Detection. A Detailed History And Physical Examination
Conducted During A First-Time Visit To An Obstetric Clinic Is An Example Of A Comprehensive
Assessment. Assessing A Patient Complaining Of Leg Pain In The Triage Area Of An Urgent Care Center Is
An Example Of A Problem-Based/Focused Assessment. A Patient’s Return Appointment 1 Month After
Today’s Office Visit To Report Fasting Blood Glucose Levels Is An Example Of An Episodic Or Follow-Up
Assessment.
Dif: Cognitive Level: Understand Ref: Box 1-3 | P. 3 Top: Nursing Process: Assessment Msc: Nclex
Patient Needs: Health Promotion And Maintenance: Health Screening
3. For Which Person Is A Screening Assessment Indicated?
A. The Person Who Had Abdominal Surgery Yesterday
B. The Person Who Is Unaware Of His High Serum Glucose Levels
C. The Person Who Is Being Admitted To A Long-Term Care Facility
D. The Person Who Is Beginning Rehabilitation After A Knee Replacement
ANSWER>>B
Feedback:
A Screening Assessment Is Performed For The Purpose Of Disease Detection. In This Case This Person
May Have Diabetes Mellitus. A Shift Assessment Is Most Appropriate For The Person Who Is Recovering
In The Hospital From Surgery. A Comprehensive Assessment Is Performed During Admission To A Facility
To Obtain A Detailed History And Complete Physical Examination. An Episodic Or Follow-Up Assessment
Is Performed After Knee Replacement To Evaluate The Outcome Of The Procedure.
Dif: Cognitive Level: Understand Ref: Box 1-3 | P. 3 Top: Nursing Process: Assessment
