TestBank For Health Assessment for Nursing Practice 7th
cs cs cs cs cs cs cs cs
Edition by Susan Fickertt Wilson, Jean Foret Giddens
cs cs cs cs cs cs cs cs cs
Chapter 1-24 cs cs
,Chapter01:IntroductiontoHealthAssessment
cs cs cs cs cs
Wilson:HealthAssessmentforNursingPractice,7thEdition
cs cs cs cs cs cs cs
MULTIPLE CHOICE cs
1. Apatientcomestotheemergencydepartmentandtellsthetriagenursethatheis―havinga heart
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
cs attack.‖ What is the nurse‘s top priority at this time? cs cs cs cs cs cs cs cs cs
a. Determinethe patient‘s personal data and insurance coverage. cs cs cs cs cs cs cs
b. Ask the patient to take a seat in the waiting room until his name iscalled.
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
c. Request that a nurse collect datafor a comprehensivehistory. cs cs cs cs cs cs cs cs cs
d. Ask a nurse to start a focused assessment of this patientnow. cs cs cs cs cs cs cs cs cs cs cs
ANS: D c s
The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
cardiovascularsystem. The type of health assessment performed bythe nurse is also driven by
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
patient need. Personal data and insurance information will be obtained, but in this situation, these
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
data can wait until after the patient is assessed. Based also on Maslow‘s hierarchy of needs,
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
physiologic needs take precedence. Rather than asking the patient to wait, the nurse needs to begin
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
data collection, such as vital signs, immediately to determine the patient‘s health status.
cs cs cs cs cs cs cs cs cs cs cs cs cs
Complications can be prevented if an immediate assessment is made to analyze the patient‘s
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
symptoms. A comprehensive history is not indicated in this situation at this time. Some subjective
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
data will be collected, such as allergies and medical history related to cardiovascular disease. Eyes,
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
ears, or a complete musculoskeletal or mental health assessment is not a priority at this time.
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
DIF:Cognitive Level: Apply REF: Box1-3 cs cs c s cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Safe and Effective CareEnvironment: Management of Care: Establishing cs cs cs cs cs cs cs cs cs cs cs
Priorities
cs
2. Which situation illustrates ascreening assessment? cs cs cs cs cs
a. A patient visits an obstetricclinic for the first time and the nurse conducts a
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
cs detailed history and physical examination. cs cs cs cs
b. A hospital sponsors a healthfair at a local mall and provides cholesterol and blood
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
cs pressure checks to mall patrons. cs cs cs cs
c. The nurse in an urgent care center checks the vital signs of a patient who is
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
cs complaining of leg pain. cs cs cs
d. A patient newlydiagnosed with diabetes mellitus comes to test his fastingblood
cs cs cs cs cs cs cs cs cs cs cs cs
cs glucose level. cs
ANS: B c s
A health fair at a local mall that provides cholesterol and blood pressure checks is an example of a
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
screening assessment focused on disease detection. A detailed history and physical examination
cs cs cs cs cs cs cs cs cs cs cs cs
conducted during a first-time visit to an obstetric clinic is an example of a comprehensive
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
assessment. Assessing a patient complaining of leg pain in the triage area of an urgent care center is
cs cs cs cs cs cs cs cs cs cs cs cs cs c s cs cs cs cs
an example of a problem-based/focused assessment. A patient‘s return appointment 1 month after
cs cs cs cs cs cs cs cs cs cs cs cs cs
today‘s office visit to report fasting blood glucose levels is an example of an episodic or follow-up
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
assessment.
cs
DIF:CognitiveLevel:Understand cs cs REF:Box 1-3 cs cs
, TOP:NursingProcess: Assessment cs cs
MSC:NCLEXPatient Needs: HealthPromotionandMaintenance: Health Screening cs cs cs cs cs cs cs cs
3. For which person is a screening assessmentindicated?cs cs cs cs cs cs cs
a. The person who had abdominal surgery yesterday cs cs cs cs cs cs
b. The person who is unaware of his high serum glucose levels cs cs cs cs cs cs cs cs cs cs
c. Theperson who is being admitted to a long-term carefacility cs cs cs cs cs cs cs cs cs cs
d. Theperson who is beginning rehabilitation after a knee replacement
cs cs cs cs cs cs cs cs cs
ANS: B cs
A screening assessment is performed for the purpose of disease detection. In this case this person
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
may have diabetes mellitus. A shift assessment is most appropriate for the person who is recovering
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
in the hospital from surgery. A comprehensive assessment is performed during admission to a
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
facility to obtain a detailed history and complete physical examination. An episodicor follow-up
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
assessment is performed after knee replacement to evaluate the outcome of the procedure.
cs cs cs cs cs cs cs cs cs cs cs cs cs
DIF:Cognitive Level: Understand REF:Box1-3 cs cs cs cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Safe and Effective CareEnvironment: Management of Care: Establishing cs cs cs cs cs cs cs cs cs cs cs
Priorities
cs
4. For which person is a shift assessment indicated?
cs cs cs cs cs cs cs
a. The person who had abdominal surgery yesterday cs cs cs cs cs cs
b. The person who is unaware of his high serum glucose levels cs cs cs cs cs cs cs cs cs cs
c. Theperson who is being admitted to a long-term carefacility cs cs cs cs cs cs cs cs cs cs
d. Theperson who is beginning rehabilitation after a knee replacement
cs cs cs cs cs cs cs cs cs
ANS: A cs
A shift assessment is most appropriate for the person who is recovering in the hospital from surgery.
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
A screening assessment is performed for the purpose of disease detection, in this case diabetes
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
mellitus. A comprehensive assessment is performed during admission to a facility to obtain a
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
detailed history and complete physical examination. An episodic or follow-up assessment is
cs cs cs cs cs cs cs cs cs cs cs cs
performed after knee replacement to evaluate the outcome of the procedure.
cs cs cs cs cs cs cs cs cs cs cs
DIF:Cognitive Level: Understand REF:Box1-3 cs cs cs cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Safe and Effective CareEnvironment: Management of Care: Establishing cs cs cs cs cs cs cs cs cs cs cs
Priorities
cs
5. For which person is a comprehensive assessment indicated?
cs cs cs cs cs cs cs
a. The person who had abdominal surgery yesterday cs cs cs cs cs cs
b. The person who is unaware of his high serum glucose levels cs cs cs cs cs cs cs cs cs cs
c. Theperson who is being admitted to a long-term carefacility cs cs cs cs cs cs cs cs cs cs
d. Theperson who is beginning rehabilitation after a knee replacement
cs cs cs cs cs cs cs cs cs
ANS: C cs
Acomprehensive assessment is performed during admission to a facilityto obtaina detailed history
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
and complete physical examination. A shift assessment is most appropriate for the person who is
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
recovering in the hospital from surgery. A screeningassessment is performed for the purpose of
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
disease detection, in this case diabetes mellitus. An episodic or follow-up assessment is performed
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
after knee replacement to evaluate the outcome of the procedure.
cs cs cs cs cs cs cs cs cs cs
, DIF:Cognitive Level: Understand REF:Box1-3 cs cs cs cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Safe and Effective CareEnvironment: Management of Care: Establishing cs cs cs cs cs cs cs cs cs cs cs
Priorities
cs
6. For which person is an episodic or follow-up assessment indicated?
cs cs cs cs cs cs cs cs cs
a. The person who had abdominal surgery yesterday
cs cs cs cs cs cs
b. The person who is unaware of his high serum glucose levels
cs cs cs cs cs cs cs cs cs cs
c. Theperson who is being admitted to a long-term carefacility
cs cs cs cs cs cs cs cs cs cs
d. Theperson who is beginning rehabilitation after a knee replacement
cs cs cs cs cs cs cs cs cs
ANS: D cs
An episodic or follow-up assessment is performed after the knee replacement to evaluate the
cs cs cs cs cs cs cs cs cs cs cs cs cs
outcome of the procedure. A shift assessment is most appropriate for the person who is recovering
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
in the hospital from surgery. A screeningassessment is performed forthe purpose of disease
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
detection, in this case diabetes mellitus. A comprehensive assessment is performed during
cs cs cs cs cs cs cs cs cs cs cs cs
admission to a facilityto obtain a detailed history and complete physical examination.
cs cs cs cs cs cs cs cs cs cs cs cs cs
DIF:Cognitive Level: Understand REF:Box1-3 cs cs cs cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Safe and Effective CareEnvironment: Management of Care: Establishing cs cs cs cs cs cs cs cs cs cs cs
Priorities
cs
7. Whichis an example of data a nurse collects during a physicalexamination?
cs cs cs cs cs cs cs cs cs cs cs cs
a. The patient‘s lack of hair and shiny skin over both shins
cs cs cs cs cs cs cs cs cs cs
b. Thepatient‘s stated concern about lack of money forprescriptions
cs cs cs cs cs cs cs cs cs
c. The patient‘s complaints of tingling sensations in thefeet
cs cs cs cs cs cs cs cs
d. The patient‘s mother‘s statements that the patient is verynervous lately
cs cs cs cs cs cs cs cs cs cs
ANS: A cs
The lack of hair and shiny skin over both shins are objective data or signs that are part of the physical
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
examination. A patient‘s concerns about lack of money are subjective data and are part of the health
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
history. A patient‘s complaints of tingling sensations in the feet are subjective data and are part of
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
the health history. A patient‘s familystatements are considered secondary data, are subjective data,
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
and are part of the health history.
cs cs cs cs cs cs cs
DIF:Cognitive Level: Apply REF: Box1-3 cs cs c s cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Physiological Integrity: Reduction of Risk Potential: SystemSpecific cs cs cs cs cs cs cs cs cs cs
Assessments
cs
8. Thenurse documents which information in the patient‘shistory?
cs cs cs cs cs cs cs cs
a. The patient‘s skin feels warm to thetouch.
cs cs cs cs cs cs cs
b. The patient is scratching his arm. cs cs cs cs cs
c. Thepatient‘s temperature is 100 F. cs cs cs cs cs
d. The patient complains of itching. cs cs cs cs
ANS: D cs
cs cs cs cs cs cs cs cs
Edition by Susan Fickertt Wilson, Jean Foret Giddens
cs cs cs cs cs cs cs cs cs
Chapter 1-24 cs cs
,Chapter01:IntroductiontoHealthAssessment
cs cs cs cs cs
Wilson:HealthAssessmentforNursingPractice,7thEdition
cs cs cs cs cs cs cs
MULTIPLE CHOICE cs
1. Apatientcomestotheemergencydepartmentandtellsthetriagenursethatheis―havinga heart
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
cs attack.‖ What is the nurse‘s top priority at this time? cs cs cs cs cs cs cs cs cs
a. Determinethe patient‘s personal data and insurance coverage. cs cs cs cs cs cs cs
b. Ask the patient to take a seat in the waiting room until his name iscalled.
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
c. Request that a nurse collect datafor a comprehensivehistory. cs cs cs cs cs cs cs cs cs
d. Ask a nurse to start a focused assessment of this patientnow. cs cs cs cs cs cs cs cs cs cs cs
ANS: D c s
The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
cardiovascularsystem. The type of health assessment performed bythe nurse is also driven by
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
patient need. Personal data and insurance information will be obtained, but in this situation, these
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
data can wait until after the patient is assessed. Based also on Maslow‘s hierarchy of needs,
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
physiologic needs take precedence. Rather than asking the patient to wait, the nurse needs to begin
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
data collection, such as vital signs, immediately to determine the patient‘s health status.
cs cs cs cs cs cs cs cs cs cs cs cs cs
Complications can be prevented if an immediate assessment is made to analyze the patient‘s
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
symptoms. A comprehensive history is not indicated in this situation at this time. Some subjective
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
data will be collected, such as allergies and medical history related to cardiovascular disease. Eyes,
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
ears, or a complete musculoskeletal or mental health assessment is not a priority at this time.
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
DIF:Cognitive Level: Apply REF: Box1-3 cs cs c s cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Safe and Effective CareEnvironment: Management of Care: Establishing cs cs cs cs cs cs cs cs cs cs cs
Priorities
cs
2. Which situation illustrates ascreening assessment? cs cs cs cs cs
a. A patient visits an obstetricclinic for the first time and the nurse conducts a
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
cs detailed history and physical examination. cs cs cs cs
b. A hospital sponsors a healthfair at a local mall and provides cholesterol and blood
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
cs pressure checks to mall patrons. cs cs cs cs
c. The nurse in an urgent care center checks the vital signs of a patient who is
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
cs complaining of leg pain. cs cs cs
d. A patient newlydiagnosed with diabetes mellitus comes to test his fastingblood
cs cs cs cs cs cs cs cs cs cs cs cs
cs glucose level. cs
ANS: B c s
A health fair at a local mall that provides cholesterol and blood pressure checks is an example of a
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
screening assessment focused on disease detection. A detailed history and physical examination
cs cs cs cs cs cs cs cs cs cs cs cs
conducted during a first-time visit to an obstetric clinic is an example of a comprehensive
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
assessment. Assessing a patient complaining of leg pain in the triage area of an urgent care center is
cs cs cs cs cs cs cs cs cs cs cs cs cs c s cs cs cs cs
an example of a problem-based/focused assessment. A patient‘s return appointment 1 month after
cs cs cs cs cs cs cs cs cs cs cs cs cs
today‘s office visit to report fasting blood glucose levels is an example of an episodic or follow-up
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
assessment.
cs
DIF:CognitiveLevel:Understand cs cs REF:Box 1-3 cs cs
, TOP:NursingProcess: Assessment cs cs
MSC:NCLEXPatient Needs: HealthPromotionandMaintenance: Health Screening cs cs cs cs cs cs cs cs
3. For which person is a screening assessmentindicated?cs cs cs cs cs cs cs
a. The person who had abdominal surgery yesterday cs cs cs cs cs cs
b. The person who is unaware of his high serum glucose levels cs cs cs cs cs cs cs cs cs cs
c. Theperson who is being admitted to a long-term carefacility cs cs cs cs cs cs cs cs cs cs
d. Theperson who is beginning rehabilitation after a knee replacement
cs cs cs cs cs cs cs cs cs
ANS: B cs
A screening assessment is performed for the purpose of disease detection. In this case this person
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
may have diabetes mellitus. A shift assessment is most appropriate for the person who is recovering
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
in the hospital from surgery. A comprehensive assessment is performed during admission to a
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
facility to obtain a detailed history and complete physical examination. An episodicor follow-up
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
assessment is performed after knee replacement to evaluate the outcome of the procedure.
cs cs cs cs cs cs cs cs cs cs cs cs cs
DIF:Cognitive Level: Understand REF:Box1-3 cs cs cs cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Safe and Effective CareEnvironment: Management of Care: Establishing cs cs cs cs cs cs cs cs cs cs cs
Priorities
cs
4. For which person is a shift assessment indicated?
cs cs cs cs cs cs cs
a. The person who had abdominal surgery yesterday cs cs cs cs cs cs
b. The person who is unaware of his high serum glucose levels cs cs cs cs cs cs cs cs cs cs
c. Theperson who is being admitted to a long-term carefacility cs cs cs cs cs cs cs cs cs cs
d. Theperson who is beginning rehabilitation after a knee replacement
cs cs cs cs cs cs cs cs cs
ANS: A cs
A shift assessment is most appropriate for the person who is recovering in the hospital from surgery.
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
A screening assessment is performed for the purpose of disease detection, in this case diabetes
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
mellitus. A comprehensive assessment is performed during admission to a facility to obtain a
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
detailed history and complete physical examination. An episodic or follow-up assessment is
cs cs cs cs cs cs cs cs cs cs cs cs
performed after knee replacement to evaluate the outcome of the procedure.
cs cs cs cs cs cs cs cs cs cs cs
DIF:Cognitive Level: Understand REF:Box1-3 cs cs cs cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Safe and Effective CareEnvironment: Management of Care: Establishing cs cs cs cs cs cs cs cs cs cs cs
Priorities
cs
5. For which person is a comprehensive assessment indicated?
cs cs cs cs cs cs cs
a. The person who had abdominal surgery yesterday cs cs cs cs cs cs
b. The person who is unaware of his high serum glucose levels cs cs cs cs cs cs cs cs cs cs
c. Theperson who is being admitted to a long-term carefacility cs cs cs cs cs cs cs cs cs cs
d. Theperson who is beginning rehabilitation after a knee replacement
cs cs cs cs cs cs cs cs cs
ANS: C cs
Acomprehensive assessment is performed during admission to a facilityto obtaina detailed history
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
and complete physical examination. A shift assessment is most appropriate for the person who is
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
recovering in the hospital from surgery. A screeningassessment is performed for the purpose of
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
disease detection, in this case diabetes mellitus. An episodic or follow-up assessment is performed
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
after knee replacement to evaluate the outcome of the procedure.
cs cs cs cs cs cs cs cs cs cs
, DIF:Cognitive Level: Understand REF:Box1-3 cs cs cs cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Safe and Effective CareEnvironment: Management of Care: Establishing cs cs cs cs cs cs cs cs cs cs cs
Priorities
cs
6. For which person is an episodic or follow-up assessment indicated?
cs cs cs cs cs cs cs cs cs
a. The person who had abdominal surgery yesterday
cs cs cs cs cs cs
b. The person who is unaware of his high serum glucose levels
cs cs cs cs cs cs cs cs cs cs
c. Theperson who is being admitted to a long-term carefacility
cs cs cs cs cs cs cs cs cs cs
d. Theperson who is beginning rehabilitation after a knee replacement
cs cs cs cs cs cs cs cs cs
ANS: D cs
An episodic or follow-up assessment is performed after the knee replacement to evaluate the
cs cs cs cs cs cs cs cs cs cs cs cs cs
outcome of the procedure. A shift assessment is most appropriate for the person who is recovering
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
in the hospital from surgery. A screeningassessment is performed forthe purpose of disease
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
detection, in this case diabetes mellitus. A comprehensive assessment is performed during
cs cs cs cs cs cs cs cs cs cs cs cs
admission to a facilityto obtain a detailed history and complete physical examination.
cs cs cs cs cs cs cs cs cs cs cs cs cs
DIF:Cognitive Level: Understand REF:Box1-3 cs cs cs cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Safe and Effective CareEnvironment: Management of Care: Establishing cs cs cs cs cs cs cs cs cs cs cs
Priorities
cs
7. Whichis an example of data a nurse collects during a physicalexamination?
cs cs cs cs cs cs cs cs cs cs cs cs
a. The patient‘s lack of hair and shiny skin over both shins
cs cs cs cs cs cs cs cs cs cs
b. Thepatient‘s stated concern about lack of money forprescriptions
cs cs cs cs cs cs cs cs cs
c. The patient‘s complaints of tingling sensations in thefeet
cs cs cs cs cs cs cs cs
d. The patient‘s mother‘s statements that the patient is verynervous lately
cs cs cs cs cs cs cs cs cs cs
ANS: A cs
The lack of hair and shiny skin over both shins are objective data or signs that are part of the physical
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
examination. A patient‘s concerns about lack of money are subjective data and are part of the health
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
history. A patient‘s complaints of tingling sensations in the feet are subjective data and are part of
cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs cs
the health history. A patient‘s familystatements are considered secondary data, are subjective data,
cs cs cs cs cs cs cs cs cs cs cs cs cs cs
and are part of the health history.
cs cs cs cs cs cs cs
DIF:Cognitive Level: Apply REF: Box1-3 cs cs c s cs
TOP:Nursing Process: Assessment
cs cs cs
MSC:NCLEX Patient Needs: Physiological Integrity: Reduction of Risk Potential: SystemSpecific cs cs cs cs cs cs cs cs cs cs
Assessments
cs
8. Thenurse documents which information in the patient‘shistory?
cs cs cs cs cs cs cs cs
a. The patient‘s skin feels warm to thetouch.
cs cs cs cs cs cs cs
b. The patient is scratching his arm. cs cs cs cs cs
c. Thepatient‘s temperature is 100 F. cs cs cs cs cs
d. The patient complains of itching. cs cs cs cs
ANS: D cs
