TEST BANK FOR HEALTH ASSESSMENT FOR NURSING
PRACTICE 7TH EDITION
BY SUSAN FICKERTT WILSON, JEAN FORET GIDDENS
1
,Table of Contents
Chapter 01: Introduction To Health Assessment ................................................................................... 3
Chapter 02: Interviewing Patients To Obtain A Health History ......................................................... 13
Chapter 03: Techniques And Equipment For Physical Assessment .................................................. 39
Chapter 04: General Inspection And Measurement Of Vital Signs ................................................... 61
Chapter 05: Ethnic, Cultural, And Spiritual Considerations ................................................................ 73
Chapter 06: Pain Assessment ................................................................................................................... 84
Chapter 07: Mental Health And Abusive Behavior Assessment ........................................................ 96
Chapter 08: Nutritional Assessment ..................................................................................................... 110
Chapter 09: Skin, Hair, And Nails ........................................................................................................... 125
Chapter 10: Head, Eyes, Ears, Nose, And Throat ................................................................................. 147
Chapter 11: Lungs And Respiratory System ........................................................................................ 198
Chapter 12: Heart And Peripheral Vascular System ........................................................................... 221
Chapter 13: Abdomen And Gastrointestinal System ......................................................................... 243
Chapter 14: Musculoskeletal System .................................................................................................... 272
Chapter 15: Neurologic System ............................................................................................................. 292
Chapter 16: Breasts And Axillae ............................................................................................................. 324
Chapter 17: Reproductive System And The Perineum ...................................................................... 346
Chapter 18: Developmental Assessment Throughout The Life Span ............................................. 381
Chapter 19: Assessment Of The Infant, Child, And Adolescent ....................................................... 400
Chapter 20: Assessment Of The Pregnant Patient ............................................................................. 441
Chapter 21: Assessment Of The Older Adult ....................................................................................... 468
Chapter 22: Conducting A Head-To-Toe Examination ...................................................................... 488
Chapter 23: Documenting The Head-To-Toe Health Assessment .................................................. 494
Chapter 24: Adapting Health Assessment ........................................................................................... 500
2
,Chapter 01: Introduction To Health Assessment
Wilson: Health Assessment For Nursing Practice, 7th 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.
ANS: 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
3
, 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 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.
ANS: B
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
4
PRACTICE 7TH EDITION
BY SUSAN FICKERTT WILSON, JEAN FORET GIDDENS
1
,Table of Contents
Chapter 01: Introduction To Health Assessment ................................................................................... 3
Chapter 02: Interviewing Patients To Obtain A Health History ......................................................... 13
Chapter 03: Techniques And Equipment For Physical Assessment .................................................. 39
Chapter 04: General Inspection And Measurement Of Vital Signs ................................................... 61
Chapter 05: Ethnic, Cultural, And Spiritual Considerations ................................................................ 73
Chapter 06: Pain Assessment ................................................................................................................... 84
Chapter 07: Mental Health And Abusive Behavior Assessment ........................................................ 96
Chapter 08: Nutritional Assessment ..................................................................................................... 110
Chapter 09: Skin, Hair, And Nails ........................................................................................................... 125
Chapter 10: Head, Eyes, Ears, Nose, And Throat ................................................................................. 147
Chapter 11: Lungs And Respiratory System ........................................................................................ 198
Chapter 12: Heart And Peripheral Vascular System ........................................................................... 221
Chapter 13: Abdomen And Gastrointestinal System ......................................................................... 243
Chapter 14: Musculoskeletal System .................................................................................................... 272
Chapter 15: Neurologic System ............................................................................................................. 292
Chapter 16: Breasts And Axillae ............................................................................................................. 324
Chapter 17: Reproductive System And The Perineum ...................................................................... 346
Chapter 18: Developmental Assessment Throughout The Life Span ............................................. 381
Chapter 19: Assessment Of The Infant, Child, And Adolescent ....................................................... 400
Chapter 20: Assessment Of The Pregnant Patient ............................................................................. 441
Chapter 21: Assessment Of The Older Adult ....................................................................................... 468
Chapter 22: Conducting A Head-To-Toe Examination ...................................................................... 488
Chapter 23: Documenting The Head-To-Toe Health Assessment .................................................. 494
Chapter 24: Adapting Health Assessment ........................................................................................... 500
2
,Chapter 01: Introduction To Health Assessment
Wilson: Health Assessment For Nursing Practice, 7th 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.
ANS: 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
3
, 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 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.
ANS: B
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
4
