Test Bank For Health Assessment for Nursing Practice
eb eb eb eb eb eb eb
7th Edition by Susan Fickertt Wilson, Jean Foret
eb eb eb eb eb eb eb eb eb
Giddens Chapter 1-24
eb eb eb
,Chapter 01: Introduction to Health Assessment
eb eb eb eb eb
Wilson: Health Assessment for Nursing Practice, 7th Edition
eb eb eb eb eb eb eb
MULTIPLE CHOICE eb
1. A patient comes to the emergencydepartment and tells the triagenurse that he is ―having a heart
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
eb attack.‖ What is the nurse‘s top priority at this time? eb eb eb eb eb eb eb eb eb
a. Determine the patient‘s personal data and insurance coverage. eb eb eb eb eb eb eb
b. Ask the patient to take a seat in the waiting room until his name is called.
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
c. Request that a nurse collect data for a comprehensive history. eb eb eb eb eb eb eb eb eb
d. Ask a nurse to start a focused assessment of this patient now.
eb eb eb eb eb eb eb eb eb eb eb
ANS: D e b
The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
cardiovascular system. The type of health assessment performed by the nurse is also driven by
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
patient need. Personal data and insurance information will be obtained, but in this situation,
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
these data can wait until after the patient is assessed. Based also on Maslow‘s hierarchy of
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
needs to begin data collection, such as vital signs, immediately to determine the patient‘s health
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
status. Complications can be prevented if an immediate assessment is made to analyze the
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
patient‘s symptoms. A comprehensive history is not indicated in this situation at this time.
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
Some subjective data will be collected, such as allergies and medical history related to
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health assessment
eb eb eb eb eb eb eb eb eb eb eb eb
is not a priority at this time.
eb eb eb eb eb eb eb
DIF:Cognitive Level: Apply REF: Box 1-3 eb eb e b eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing eb eb eb eb eb eb eb eb eb eb eb
Priorities
eb
2. Which situation illustrates a screening assessment?
eb eb eb eb eb
a. A patient visits an obstetric clinic for the first time and the nurse conducts a
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
detailed history and physical examination.
eb eb eb eb eb
b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
pressure checks to mall patrons.
eb eb eb eb eb
c. The nurse in an urgent care center checks the vital signs of a patient who is
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
complaining of leg pain.
eb eb eb eb
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood
eb eb eb eb eb eb eb eb eb eb eb eb
glucose level. eb eb
ANS: B e b
A health fair at a local mall that provides cholesterol and blood pressure checks is an example
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
of a screening assessment focused on disease detection. A detailed history and physical
eb eb eb eb eb eb eb eb eb eb eb eb eb
examination conducted during a first-time visit to an obstetric clinic is an example of a
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
comprehensive assessment. Assessing a patient complaining of leg pain in the triage area of
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
an urgent care center is an example of a problem-based/focused assessment. A patient‘s return
e b eb eb eb eb eb eb eb eb eb eb eb eb eb
appointment 1 month after today‘s office visit to report fasting blood glucose levels is an
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
example of an episodic or follow-up assessment.
eb eb eb eb eb eb eb
DIF:Cognitive Level: Understand eb eb REF: Box 1-3 eb eb
, TOP:Nursing Process: Assessment eb eb
MSC:NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening eb eb eb eb eb eb eb eb
3. For which person is a screening assessment indicated?
eb eb eb eb eb eb eb
a. The person who had abdominal surgery yesterday
eb eb eb eb eb eb
b. The person who is unaware of his high serum glucose levels
eb eb eb eb eb eb eb eb eb eb
c. The person who is being admitted to a long-term care facility
eb eb eb eb eb eb eb eb eb eb
d. The person who is beginning rehabilitation after a knee replacement
eb eb eb eb eb eb eb eb eb
ANS: B eb
A screening assessment is performed for the purpose of disease detection. In this case this
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
person may have diabetes mellitus. A shift assessment is most appropriate for the person who is
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
recovering in the hospital from surgery. A comprehensive assessment is performed during
eb eb eb eb eb eb eb eb eb eb eb eb
admission to a facility to obtain a detailed history and complete physical examination. An
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
episodic or follow-up assessment is performed after knee replacement to evaluate the outcome
eb eb eb eb eb eb eb eb eb eb eb eb eb
of the procedure.
eb eb eb
DIF:Cognitive Level: Understand REF:Box1-3 eb eb eb eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
eb eb eb eb eb eb eb eb eb eb eb
Priorities
eb
4. For which person is a shift assessment indicated?
eb eb eb eb eb eb eb
a. The person who had abdominal surgery yesterday
eb eb eb eb eb eb
b. The person who is unaware of his high serum glucose levels
eb eb eb eb eb eb eb eb eb eb
c. The person who is being admitted to a long-term care facility
eb eb eb eb eb eb eb eb eb eb
d. The person who is beginning rehabilitation after a knee replacement
eb eb eb eb eb eb eb eb eb
ANS: A eb
A shift assessment is most appropriate for the person who is recovering in the hospital from
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
surgery. A screening assessment is performed for the purpose of disease detection, in this case
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
diabetes mellitus. A comprehensive assessment is performed during admission to a facility to
eb eb eb eb eb eb eb eb eb eb eb eb eb
obtain a detailed history and complete physical examination. An episodic or follow-up
eb eb eb eb eb eb eb eb eb eb eb eb
assessment is performed after knee replacement to evaluate the outcome of the procedure.
eb eb eb eb eb eb eb eb eb eb eb eb eb
DIF:Cognitive Level: Understand REF:Box1-3 eb eb eb eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
eb eb eb eb eb eb eb eb eb eb eb
Priorities
eb
5. For which person is a comprehensive assessment indicated?
eb eb eb eb eb eb eb
a. The person who had abdominal surgery yesterday
eb eb eb eb eb eb
b. The person who is unaware of his high serum glucose levels
eb eb eb eb eb eb eb eb eb eb
c. The person who is being admitted to a long-term care facility
eb eb eb eb eb eb eb eb eb eb
d. The person who is beginning rehabilitation after a knee replacement
eb eb eb eb eb eb eb eb eb
ANS: C eb
A comprehensive assessment is performed during admission to a facility to obtain a detailed
eb eb eb eb eb eb eb eb eb eb eb eb eb
history and complete physical examination. A shift assessment is most appropriate for the
eb eb eb eb eb eb eb eb eb eb eb eb eb
person who is recovering in the hospital from surgery. A screening assessment is performed
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
for the purpose of disease detection, in this case diabetes mellitus. An episodic or follow-up
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
assessment is performed after knee replacement to evaluate the outcome of the procedure.
eb eb eb eb eb eb eb eb eb eb eb eb eb
, DIF:Cognitive Level: Understand REF:Box1-3 eb eb eb eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
eb eb eb eb eb eb eb eb eb eb eb
Priorities
eb
6. For which person is an episodic or follow-up assessment indicated?
eb eb eb eb eb eb eb eb eb
a. The person who had abdominal surgery yesterday
eb eb eb eb eb eb
b. The person who is unaware of his high serum glucose levels
eb eb eb eb eb eb eb eb eb eb
c. The person who is being admitted to a long-term care facility
eb eb eb eb eb eb eb eb eb eb
d. The person who is beginning rehabilitation after a knee replacement
eb eb eb eb eb eb eb eb eb
ANS: D eb
An episodic or follow-up assessment is performed after the knee replacement to evaluate the
eb eb eb eb eb eb eb eb eb eb eb eb eb
outcome of the procedure. A shift assessment is most appropriate for the person who is
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
recovering in the hospital from surgery. A screening assessment is performed for the purpose
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
of disease detection, in this case diabetes mellitus. A comprehensive assessment is performed
eb eb eb eb eb eb eb eb eb eb eb eb eb
during admission to a facility to obtain a detailed history and complete physical examination.
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
DIF:Cognitive Level: Understand REF:Box1-3 eb eb eb eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
eb eb eb eb eb eb eb eb eb eb eb
Priorities
eb
7. Which is an example of data a nurse collects during a physical examination?
eb eb eb eb eb eb eb eb eb eb eb eb
a. The patient‘s lack of hair and shiny skin over both shins
eb eb eb eb eb eb eb eb eb eb
b. The patient‘s stated concern about lack of money for prescriptions
eb eb eb eb eb eb eb eb eb
c. The patient‘s complaints of tingling sensations in the feet
eb eb eb eb eb eb eb eb
d. The patient‘s mother‘s statements that the patient is very nervous lately
eb eb eb eb eb eb eb eb eb eb
ANS: A eb
The lack of hair and shiny skin over both shins are objective data or signs that are part of the
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
physical examination. A patient‘s concerns about lack of money are subjective data and are
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
part of the health history. A patient‘s complaints of tingling sensations in the feet are
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
subjective data and are part of the health history. A patient‘s family statements are considered
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
secondary data, are subjective data, and are part of the health history.
eb eb eb eb eb eb eb eb eb eb eb eb
DIF:Cognitive Level: Apply REF: Box 1-3 eb eb e b eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Physiological Integrity: Reduction of Risk Potential: System Specific
eb eb eb eb eb eb eb eb eb eb
Assessments
eb
8. The nurse documents which information in the patient‘s history?
eb eb eb eb eb eb eb eb
a. The patient‘s skin feels warm to the touch.
eb eb eb eb eb eb eb
b. The patient is scratching his arm. eb eb eb eb eb
c. The patient‘s temperature is 100 F.
eb eb eb eb eb
d. The patient complains of itching. eb eb eb eb
ANS: D eb
eb eb eb eb eb eb eb
7th Edition by Susan Fickertt Wilson, Jean Foret
eb eb eb eb eb eb eb eb eb
Giddens Chapter 1-24
eb eb eb
,Chapter 01: Introduction to Health Assessment
eb eb eb eb eb
Wilson: Health Assessment for Nursing Practice, 7th Edition
eb eb eb eb eb eb eb
MULTIPLE CHOICE eb
1. A patient comes to the emergencydepartment and tells the triagenurse that he is ―having a heart
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
eb attack.‖ What is the nurse‘s top priority at this time? eb eb eb eb eb eb eb eb eb
a. Determine the patient‘s personal data and insurance coverage. eb eb eb eb eb eb eb
b. Ask the patient to take a seat in the waiting room until his name is called.
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
c. Request that a nurse collect data for a comprehensive history. eb eb eb eb eb eb eb eb eb
d. Ask a nurse to start a focused assessment of this patient now.
eb eb eb eb eb eb eb eb eb eb eb
ANS: D e b
The nurse needs to begin an assessment as soon as possible that is focused on this patient‘s
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
cardiovascular system. The type of health assessment performed by the nurse is also driven by
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
patient need. Personal data and insurance information will be obtained, but in this situation,
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
these data can wait until after the patient is assessed. Based also on Maslow‘s hierarchy of
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
needs to begin data collection, such as vital signs, immediately to determine the patient‘s health
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
status. Complications can be prevented if an immediate assessment is made to analyze the
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
patient‘s symptoms. A comprehensive history is not indicated in this situation at this time.
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
Some subjective data will be collected, such as allergies and medical history related to
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health assessment
eb eb eb eb eb eb eb eb eb eb eb eb
is not a priority at this time.
eb eb eb eb eb eb eb
DIF:Cognitive Level: Apply REF: Box 1-3 eb eb e b eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing eb eb eb eb eb eb eb eb eb eb eb
Priorities
eb
2. Which situation illustrates a screening assessment?
eb eb eb eb eb
a. A patient visits an obstetric clinic for the first time and the nurse conducts a
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
detailed history and physical examination.
eb eb eb eb eb
b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
pressure checks to mall patrons.
eb eb eb eb eb
c. The nurse in an urgent care center checks the vital signs of a patient who is
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
complaining of leg pain.
eb eb eb eb
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood
eb eb eb eb eb eb eb eb eb eb eb eb
glucose level. eb eb
ANS: B e b
A health fair at a local mall that provides cholesterol and blood pressure checks is an example
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
of a screening assessment focused on disease detection. A detailed history and physical
eb eb eb eb eb eb eb eb eb eb eb eb eb
examination conducted during a first-time visit to an obstetric clinic is an example of a
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
comprehensive assessment. Assessing a patient complaining of leg pain in the triage area of
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
an urgent care center is an example of a problem-based/focused assessment. A patient‘s return
e b eb eb eb eb eb eb eb eb eb eb eb eb eb
appointment 1 month after today‘s office visit to report fasting blood glucose levels is an
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
example of an episodic or follow-up assessment.
eb eb eb eb eb eb eb
DIF:Cognitive Level: Understand eb eb REF: Box 1-3 eb eb
, TOP:Nursing Process: Assessment eb eb
MSC:NCLEX Patient Needs: Health Promotion and Maintenance: Health Screening eb eb eb eb eb eb eb eb
3. For which person is a screening assessment indicated?
eb eb eb eb eb eb eb
a. The person who had abdominal surgery yesterday
eb eb eb eb eb eb
b. The person who is unaware of his high serum glucose levels
eb eb eb eb eb eb eb eb eb eb
c. The person who is being admitted to a long-term care facility
eb eb eb eb eb eb eb eb eb eb
d. The person who is beginning rehabilitation after a knee replacement
eb eb eb eb eb eb eb eb eb
ANS: B eb
A screening assessment is performed for the purpose of disease detection. In this case this
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
person may have diabetes mellitus. A shift assessment is most appropriate for the person who is
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
recovering in the hospital from surgery. A comprehensive assessment is performed during
eb eb eb eb eb eb eb eb eb eb eb eb
admission to a facility to obtain a detailed history and complete physical examination. An
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
episodic or follow-up assessment is performed after knee replacement to evaluate the outcome
eb eb eb eb eb eb eb eb eb eb eb eb eb
of the procedure.
eb eb eb
DIF:Cognitive Level: Understand REF:Box1-3 eb eb eb eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
eb eb eb eb eb eb eb eb eb eb eb
Priorities
eb
4. For which person is a shift assessment indicated?
eb eb eb eb eb eb eb
a. The person who had abdominal surgery yesterday
eb eb eb eb eb eb
b. The person who is unaware of his high serum glucose levels
eb eb eb eb eb eb eb eb eb eb
c. The person who is being admitted to a long-term care facility
eb eb eb eb eb eb eb eb eb eb
d. The person who is beginning rehabilitation after a knee replacement
eb eb eb eb eb eb eb eb eb
ANS: A eb
A shift assessment is most appropriate for the person who is recovering in the hospital from
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
surgery. A screening assessment is performed for the purpose of disease detection, in this case
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
diabetes mellitus. A comprehensive assessment is performed during admission to a facility to
eb eb eb eb eb eb eb eb eb eb eb eb eb
obtain a detailed history and complete physical examination. An episodic or follow-up
eb eb eb eb eb eb eb eb eb eb eb eb
assessment is performed after knee replacement to evaluate the outcome of the procedure.
eb eb eb eb eb eb eb eb eb eb eb eb eb
DIF:Cognitive Level: Understand REF:Box1-3 eb eb eb eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
eb eb eb eb eb eb eb eb eb eb eb
Priorities
eb
5. For which person is a comprehensive assessment indicated?
eb eb eb eb eb eb eb
a. The person who had abdominal surgery yesterday
eb eb eb eb eb eb
b. The person who is unaware of his high serum glucose levels
eb eb eb eb eb eb eb eb eb eb
c. The person who is being admitted to a long-term care facility
eb eb eb eb eb eb eb eb eb eb
d. The person who is beginning rehabilitation after a knee replacement
eb eb eb eb eb eb eb eb eb
ANS: C eb
A comprehensive assessment is performed during admission to a facility to obtain a detailed
eb eb eb eb eb eb eb eb eb eb eb eb eb
history and complete physical examination. A shift assessment is most appropriate for the
eb eb eb eb eb eb eb eb eb eb eb eb eb
person who is recovering in the hospital from surgery. A screening assessment is performed
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
for the purpose of disease detection, in this case diabetes mellitus. An episodic or follow-up
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
assessment is performed after knee replacement to evaluate the outcome of the procedure.
eb eb eb eb eb eb eb eb eb eb eb eb eb
, DIF:Cognitive Level: Understand REF:Box1-3 eb eb eb eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
eb eb eb eb eb eb eb eb eb eb eb
Priorities
eb
6. For which person is an episodic or follow-up assessment indicated?
eb eb eb eb eb eb eb eb eb
a. The person who had abdominal surgery yesterday
eb eb eb eb eb eb
b. The person who is unaware of his high serum glucose levels
eb eb eb eb eb eb eb eb eb eb
c. The person who is being admitted to a long-term care facility
eb eb eb eb eb eb eb eb eb eb
d. The person who is beginning rehabilitation after a knee replacement
eb eb eb eb eb eb eb eb eb
ANS: D eb
An episodic or follow-up assessment is performed after the knee replacement to evaluate the
eb eb eb eb eb eb eb eb eb eb eb eb eb
outcome of the procedure. A shift assessment is most appropriate for the person who is
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
recovering in the hospital from surgery. A screening assessment is performed for the purpose
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
of disease detection, in this case diabetes mellitus. A comprehensive assessment is performed
eb eb eb eb eb eb eb eb eb eb eb eb eb
during admission to a facility to obtain a detailed history and complete physical examination.
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
DIF:Cognitive Level: Understand REF:Box1-3 eb eb eb eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care: Establishing
eb eb eb eb eb eb eb eb eb eb eb
Priorities
eb
7. Which is an example of data a nurse collects during a physical examination?
eb eb eb eb eb eb eb eb eb eb eb eb
a. The patient‘s lack of hair and shiny skin over both shins
eb eb eb eb eb eb eb eb eb eb
b. The patient‘s stated concern about lack of money for prescriptions
eb eb eb eb eb eb eb eb eb
c. The patient‘s complaints of tingling sensations in the feet
eb eb eb eb eb eb eb eb
d. The patient‘s mother‘s statements that the patient is very nervous lately
eb eb eb eb eb eb eb eb eb eb
ANS: A eb
The lack of hair and shiny skin over both shins are objective data or signs that are part of the
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
physical examination. A patient‘s concerns about lack of money are subjective data and are
eb eb eb eb eb eb eb eb eb eb eb eb eb eb
part of the health history. A patient‘s complaints of tingling sensations in the feet are
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
subjective data and are part of the health history. A patient‘s family statements are considered
eb eb eb eb eb eb eb eb eb eb eb eb eb eb eb
secondary data, are subjective data, and are part of the health history.
eb eb eb eb eb eb eb eb eb eb eb eb
DIF:Cognitive Level: Apply REF: Box 1-3 eb eb e b eb
TOP:Nursing Process: Assessment
eb eb eb
MSC:NCLEX Patient Needs: Physiological Integrity: Reduction of Risk Potential: System Specific
eb eb eb eb eb eb eb eb eb eb
Assessments
eb
8. The nurse documents which information in the patient‘s history?
eb eb eb eb eb eb eb eb
a. The patient‘s skin feels warm to the touch.
eb eb eb eb eb eb eb
b. The patient is scratching his arm. eb eb eb eb eb
c. The patient‘s temperature is 100 F.
eb eb eb eb eb
d. The patient complains of itching. eb eb eb eb
ANS: D eb
