,Nursing Health Assessment: The Foundation of Clinical Practice
Chapter 01: The Complete Health Assessment
(Answers at the end of every chapter)
Multiple Choice
Identify the choice that best completes the statement or answers the question.
1. Which critical thinking skill allows the nurse to think outside of the box when assessing a patient?
1) Divergent thinking
2) Reasoning
3) Creativity
4) Reflection
2. The primary level of preventive health care focuses on which topic?
1) Health promotion
2) Early detection
3) Promotion intervention
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4) End-of-life care
3. The nurse is prioritizing data collected during the health assessment. Which data is primary?
1) Pain rating of 4 on a 1 to 10 numeric scale
2) New diagnosis of type 2 diabetes mellitus (DM)
U
3) Blood pressure of 130/90 mmHg
4) Pulse oximetry reading of 73%
4. Which type of skill is most important when performing a physical assessment?
R
1) Psychomotor
2) Interpersonal
3) Ethical
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4) Affective
5. Which activity is an example of secondary prevention?
1) Wound débridement
2) Immunization
3) Preoperative teaching
4) Long-term nasogastric feedings
6. Which assessment data is considered a symptom?
1) Rapid respirations
2) Sweaty palms
3) Belching
4) Feelings of anxiety
7. Who or what is considered the primary data source for a toddler-age patient?
1) The toddler
2) A parent
3) The medical record
4) Other healthcare providers
8. Which part of the assessment provides the most subjective data?
1) Health history
,2) Physical assessment
3) Review of medical records
4) Medication record
JN
U
R
SE
, 9. The nurse is preparing to conduct a health history for a new patient. Where would the nurse gather data for
this portion of the assessment?
1) The patient's chart
2) A physical assessment
3) Laboratory tests
4) A discussion with the patient
10. The nurse is preparing to begin a health history for a new patient. Which question is most appropriate for the
nurse to begin the process?
1) “What problem brought you here today?”
2) “How old are you?”
3) “Have you had any difficulty breathing?”
4) “What childhood illnesses have you had?”
11. Which is the reason for asking the patient about family history of diseases when conducting a health history
interview?
1) To identify functional or dysfunctional family dynamics
2) To identify support systems
3) To identify familial or genetically linked health disorders
JN
4) To identify rehabilitation needs
12. Which data are part of the past health history?
1) Health beliefs
2) Surgeries
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3) Genetically linked diseases
4) Age of siblings
13. Which is the purpose of the nursing health history?
R
1) To determine the patient's response to the health problem
2) To determine the extent of the health problem
3) To determine which medications are appropriate to alleviate the health problem
SE
4) All of the above
14. Which setting is the best place to gather data for a health history?
1) Waiting room
2) Hallway
3) Patient's room
4) On the way to surgery
15. The nurse is preparing to conduct a health history interview with a patient. Which is the best position for the
nurse to assume during this process?
1) Leaning over the bed
2) Standing at the bedside
3) Sitting on the bed
4) Sitting on a chair at the bedside
16. The nurse is asking a patient questions about health practices and beliefs. In which portion of the health
history will the nurse document these findings?
1) Psychosocial profile
2) Current health problems
3) Past health problems
4) Developmental considerations
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