,Health Assessment for Nursing Practice 7th Edition Wilson Test Bank
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Table of Contents
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Unit I. Foundations for Health Assessment
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1. Introduction to Health Assessment f f f
2. Interviewing Patients to Obtain a Health History f f f f f f
3. Techniques and Equipment for Physical Assessment f f f f f
4. General Inspection and Measurement of Vital Signs
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5. Ethnic, Cultural, and Spiritual Considerations
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6. Pain Assessment
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7. Mental Health and Abusive Behavior Assessment
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8. Nutritional Assessment f
Unit II. Health Assessment of the Adult
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9. Skin, Hair, and Nails
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10. Head, Eyes, Ears, Nose, and Throat
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11. Lungs and Respiratory System f f f
12. Heart and Peripheral Vascular System
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13. Abdomen and Gastrointestinal System f f f
,14. Musculoskeletal System f
15. Neurologic System
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16. Breasts and Axillae
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17. Reproductive System and the Perineum
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Unit III. Health Assessment Across the Life Span
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18. Developmental Assessment Throughout the Life Span
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19. Assessment of the Infant, Child, and Adolescent
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20. Assessment of the Pregnant Patient
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21. Assessment of the Older Adult
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Unit IV. Synthesis and Application of Health Assessment
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22. Conducting a Head-to-Toe Examination
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23. Documenting the Head-to-Toe Health Assessment
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24. Adapting Health Assessment to an Ill Patient
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, Chapter 01: Introduction to Health Assessment
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Wilson: Health Assessment for Nursing Practice, 6th Edition
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MULTIPLE CHOICE f
1. A patient comes to the emergency department and tells the triage nurse that he is “having a
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heart attack.” What is the nurse’s top priority at this time?
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a. Determine the patient’s personal data and insurance coverage. f f f f f f f
b. Ask the patient to take a seat in the waiting room until his name is called.
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c. Request that a nurse collect data for a comprehensive history. f f f f f f f f f
d. Ask a nurse to start a focused assessment of this patient now.
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ANS: D f
The nurse needs to begin an assessment as soon as possible that is focused on this patient’s
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cardiovascular system. The type of health assessment performed by the nurse is also driven by
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patient need. Personal data and insurance information will be obtained, but in this situation,
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these data can wait until after the patient is assessed. Based also on Maslow’s hierarchy of
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needs, physiologic needs take precedence. Rather than asking the patient to wait, the nurse
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needs to begin data collection, such as vital signs, immediately to determine the patient’s health
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status. Complications can be prevented if an immediate assessment is made to analyze the
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patient’s symptoms. A comprehensive history is not indicated in this situation at this time.
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Some subjective data will be collected, such as allergies and medical history related to
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cardiovascular disease. Eyes, ears, or a complete musculoskeletal or mental health assessment
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is not a priority at this time.
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DIF: Cognitive Level: Apply REF: Box 1-3 | p. 3 f f f f f f f
TOP: Nursing Process: Assessment
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MSC: NCLEX Patient Needs: Safe and Effective Care Environment: Management of Care:Establishing
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Priorities
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2. Which situation illustrates a screening assessment?
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a. A patient visits an obstetric clinic for the first time and the nurse conducts a
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detailed history and physical examination.
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b. A hospital sponsors a health fair at a local mall and provides cholesterol and blood
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pressure checks to mall patrons.
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c. The nurse in an urgent care center checks the vital signs of a patient who is
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complaining of leg pain. f f f
d. A patient newly diagnosed with diabetes mellitus comes to test his fasting blood
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glucose level.
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ANS: B f
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