, TheNursingnotes
Table of Contents
Chapter 01 Critical Thinking and Evidence-Informed Assessment 1
Chapter 02 Health Promotion in the Context of Health Assessment 11
Chapter 03 A Relational Approach to Cultural and Social Considerations in Health
Assessment 18
Chapter 04 The Interview 29
Chapter 05 The Complete Health History 44
Chapter 06 Mental Health Assessment 57
Chapter 07 Substance Use and Health Assessment 66
Chapter 08 Interpersonal Violence and Health Assessment 73
Chapter 09 Assessment Techniques and the Clinical Setting 80
Chapter 10 General Survey, Measurement, and Vital Signs 94
Chapter 11 Pain Assessment 111
Chapter 12 Nutritional Assessment and Nursing Practice 118
Chapter 13 Skin, Hair, and Nails 132
Chapter 14 Head, Face, and Neck, Including Regional Lymphatic System 151
Chapter 15 Eyes 165
Chapter 16 Ears 178
Chapter 17 Nose, Mouth, and Throat 191
Chapter 18 Breasts and Regional Lymphatic System 205
Chapter 19 Thorax and Lungs 221
Chapter 20 Heart and Neck Vessels 236
Chapter 21 Peripheral Vascular System and Lymphatic System 251
Chapter 22 The Abdomen 264
Chapter 23 Anus, Rectum, and Prostate 277
Chapter 24 Musculo-Skeletal System 288
Chapter 25 Neurological System 304
Chapter 26 Male Genitourinary System 324
Chapter 27 Female Genitourinary System 338
Chapter 28 The Complete Health Assessment-Putting It All Together 355
Chapter 29 Bedside Assessment and Reporting 366
Chapter 30 Pregnancy 371
Chapter 31 Assessment of the Older Adult 382
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, Test Bank - Physical Examination and Health Assessment, 4th Canadian Edition (Jarvis, 2024)
______________________________________________________________________________________________
TheNursingnotes
Chapter 01: Critical Thinking and Evidence-Informed Assessment
Physical Examination and Health Assessment, 4th Canadian Edition
MULTIPLE CHOICE
1. Which type of data is collected by obtaining vital signs?
a. Objective
b. Reflecting
c. Subjective
d. Introspective
ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Subjective data are what the person says
about themselves during history taking. The terms reflective and introspective are not used to
describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. During an assessment, a patient describes feeling warm, nauseated, and nervous. Which type
of data is collected?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: C
Subjective data are what the person says about themselves during history taking. Objective
data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. The terms reflective and introspective are not
used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Which part of a patient’s health record is created when combining laboratory studies,
objective data, and subjective data?
a. Database
b. Admitting data
c. Triage form
d. Discharge summary
ANS: A
Together with the patient’s record and laboratory studies, the objective and subjective data
form the database. The other items are not part of the patient’s record, laboratory studies, or
data.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
______________________________________________________________________________________________
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4. Which action will the nurse complete if while listening to a patient’s breath sounds, they are
unsure of a sound heard?
a. Immediately notify the patient’s most responsible practitioner.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
ANS: C
When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates
the data to ensure accuracy. If the nurse has less experience in an area, then they would ask an
expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Which approach do novice nurses utilize when making decisions?
a. Intuition
b. Clear-cut rules
c. Articles in journals
d. Advice from supervisors
ANS: B
Novice nurses operate from a set of defined, structured rules. Expert practitioners use critical
thinking and their substantial background of experience.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
6. Which method moves a nurse from novice to expert?
a. Critical thinking
b. The nursing process
c. Clinical knowledge
d. Diagnostic reasoning
ANS: A
Critical thinking is a multidimensional, dynamic, and interactive thinking process by which
expert nurses assess and make decisions in the clinical area.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
7. Which statement reflects the meaning of evidence-informed practice (EIP)?
a. Best practice techniques to treat patients. Taking note solely from Registered
Nurses Association of Ontario (RNAO)
b. Clinician experience and expertise to guide practice. Sometimes reflecting on the
patient perspective
c. Life-long problem-solving approach to clinical decision making using best
available evidence
d. The patient’s own preferences are not important in EIP
ANS: C
______________________________________________________________________________________________
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extra per year?
Table of Contents
Chapter 01 Critical Thinking and Evidence-Informed Assessment 1
Chapter 02 Health Promotion in the Context of Health Assessment 11
Chapter 03 A Relational Approach to Cultural and Social Considerations in Health
Assessment 18
Chapter 04 The Interview 29
Chapter 05 The Complete Health History 44
Chapter 06 Mental Health Assessment 57
Chapter 07 Substance Use and Health Assessment 66
Chapter 08 Interpersonal Violence and Health Assessment 73
Chapter 09 Assessment Techniques and the Clinical Setting 80
Chapter 10 General Survey, Measurement, and Vital Signs 94
Chapter 11 Pain Assessment 111
Chapter 12 Nutritional Assessment and Nursing Practice 118
Chapter 13 Skin, Hair, and Nails 132
Chapter 14 Head, Face, and Neck, Including Regional Lymphatic System 151
Chapter 15 Eyes 165
Chapter 16 Ears 178
Chapter 17 Nose, Mouth, and Throat 191
Chapter 18 Breasts and Regional Lymphatic System 205
Chapter 19 Thorax and Lungs 221
Chapter 20 Heart and Neck Vessels 236
Chapter 21 Peripheral Vascular System and Lymphatic System 251
Chapter 22 The Abdomen 264
Chapter 23 Anus, Rectum, and Prostate 277
Chapter 24 Musculo-Skeletal System 288
Chapter 25 Neurological System 304
Chapter 26 Male Genitourinary System 324
Chapter 27 Female Genitourinary System 338
Chapter 28 The Complete Health Assessment-Putting It All Together 355
Chapter 29 Bedside Assessment and Reporting 366
Chapter 30 Pregnancy 371
Chapter 31 Assessment of the Older Adult 382
TheNursingnotes
Downloaded by: Nursingtest |
extra per year?
, Test Bank - Physical Examination and Health Assessment, 4th Canadian Edition (Jarvis, 2024)
______________________________________________________________________________________________
TheNursingnotes
Chapter 01: Critical Thinking and Evidence-Informed Assessment
Physical Examination and Health Assessment, 4th Canadian Edition
MULTIPLE CHOICE
1. Which type of data is collected by obtaining vital signs?
a. Objective
b. Reflecting
c. Subjective
d. Introspective
ANS: A
Objective data are what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Subjective data are what the person says
about themselves during history taking. The terms reflective and introspective are not used to
describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
2. During an assessment, a patient describes feeling warm, nauseated, and nervous. Which type
of data is collected?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: C
Subjective data are what the person says about themselves during history taking. Objective
data are what the health professional observes by inspecting, percussing, palpating, and
auscultating during the physical examination. The terms reflective and introspective are not
used to describe data.
DIF: Cognitive Level: Understanding (Comprehension)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
3. Which part of a patient’s health record is created when combining laboratory studies,
objective data, and subjective data?
a. Database
b. Admitting data
c. Triage form
d. Discharge summary
ANS: A
Together with the patient’s record and laboratory studies, the objective and subjective data
form the database. The other items are not part of the patient’s record, laboratory studies, or
data.
DIF: Cognitive Level: Remembering (Knowledge)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
______________________________________________________________________________________________
1|Page
TheNursingnotes
Downloaded by: Nursingtest |
extra per year?
, Test Bank - Physical Examination and Health Assessment, 4th Canadian Edition (Jarvis, 2024)
______________________________________________________________________________________________
TheNursingnotes
4. Which action will the nurse complete if while listening to a patient’s breath sounds, they are
unsure of a sound heard?
a. Immediately notify the patient’s most responsible practitioner.
b. Document the sound exactly as it was heard.
c. Validate the data by asking a coworker to listen to the breath sounds.
d. Assess again in 20 minutes to note whether the sound is still present.
ANS: C
When unsure of a sound heard while listening to a patient’s breath sounds, the nurse validates
the data to ensure accuracy. If the nurse has less experience in an area, then they would ask an
expert to listen.
DIF: Cognitive Level: Analyzing (Analysis)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. Which approach do novice nurses utilize when making decisions?
a. Intuition
b. Clear-cut rules
c. Articles in journals
d. Advice from supervisors
ANS: B
Novice nurses operate from a set of defined, structured rules. Expert practitioners use critical
thinking and their substantial background of experience.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
6. Which method moves a nurse from novice to expert?
a. Critical thinking
b. The nursing process
c. Clinical knowledge
d. Diagnostic reasoning
ANS: A
Critical thinking is a multidimensional, dynamic, and interactive thinking process by which
expert nurses assess and make decisions in the clinical area.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
7. Which statement reflects the meaning of evidence-informed practice (EIP)?
a. Best practice techniques to treat patients. Taking note solely from Registered
Nurses Association of Ontario (RNAO)
b. Clinician experience and expertise to guide practice. Sometimes reflecting on the
patient perspective
c. Life-long problem-solving approach to clinical decision making using best
available evidence
d. The patient’s own preferences are not important in EIP
ANS: C
______________________________________________________________________________________________
2|Page
TheNursingnotes
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extra per year?
