TesT Bank for Physical examinaTion & healTh
assessmenT 9Th ediTion By carolyn Jarvis & ann
l. eckhardT | chaPTers 1-32
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Questions 1–800 with verified answers & detailed rationales |
Comprehensive Physical Examination & Health Assessment |
100% Pass Guaranteed | Graded A+
1. A nurse is preparing to perform a health assessment on a new patient.
Which of the following is the primary purpose of the health assessment?
A. To establish a diagnosis
B. To collect subjective and objective data
C. To prescribe medications
D. To perform laboratory tests
Correct Answer: B
Explanation: The primary purpose of a health assessment is to collect
subjective data (what the patient says) and objective data (what the nurse
observes and measures) to form a complete database. Establishing a diagnosis
(A) is the provider's role. Prescribing medications (C) and performing laboratory
tests (D) are not the primary purposes of the nursing health assessment.
2. The nurse is reviewing the concept of "clinical judgment" in health
assessment. Which of the following best describes this concept?
A. The ability to make a medical diagnosis
B. The process of analyzing data to make decisions about patient care
C. The skill of performing physical examination techniques
D. The ability to memorize laboratory values
Correct Answer: B
Explanation: Clinical judgment involves the process of analyzing assessment
data, identifying patterns, and making decisions about patient care. It is a critical
thinking process that goes beyond simply collecting data. Medical diagnosis (A)
is the provider's role. Physical examination techniques (C) are skills, not
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judgment. Memorizing laboratory values (D) is not the same as clinical
judgment.
3. A nurse is performing a health interview with a patient who speaks
limited English. Which of the following actions should the nurse take?
A. Speak loudly and slowly in English
B. Use a professional interpreter
C. Ask a family member to interpret
D. Provide written instructions in English only
Correct Answer: B
Explanation: A professional medical interpreter should be used to ensure
accurate communication and confidentiality. Speaking loudly (A) does not
improve comprehension. Family members (C) may not accurately translate
medical information and confidentiality may be compromised. Written
instructions in English (D) are not helpful if the patient cannot read English.
4. The nurse is assessing a patient's cultural beliefs related to health. Which
of the following is the most important reason for this assessment?
A. To determine if the patient's beliefs are correct
B. To provide culturally competent care
C. To convert the patient to Western medicine
D. To document the patient's ethnicity
Correct Answer: B
Explanation: Understanding the patient's cultural beliefs is essential for
providing culturally competent care that respects the patient's values and
preferences. The nurse's role is not to judge the patient's beliefs (A), convert the
patient (C), or simply document ethnicity (D).
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5. A nurse is preparing to perform a physical examination. Which of the
following positions is most appropriate for examining the abdomen?
A. Sitting upright
B. Supine with knees bent
C. Prone
D. Lithotomy
Correct Answer: B
Explanation: The supine position with knees bent helps relax the abdominal
muscles, making palpation easier and more comfortable for the patient. Sitting
upright (A) is used for examining the head, neck, and lungs. Prone (C) is used for
examining the back. Lithotomy (D) is used for examining the female genitalia.
6. Which of the following is the correct order of techniques for a physical
examination of the abdomen?
A. Inspection, palpation, percussion, auscultation
B. Inspection, auscultation, percussion, palpation
C. Auscultation, inspection, palpation, percussion
D. Palpation, percussion, auscultation, inspection
Correct Answer: B
Explanation: For the abdomen, auscultation is performed before percussion
and palpation because these techniques can alter bowel sounds. The correct
order is inspection, auscultation, percussion, and palpation. Option A describes
the general order for most other body systems. Options C and D are incorrect
sequences.
7. A nurse is assessing a patient's skin turgor. Which of the following findings
indicates dehydration?