Jarvis: Chapter 9 General Survey and
Measurement- Questions & Answers
The nurse is preparing to obtain the height of a 70-year-old male patient who is established at
the practice, and the patient states, "I'm 5'10" tall and have been all my life, so you don't need
to measure." Which response is appropriate?
a. "It is possible for older adults to become taller later in life."
b. "You seem concerned about our need to obtain your height."
c. "We need to have a baseline height for our medical records."
d. "As people age the vertebral disks thin, which decreases height." Correct Ans-D
Which would the nurse know is a normal finding while assessing the mobility of a young adult
patient? Select all that apply.
a. Lack of involuntary movements
b. Able to balance without assistance
c. Foot stance equal to shoulder width
d. Notable propulsion during ambulation
e. symmetric arm swing during ambulation Correct Ans-A, B, C, E
Which aspect of a patient's behavior will the nurse assess during a general survey? Select all
that apply.
a. Affect
b. Symmetry
, c. Speech pattern
d. Facial expression
e. Personal hygiene
f. Level of consciousness Correct Ans-A, C, D, E
Which action by the patient care technician who is preparing to obtain height and weight
measurements from a 4-year-old child requires the nurse to intervene?
a. Leaves underwear and pants on child
b. Zeros out scale before measurement
c. Obtains weight by using platform scale
d. Measures height using wall-mounted ruler Correct Ans-C
Which would the nurse expect to find in the patient's medical record after observing the patient
leaning forward, braced on the arms of the chair during the interview?
a. Marfan syndrome
b. Cushing syndrome
c. Right-sided heart failure
d. COPD Correct Ans-D
The nurse begins assessing the level of consciousness of a patient who presents to the
emergency room after a motor vehicle collision. Which question would the nurse ask to assess
the patient's orientation to the situation?
Measurement- Questions & Answers
The nurse is preparing to obtain the height of a 70-year-old male patient who is established at
the practice, and the patient states, "I'm 5'10" tall and have been all my life, so you don't need
to measure." Which response is appropriate?
a. "It is possible for older adults to become taller later in life."
b. "You seem concerned about our need to obtain your height."
c. "We need to have a baseline height for our medical records."
d. "As people age the vertebral disks thin, which decreases height." Correct Ans-D
Which would the nurse know is a normal finding while assessing the mobility of a young adult
patient? Select all that apply.
a. Lack of involuntary movements
b. Able to balance without assistance
c. Foot stance equal to shoulder width
d. Notable propulsion during ambulation
e. symmetric arm swing during ambulation Correct Ans-A, B, C, E
Which aspect of a patient's behavior will the nurse assess during a general survey? Select all
that apply.
a. Affect
b. Symmetry
, c. Speech pattern
d. Facial expression
e. Personal hygiene
f. Level of consciousness Correct Ans-A, C, D, E
Which action by the patient care technician who is preparing to obtain height and weight
measurements from a 4-year-old child requires the nurse to intervene?
a. Leaves underwear and pants on child
b. Zeros out scale before measurement
c. Obtains weight by using platform scale
d. Measures height using wall-mounted ruler Correct Ans-C
Which would the nurse expect to find in the patient's medical record after observing the patient
leaning forward, braced on the arms of the chair during the interview?
a. Marfan syndrome
b. Cushing syndrome
c. Right-sided heart failure
d. COPD Correct Ans-D
The nurse begins assessing the level of consciousness of a patient who presents to the
emergency room after a motor vehicle collision. Which question would the nurse ask to assess
the patient's orientation to the situation?
