c c c
MINATION AND HEALTH c c c
ASSESSMENT, 9TH EDITI c c
ON BY CAROLYNJARVI LA
c c c
TEST EXAMS 2024/2025
c c c
QUESTIONS WITH 100% c c c
VERIFIED SOLUTIONS GR
c c
ADEBOOSTER
,TEST BANK FOR
c c
PhysicalcExaminationc andcHealthAssessmentc 9thc
Edition
Authors:cCarolyncJarvis,cAnncL.cEckhardt
Tablec ofc Contents 1
Chapterc01:cEvidence- 2
BasedcAssessmentcChapterc 02:c Culturalc 15
AssessmentcChapterc03:cThecInterview 31
Chapterc 04:cThec Completec Healthc HistorycCh 49
apterc05:cMentalcStatuscAssessmentcChapterc0 64
6:c Substancec Usec Assessment 80
Chapterc07:cDomesticcandcFamilycViolencecAssessmentcChapte 86
rc 08:c Assessmentc Techniquesc andc Safetyc inc thec ClicChapterc09:
nical
c c Setting 92
GeneralcSurveycandcMeasurement 111
Chapterc10:c Vitalc Signsc Chapterc11: 118
cPainc Assessment 133
Chapterc12:cNutritioncAssessmentcChapter 141
c 13:cSkin,c Hair,c andc Nails 155
Chapterc 14:c Head,c Face,c Neck,c andc Regionalc LymphaticscChap 176
terc15:cEyes 194
Chapterc 16:cEars 211
Chapterc 17:c Nose,c Mouth,c andc Throat 228
Chapterc 18:c Breasts,c Axillae,c andc Regionalc LymphaticscChapte 246
rc19:cThoraxcandcLungs 266
Chapterc 20:cHeartc andc Neckc Vessels 284
Chapterc21:cPeripheralcVascularcSystemcandcLymphaticcSystemcChapterc 303
22:cAbdomen 320
Chapterc 23:c Musculoskeletalc SystemcChapte 337
rc 24:c NeurologiccccSystemc Chapterc25:c Malec 358
Genitourinaryc Systemc Chapterc 26: 382
Anus,c Rectum,c andc Prostate 400
Chapterc 27:c Femalec Genitourinaryc System 414
Chapterc 28:cThec Completec Healthc Assessment:c Adult 436
Chapterc29:cThecCompletecPhysicalcAssessment:cInfant,cChild,c andc AdolescentChapterc30:c 449
Bedsidec AssessmentcandcElectronicc Documentation 452
Chapterc 31:cThec Pregnantc Woman 458
Chapterc 32:c Functionalc Assessmentc ofc thec Olderc Adult 471
,Chapter 01: Evidence-Based Assessment
c c c
MULTIPLEc CHOICE
1. Afterccompletingcancinitialcassessmentc ofcacpatient,c thecnursec hasc chartedcthatchiscrespirationsc areceupneiccandchi
scpulsec isc58cbeatsc perc minute.c Thesec typesc ofcdatacwouldbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:c A
Objectivecdatacarecwhatcthechealthcprofessionalcobservescbycinspecting,cpercussing,cpalpating,candcauscultatingcdur
ingcthecphysicalcexamination.cSubjectivecdataciscwhatcthecpersoncsayscaboutchimcorcherselfcduringchistoryctaking.c T
hec termsc reflectivec andcintrospectivec arecnotc usedc tocdescribec data.
DIF:cCognitivec Level:c Understandingc(Comprehension)
MSC:c Clientc Needs:c Safec andcEffectivec Carec Environment:c Managementc ofcCare
2. Acpatientctellsc thecnursecthatchecisc verycnervous,c iscnauseated,c andcfeelsc hot.cThesec typesc ofcdatacwouldcbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:c C
Subjectivecdatacarecwhatcthecpersoncsayscaboutchimcorcherselfcduringchistoryctaking.cObjectivecdatacarecwhatctheche
althcprofessionalcobservescbycinspecting,c percussing,c palpating,candcauscultatingcduringcthecphysicalcexamination.
c Thectermscreflectivec andc introspectivec arecnotc usedc toc describec data.
DIF:cCognitivec Level:c Understandingc(Comprehension)
MSC:c Clientc Needs:c Safec andcEffectivec Carec Environment:c Managementc ofcCare
3. Thec patientsc record,c laboratoryc studies,c objectivec data,c andcsubjectivec datac combinec tocformcthe:
a. Datac base.
b. Admittingc data.
, c. Financialc statement.
d. Dischargec summary.
ANS:c A
Togethercwithcthecpatientscrecordcandclaboratorycstudies,cthecobjectivecandcsubjectivecdatacformcthecdatacbase.cThec
otherc itemscarecnotcpartcofc thecpatientscrecord,claboratoryc studies,c orc data.
DIF:cCognitivec Level:c Rememberingc (Knowledge)
MSC:c Clientc Needs:c Safec andcEffectivec Carec Environment:c Managementc ofcCare
4. Whenclisteningc tocac patientscbreathcsounds,c thecnursecisc unsurecofc acsoundcthatcisc heard.cThec nursesc nextcac
tioncshouldcbecto:
a. Immediatelyc notifycthecpatientsc physician.
b. Documentc thec soundc exactlyc asc itc wasc heard.
c. Validatecthecdatac bycaskingcac coworkerctoclistenc tocthecbreathcsounds.
d. Assessc againcinc20cminutesc tocnotecwhetherc thecsoundciscstillc present.
ANS:c C
Whencunsurec ofc acsoundcheardcwhileclisteningctocac patientscbreathc sounds,c thecnursecvalidatesc thecdatac tocensurecaccuracy
.c Ifcthecnursechasc lesscexperiencec incancarea,c thenchecorc shecasksc ancexpertctoclisten.
DIF:cCognitivec Level:c Analyzingc (Analysis)
MSC:c Clientc Needs:c Safec andcEffectivec Carec Environment:c Managementc ofcCare
5. Thecnurseciscconductingc acclasscforcnewc graduatecnurses.c Duringcthecteachingcsession,c thecnursecshouldckeepcin
c mindc thatc novicec nurses,c withoutc ac backgroundc ofc skillsc andc experiencec fromc whichc toc draw,c arec morec likelyctoc
makectheircdecisionsc using:
a. Intuition.
b. Acsetc ofcrules.
c. Articlesc incjournals.
d. Advicec fromcsupervisors.
ANS:c B
Novicecnursesc operatecfromc acsetcofc defined,c structuredcrules.c Thec expertcpractitionerc usesc intuitiveclinks.cDIF:c
Cognitivec Level:c Understandingc(Comprehension)