TEST BANK
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
Authors: Carolyn Jarvis And Ann L. Eckhardt
,TABLE OF CONTENT
Chapter 01: Evidence-Based Assessment .................................................................................................... 3
Chapter 02: Cultural Assessment ............................................................................................................... 12
Chapter 03: The Interview.......................................................................................................................... 23
Chapter 04: The Complete Health History................................................................................................. 39
Chapter 05: Mental Status Assessment ...................................................................................................... 51
Chapter 06: Substance Use Assessment ..................................................................................................... 66
Chapter 07: Family Violence and Human Trafficking ............................................................................... 72
Chapter 08: Assessment Techniques and Safety in the Clinical Setting .................................................... 78
Chapter 09: General Survey and Measurement .......................................................................................... 93
Chapter 10: Vital Signs .............................................................................................................................. 98
Chapter 11: Pain Assessment ................................................................................................................... 112
Chapter 12: Nutrition Assessment............................................................................................................ 119
Chapter 13: Skin, Hair, and Nails ............................................................................................................ 131
Chapter 14: Head, Face, and Neck, and Regional Lymphatics ................................................................ 149
Chapter 15: Eyes ...................................................................................................................................... 163
Chapter 16: Ears ....................................................................................................................................... 177
Chapter 17: Nose, Mouth, and Throat ...................................................................................................... 192
Chapter 18: Breasts, Axillae, and Regional Lymphatics.......................................................................... 207
Chapter 19: Thorax and Lungs ................................................................................................................. 223
Chapter 20: Heart and Neck Vessels ........................................................................................................ 239
Chapter 21: Peripheral Vascular System and Lymphatic System ............................................................ 254
Chapter 22: Abdomen .............................................................................................................................. 268
Chapter 23: Musculoskeletal System ....................................................................................................... 280
Chapter 24: Neurologic System ............................................................................................................... 297
Chapter 25: Male Genitourinary System.................................................................................................. 318
Chapter 26: Anus, Rectum, and Prostate ................................................................................................. 332
Chapter 27: Female Genitourinary System .............................................................................................. 343
Chapter 28: The Complete Health Assessment: Adult............................................................................. 361
Chapter 29: The Complete Physical Assessment: Infant, Young Child, and Adolescent ........................ 366
Chapter 30: Bedside Assessment and Electronic Documentation ............................................................ 368
Chapter 31: Pregnancy ............................................................................................................................. 373
Chapter 32: Functional Assessment of the Older Adult ........................................................................... 384
,Chapter 01: Evidence-Based Assessment
Jarvis: Physical Examination and Health Assessment, 9th Edition
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
are eupneic and his pulse is 58 beats per minute. What type of assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: A
Objective data is what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Subjective data is what the person says
about him or herself 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. A patient tells the nurse that he is very nervous, nauseous, and “feels hot.” What type of
assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: C
Subjective data is what the person says about him or herself during history taking. Objective
data is 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. What do the patient’s record, laboratory studies, objective data, and subjective datacombine
to form?
a. Database
b. Admitting data
c. Financial statement
d. Discharge summary
ANS: A
The objective and subjective data together with the patient’s record and laboratory studies,
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
, 4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that isheard.
Which action would the nurse take next?
a. Notify the patient’s physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking another nurse 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 by either repeating the assessment themselves or asking another
nurse to assess the breath sounds. If the nurse has less experience analyzing breath sounds,
then he or she should ask an expert to listen. When unsure of a sound heard while listening to
a patient’s breath sounds, the nurse should validate the data before documenting to ensure
accuracy and before notifying the patient’s physician. To validate that data, the nurse either
repeats the assessment himself or herself or asks another nurse to assess the breath sounds.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. While teaching the class, what would
the nurse keep in mind regarding what novice nurses, without a background of skills and
experience from which to draw upon, are more likely to base their decisions on?
a. Intuition
b. A set of rules
c. Articles in journals
d. Advice from supervisors
ANS: B
Novice nurses operate from a set of defined, structured rules to make decisions. It takes time,
perhaps a few years, in similar clinical situations to achieve competency and it is functioning
at the level of an expert practitioner when intuition is included in making clinical decisions.
While information in journal articles and advice from supervisors may assist in making
decisions, novice nurses do not typically base their decisions on them. It would also be
important that if information from journal articles and advice from supervisors were used, that
they were evidence based.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
6. The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects EBP?
a. EBP relies on tradition for support of best practices.
b. EBP is simply the use of best practice techniques for the treatment of patients.
c. EBP emphasizes the use of best evidence with the clinician’s experience.
d. EBP does not consider the patient’s own preferences as important.
ANS: C
PHYSICAL EXAMINATION AND HEALTH ASSESSMENT 9TH EDITION
Authors: Carolyn Jarvis And Ann L. Eckhardt
,TABLE OF CONTENT
Chapter 01: Evidence-Based Assessment .................................................................................................... 3
Chapter 02: Cultural Assessment ............................................................................................................... 12
Chapter 03: The Interview.......................................................................................................................... 23
Chapter 04: The Complete Health History................................................................................................. 39
Chapter 05: Mental Status Assessment ...................................................................................................... 51
Chapter 06: Substance Use Assessment ..................................................................................................... 66
Chapter 07: Family Violence and Human Trafficking ............................................................................... 72
Chapter 08: Assessment Techniques and Safety in the Clinical Setting .................................................... 78
Chapter 09: General Survey and Measurement .......................................................................................... 93
Chapter 10: Vital Signs .............................................................................................................................. 98
Chapter 11: Pain Assessment ................................................................................................................... 112
Chapter 12: Nutrition Assessment............................................................................................................ 119
Chapter 13: Skin, Hair, and Nails ............................................................................................................ 131
Chapter 14: Head, Face, and Neck, and Regional Lymphatics ................................................................ 149
Chapter 15: Eyes ...................................................................................................................................... 163
Chapter 16: Ears ....................................................................................................................................... 177
Chapter 17: Nose, Mouth, and Throat ...................................................................................................... 192
Chapter 18: Breasts, Axillae, and Regional Lymphatics.......................................................................... 207
Chapter 19: Thorax and Lungs ................................................................................................................. 223
Chapter 20: Heart and Neck Vessels ........................................................................................................ 239
Chapter 21: Peripheral Vascular System and Lymphatic System ............................................................ 254
Chapter 22: Abdomen .............................................................................................................................. 268
Chapter 23: Musculoskeletal System ....................................................................................................... 280
Chapter 24: Neurologic System ............................................................................................................... 297
Chapter 25: Male Genitourinary System.................................................................................................. 318
Chapter 26: Anus, Rectum, and Prostate ................................................................................................. 332
Chapter 27: Female Genitourinary System .............................................................................................. 343
Chapter 28: The Complete Health Assessment: Adult............................................................................. 361
Chapter 29: The Complete Physical Assessment: Infant, Young Child, and Adolescent ........................ 366
Chapter 30: Bedside Assessment and Electronic Documentation ............................................................ 368
Chapter 31: Pregnancy ............................................................................................................................. 373
Chapter 32: Functional Assessment of the Older Adult ........................................................................... 384
,Chapter 01: Evidence-Based Assessment
Jarvis: Physical Examination and Health Assessment, 9th Edition
MULTIPLE CHOICE
1. After completing an initial assessment of a patient, the nurse has charted that his respirations
are eupneic and his pulse is 58 beats per minute. What type of assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: A
Objective data is what the health professional observes by inspecting, percussing, palpating,
and auscultating during the physical examination. Subjective data is what the person says
about him or herself 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. A patient tells the nurse that he is very nervous, nauseous, and “feels hot.” What type of
assessment data is this?
a. Objective
b. Reflective
c. Subjective
d. Introspective
ANS: C
Subjective data is what the person says about him or herself during history taking. Objective
data is 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. What do the patient’s record, laboratory studies, objective data, and subjective datacombine
to form?
a. Database
b. Admitting data
c. Financial statement
d. Discharge summary
ANS: A
The objective and subjective data together with the patient’s record and laboratory studies,
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
, 4. When listening to a patient’s breath sounds, the nurse is unsure of a sound that isheard.
Which action would the nurse take next?
a. Notify the patient’s physician.
b. Document the sound exactly as it was heard.
c. Validate the data by asking another nurse 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 by either repeating the assessment themselves or asking another
nurse to assess the breath sounds. If the nurse has less experience analyzing breath sounds,
then he or she should ask an expert to listen. When unsure of a sound heard while listening to
a patient’s breath sounds, the nurse should validate the data before documenting to ensure
accuracy and before notifying the patient’s physician. To validate that data, the nurse either
repeats the assessment himself or herself or asks another nurse to assess the breath sounds.
DIF: Cognitive Level: Applying (Application)
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. The nurse is conducting a class for new graduate nurses. While teaching the class, what would
the nurse keep in mind regarding what novice nurses, without a background of skills and
experience from which to draw upon, are more likely to base their decisions on?
a. Intuition
b. A set of rules
c. Articles in journals
d. Advice from supervisors
ANS: B
Novice nurses operate from a set of defined, structured rules to make decisions. It takes time,
perhaps a few years, in similar clinical situations to achieve competency and it is functioning
at the level of an expert practitioner when intuition is included in making clinical decisions.
While information in journal articles and advice from supervisors may assist in making
decisions, novice nurses do not typically base their decisions on them. It would also be
important that if information from journal articles and advice from supervisors were used, that
they were evidence based.
DIF: Cognitive Level: Understanding (Comprehension) MSC: Client Needs: General
6. The nurse is reviewing information about evidence-based practice (EBP). Which statement
best reflects EBP?
a. EBP relies on tradition for support of best practices.
b. EBP is simply the use of best practice techniques for the treatment of patients.
c. EBP emphasizes the use of best evidence with the clinician’s experience.
d. EBP does not consider the patient’s own preferences as important.
ANS: C
