s
lOMoARcPSD|578 852
s 3
TestBank:Physical
s s s
Examination&Healt s s
th
hAssessment7 Edit
s s s
ion(Jarvis)
s s
CHAPTERS 1- s
31 COMPLETETESTBANK
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, s
lOMoARcPSD|578 852
s 3
Test Bank: Physical Examination & Health Assessment 7th Edition
s s s s s s s s 1
Table of Contents s s
Table of Contents s s 1
Chapter 01: Evidence- s s 2
Based AssessmentChapter 02: Cultural C
s s s s s 15
ompetence Chapter 03: The Interview s s s s 31
Chapter 04: The Complete Health HistoryC
s s s s s s 49
hapter 05: Mental Status Assessment Cha
s s s s s 64
pter 06: Substance Use Assessment
s s s s 81
Chapter 07: Domestic and Family Violence Assessments
s s s s s s 87
Chapter 08: Assessment Techniques and Safety in the Clinical SettingCha
s s s s s s s s s s 93
pter 09: General Survey, Measurement, Vital Signs
s s s s s s 112
Chapter 10: Pain Assessment: The Fifth Vital SignC
s s s s s s s s 134
hapter 11: Nutritional Assessment
s s s 142
Chapter 12: Skin, Hair, and Nails s s s s s 156
Chapter 13: Head, Face, and Neck, Including Regional LymphaticsChapte
s s s s s s s s s 177
r 14: Eyes
s s 195
Chapter 15: Ears s s 212
Chapter 16: Nose, Mouth, and Throat Chapter
s s s s s s s 229
17: Breasts and Regional LymphaticsChapter 1
s s s s s s 247
8: Thorax and Lungs
s s s 267
Chapter 19: Heart and Neck Vessels s s s s s 285
Chapter 20: Peripheral Vascular System and Lymphatic SystemChapter 2
s s s s s s s s s 304
1: Abdomen
s 321
Chapter 22: Musculoskeletal System Cha
s s s s 338
pter 23: Neurologic System Chapter 24:
s s s s s s 359
Male Genitourinary System Chapter 25: A
s s s s s 384
nus, Rectum, and Prostate
s s s 402
Chapter 26: Female Genitourinary System
s s s s 416
Chapter 27: The Complete Health Assessment: Adult
s s s s s s 438
Chapter 28: The Complete Physical Assessment: Infant, Child, and AdolescentCh
s s s s s s s s s s 451
apter 29: Bedside Assessment of the Hospitalized Patient
s s s s s s s 454
Chapter 30: The Pregnant Woman s s s s 460
Chapter 31: Functional Assessment of the Older Adult
s s s s s s s 473
, s
lOMoARcPSD|578 852
s 3
Test Bank: Physical Examination & Health Assessment 7th Edition
s s s s s s s s 2
Chapter 01: Evidence-Based Assessment s s s
MULTIPLE CHOICE s
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic andhis pul
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se is 58 beats per minute. These types of data would be:
s s s s s s s s s s s
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A s
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during
s s s s s s s s s s s s s s s
the physical examination. Subjective data is what the person says about him or herself during history taking. The terms
s s s s s s s s s s s s s s s s s s
sreflective and introspective are not used to describe data.
s s s s s s s s
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
s s s s s s s
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s s s s s s s s s
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
s s s s s s s s s s s s s s s s s s s s
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C s
Subjective data are what the person says about him or herself during history taking. Objective data are what thehealth
s s s s s s s s s s s s s s s s s s s s
professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The ter
s s s s s s s s s s s s s
ms reflective and introspective are not used to describe data.
s s s s s s s s s
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
s s s s s s s
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s s s s s s s s s
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
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a. Data base. s
b. Admitting data. s
, lOMoARcPSD|578s 852
s 3
Test Bank: Physical Examination & Health Assessment 7th Edition
s s s s s s s s 3
c. Financial statement. s
d. Discharge summary. s
ANS: A s
Together with the patients record and laboratory studies, the objective and subjective data form the data base.The oth
s s s s s s s s s s s s s s s s s s
er items are not part of the patients record, laboratory studies, or data.
s s s s s s s s s s s s
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
s s s s s s s
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s s s s s s s s s
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses nextaction
s s s s s s s s s s s s s s s s s s s s s
should be to: s s
a. Immediately notify the patients physician. s s s s
b. Document the sound exactly as it was heard. s s s s s s s
c. Validate the data by asking a coworker to listen to the breath sounds.
s s s s s s s s s s s s
d. Assess again in 20 minutes to note whether the sound is still present.
s s s s s s s s s s s s
ANS: C s
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accuracy
s s s s s s s s s s s s s s s s s s s s
. If the nurse has less experience in an area, then he or she asks an expert to listen.
s s s s s s s s s s s s s s s s s s
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
s s s s s s s
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s s s s s s s s s
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keepin min
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d that novice nurses, without a background of skills and experience from which to draw, are more likely to make their
s s s s s s s s s s s s s s s s s s s s
decisions using:
s s
a. Intuition.
b. A set of rules.
s s s
c. Articles in journals. s s
d. Advice from supervisors. s s
ANS: B s
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.DIF: Cog
s s s s s s s s s s s s s s s s s
nitive Level: Understanding (Comprehension) REF: p. 3
s s s s s s
lOMoARcPSD|578 852
s 3
TestBank:Physical
s s s
Examination&Healt s s
th
hAssessment7 Edit
s s s
ion(Jarvis)
s s
CHAPTERS 1- s
31 COMPLETETESTBANK
s s
, s
lOMoARcPSD|578 852
s 3
Test Bank: Physical Examination & Health Assessment 7th Edition
s s s s s s s s 1
Table of Contents s s
Table of Contents s s 1
Chapter 01: Evidence- s s 2
Based AssessmentChapter 02: Cultural C
s s s s s 15
ompetence Chapter 03: The Interview s s s s 31
Chapter 04: The Complete Health HistoryC
s s s s s s 49
hapter 05: Mental Status Assessment Cha
s s s s s 64
pter 06: Substance Use Assessment
s s s s 81
Chapter 07: Domestic and Family Violence Assessments
s s s s s s 87
Chapter 08: Assessment Techniques and Safety in the Clinical SettingCha
s s s s s s s s s s 93
pter 09: General Survey, Measurement, Vital Signs
s s s s s s 112
Chapter 10: Pain Assessment: The Fifth Vital SignC
s s s s s s s s 134
hapter 11: Nutritional Assessment
s s s 142
Chapter 12: Skin, Hair, and Nails s s s s s 156
Chapter 13: Head, Face, and Neck, Including Regional LymphaticsChapte
s s s s s s s s s 177
r 14: Eyes
s s 195
Chapter 15: Ears s s 212
Chapter 16: Nose, Mouth, and Throat Chapter
s s s s s s s 229
17: Breasts and Regional LymphaticsChapter 1
s s s s s s 247
8: Thorax and Lungs
s s s 267
Chapter 19: Heart and Neck Vessels s s s s s 285
Chapter 20: Peripheral Vascular System and Lymphatic SystemChapter 2
s s s s s s s s s 304
1: Abdomen
s 321
Chapter 22: Musculoskeletal System Cha
s s s s 338
pter 23: Neurologic System Chapter 24:
s s s s s s 359
Male Genitourinary System Chapter 25: A
s s s s s 384
nus, Rectum, and Prostate
s s s 402
Chapter 26: Female Genitourinary System
s s s s 416
Chapter 27: The Complete Health Assessment: Adult
s s s s s s 438
Chapter 28: The Complete Physical Assessment: Infant, Child, and AdolescentCh
s s s s s s s s s s 451
apter 29: Bedside Assessment of the Hospitalized Patient
s s s s s s s 454
Chapter 30: The Pregnant Woman s s s s 460
Chapter 31: Functional Assessment of the Older Adult
s s s s s s s 473
, s
lOMoARcPSD|578 852
s 3
Test Bank: Physical Examination & Health Assessment 7th Edition
s s s s s s s s 2
Chapter 01: Evidence-Based Assessment s s s
MULTIPLE CHOICE s
1. After completing an initial assessment of a patient, the nurse has charted that his respirations are eupneic andhis pul
s s s s s s s s s s s s s s s s s s s
se is 58 beats per minute. These types of data would be:
s s s s s s s s s s s
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: A s
Objective data are what the health professional observes by inspecting, percussing, palpating, and auscultating during
s s s s s s s s s s s s s s s
the physical examination. Subjective data is what the person says about him or herself during history taking. The terms
s s s s s s s s s s s s s s s s s s
sreflective and introspective are not used to describe data.
s s s s s s s s
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
s s s s s s s
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s s s s s s s s s
2. A patient tells the nurse that he is very nervous, is nauseated, and feels hot. These types of data would be:
s s s s s s s s s s s s s s s s s s s s
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS: C s
Subjective data are what the person says about him or herself during history taking. Objective data are what thehealth
s s s s s s s s s s s s s s s s s s s s
professional observes by inspecting, percussing, palpating, and auscultating during the physical examination. The ter
s s s s s s s s s s s s s
ms reflective and introspective are not used to describe data.
s s s s s s s s s
DIF: Cognitive Level: Understanding (Comprehension) REF: p. 2
s s s s s s s
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s s s s s s s s s
3. The patients record, laboratory studies, objective data, and subjective data combine to form the:
s s s s s s s s s s s s s
a. Data base. s
b. Admitting data. s
, lOMoARcPSD|578s 852
s 3
Test Bank: Physical Examination & Health Assessment 7th Edition
s s s s s s s s 3
c. Financial statement. s
d. Discharge summary. s
ANS: A s
Together with the patients record and laboratory studies, the objective and subjective data form the data base.The oth
s s s s s s s s s s s s s s s s s s
er items are not part of the patients record, laboratory studies, or data.
s s s s s s s s s s s s
DIF: Cognitive Level: Remembering (Knowledge) REF: p. 2
s s s s s s s
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s s s s s s s s s
4. When listening to a patients breath sounds, the nurse is unsure of a sound that is heard. The nurses nextaction
s s s s s s s s s s s s s s s s s s s s s
should be to: s s
a. Immediately notify the patients physician. s s s s
b. Document the sound exactly as it was heard. s s s s s s s
c. Validate the data by asking a coworker to listen to the breath sounds.
s s s s s s s s s s s s
d. Assess again in 20 minutes to note whether the sound is still present.
s s s s s s s s s s s s
ANS: C s
When unsure of a sound heard while listening to a patients breath sounds, the nurse validates the data to ensure accuracy
s s s s s s s s s s s s s s s s s s s s
. If the nurse has less experience in an area, then he or she asks an expert to listen.
s s s s s s s s s s s s s s s s s s
DIF: Cognitive Level: Analyzing (Analysis) REF: p. 2
s s s s s s s
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
s s s s s s s s s s
5. The nurse is conducting a class for new graduate nurses. During the teaching session, the nurse should keepin min
s s s s s s s s s s s s s s s s s s s
d that novice nurses, without a background of skills and experience from which to draw, are more likely to make their
s s s s s s s s s s s s s s s s s s s s
decisions using:
s s
a. Intuition.
b. A set of rules.
s s s
c. Articles in journals. s s
d. Advice from supervisors. s s
ANS: B s
Novice nurses operate from a set of defined, structured rules. The expert practitioner uses intuitive links.DIF: Cog
s s s s s s s s s s s s s s s s s
nitive Level: Understanding (Comprehension) REF: p. 3
s s s s s s
