lOMoARcPSD|5788523
Test Bank: Phm m
ysical Examin m
ation & Health m m m
Assessment 7 t
m
h
mEdition (Jarv m
is ) m
CHAPTERS 1- m
31 COMPLETE TESTBANK
m m
, lOMoARcPSD|5788523
Test mBank: mPhysicalmExaminationm&mHealthmAssessment m7thmEditionm(Ja 1
rvis m2015)
Table of Contents
m m
Tablem of m Contents 1
Chapterm 01:m Evidence- 2
Basedm AssessmentmChapterm02:m Culturalm 15
CompetencemChapterm03:mThemInterview 31
Chapterm 04:m Them Completem Healthm Histor 49
y mChapterm 05:m Mentalm Statusm Assessmentm 64
Chapterm 06:m Substancem Usem Assessm ent 81
Chapterm 07:m Domestic m andm Fam ily m Violencem Assessments 87
Chapterm 08:m Assessm entm Techniquesm andm Safety m inm them Clinicalm Settin 93
gmChapterm09:mGeneralmSurvey,mMeasurem ent,mVitalmSigns 112
Chapterm 10:m Painm Assessment:m Them Fifthm Vitalm SignmChapt 134
erm11:mNutritionalmAssessment 142
Chapterm 12:m Skin,m Hair,m andm Nails 156
Chapterm 13:m Head,m Face,m andm Neck,m Includingm Regionalm LymphaticsmCh 177
apterm14:mEyes 195
Chapterm 15:m Ears 212
Chapterm16:mNose,m Mouth,m andm ThroatmChapt 229
erm 17:m Breastsm andm Regionalm LymphaticsmCha 247
pterm18:mThorax mandm Lungs 267
Chapterm 19:m Heartm andm Neck m Vessels 285
Chapterm 20:m Peripheralm Vascularm System m andm Lymphatic m System mChapt 304
erm21:mAbdomen 321
Chapterm 22:m Musculoskeletalm System mC 338
hapterm23:m Neurologic m System mChapter 359
m 24:m Malem Genitourinary m System 384
Chapterm 25:m Anus,m Rectum,m andm ProstatemCha 402
pterm 26:m Femalem Genitourinary m System 416
Chapterm 27:m Them Completem Healthm Assessment:m Adult 438
Chapterm 28:m Them Completem Physicalm Assessm ent:m Infant,m Child,m andm Adolesce 451
ntmChapterm29:mBedsidemAssessm entmof mthemHospitalizedmPatient 454
Chapterm 30:m Them Pregnantm Woman 460
Chapterm 31:m Functionalm Assessm entm of m them Olderm Adult 473
, lOMoARcPSD|5788523
Test mBank: mPhysicalmExaminationm&mHealthmAssessment m7thmEditionm(Ja 2
rvis m2015)
Chapter 01: Evidence-Based Assessment
m m m
MULTIPLEm CHOICE
1. Aftermcompletingman minitialmassessment mof ma mpatient, mthe mnursemhas mcharted mthatmhis mrespirationsmare meupnei
cmandmhismpulsemism58mbeatsm perm minute. m These mtypesmofm datam wouldmbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mA
Objectivemdatamaremwhatmthe mhealth mprofessionalmobserves mby minspecting, mpercussing, mpalpating, mandmausculta
tingmduringmthemphysical mexamination. m Subjective mdata mism whatmthem personm says mabout mhimmor mherself mdurin
gmhistorymtaking. m Themtermsm reflectivemand mintrospectivem arem notm usedm tomdescribem data.
DIF:mCognitivemLevel: mUnderstandingm(Comprehension) mREF: mp. m2
MSC:mClientmNeeds: mSafemand mEffective mCare mEnvironment:mManagement mofmCare
2. Ampatientmtells mthe mnursemthat mhe mismvery mnervous, mis mnauseated, mand mfeelsmhot. mThesemtypes mof mdata mwould mb
e:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mC
Subjectivemdata maremwhatmthe mperson msays mabout mhimmormherself mduring mhistorymtaking. mObjective mdata maremwhat
mthemhealthmprofessional m observesmbyminspecting, mpercussing, mpalpating, mandm auscultating mduring mthemphysical
mexamination. mThemtermsmreflectivem andmintrospectivemaremnotmusedmto mdescribemdata.
DIF:mCognitivemLevel: mUnderstandingm(Comprehension) mREF: mp. m2
MSC:mClientmNeeds: mSafemand mEffective mCare mEnvironment:mManagement mofmCare
3. Thempatientsmrecord, mlaboratory mstudies, mobjective mdata, mandmsubjective mdata mcombine mto mformmthe:
a. Datambase.
b. Admittingmdata.
, lOMoARcPSD|5788523
Test mBank: mPhysicalmExaminationm&mHealthmAssessment m7thmEditionm(Ja 3
rvis m2015)
c. Financialm statement.
d. Dischargemsummary.
ANS:mA
Togethermwithmthe mpatients mrecordmandmlaboratorymstudies, mthe mobjectivemand msubjectivemdatamform mthemdatamb
ase. mThemothermitemsmaremnotmpartmofmthe mpatientsmrecord, mlaboratorym studies, m ormdata.
DIF:mCognitivemLevel: mRemembering m(Knowledge) mREF: mp. m2
MSC:mClientmNeeds: mSafemand mEffective mCare mEnvironment:mManagement mofmCare
4. Whenmlistening mtomampatients mbreathmsounds, mthe mnurse mis munsure mof ma msound mthat mismheard. mThe mnurse
smnextmactionm shouldm be mto:
a. Immediatelymnotifymthe mpatients mphysician.
b. Documentmthemsoundmexactlymasmit mwas mheard.
c. Validatemthemdata mbymaskingmamcoworker mtomlisten mto mthe mbreath msounds.
d. Assessmagain min m20mminutes mto mnotemwhether mthe msound mismstill mpresent.
ANS:mC
Whenmunsure mofma msoundmheard mwhile mlistening mtomampatients mbreath msounds, mthe mnursemvalidates mthe mdata mto men
suremaccuracy. mIfmthem nursem hasmlessm experienceminmanmarea, mthenm hem ormshem asksmanmexpertmtomlisten.
DIF:mCognitivemLevel: mAnalyzing m(Analysis) mRE F:mp. m2
MSC:mClientmNeeds: mSafemand mEffective mCare mEnvironment:mManagement mofmCare
5. Themnursemismconductingmamclassmformnewmgraduatemnurses. mDuringmthemteachingmsession, mthemnursemshouldm
keepminmmindmthatmnovicemnurses, mwithoutmambackgroundmofmskillsmandmexperiencemfrommwhichmtomdraw, marem
moremlikelymtommakemtheirm decisionsm using:
a. Intuition.
b. Amsetmofmrules.
c. Articlesminmjournals.
d. Advicemfrommsupervisors.
ANS:mB
Novicemnursesmoperate mfrom ma mset mofmdefined, mstructured mrules. mThe mexpertmpractitioner muses mintuitivemlink
s. mDIF:mCognitivem Level:m Understandingm(Comprehension) m REF: mp. m3
Test Bank: Phm m
ysical Examin m
ation & Health m m m
Assessment 7 t
m
h
mEdition (Jarv m
is ) m
CHAPTERS 1- m
31 COMPLETE TESTBANK
m m
, lOMoARcPSD|5788523
Test mBank: mPhysicalmExaminationm&mHealthmAssessment m7thmEditionm(Ja 1
rvis m2015)
Table of Contents
m m
Tablem of m Contents 1
Chapterm 01:m Evidence- 2
Basedm AssessmentmChapterm02:m Culturalm 15
CompetencemChapterm03:mThemInterview 31
Chapterm 04:m Them Completem Healthm Histor 49
y mChapterm 05:m Mentalm Statusm Assessmentm 64
Chapterm 06:m Substancem Usem Assessm ent 81
Chapterm 07:m Domestic m andm Fam ily m Violencem Assessments 87
Chapterm 08:m Assessm entm Techniquesm andm Safety m inm them Clinicalm Settin 93
gmChapterm09:mGeneralmSurvey,mMeasurem ent,mVitalmSigns 112
Chapterm 10:m Painm Assessment:m Them Fifthm Vitalm SignmChapt 134
erm11:mNutritionalmAssessment 142
Chapterm 12:m Skin,m Hair,m andm Nails 156
Chapterm 13:m Head,m Face,m andm Neck,m Includingm Regionalm LymphaticsmCh 177
apterm14:mEyes 195
Chapterm 15:m Ears 212
Chapterm16:mNose,m Mouth,m andm ThroatmChapt 229
erm 17:m Breastsm andm Regionalm LymphaticsmCha 247
pterm18:mThorax mandm Lungs 267
Chapterm 19:m Heartm andm Neck m Vessels 285
Chapterm 20:m Peripheralm Vascularm System m andm Lymphatic m System mChapt 304
erm21:mAbdomen 321
Chapterm 22:m Musculoskeletalm System mC 338
hapterm23:m Neurologic m System mChapter 359
m 24:m Malem Genitourinary m System 384
Chapterm 25:m Anus,m Rectum,m andm ProstatemCha 402
pterm 26:m Femalem Genitourinary m System 416
Chapterm 27:m Them Completem Healthm Assessment:m Adult 438
Chapterm 28:m Them Completem Physicalm Assessm ent:m Infant,m Child,m andm Adolesce 451
ntmChapterm29:mBedsidemAssessm entmof mthemHospitalizedmPatient 454
Chapterm 30:m Them Pregnantm Woman 460
Chapterm 31:m Functionalm Assessm entm of m them Olderm Adult 473
, lOMoARcPSD|5788523
Test mBank: mPhysicalmExaminationm&mHealthmAssessment m7thmEditionm(Ja 2
rvis m2015)
Chapter 01: Evidence-Based Assessment
m m m
MULTIPLEm CHOICE
1. Aftermcompletingman minitialmassessment mof ma mpatient, mthe mnursemhas mcharted mthatmhis mrespirationsmare meupnei
cmandmhismpulsemism58mbeatsm perm minute. m These mtypesmofm datam wouldmbe:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mA
Objectivemdatamaremwhatmthe mhealth mprofessionalmobserves mby minspecting, mpercussing, mpalpating, mandmausculta
tingmduringmthemphysical mexamination. m Subjective mdata mism whatmthem personm says mabout mhimmor mherself mdurin
gmhistorymtaking. m Themtermsm reflectivemand mintrospectivem arem notm usedm tomdescribem data.
DIF:mCognitivemLevel: mUnderstandingm(Comprehension) mREF: mp. m2
MSC:mClientmNeeds: mSafemand mEffective mCare mEnvironment:mManagement mofmCare
2. Ampatientmtells mthe mnursemthat mhe mismvery mnervous, mis mnauseated, mand mfeelsmhot. mThesemtypes mof mdata mwould mb
e:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:mC
Subjectivemdata maremwhatmthe mperson msays mabout mhimmormherself mduring mhistorymtaking. mObjective mdata maremwhat
mthemhealthmprofessional m observesmbyminspecting, mpercussing, mpalpating, mandm auscultating mduring mthemphysical
mexamination. mThemtermsmreflectivem andmintrospectivemaremnotmusedmto mdescribemdata.
DIF:mCognitivemLevel: mUnderstandingm(Comprehension) mREF: mp. m2
MSC:mClientmNeeds: mSafemand mEffective mCare mEnvironment:mManagement mofmCare
3. Thempatientsmrecord, mlaboratory mstudies, mobjective mdata, mandmsubjective mdata mcombine mto mformmthe:
a. Datambase.
b. Admittingmdata.
, lOMoARcPSD|5788523
Test mBank: mPhysicalmExaminationm&mHealthmAssessment m7thmEditionm(Ja 3
rvis m2015)
c. Financialm statement.
d. Dischargemsummary.
ANS:mA
Togethermwithmthe mpatients mrecordmandmlaboratorymstudies, mthe mobjectivemand msubjectivemdatamform mthemdatamb
ase. mThemothermitemsmaremnotmpartmofmthe mpatientsmrecord, mlaboratorym studies, m ormdata.
DIF:mCognitivemLevel: mRemembering m(Knowledge) mREF: mp. m2
MSC:mClientmNeeds: mSafemand mEffective mCare mEnvironment:mManagement mofmCare
4. Whenmlistening mtomampatients mbreathmsounds, mthe mnurse mis munsure mof ma msound mthat mismheard. mThe mnurse
smnextmactionm shouldm be mto:
a. Immediatelymnotifymthe mpatients mphysician.
b. Documentmthemsoundmexactlymasmit mwas mheard.
c. Validatemthemdata mbymaskingmamcoworker mtomlisten mto mthe mbreath msounds.
d. Assessmagain min m20mminutes mto mnotemwhether mthe msound mismstill mpresent.
ANS:mC
Whenmunsure mofma msoundmheard mwhile mlistening mtomampatients mbreath msounds, mthe mnursemvalidates mthe mdata mto men
suremaccuracy. mIfmthem nursem hasmlessm experienceminmanmarea, mthenm hem ormshem asksmanmexpertmtomlisten.
DIF:mCognitivemLevel: mAnalyzing m(Analysis) mRE F:mp. m2
MSC:mClientmNeeds: mSafemand mEffective mCare mEnvironment:mManagement mofmCare
5. Themnursemismconductingmamclassmformnewmgraduatemnurses. mDuringmthemteachingmsession, mthemnursemshouldm
keepminmmindmthatmnovicemnurses, mwithoutmambackgroundmofmskillsmandmexperiencemfrommwhichmtomdraw, marem
moremlikelymtommakemtheirm decisionsm using:
a. Intuition.
b. Amsetmofmrules.
c. Articlesminmjournals.
d. Advicemfrommsupervisors.
ANS:mB
Novicemnursesmoperate mfrom ma mset mofmdefined, mstructured mrules. mThe mexpertmpractitioner muses mintuitivemlink
s. mDIF:mCognitivem Level:m Understandingm(Comprehension) m REF: mp. m3
