7
Test Bank: Ph 79 79
ysical Examin 79
ation & Healt 79 79
h Assessment
79 79
th
7 Edition (Ja
79 79
rvis ) 79
CHAPTERS 1- 79
31 COMPLETE TESTBANK
79 79
, 7
th
Test79Bank:79Physical79Examination79&79Health79Assessment797 7 1
9Edition
Table7 9 of7 9 Contents
Table79 of79 Conten 1
ts
Chapter7901:79Evidence- 2
Based79Assessment79Chapter7902:7 9 Cultu 15
ral7 9 Competence79Chapter7903:79The79Int 31
erview 49
Chapter7904:79The79Complete79Health79His 64
tory79Chapter7905:79Mental79Status79Asses 81
sment79Chapter7906:79Substance79Use79As 87
sessment 93
Chapter79 07:79 Domestic79 and79 Family79 Violence79 Assessments 112
Chapter7908:79Assessment79Techniques79and79Safety79in79the79Clinical79 134
Setting79Chapter7909:79General79Survey,79Measurement,79Vital79Signs 142
Chapter7910:79Pain79Assessment:79The79Fifth79Vital 156
79Sign79Chapter7911:79Nutritional79Assessment 177
Chapter7912:79Skin,79 Hair,79and79 Nails 195
Chapter7913:79Head,79Face,79and79Neck,79Including79Regional79Lymphat 212
ics79Chapter7914:79Eyes 229
Chapter7915:79Ears 247
Chapter7916:79Nose,7 9 Mouth,7 9 and7 9 Throat7 9 267
Chapter7917:79Breasts79and79Regional79Lymph 285
atics79Chapter7918:79Thorax79and79Lungs 304
Chapter7919:79 Heart79 and79 Neck79 Vessels 321
Chapter7920:79Peripheral79Vascular79System79and79Lymphatic79System79 338
Chapter7921:79Abdomen 359
Chapter7922:79Musculoskeletal79System79 384
Chapter7923:7 9 Neurologic7 9 System7 9 C 402
hapter7924:79Male79Genitourinary79Syste 416
m79Chapter7925:79Anus,79Rectum,79and79 438
Prostate 451
Chapter7 9 26:79 Female7 9 Genitourinary79 System 454
Chapter79 27:79The79 Complete79 Health79 Assessment:79Adult 460
Chapter7928:79The79Complete79Physical79Assessment:79Infant,79Child,79and79Adol 473
escent79Chapter7929:79Bedside79Assessment79of79the79Hospitalized79Patient
Chapter79 30:79 The79 Pregnant79Woman
Chapter79 31:79Functional79Assessment79of79the79 Older79 Adult
, 7
th
Test79Bank:79Physical79Examination79&79Health79Assessment797 7 2
9Edition
Chapter7 9 01:7 9 Evidence-Based7 9 Assessment
MULTIPLE79CHOICE
1. After79completing79an79initial79assessment79of79a79patient,79the79nurse79has79charted79that79his79respirations79ar
e79eupneic79and79his79pulse79is795879beats79per7 9 minute.7 9 These79types79of7 9 data7 9 would79be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:7 9 A
Objective79data79are79what79the79health79professional79observes79by79inspecting,79percussing,79palpating,79and79a
uscultating79during79the79physical79examination.79Subjective79data79is79what79the79person79says79about79him79or7
9herself79during79history79taking.7 9 The7 9 terms7 9 reflective7 9 and79introspective7 9 are7 9 not7 9 used79to79describe
7 9 data.
DIF:79 Cognitive7 9 Level:79 Understanding79 (Comprehension)7 9 REF:7 9 p.79 2
MSC:79 Client79 Needs:79 Safe79and79 Effective79 Care79 Environment:7 9 Management7 9 of7 9 Care
2. A79patient79 tells79the79 nurse79 that79he79 is79very79nervous,79 is79nauseated,79 and79feels79 hot.79 These79 types79of79
data79 would79 be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:79 C
Subjective79data79are79what79the79person79says79about79him79or79herself79during79history79taking.79Objective79da
ta79are79what79the79health7 9 professional7 9 observes7 9 by7 9 inspecting,7 9 percussing,7 9 palpating,7 9 and7 9 auscult
ating7 9 during7 9 the7 9 physical79examination.7 9 The7 9 terms7 9 reflective7 9 and7 9 introspective79are7 9 not7 9 used7
9 to7 9 describe7 9 data.
DIF:79 Cognitive7 9 Level:79 Understanding79 (Comprehension)7 9 REF:7 9 p.79 2
MSC:79 Client79 Needs:79 Safe79and79 Effective79 Care79 Environment:7 9 Management7 9 of7 9 Care
3. The79 patients79 record,79 laboratory79 studies,79 objective79 data,79 and79subjective7 9 data7 9 combine79 to79 form79 the:
a. Data79base.
b. Admitting7 9 data.
, 7
th
Test79Bank:79Physical79Examination79&79Health79Assessment797 7 3
9Edition
c. Financial79statement.
d. Discharge79 summary.
ANS:7 9 A
Together79with79the79patients79record79and79laboratory79studies,79the79objective79and79subjective79data79form79t
he79data79base.79The7 9 other7 9 items7 9 are7 9 not7 9 part79of7 9 the7 9 patients7 9 record,7 9 laboratory7 9 studies,7 9 or7 9
data.
DIF:79 Cognitive7 9 Level:79 Remembering79 (Knowledge)7 9 REF:7 9 p.79 2
MSC:79 Client79 Needs:79 Safe79and79 Effective79 Care79 Environment:7 9 Management7 9 of7 9 Care
4. When79listening79to79a79patients79breath79sounds,79the79nurse79is79unsure79of79a79sound79that79is79heard.79
The79nurses79next79action79should79be79to:
a. Immediately7 9 notify79 the79 patients79 physician.
b. Document79 the79 sound79exactly79as79 it79 was7 9 heard.
c. Validate79the79 data79by79asking79a79 coworker79 to79listen79to79the79breath79sounds.
d. Assess79again79in792079 minutes79 to79note79 whether79 the79sound79is79 still79present.
ANS:79 C
When79unsure79of79a79sound79heard79while79listening79to79a79patients79breath79sounds,79the79nurse79validates79the79
data79to79ensure79accuracy.7 9 If7 9 the7 9 nurse7 9 has7 9 less7 9 experience7 9 in7 9 an7 9 area,7 9 then7 9 he7 9 or7 9 she7 9 asks7 9 a
n7 9 expert7 9 to7 9 listen.
DIF:79 Cognitive7 9 Level:79 Analyzing79(Analysis)7 9 REF:79 p.79 2
MSC:79 Client79 Needs:79 Safe79and79 Effective79 Care79 Environment:7 9 Management7 9 of7 9 Care
5. The7 9 nurse79 is7 9 conducting79a79class79for7 9 new79graduate7 9 nurses.7 9 During79the79 teaching79session,7 9 the7 9 n
urse79 should7 9 keep79in7 9 mind79 that7 9 novice7 9 nurses,79 without79 a7 9 background7 9 of79skills79and79 experience7 9 fr
om79which79to79draw,79 are7 9 more79likely79to79make79their79decisions79using:
a. Intuition.
b. A79set79 of79rules.
c. Articles79in79journals.
d. Advice79 from79 supervisors.
ANS:79 B
Novice79nurses79operate79from79a79set79of79defined,79structured79rules.79The79expert79practitioner79uses79intu
itive79links.79DIF:7 9 Cognitive7 9 Level:7 9 Understanding7 9 (Comprehension)7 9 REF:7 9 p.7 9 3
Test Bank: Ph 79 79
ysical Examin 79
ation & Healt 79 79
h Assessment
79 79
th
7 Edition (Ja
79 79
rvis ) 79
CHAPTERS 1- 79
31 COMPLETE TESTBANK
79 79
, 7
th
Test79Bank:79Physical79Examination79&79Health79Assessment797 7 1
9Edition
Table7 9 of7 9 Contents
Table79 of79 Conten 1
ts
Chapter7901:79Evidence- 2
Based79Assessment79Chapter7902:7 9 Cultu 15
ral7 9 Competence79Chapter7903:79The79Int 31
erview 49
Chapter7904:79The79Complete79Health79His 64
tory79Chapter7905:79Mental79Status79Asses 81
sment79Chapter7906:79Substance79Use79As 87
sessment 93
Chapter79 07:79 Domestic79 and79 Family79 Violence79 Assessments 112
Chapter7908:79Assessment79Techniques79and79Safety79in79the79Clinical79 134
Setting79Chapter7909:79General79Survey,79Measurement,79Vital79Signs 142
Chapter7910:79Pain79Assessment:79The79Fifth79Vital 156
79Sign79Chapter7911:79Nutritional79Assessment 177
Chapter7912:79Skin,79 Hair,79and79 Nails 195
Chapter7913:79Head,79Face,79and79Neck,79Including79Regional79Lymphat 212
ics79Chapter7914:79Eyes 229
Chapter7915:79Ears 247
Chapter7916:79Nose,7 9 Mouth,7 9 and7 9 Throat7 9 267
Chapter7917:79Breasts79and79Regional79Lymph 285
atics79Chapter7918:79Thorax79and79Lungs 304
Chapter7919:79 Heart79 and79 Neck79 Vessels 321
Chapter7920:79Peripheral79Vascular79System79and79Lymphatic79System79 338
Chapter7921:79Abdomen 359
Chapter7922:79Musculoskeletal79System79 384
Chapter7923:7 9 Neurologic7 9 System7 9 C 402
hapter7924:79Male79Genitourinary79Syste 416
m79Chapter7925:79Anus,79Rectum,79and79 438
Prostate 451
Chapter7 9 26:79 Female7 9 Genitourinary79 System 454
Chapter79 27:79The79 Complete79 Health79 Assessment:79Adult 460
Chapter7928:79The79Complete79Physical79Assessment:79Infant,79Child,79and79Adol 473
escent79Chapter7929:79Bedside79Assessment79of79the79Hospitalized79Patient
Chapter79 30:79 The79 Pregnant79Woman
Chapter79 31:79Functional79Assessment79of79the79 Older79 Adult
, 7
th
Test79Bank:79Physical79Examination79&79Health79Assessment797 7 2
9Edition
Chapter7 9 01:7 9 Evidence-Based7 9 Assessment
MULTIPLE79CHOICE
1. After79completing79an79initial79assessment79of79a79patient,79the79nurse79has79charted79that79his79respirations79ar
e79eupneic79and79his79pulse79is795879beats79per7 9 minute.7 9 These79types79of7 9 data7 9 would79be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:7 9 A
Objective79data79are79what79the79health79professional79observes79by79inspecting,79percussing,79palpating,79and79a
uscultating79during79the79physical79examination.79Subjective79data79is79what79the79person79says79about79him79or7
9herself79during79history79taking.7 9 The7 9 terms7 9 reflective7 9 and79introspective7 9 are7 9 not7 9 used79to79describe
7 9 data.
DIF:79 Cognitive7 9 Level:79 Understanding79 (Comprehension)7 9 REF:7 9 p.79 2
MSC:79 Client79 Needs:79 Safe79and79 Effective79 Care79 Environment:7 9 Management7 9 of7 9 Care
2. A79patient79 tells79the79 nurse79 that79he79 is79very79nervous,79 is79nauseated,79 and79feels79 hot.79 These79 types79of79
data79 would79 be:
a. Objective.
b. Reflective.
c. Subjective.
d. Introspective.
ANS:79 C
Subjective79data79are79what79the79person79says79about79him79or79herself79during79history79taking.79Objective79da
ta79are79what79the79health7 9 professional7 9 observes7 9 by7 9 inspecting,7 9 percussing,7 9 palpating,7 9 and7 9 auscult
ating7 9 during7 9 the7 9 physical79examination.7 9 The7 9 terms7 9 reflective7 9 and7 9 introspective79are7 9 not7 9 used7
9 to7 9 describe7 9 data.
DIF:79 Cognitive7 9 Level:79 Understanding79 (Comprehension)7 9 REF:7 9 p.79 2
MSC:79 Client79 Needs:79 Safe79and79 Effective79 Care79 Environment:7 9 Management7 9 of7 9 Care
3. The79 patients79 record,79 laboratory79 studies,79 objective79 data,79 and79subjective7 9 data7 9 combine79 to79 form79 the:
a. Data79base.
b. Admitting7 9 data.
, 7
th
Test79Bank:79Physical79Examination79&79Health79Assessment797 7 3
9Edition
c. Financial79statement.
d. Discharge79 summary.
ANS:7 9 A
Together79with79the79patients79record79and79laboratory79studies,79the79objective79and79subjective79data79form79t
he79data79base.79The7 9 other7 9 items7 9 are7 9 not7 9 part79of7 9 the7 9 patients7 9 record,7 9 laboratory7 9 studies,7 9 or7 9
data.
DIF:79 Cognitive7 9 Level:79 Remembering79 (Knowledge)7 9 REF:7 9 p.79 2
MSC:79 Client79 Needs:79 Safe79and79 Effective79 Care79 Environment:7 9 Management7 9 of7 9 Care
4. When79listening79to79a79patients79breath79sounds,79the79nurse79is79unsure79of79a79sound79that79is79heard.79
The79nurses79next79action79should79be79to:
a. Immediately7 9 notify79 the79 patients79 physician.
b. Document79 the79 sound79exactly79as79 it79 was7 9 heard.
c. Validate79the79 data79by79asking79a79 coworker79 to79listen79to79the79breath79sounds.
d. Assess79again79in792079 minutes79 to79note79 whether79 the79sound79is79 still79present.
ANS:79 C
When79unsure79of79a79sound79heard79while79listening79to79a79patients79breath79sounds,79the79nurse79validates79the79
data79to79ensure79accuracy.7 9 If7 9 the7 9 nurse7 9 has7 9 less7 9 experience7 9 in7 9 an7 9 area,7 9 then7 9 he7 9 or7 9 she7 9 asks7 9 a
n7 9 expert7 9 to7 9 listen.
DIF:79 Cognitive7 9 Level:79 Analyzing79(Analysis)7 9 REF:79 p.79 2
MSC:79 Client79 Needs:79 Safe79and79 Effective79 Care79 Environment:7 9 Management7 9 of7 9 Care
5. The7 9 nurse79 is7 9 conducting79a79class79for7 9 new79graduate7 9 nurses.7 9 During79the79 teaching79session,7 9 the7 9 n
urse79 should7 9 keep79in7 9 mind79 that7 9 novice7 9 nurses,79 without79 a7 9 background7 9 of79skills79and79 experience7 9 fr
om79which79to79draw,79 are7 9 more79likely79to79make79their79decisions79using:
a. Intuition.
b. A79set79 of79rules.
c. Articles79in79journals.
d. Advice79 from79 supervisors.
ANS:79 B
Novice79nurses79operate79from79a79set79of79defined,79structured79rules.79The79expert79practitioner79uses79intu
itive79links.79DIF:7 9 Cognitive7 9 Level:7 9 Understanding7 9 (Comprehension)7 9 REF:7 9 p.7 9 3
