Jarvis Physical Assessment Final Review with all Correct
& 100% Verified Answers |Latest Version |Already
Graded A+
Which of these statements is true regarding the use of Standard Precautions in the health care
setting?
A. Standard Precautions apply to all body fluids, including sweat
B. Alcohol-based hand rub should be used if hands are visibly dirty
C. Standard Precautions are intended for use with all patients regardless of their risk or presumed
infection status
D. Standard Precautions are to be used only when nonintact skin, secretion s containing visible
blood, or expected contact with mucus membranes is present ✔Correct Answer-C. Standard
Precautions are intended for use with all patients regardless of their risk or presumed infection status
What is the most important step that the nurse can take to prevent transmission of microorganisms
in the hospital setting?
A. Wear protective eye wear at all times
B. Wear gloves whenever in direct contact with patients
C. Wash hands before and after contact with each patient
D. Clean the stethoscope with an alcohol swab between patients ✔Correct Answer-C. Wash hands
before and after contact with each patient
Safety must be considered when performing a physical examination to protect the examiner and the
patient against the spread of infection. Which of these statements describes the most appropriate
action the nurse would take when performing a physical examination?
A. Washing one's hands after removing gloves is not necessary, as long as the gloves are intact
B. Hands are washed before and after every physical patient encounter
C. Hands are washed before the examination of each body system to prevent the spread of bacteria
from one body part to another
D. Gloves are worn throughout the entire examination to demonstrate to the patient concern
regarding the spread of infection disease ✔Correct Answer-B. Hands are washed before and after
every physical patient encounter
The nurse is preparing to use an otoscope for examination. Which statement is true regarding the
otoscope?
A. Often used to direct light onto the sinuses
B. Used to examine the structures of the internal ear
C. Uses a short, broad speculum to help visualize the ear
D. Directs light into the ear canal and onto the tympanic membrane ✔Correct Answer-D. Directs
light into the ear canal and onto the tympanic membrane
The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the
diaphragm of the stethoscope?
A. Used to listen for high pitch sounds
B. Used to listen for low pitch sounds
C. Should be lightly held against a person's skin to block out low pitched sounds
D. Should be lightly held against the persons skin to listen for extra heart sounds and murmurs
✔Correct Answer-A. Used to listen for high pitch sounds
, Which of these techniques uses the sense of touch to assess texture, temperature, moisture and
swelling when the nurse is assessing a patient?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation ✔Correct Answer-A. Palpation
When performing a physical assessment, what technique should the nurse always perform first?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation ✔Correct Answer-B. Inspection
After completing an initial assessment of a patient, the nurse has charted that his respirations are
regular and his pulse is 70 beats per minute. What type of assessment data is this?
A. Objective
B. Reflective
C. Subjective
D. Introspective ✔Correct Answer-A. Objective
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 ✔Correct Answer-C. Subjective
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an
example of a first-level priority problem?
A. A patient with post-operative pain
B. A newly diagnosed patient with diabetes who needs diabetic teaching
C. An individual with a small laceration on the sole of the foot
D. An individual with shortness of breath and respiratory distress ✔Correct Answer-D. An
individual with shortness of breath and respiratory distress
When considering the priority setting of problems, the nurse keeps in mind that second-level priority
problems include which of these aspects?
A. Low self-esteem
B. Lack of knowledge
C. Abnormal lab values
D. Severely abnormal vital signs ✔Correct Answer-C. Abnormal lab values
The nursing process is a sequential method of problem-solving that nurses use, and includes which
steps?
A. Assessment, treatment, planning, evaluation, discharge, and follow-up
B. Admission, assessment, diagnosis, treatment, and discharge planning
C. Admission, diagnosis, treatment, evaluation and discharge planning
D. Assessment, diagnosis, planning, implementation, evaluation ✔Correct Answer-D. Assessment,
diagnosis, planning, implementation, evaluation
& 100% Verified Answers |Latest Version |Already
Graded A+
Which of these statements is true regarding the use of Standard Precautions in the health care
setting?
A. Standard Precautions apply to all body fluids, including sweat
B. Alcohol-based hand rub should be used if hands are visibly dirty
C. Standard Precautions are intended for use with all patients regardless of their risk or presumed
infection status
D. Standard Precautions are to be used only when nonintact skin, secretion s containing visible
blood, or expected contact with mucus membranes is present ✔Correct Answer-C. Standard
Precautions are intended for use with all patients regardless of their risk or presumed infection status
What is the most important step that the nurse can take to prevent transmission of microorganisms
in the hospital setting?
A. Wear protective eye wear at all times
B. Wear gloves whenever in direct contact with patients
C. Wash hands before and after contact with each patient
D. Clean the stethoscope with an alcohol swab between patients ✔Correct Answer-C. Wash hands
before and after contact with each patient
Safety must be considered when performing a physical examination to protect the examiner and the
patient against the spread of infection. Which of these statements describes the most appropriate
action the nurse would take when performing a physical examination?
A. Washing one's hands after removing gloves is not necessary, as long as the gloves are intact
B. Hands are washed before and after every physical patient encounter
C. Hands are washed before the examination of each body system to prevent the spread of bacteria
from one body part to another
D. Gloves are worn throughout the entire examination to demonstrate to the patient concern
regarding the spread of infection disease ✔Correct Answer-B. Hands are washed before and after
every physical patient encounter
The nurse is preparing to use an otoscope for examination. Which statement is true regarding the
otoscope?
A. Often used to direct light onto the sinuses
B. Used to examine the structures of the internal ear
C. Uses a short, broad speculum to help visualize the ear
D. Directs light into the ear canal and onto the tympanic membrane ✔Correct Answer-D. Directs
light into the ear canal and onto the tympanic membrane
The nurse is preparing to use a stethoscope for auscultation. Which statement is true regarding the
diaphragm of the stethoscope?
A. Used to listen for high pitch sounds
B. Used to listen for low pitch sounds
C. Should be lightly held against a person's skin to block out low pitched sounds
D. Should be lightly held against the persons skin to listen for extra heart sounds and murmurs
✔Correct Answer-A. Used to listen for high pitch sounds
, Which of these techniques uses the sense of touch to assess texture, temperature, moisture and
swelling when the nurse is assessing a patient?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation ✔Correct Answer-A. Palpation
When performing a physical assessment, what technique should the nurse always perform first?
A. Palpation
B. Inspection
C. Percussion
D. Auscultation ✔Correct Answer-B. Inspection
After completing an initial assessment of a patient, the nurse has charted that his respirations are
regular and his pulse is 70 beats per minute. What type of assessment data is this?
A. Objective
B. Reflective
C. Subjective
D. Introspective ✔Correct Answer-A. Objective
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 ✔Correct Answer-C. Subjective
The nurse is conducting a class on priority setting for a group of new graduate nurses. Which is an
example of a first-level priority problem?
A. A patient with post-operative pain
B. A newly diagnosed patient with diabetes who needs diabetic teaching
C. An individual with a small laceration on the sole of the foot
D. An individual with shortness of breath and respiratory distress ✔Correct Answer-D. An
individual with shortness of breath and respiratory distress
When considering the priority setting of problems, the nurse keeps in mind that second-level priority
problems include which of these aspects?
A. Low self-esteem
B. Lack of knowledge
C. Abnormal lab values
D. Severely abnormal vital signs ✔Correct Answer-C. Abnormal lab values
The nursing process is a sequential method of problem-solving that nurses use, and includes which
steps?
A. Assessment, treatment, planning, evaluation, discharge, and follow-up
B. Admission, assessment, diagnosis, treatment, and discharge planning
C. Admission, diagnosis, treatment, evaluation and discharge planning
D. Assessment, diagnosis, planning, implementation, evaluation ✔Correct Answer-D. Assessment,
diagnosis, planning, implementation, evaluation
